Position Title Trainee
Royal North Shore Hospital
John Hunter Hospital,
Position Number 23927
Employment Status Full Time - Exempt
Applications Close 11/10/2020
Maximum length of training contract 3 years
Training Network/Training Rotation Radiology Local Area Network (LAN1)
Facility Hunter Imaging Service
Sub Specialty Diagnostic radiology
Additional Training Focus Medical Imaging
Award Public Hospital Medical Officers (State) Award
Classification Resident Medical Officer
Salary Band $81,639.00 to $127,539.00
Current Rotations/Networks (which may change from time to time) Royal North Shore Hospital, Central Coast Health (Gosford and Wyong Hospital), Nepean, John Hunter, Maitland Hospital, Coffs Harbour and Westmead childrens hospital
Main Purpose of Position NOTE: This recruitment is for Hunter New England Imaging, JOHN HUNTER HOSPITAL 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.
Trainees will be appointed to LAN 1 and have a “home base hospital”. Where the successful applicant will be working and training the majority of the time. Trainees will spend no more than four years at any single training site within their five year training program as per RANZCR.
Trainees will need to complete 12 months out of their home hospital rotating to other sites within the Network.
The position will involve rotations to other LAN 1 sites and may encompass other curriculum requirements in order for the trainee to attain their Fellowship with RANZCR.
Generally, Radiology trainee contracts comprise a two year then a three year contract to fulfil the five year of RANZCR training. However, the length of contract will depend on which training year the trainee is applying for, as follows:
Year 1 - contract is 2 years
Year 2 - contract is 1 year
Year 3 - contract is 3 years
Year 4 - contract is 2 years
Year 5 - contract is 1 year
Trainees will be taught to learn, observe and participate in all stages of the radiological examinations of patients including referrals, triaging, supervision, performance, reporting and communication of the procedure. They will participate in all aspects of the Department of Medical Imaging, involving Clinical Radiologists as medical experts, including professionalism, team work, communication, advocacy and management.
Provide general Radiology consultation for patients referred to the department for Radio logical procedures.
Participate in reporting of all diagnostic and intervention procedures undertaken in a timely manner under the supervision of the consultant Radiologist of the day.
Perform radio logical procedures and interventions, the range and complexity of which to be commensurate with experience and stage of training, guided by RANZCR curriculum requirements.
By the end of training, the trainee should be able to provide effective radiology services to patients under supervision, while developing expertise in medical and imaging practice in a complex clinical environment.
The duration of the position is ether a 2 year contract or a 3 year contract and is subject to satisfactory progression and completion of RANZCR requirements. The position is a continuing role commencing Radiology training in the third year contract.
Position Requirements Clinical
Reporting of diagnostic imaging examinations commensurate with level of training and assessed competency in a supervised environment.
Conduct of imaging guided procedures commensurate with level of training and assessed competency in a supervised environment.
Completion of RANZCR log-book of a minimum of 100 procedures by the end of training which may include:
o Diagnostic angiography.
o CT, fluoroscopic or Ultrasound guided biopsy or drain placement.
o Imaging guided therapeutic manoeuvres, including steroid and local anaesthetic injections.
o Placement and removal of venous access devices under imaging guidance.
Participate in arranged subspecialty radiology rotations (eg. paediatrics, mammography, interventional).
Participate in training rotations to other Network hospitals as required.
Diligently assess the appropriateness of the imaging examination.
Participate in radiology on call commitment as determined by the Director with support from an appropriate consultant Radiologist on duty or on call.
Attend clinical meetings as required to develop a multi-disciplinary approach to health care.
Complete Basic Life Support (BLS) course and sedation training annually.
Participate in mandatory education as required for the training site.
Research & Teaching
Participate in research, continuing education, peer review and audit projects as determined by the Department and the College.
Diligently maintain and increase the theoretical and practical knowledge of the various disciplines comprising diagnostic radiology to demonstrate knowledge consistent with year of training.
Take cooperative responsibility for the care and extension of the departments’ book, film and electronic teaching libraries and to prepare and collate new cases.
The trainee will be required to:
Supervise and teach junior medical staff in or out of normal hours
Teach multidisciplinary team members, e.g Allied health, nursing staff and undergraduate medical students
4. Other Responsibilities
Participate in unit/departmental and divisional quality activities
Attend rostered work, on call, meetings
Hours may be varied depending on departmental service requirements.
Participate in staff appraisals
Comply with all relevant NSW health, Area and hospital policies and procedures
Comply with training requirements of the RANZCR curriculum
Comply with NSW Health, Area and hospital mandatory training requirements
Perform other duties as directed by the Director of the Department.
Local Background & Environment The Northern NSW Radiology Training Network (LAN 1) spans geographically across several sites. Radiology trainees will be required to rotate across any of the sites listed below.
The home hospitals Medical Imaging Departments of LAN 1 are:
1. Royal North Shore Hospital
2. Central Coast Local Health District (Gosford and Wyong Hospitals)
3. Nepean Hospital
4. John Hunter Hospital
The linked sites are:
1. Coffs Harbour Hospital
2. Westmead Childrens Hospital
3. Maitland Hospital
5. Breastscreen NSW linked to RNS, CC and JH
6. Proposed Private site Northern Beaches
For further information please see attached PD
Key Internal and External Relationships Key internal relationships:
LAN 1 Network Director of Training, Network Education Support Officer, Local Director of Radiology, local Director of Training, consultants, radiographers, nurses, administration, and other staff in the Radiology Department to provide better patient care.
Referrers from within health facilities to gain better communication, handover and appropriateness of referral.
Patients and their carers to improve their hospital experience.
Health managers within health facilities to assist in efficient management of the department.
Key external relationships:
Royal Australian and New Zealand College of Radiologists to meet training requirements.
External referrers to gain better communication, handover and appropriateness of referral.
Supervision Arrangements Local Directors of Training will be directly responsible for the education and training for the Radiology Trainee at the site. The LAN 1 Network Director of training (and assisted by the Network Education Support Officer)will be responsible for the overall education and training of Trainees in their Network, specifically:
Normal Hours: Immediate:
All work done by trainees is checked by the Consultant with whom they are rostered or another Consultant nominee.
All Procedural skills are taught by a process of gradually reducing supervision in accordance with demonstrated competence in the task, analogous to procedural training in other medical disciplines.
Within the department:
Departments are run such that trainee supervision is reliably in place at all times of the shift.
Within the hospital:
All departments are equipped with PACS and work done by trainees is attributed accordingly.
Consultants and trainees have access to PACS across the Network.
Consultants may attend sites for routine reporting and conduct of procedures out of hours as rostered / on-call basis. Normal supervision arrangements apply at those times.
Consultants and trainees may have access to PACS / teleradiology off-site, and can offer advice from off-site as required.
Trainee reports created out of hours are checked and corrected the next working day. Feedback to the trainees is given either directly or on-line.
Challenges/Problem Solving The main challenges are:
Balancing training and education requirements with service provision, with the limitations of a busy public health service, whilst maintaining a professional role and responsibility for patient care, in close liaison with supervising medical staff.
Working collaboratively with the other staff in the multi-disciplinary team.
Maximising the efficient utilisation of the physical resources of the Health Service.
Learning the importance of quality and safety issues and how they apply to radiology.
Decision Making Close and effective liaison with consultant Radiologists will allow you to demonstrate your level of ability and understanding of patient care and imaging techniques, and enable you to expand your areas of responsibility for that care.
All patients managed within the hospitals of the imaging Network 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 Trainees will be expected to have high level written and verbal communication skills to facilitate appropriate clinical care, documentation and handover, as well as respectful relationships with referrers, colleagues, other staff, patients and carers.
Performance Monitoring Trainees will be assessed according to guidelines stipulated by the RANZCR and NSW Ministry for Health for Radiology Trainees. This involves regular meetings with the supervisor, compulsory supervisor's reports, presentations and posters as required.
Additional Documents no addditional documents have been provided
College The Royal Australian and New Zealand College of Radiologists
Organisation Chart Radiology.docx
Job Demands Checklist Click Here to View
Selection Criteria 1: MBBS or equivalent, current general registration with the Medical Board of Australia.
2: Minimum of two years postgraduate experience at start of training (ie. PGY 3 or above), with recent clinical practice - including emergency medical care, after hours rostered duties and procedural work.
3: Demonstrated interest in Radiology and preparation for Radiology training (including Part 1 RANZCR exams and other curriculum requirements).
4: Demonstrated ability to work independently within a complex health care setting with proven time management and problem solving skills.
5: Excellent written, verbal and multimedia communication skills, in order to interact effectively with patients, referrers, colleagues and other team members.
6: Understanding and promotion of collaborative effort and empathy within a heterogeneous team environment such as a radiology department.
7: Excellent academic record commensurate with experience, evidence of on-going learning, teaching activities potential involvement with projects and research publications.
8: Understanding quality improvement principles, commitment to CME, audit, implementation of practice improvement initiatives.