Junior Doctors - Medical Rotations

Organisation NSW Health
Local Health District / Agency Illawarra Shoalhaven Local Health District
Position Classification JMO Unaccredited Trainee
State Award Public Hospital Medical Officers (State) Award
Category Medical Officers | General Medicine
Website www.islhd.health.nsw.gov.au/
PRIMARY PURPOSE
To provide a high standard of clinical care to patients under supervision, while developing expertise in the practise of General and Acute Care Medicine.

The Division of Medicine provides services primarily across the three main hospitals, the Wollongong, Shellharbour and Shoalhaven Hospitals. Wollongong Hospital is the Illawarra and Shoalhaven's major referral and teaching hospital. It is the region's tertiary referral hospital which means it has the capacity to treat specialist and complex cases.
The rotations at Illawarra Shoalhaven Local Health District may include: General Medicine (Acute) Wollongong
Hospital, Sub-specialty rotations in Respiratory, Neurology, Gastroenterology; General Medicine (Acute) at Shellharbour Hospital, General Medicine (Acute) Shoalhaven Hospital. The position may be required to work within other facilities which are in an approved arrangement with your employer, including rural locations. These facilities may include other NSW public and private hospitals, and facilities in other States.
COVID-19 VACCINATION COMPLIANCY
All NSW Health workers are required to have completed a primary course (2 doses) of a Therapeutic Goods
Administration (TGA) approved or recognised COVID-19 vaccine (except for the Janssen COVID-19 vaccine which is approved by the TGA as a single dose primary course). New applicants must have completed the vaccination course prior to commencement with NSW Health, or provide an Australian Immunisation Register (AIR) Immunisation History Statement certifying the worker cannot have any approved COVID-19 vaccines available in NSW. A NSW Health agency may require further information about the medical contraindication (including but not limited to an Immunisation Medical Exemption form - IM011 form).

Acceptable proof of vaccination is the Australian Immunisation Register (AIR) Immunisation History Statement or AIR COVID-19 Digital Certificate. Booster doses are highly recommended for all health care workers who have completed the primary course of COVID-19 vaccinations.
RESPIRATOR USE
NSW Health workers may be required to use a respirator, as part of their appointment with NSW Health. Where a respirator is required for use, workers will be instructed in their safe use; including donning, doffing and fit checking. Staff may be required to complete fit testing to selected respirator/s to assess their facial fit/seal.

At all times when a health worker is required to use a respirator, the health worker must not have any facial hair present. Processes are in place to support workers that need to keep facial hair due to religious observance requirements and/ or health conditions.
ESSENTIAL CRITERIA
* Valid Working with Children Check
* Cleared National Police Check
* To be employed by NSW Health you are required to provide evidence of vaccination to comply with the NSW Health Occupational Assessment, Screening & Vaccination against Specified Infectious Diseases Policy, this includes any amendments made from time to time
* Aged Care Check (if applicable)
Orientation
You must undertake core mandatory orientation to:
* Gain an understanding of the organisational values, goals and ethics.
* Gain further knowledge and develop skills to work in a manner which promotes their own health, safety and security at work, including information relating to infection control and needle stick injury.
* Gain an understanding of child protection legislation policies and responsibilities associated with notifying and reporting issues about child protection.
* Given guidance on ways to perform their job in an efficient and effective manner; and the code of conduct and ethics, including the behaviours and standards expected of Health Service Employees.
* Understand the principles of waste management and the local processes in place which are designed to reduce waste.
* Gain an understanding of the administrative procedures relating to the performance of their work.
* Develop an understanding of the legislative and industrial context in which they work.
* Gain information on the Health Service Employee Assistance Program (EAP).
* Gain education and training in the minimisation and management of aggression, Occupational Health and Safety, Fire Safety and quality improvement processes.
KEY ACCOUNTABILITIES
The Unaccredited Trainee is responsible for the assessment, review and ongoing management (including discharge planning) of general medicine patients. This includes timely and appropriate communication with other medical, nursing and allied health staff regarding a patient's condition and recommended management; ensuring accurate and relevant documentation and adequate handovers. The Unaccredited Trainee is required to attend General Medicine outpatient clinic in all three hospitals.

Participation in the general medicine overtime roster and on-call work may be required.

The Unaccredited Trainee may required to participate in departmental quality activities including clinical trials, research, and peer review and audit projects.

The Unaccredited Trainee may be required to provide supervision support to junior doctors allocated to his/her clinical team during normal working hours as well as providing supervision support and guidance after hours.

The Unaccredited Trainee is expected to attend and participate any relevant continuing education opportunities including Grand Rounds, educational meetings, morbidity and mortality meetings, journal clubs and other relevant activities.

The Unaccredited Trainee is also expected to demonstrate a commitment to self-education.


The Unaccredited Trainee is expected to comply with all legislative, policy/protocol requirements as they relate to:
* Compliance with all NSW Health Policy Directives and Guidelines
* Compliance with NSW Health Code of Conduct
* Supervision requirements as set out by the NSW Medical Board
* Completion of any required mandatory training.
The Trainee will receive full direct supervision and support from the Department Consultant during business hours. The Trainee will be able to call the Consultant on call for support and supervision after hours.

KEY CHALLENGES
* Balancing training and education requirements with service provision, within the limitations of a busy public health service
* Maintaining a professional role and responsibility for patient care, in close liaison with supervising consultants
* Working collaboratively with other staff in a multi-disciplinary team
* Maximising the efficient utilisation of the physical resources of the Health Service
* Being flexible with the work required in a range of Health Services and Locations
* Responsibility for supervision and teaching of junior medical officers attached to the medical team
KEY RELATIONSHIPS
Who Why
Clinical Streams / other divisions For referral to for ongoing care and follow up of patients
Multidisciplinary teams To help transition patients to home and to ensure the best outcomes for patients
Hospital Administration To ensure timely services for every patient every time.
Consumer/Carers/Community For out of hospital care and information for patients to help them live healthier life
GP's/ Police/Ambulance Care for patients supported by non hospital based health clinicians and emergency services
SELECTION CRITERIA
1. MBBS or equivalent, currently registered or eligible for registration with the Medical Board of Australia
2. At least two years working as a medical officer
3. Demonstrated teamwork, time management and problem solving skills and the ability to work effectively in a multidisciplinary clinical team
4. Demonstrated competency in clinical skills including effective assessment, care planning, care provision, case management and management of unstable patients
5. Demonstrated ability to work independently within a supervised complex clinical environment using excellent clinical skills (at the required level of competency) and judgement and expertise
6. Excellent communication skills (both verbal and written) with patients, their families, and medical and other health professional staff
7. Demonstrated commitment to ongoing education, research and training 
Job Demands for: ISLHD - Unaccredited Trainee - General Medicine - District Wide

Physical Demands

Respirator use - Wearing of a respirator, to ensure protection against exposure to respiratory pathogens/ hazardous materials

Sitting - remaining in a seated position to perform tasks

Frequent Frequent


Standing - remaining standing without moving about to perform tasks

Walking - floor type: even/uneven/slippery, indoors/outdoors, slopes

Frequent Frequent


Running - floor type: even/uneven/slippery, indoors/outdoors, slopes

Bend/Lean Forward from Waist - forward bending from the waist to perform tasks

Infrequent Frequent


Trunk Twisting - turning from the waist while sitting or standing to perform tasks

Kneeling - remaining in a kneeling posture to perform tasks

Frequent Infrequent


Squatting/Crouching - adopting a squatting or crouching posture to perform tasks

Leg/Foot Movement - use of leg and/or foot to operate machinery

Frequent Occasional

Climbing (stairs/ladders) - ascend/descend stairs, ladders, steps

Lifting/Carrying - light lifting and carrying (0 to 9 kg)

Frequent Frequent


Lifting/Carrying - moderate lifting and carrying (10 to 15 kg)

Lifting/Carrying - heavy lifting and carrying
(16kg and above)

Infrequent Infrequent


Reaching - arms fully extended forward or raised above shoulder

Pushing/Pulling/Restraining - using force to hold/restrain or move objects toward or away from the body

Infrequent Occasional


Head/Neck Postures - holding head in a position other than neutral (facing forward)

Hand and Arm Movements - repetitive movements of hands and arms

Occasional Occasional


Grasping/Fine Manipulation - gripping, holding, clasping with fingers or hands

Work at Heights - using ladders, footstools, scaffolding, or other objects to perform work

Frequent Not Applicable


Driving - Operating any motor powered vehicle

Occasional

Sensory Demands

Sight - use of sight is an integral part of work performance (e.g. viewing of X-Rays, computer screens)

Hearing - use of hearing is an integral part of work performance (e.g. Telephone enquiries)

Frequent Frequent


Smell - use of smell is an integral part of work performance (e.g. working with chemicals)

Taste - use of taste is an integral part of work performance (e.g. food preparation)

Occasional Not Applicable


Touch - use of touch is an integral part of work performance

Constant

Psychosocial Demands

Distressed People - e.g. emergency or grief situations

Aggressive and Uncooperative People - e.g.
drug/alcohol, dementia, mental illness
Frequent Frequent


Unpredictable People - e.g. dementia, mental illness, head injuries

Restraining - involvement in physical containment of patients/clients
Frequent Occasional

Exposure to Distressing Situations - e.g. child abuse, viewing dead/mutilated bodies

Frequent
Environmental Demands

Dust - exposure to atmospheric dust

Gases - working with explosive or flammable gases requiring precautionary measures
Not Applicable Frequent


Fumes - exposure to noxious or toxic fumes

Liquids - working with corrosive, toxic or poisonous liquids or chemicals requiring PPE
Infrequent Infrequent


Hazardous Substances - e.g. dry chemicals, glues

Noise - environmental/background noise necessitates people raise their voice to be heard
Not Applicable Infrequent


Inadequate Lighting - risk of trips, falls or eyestrain

Sunlight - risk of sunburn exists from spending more than 10 minutes per day in sunlight
Infrequent Not Applicable


Extreme Temperatures - environmental
temperatures are less than 15°C or more than 35°C

Confined Spaces - areas where only one egress (escape route) exists
Infrequent Not Applicable

Slippery or Uneven Surfaces - greasy or wet floor surfaces, ramps, uneven ground

Inadequate Housekeeping - obstructions to walkways and work areas cause trips and falls
Not Applicable Occasional


Working At Heights -
ladders/stepladders/scaffolding are required to perform tasks

Biological Hazards - exposure to body fluids, bacteria, infectious diseases
Not Applicable Frequent