Position Title Trainee
Position Number 24043
Employment Status Full Time - Exempt
Applications Close 15/01/2021
Maximum length of training contract 06/02/2022
Local Health District Western Sydney Local Health District
Facility Westmead Hospital
Specialty Addiction Medicine
Sub Specialty None
Additional Training Focus Drug and Alcohol
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) Westmead Hospital, Cumberland Hospital and Centre for Addiction Medicine, Fleet Street Opioid Treatment Unit; Blacktown Hospital Mount Druitt Hospital and Centre for Addiction Medicine; Auburn 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.

Western Sydney Local Health District is growing- Grow your career with us!

The primary responsibility of the Drug Health Trainee is to provide high quality, evidence-based care, to patients with substance use disorders, in both inpatient and ambulatory settings, under the supervision of Drug Health staff specialist medical officers.
Position Requirements This position is suitable for a trainee pursuing the FRACP, FAChAM, FRANZCP or another fellowship, or one who has already completed the FRACGP.

The trainee will gain experience in Addiction Medicine in the management of patients with substance use disorders and a wide range of co-morbid physical and psychiatric conditions, in both inpatient and ambulatory settings.

Westmead Hospital is accredited for advanced training towards fellowship of the RACP, the RANZCP and the Australasian Chapter of Addiction Medicine.
Suitable applicants can apply for dual fellowship in Addiction Medicine as the core year and in Gastroenterology as an elective year, or for accreditation in Addiction Psychiatry.

The successful applicants will join multidisciplinary teams, providing a range of inpatient and outpatient services, including withdrawal management, abstinence maintenance, blood-borne viral disease treatment, opiate substitution therapy, drugs in pregnancy service, forensic diversionary programs and consultation – liaison in both general and psychiatric hospitals.

The trainee is encouraged to participate in research, including individual projects, and enrolment in a higher degree would be supported.

Clinical Aspects of Position Description:
More specifically, the Drug Health Trainee will be responsible for:

  • Assessing, examining and formulating an appropriate, evidence-based management plan for patients presenting or referred for care.

  • Communication of such assessment and management decisions to the supervising staff specialist, and to junior medical staff and other staff involved in that patient’s care, as well as to patients and their significant others.

  • Where necessary, co-ordinating hospital admission and

  • Ensuring accurate, contemporaneous clinical record documentation.

  • During any secondment to other hospitals, as may occur from time to time, the local statement of duties for that hospital’s position will apply.

    Successful applicants will be provided with a detailed positon summary.

    The hospital orientation occurs at the beginning of each term for all doctors new to each hospital. Features covered include hospital tour, RSU services (pay, timesheets etc), medicolegal issues, occupational health and safety, pharmacy, paging system, deteriorating patient and medical emergency calling system, death certificates and cremation certificates, computer access, teaching schedule, infection control and patient flow.

    Departmental orientation will be conducted at the commencement of the term.

    Local Background & Environment Western Sydney Local Health District (WSLHD) provides health services to the local government area comprised of Auburn, Baulkham Hills, Blacktown, Holroyd, Mt Druitt and Parramatta. These services are provided through a number of hospital and community-based facilities across the District.
    WSLHD is committed to achieving continuous quality improvement in patient care, with a supporting Strategic Plan aimed at the continuous improvement of all facilities. All hospitals provide a range of in-patient and outpatient services to patients who live within the boundaries of the District and in surrounding areas.
    The primary goal of WSLHD is to improve the health of, and ensure comprehensive health care services for, our community.
    Westmead Hospital is a key facility of one of Australia’s largest major health and medical research precincts and is the principal referral hospital for WLSHD providing district level health services to surrounding suburbs and both tertiary and quaternary services to greater metropolitan Sydney, rural NSW and other states. It is one of Australia’s largest centres for postgraduate training in all fields and home to internationally recognised institutes of health research, the most prominent being the Westmead Millennium Institute.

    The Westmead Health Precinct currently under development is envisaged to be the biggest hospital building project undertaken in Western Sydney and will transform the iconic but ageing Westmead Hospital into an innovative, contemporary and integrated centre that will continue to deliver high quality healthcare and expand the education, health and research capability of the area.
    Blacktown Mt Druitt Hospital is a large metropolitan teaching hospital, spread across 2 sites and affiliated with Western Sydney University. The hospital is currently undergoing a major redevelopment to become a 700 bed tertiary referral centre.
    Cumberland Hospital is adjacent to Westmead Hospital provides primary and secondary mental health services to the local population and tertiary acute, extended and forensic mental health services to greater western Sydney and NSW. A range of community mental health residential facilities, recovery support and specialist treatment services are also located on the campus.

    Key Internal and External Relationships The trainee will work closely with staff specialists, career medical officers, trainees and other multi-disciplinary team members (including nurses, psychologists, pharmacists & drug and alcohol counsellors).

    The incumbents will be expected to be actively involved in supporting and teaching junior medical staff, medical students and others.

    They will collaborate and consult as necessary with other specialty teams, particularly Gastroenterology, Toxicology, Psychiatry, Obstetrics, Neonatology, and both Acute and Chronic Pain Services.

    Continuity of care is ensured through partnerships with community health centres, general practitioners & their networks and non-government organisations.

    Applications for leave, including ADOs, will be made to supervising staff specialists in the first instance and sent to the relevant Resident Support Unit once approved.

    Supervision Arrangements The trainee will receive consistent, largely direct supervision by Drug Health staff specialists and will be encouraged to forge links with other senior hospital and LHD medical staff.

    They will participate in education meetings, case discussions and journal club sessions, both within Drug Health and in other areas, and encouraged to attend medical and psychiatric grand rounds.

    Challenges/Problem Solving Major challenges include:
  • Assuming clinical responsibility for patient care, particularly with a disadvantaged, marginalised and stigmatised patient population

  • Maintaining a professional role and responsibility for patient care, in close liaison with supervising consultants who have medico-legal responsibility for patient care

  • Working collaboratively with other staff in multi-disciplinary teams

  • Optimising utilisation of Drug Health and LHD resources

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

  • Supervision and teaching of more junior medical staff and

  • Balancing professional development, mandated training and education requirements with service provision, within a busy public health service.

  • Decision Making The Drug Health trainee will provide day to day clinical management of patients with substance use disorders in accordance with Drug Health and LHD policies and procedures, and relevant NSW Health and national guidelines. Level of independence and autonomy will depend on previous experience and current competence, and will determined by supervising staff specialists.

    All decisions regarding inpatient care – including of consultation-liaison patients – are to be clearly communicated to, and discussed with, the admitting specialist or their delegate.

    Regarding ambulatory care, discussion with the supervising consultant will occur frequently, to ensure that management plans are endorsed, communicated and appropriately reviewed.

    Decisions regarding complex problems and admissions will always need to be discussed with a consultant.

    Effective liaison with staff specialists will allow the trainee to demonstrate their clinical ability, leading to increased delegation of responsibility and developing autonomy.

    Communication The Drug Health trainee will communicate with the relevant supervising staff specialist regarding patient management at least daily. Difficult or complex patients will warrant more frequent consultation.

    The medical officer will be responsible for appropriate liaison with medical staff, nursing unit managers, nursing staff, case managers and other health staff, and any relevant stakeholders regarding management plans and any treatment changes, particularly regarding referrals and transfers.

    WSLHD will provide a NSW Health email account: it is the individual’s responsibility to frequently check emails, as this is how hospital administration and senior staff will communicate.

    When rostered on-duty, on-call or on “relief” shifts, the trainee must be available and contactable for the duration of the rostered duty.

    Performance Monitoring The Drug Health trainee will be expected to comply with the various relevant policy & protocol requirements, relating to: -
  • NSW Health Code of Conduct

  • Medical Board of Australia and

  • WSLHD & individual hospitals.

  • The trainee is also responsible for participating in: -
  • ongoing review of their clinical practice as per registration guidelines and

  • continuing medical education and professional development as covered by the supervision arrangements stipulated by the Medical Board of Australia and maintaining their own professional competence.

  • At the end of each term, the nominated term supervisor will provide feedback on the trainee’s progress, in accordance with relevant College requirements.

    Additional Information
    Additional Documents no addditional documents have been provided

    Organisation Chart WSLHD Organisational chart.pdf
    Job Demands Checklist Click Here to View
    Selection Criteria 1: MBBS or equivalent, currently registered with the Medical Board of Australia.

    2: At least 4 years hospital experience. Prior completion of Part 1 FRACP or FRANZCP, completion of the FRACGP or equivalent for eligibility to enter Addiction Medicine training. Trainees anticipating completing the above in 2021 may be considered.

    3: Excellent theoretical knowledge and clinical judgement.

    4: Demonstrated ability to work effectively in a multidisciplinary clinical team – with appropriate levels of diligence, punctuality, organization, record keeping, time management, problem solving skills and team work.

    5: Excellent communication (verbal and written) in English and familiarity with computer programs, to facilitate use of electronic medical records (e.g. Cerner ‘Powerchart’).

    6: Demonstrated ability to provide empathic, non-judgmental and expert clinical care.

    7: Demonstrated commitment to ongoing advanced training education, research and teaching; demonstrated commitment to continuous quality improvement.

    8: Completion of the Opioid Treatment Accreditation Course (OTAC) or a commitment to do so prior to commencing employment.