Basic Physician Trainee

Position Title Basic Physician Trainee
Position Number 24019
Employment Status Full Time - Exempt
Applications Close 17/10/2020
Maximum length of training contract 3 years
Training Network/Training Rotation Basic Physician Training Networks - Hunter Regional
Facility John Hunter Hospital
Specialty General Medicine
Sub Specialty None
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) Hunter Regional Physicians Training Network - John Hunter Hospital, Calvary Mater Newcastle, The Maitland Hospital, Wyong Public Hospital, Belmont Hospital, Manning Base Hospital, Armidale Rural Referral Hospital, Tamworth Rural Referral Hospital
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.

The primary purpose of the Basic Physician Trainee is to provide exemplary clinical care, under appropriate supervision, to patients requiring medical services in any of the Network’s hospitals. As a trainee you will have significant responsibility and a complex role which will expand your clinical expertise while you undertake formal training in Adult Internal Medicine, through the Royal Australasian College of Physicians, in a challenging clinical environment.
Position Requirements The position holder is required to provide high quality patient care throughout the care continuum, including admission, acute or requested emergency department assessment, ongoing reviews, management and discharge planning.
The Basic Physician Trainee will work in a multidisciplinary team led by a consultant. Essential clinical duties include:

  • patient assessment and management in consultation with the treating consultant

  • arrange for appropriate investigations and request for consultations from other departments where indicated

  • interact with other health professionals in provision of ongoing clinical care to patients

  • clear verbal and written communication with members of the multidisciplinary team, as well as with patients and their families where appropriate

  • notifying the consultant in a timely manner of any significant changes in a patient’s condition or investigational results that may affect the management of the patient

  • ensuring that the management plan from the treating consultant is implemented

  • Be prepared to undertake secondments to other hospitals included in the Network as required, including non-metropolitan hospitals or to move between services and geographical locations to deliver optimal patient care as directed

  • Compliance with after hours, weekend and on-call rosters as appropriately notified

  • Escalate and document adverse events, including bullying and harassment behavior and doctors in difficulty in a manner consistent with NSW Health policies and LHDN procedures

  • Understand child protection legislation policies and responsibilities associated with notifying and reporting any relevant issues about child protection

  • Complete other duties appropriate to the level and responsibility of the position as designated by the supervising Consultant, Network Director or delegate

  • take reasonable care for the health and safety of all persons at their place of employment, including themselves

  • respect the professional and personal values of all staff and patients, along with their families and carers

  • undertake formal and informal teaching of junior medical staff, medical students, nursing staff and others on rotation or assigned to the department

  • observe and participate in quality assurance, control and improvement programmes

  • compliance to all legislative, NSW Health, Local Health District/Network policies, procedures and guidelines, including all mandatory training, Code of Conduct and Work Health and Safety (WH&S) responsibilities

  • Local Background & Environment The Hunter New England Basic Physicians Network was established in 2005 and since its inception has become the largest BPT Training Network servicing the most diverse health district in NSW. We train and support over 60 trainees across eight hospitals, spanning two health districts, centred in and around the city of Newcastle. We have a strong focus and track record in General Medical and rural training with the core training occurring at NSW’s largest regional tertiary referral centre.

    JOHN HUNTER HOSPITAL is the main tertiary referral hospital for Hunter New England Health for non-cancer care specialties.

    CALVARY MATER NEWCASTLE is the main tertiary referral hospital for Oncology, Haematology and Palliative Care. It is one of the busiest Oncology centres in the state and has an exemplary training and research record.

    MAITLAND HOSPITAL is located 30 minutes from Newcastle, a very busy but supported hospital that has strong ties to the local area.

    WYONG HOSPITAL is an easy commute from Newcastle, has no nights and can provide sub specialty rotations. This hospital can provide accommodation to those rotating through.

    BELMONT HOSPITAL is located 30 minutes from Newcastle. Consultants work across both John Hunter and Belmont Hospitals and there is strong continuation of support.

    RURAL HOSPITALS (Accommodation provided on rotation)

    MANNING BASE (TAREE) HOSPITAL is 2.5 hours from Newcastle, close to the beaches and providing accommodation to those rotating through, Taree is very much a part of the local community and you will experience some good medicine whilst on rotation.

    ARMIDALE HOSPITAL is 5 hours from Newcastle, accommodation is provided whilst on rotation and is an extremely well supported hospital

    TAMWORTH HOSPITAL is 4 hours from Newcastle. Tamworth Hospital is popular with our Network Trainees due to the quality of rural and educational experiences. Accommodation also provide whilst on rotation

    Newcastle -

    Tamworth –

    Armidale -

    Maitland -

    Wyong -

    Taree –

    Key Internal and External Relationships The position holder will be required to establish and maintain relationships with a range of internal and external partners including:
  • Network Director of Physician Education

  • Site Directors of Physician Education

  • Clinical Superintendent or equivalent

  • Network Training and Education Managers/Support Officer (MESO)

  • Director of Medical Services / Director of Clinical Services

  • Medical Administration personnel

  • Network Governance Committee

  • Royal Australasian College of Physicians

  • Health Education and Training Institute (HETI)

  • Clinical Streams and Divisions

  • Multidisciplinary Teams

  • Consumer and Carers

  • Emergency Service personnel

  • General Practitioners

  • Supervision Arrangements Regular supervision will be conducted in a manner consistent with the Royal Australasian College of Physicians (RACP) supervision requirements, relevant NSW Health policies and Local Health District/Network procedures to ensure that a BPT has access to direct (e.g. face to face) or indirect (e.g. phone) supervision at all times including after hours.
    Supervision will be performed by:
  • Department Level: Term supervisor, head of the allocated department, clinical superintendent or consultant within the department of their rotation

  • Hospital Level: Executive on call, specialty departments including (but not limited to) Intensive Care Unit (ICU), emergency, anaesthetics

  • Network Level: Network Director of Physician Education (NDPE); Site Directors of Physician Education (DPEs)

  • The Basic Physician Trainee will be required to provide supervision, teaching and support to interns and resident medical officers during normal working hours and after-hours rostered shifts.

    Challenges/Problem Solving The trainee is required to:
  • balance mandated training and education requirements with service provision within the limitations of a busy public health service.

  • maintain a professional role and responsibility for patient care in close liaison with supervising Consultants

  • work collaboratively with other staff within the multi-disciplinary team

  • demonstrate open disclosure in the communication of adverse events

  • maximise the efficient utilisation of the resources of the Health Services while being compliant with the Local Health District/Network and the NSW Health policies and procedures

  • demonstrate flexibility to work in a range of health services and locations throughout the identified BPT Network

  • work in varied clinical settings that include a range of multi-disciplinary teams and supervision systems across metropolitan, regional and rural NSW health facilities.

  • Decision Making All decisions regarding patient care are to be clearly communicated with the specialist responsible for that patient with the ultimate decision regarding management of care resting with the consultant
    The trainee will be required to:
    1. Exercise appropriate clinical judgement, initiative and problem solving in consultation with supervising medical staff
    2. Provide high quality care, in accordance with their level of experience, for patients under the care of your medical team in consultation with the Physician in charge
    3. Deal with matters of a confidential or sensitive nature in a manner that is consistent with the CORE values of NSW Health.

    Communication The Trainee is a key person who works closely with all members of staff and must:
    1. work collaboratively within a multi-disciplinary team, actively contributing to work activities in a proactive and ongoing manner
    2. initiate, undertake and maintain communication with patients and relatives about planned clinical care
    3. demonstrate accurate, clear and concise written communication in all medical records and documents
    4. demonstrate the ability to exercise discretion in the management and communication of matters that are urgent, confidential or sensitive in nature
    5. demonstrate open disclosure in the communication of adverse events

    Performance Monitoring The Trainee is Responsible for:
    1. Participating in the ongoing review and reflection of their clinical practice with view to satisfactory progress towards completion of Basic Training
    2. Participating in continuing medical education and professional development, including, but not limited to local Network organised teaching and training
    3. Maintaining their professional competencies
    4. Completing all supervisory report requirements of the Royal Australasian College of Physicians; the Network and the Local Health District/Network
    5. Actively engaging in performance feedback and the Training Support Pathway if applicable.
    The Network is Responsible for:
    1. Provision of adequate supervision, at all levels (e.g. Ward Supervisors, Educational Supervisors and Directors of Training) to enable and facilitate progression through training
    2. Active engagement in performance feedback and the Training Support Pathway if applicable.
    3. Communication of trainees’ performance across terms within the Network
    4. Pastoral care and support of trainees
    5. Provision of an appropriate and safe learning environment with suitable training opportunities.

    Additional Information
    • Applicants are required to supply two referees, one of these must be your most recent term supervisor and at least one referee must hold Fellowship of the Royal Australasian College of Physicians (FRACP). Please ensure your nominated referee is contactable by email and phone during the whole recruitment period (August to September)

    Additional Documents no addditional documents have been provided

    College Royal Australasian College of Physicians
    Organisation Chart 2020 BPT ORGANISATIONAL CHART.pdf
    Job Demands Checklist Click Here to View
    Selection Criteria 1: MBBS or equivalent, current general registration with the Medical Board of Australia

    2: A minimum of two (2) full years of post graduate experience by the start of the 2021 clinical year.

    3: Demonstrated recent relevant experience in clinical medicine and ability to work in a complex clinical environment

    4: Demonstrated excellent verbal and written communication skills in dealings with patients, team members and supervisors.

    5: Demonstrated commitment to ongoing learning, teaching, research, quality improvement and/or clinical leadership in medicine

    6: Demonstrated teamwork, time management and problem solving skills in a clinical setting within a multidisciplinary team

    7: Proven ability to apply clinical knowledge and concepts in practical situations in the context of multiple competing priorities

    8: Current Registration as a Basic Physician Trainee with the Royal Australasian College of Physicians (or eligible for) and intent to obtain Fellowship of Royal Australasian College of Physicians