Trainee


Position Title Trainee
Position Number 24011
Employment Status Full Time - Exempt
Applications Close 17/10/2020
Maximum length of training contract 06/02/2022
Local Health District Western NSW Local Health District
Facility Orange Base Hospital
Specialty Rehabilitation Medicine
Sub Specialty None
Additional Training Focus Rehabilitation and Aged Care
Award Public Hospital Medical Officers (State) Award
Classification Resident Medical Officer
Registrar
Salary Band $81,639.00 to $127,539.00
Main Purpose of Position Due to COVID-19 and the changes to college requirements during the pandemic, NSW Health may make changes to the recruitment process. Formal interviews may be conducted electronically rather than face to face however, candidates will be notified as soon as practical of any changes

This position offers 12 months of accredited training in Rehabilitation Medicine. The trainee will provide, a consultative and educational service on all matters associated with rehabilitation, as part of a multidisciplinary team. In particular, the trainee will provide assessment of the medical, physical, functional, psychological and social needs, with a view to providing appropriate rehabilitation opportunities as well as assessment for resettlement support of patients back into the community.
Position Requirements Qualifications:

  • Successful completion of PGY1 and PGY2 years.

  • Eligible for registration with the Medical Board of Australia. Australian Medical Board registration is to be current at all times.

  • Minimum 12 months employment within the Australian Health System in the previous 24 months.

  • Satisfactory report of clinical performance from Supervisor of Training

  • ALS and or ATLS/EMST Course completed or enrolled.

  • BASIC Course completed or enrolled.

  • Intention to or already registration with a nationally recognised training body (e.g. AFRM, or RACP).


  • Personal Qualities:
  • Ability to work in a multi-disciplinary team.

  • Excellent written and verbal communication skills are essential.

  • Demonstrated interest in general medicine and/or critical care training.

  • Clinical:
    The Rehabilitation Unit is a 17 bed unit which provides rehabilitation services to
    Orange and surrounding parts of the Western NSW Local Health District. It is collocated at the Orange campus. The Orange Rehabilitation Service provides a multi-disciplinary general rehabilitation service to people who have suffered a significant medical/surgical illness or acute injury, and require rehabilitation, in order to maximise function and minimise disability.

  • To provide a specialist consultative service in the area of Rehabilitation Medicine, on referral by other medical practitioners, for inpatients of Orange Health Service, and for outpatients within their private homes, in community residential institutions, nursing homes, hostels and the smaller hospitals within the Western NSW Local Health District.

  • To provide rehabilitation expertise, support, advice and education on all areas of Rehabilitation Medicine, to fellow medical practitioners, allied health professionals, staff of residential institutions, patients and their families.

  • To assume a first on-call responsibility during business hours, for the clinical management of patients under the care of the Rehabilitation Physicians, with subsequent timely communication and consultation with the rehab physician.

  • Develop and implement strategies for the early referral of patients for assessment, in accordance with the principles of independent living and rehabilitation.

  • Attend weekly Clinical meetings for Rehabilitation.

  • Be available for consultation with team members and other health professionals, family and carers on clinical matters related to rehabilitation.

  • To provide outreach services to peripheral towns in the Western NSW Local Health District, for the purpose of:

  • (a) Assessment of Rehabilitation patients
    (b) Liaison with GPs
    (c) Education of nursing staff and allied health.
  • Participate in and eventually run family conferences with the patient, his / her family / carers and appropriate members of the Rehabilitation Team with the purpose of receiving and giving information, setting Rehabilitation and Aged Care goals and discharge planning.

  • Participate in the twice monthly Prosthetic / Orthotics clinics.

  • To provide supervision of resident medical officers and medical students in Rehabilitation ward. Monitor the quality and timeliness of all clinical notations including ward notes and discharge summaries, which will be sent to all referring practitioners and other health personnel on patient discharge.

  • To ensure that up to date medical records are maintained at all times.

  • Initiate and participate in Quality Assurance and Accreditation activities.

  • Demonstrate continuing professional development through clinical education activities and professional training.

  • To participate in hospital clinical meetings, post-graduate education programs, peer review and other activities relevant to personal vocational training.

  • To be aware of and comply with the Western NSW Local Health District policies and procedures relevant to the position, including Equal Opportunity Principles and Occupational Health and Safety Guidelines.


  • ALS:
    Trainees are expected to learn ALS skills and become proficient to lead a Rapid Response. They are expected to participate in the hospital’s simulation program to develop teamwork and crisis management skills.

    Research and Teaching:
    The trainee will be able to attend the following CME meetings in the hospital:
  • Weekly dedicated rehabilitation trainee teaching.

  • General Clinical Training Program

  • Grand Rounds

  • Medical officer Teaching

  • Physicians’ Journal Club


  • The trainee is entitled to Specialist Training Program Rural support loading fund and will be encouraged to attend Monthly Sydney based teaching programmes, where applicable. Rehabilitation consultant will provide bedside teaching during ward rounds, in outpatient clinics, or whilst seeing consult patients.
    There are a number of ongoing research and audit projects going on in each department. Trainees are encouraged to be involved, and have recently presented at national meetings.
    Orange Health Service supports medical students from the University of Sydney and nursing students from Charles Sturt University. Trainees may be asked to assist with RMO, medical student or nursing student teaching.

    Continuing Medical Education and Professional Development:
  • Attending Hospital Grand Rounds and relevant Trainee weekly meetings.

  • Obtaining and maintaining Basic and Advanced Life Support accreditation.

  • Undertaking the training requirements set out by RACP, AFRM, or other relevant professional body.

  • Providing evidence of continued professional development and commitment to self-education.


  • The trainee is entitled to Specialist Training Program Rural support loading fund and will be encouraged to attend Monthly Sydney based teaching programmes, where applicable. Rehabilitation consultant will provide bedside teaching during ward rounds, in outpatient clinics, or whilst seeing consult patients.

    Orientation:
    The trainee will be required to undertake the core mandatory orientation to:
  • Gain an understanding of the organisational values, goals and ethics.

  • Gain 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.

  • Provide guidance on ways to perform their job in an efficient and effective manner. Review the code of conduct 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, Work Health and Safety, Fire Safety and quality improvement processes.


  • Local Background & Environment Just three and a half hours from Sydney, Orange is one of Australia’s leading wine growing regions, boasting a number of renowned vineyards, and has a café culture to rival any modern European destination. Young professionals and families alike are drawn to this flourishing area with its prominent schools and thriving farming and mining communities. Orange boasts a vibrant musical and theatrical scene and is a fixture for touring international and Australian theatre and orchestral companies. Orange is rich in festivals highlighting local produce and featuring celebrity chefs from Sydney and Melbourne, while also having 3 “Hatted” restaurants in the area. The hospital is very much at the heart of the town, and new staff will find themselves welcomed by a friendly, cosmopolitan community.

    Orange Health Service is a 270-bed major non-metropolitan referral hospital, serving a population of 300,000. Since the move to the Bloomfield Campus, it constitutes the largest Rural Campus in the Southern Hemisphere. It is the regional trauma centre for Western NSW and has a fully FACEM staffed ED. The Intensive Care Unit is the referral unit for the Local Health District. It is a Level 5 Unit and is staffed accordingly. There are a comprehensive range of specialist services including almost all medical and surgical services, with the exception of spinal, burns, cardiothoracic and neurosurgical. Of note, there are services such as interventional cardiology, an endovascular suite, and excellent on-site digital radiology, including a 3T MRI and 2 LINACs for radiation oncology. Orange Health Service also has acute specialists in cardiology, renal, gastroenterology, respiratory medicine, haematology, neurology, ophthalmology and specialists in medical and radiation oncology. There are also local specialists in palliative care, nuclear medicine and dermatology.

    Orange Health Service is a teaching hospital associated with the University of Sydney and Charles Sturt University. There is an excellent record of success in the ACEM primary and fellowship exams and also future placement with metropolitan hospital training programs.

    Key Internal and External Relationships The trainee reports to the Supervisors of Training of Rehabilitation Medicine. Other Consultant physicians and staff engaged in medical and critical care disciplines will also provide supervision.
    Trainees will be expected to work collaboratively within the critical care range of specialties. There will be a close working relationship with nursing and ancillary staff within the Emergency Department, critical care areas, operating theatres, and general wards.

    Key Internal Relationships
  • Clinical streams

  • Multidisciplinary teams

  • Consumers/Carers

  • Other Clinical Divisions

  • Hospital Administration

  • Universities and clinician undergraduates


  • Key External Relationships
  • Consumers/Carers

  • Primary Care Clinicians

  • Psychiatric Liaison Services

  • Community services and Community Practitioners

  • Police, Ambulance


  • Supervision Arrangements The Consultants and Senior Trainees working within the Rehabilitation Department will provide supervision and advice. The Supervisor of Training will provide formal assessment and feedback during the rotation.
    Supervision of the trainee in normal hours of work:
  • The trainee will receive full direct supervision and support from the Rehabilitation Staff Specialist. As such daily supervision is available at any time.

  • The trainee will have access to a senior supervisor at all times.


  • Supervision of the trainee after hours:
  • The trainee will not participate in an after-hours roster.


  • The trainee will have limited supervision responsibilities with regard to the Junior Medical Officers.

    Challenges/Problem Solving
  • Developing clinical skills in critical care and developing an appropriate procedural skill set.

  • Involvement in the management of sensitive issues in relation to critically unwell patients, including discussions around end of life care.

  • Balancing mandated 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 resources of the Health Service.

  • Being flexible with the work required in a range of Health Services and locations.

  • Supervision and teaching of more junior medical staff (i.e. Junior Medical Officers) attached to the medical team.

  • Equitable participation in a rotating rotating 24 hour / 7 day on-site roster


  • Decision Making
  • The trainee will be encouraged to work independently and to develop skills with adequate consultant support.

  • Close and effective liaison with consultants will allow trainees to demonstrate their level of ability and understanding of patient care and enable expansion of your areas of responsibility.

  • The trainee will be encouraged to work independently and to develop skills with adequate consultant support.

  • All patients managed within the hospitals of the health service are under the direct care of a specialist medical practitioner. All decisions regarding their care are to be clearly communicated with the specialist responsible for that care.


  • Communication The trainee will be expected to:
  • Communicate sensitively and professionally with other clinical staff, with patients and their families.

  • Work collaboratively with other staff in a multi-disciplinary team.

  • Deal with matters of an urgent or sensitive nature.

  • Have the ability to exercise discretion, sensitivity and maintain confidentiality.

  • Work co-operatively within a team environment and actively contributes to team activities including pro-actively participating in team meetings and decision making processes.

  • Demonstrate an ability to initiate and undertake discussions with patients and their families regarding their hospitalisation or outpatient management, treatment and progress.

  • Communicate effectively and in a timely fashion with consultants regarding the patients under their care or those seen in the clinics.


  • Performance Monitoring The trainee is required to maintain a continuing level of satisfactory performance and successful compliance with the requirements of the training program, including progression through the program at the expected rate.
  • Satisfactory progress with College/SAC (Specialist Advisory Committee) requirements.

  • Attendance at Departmental training sessions and Unit meetings.

  • Annual Performance Evaluation and Development Review (e.g. in-training assessments).

  • Reviewed by the Supervisor of Training on each rotation.

  • Maintenance of Basic and Advanced Life Support Accreditation.


  • All employees:
  • Abide by the Work Health and Safety Act 2011

  • Take reasonable care of the health and safety of others.

  • Co-operate with the health service management in the maintenance of a safe working environment by reporting all injuries, hazards and hazardous incidents to their immediate supervisor or to the Work Health and Safety Committee.

  • Comply with any Safe Work Practice, which has been established, including wearing any Personal Protective Equipment. Employees must not interfere with or misuse anything provided in the interests of health, safety and welfare.

  • Are required to abide by the Code of Conduct, maintain confidentiality and act professionally and within ethical boundaries.

  • Are required to participate in the Performance Management process. Evaluation of performance will be based on achievement of performance goals and / or overall performance.

  • Are required to adhere to all policies, procedures and legislative requirements in relation to Anti-Discrimination and Equity in Employment Opportunity requirements.

  • Are required to adhere to all policies, procedures and legislative requirements in relation to Ethnic Affairs Priority Statement of Multiculturalism Act 2000.

  • Are to be aware of the Department of Health Environmental Policy and be committed to the District Waste Management Policy for reduction and minimisation of waste.

  • Must co-operate with the requirements of the Occupational Screening and Vaccination Against Infectious Diseases policy, or where this is refused, must acknowledge in writing their non-participation and understanding of the risks consequent upon non-participation.

  • Are to abide by the WLHD non-smoking policy at all facilities.

  • Are to attend mandatory training that is appropriate to their position.


  • Additional Information
    Additional Documents no addditional documents have been provided

    College Royal Australasian College of Physicians
    Organisation Chart 12645 - Rehabilitation Medicine - Organisational Chart.doc
    Job Demands Checklist Click Here to View
    Selection Criteria 1: MBBS or equivalent, currently registered or eligible for registration with the Medical Board of Australia

    2: Successful completion of PGY1 & 2 years, including terms in Rehabilitation medicine, with a minimum of 12 mths experience working within the Australian public health care system within the previous 24 mths. Intention to or already registered with a nationally recognised training body (AFRM, RACP)

    3: Broad ranging knowledge of orthopaedic, medical, surgical, psychiatric issues affecting rehabilitation patients.

    4: Demonstrated experience managing patients with cognitive impairment (in assessment and management of cognitive impairment of varying aetiology).

    5: Understanding of community based resources and subacute services which contribute to patient management.

    6: Demonstrates commitment to pursuing a career in Rehabilitation Medicine or Aged Care Medicine or associated specialty with registration or intention to register with an appropriate professional body.

    7: Demonstrates ability to work independently within a supervised complex clinical environment utilising excellent clinical skills (at the required level of competency) and judgement and expertise.

    8: Demonstrates teamwork, organisational, time management skills and problem solving skills as part of a multidisciplinary team.