Provisional Trainee


Position Title Provisional Trainee
Position Number 24060
Employment Status Full Time - Exempt
Applications Close 11/10/2020
Maximum length of training contract 2 years
Training Network/Training Rotation Emergency Medicine Network 4 - Cluster - (JHH Calvary Mater Maitland) Port Macquarie Tamworth
Facility Tamworth Base Hospital
Specialty Emergency Medicine
Sub Specialty None
Award Public Hospital Medical Officers (State) Award
Classification Resident Medical Officer
Registrar
Salary Band $81,639.00 to $127,539.00
Current Rotations/Networks (which may change from time to time) Emergency Medicine Network 4 - Cluster - (JHH Calvary Mater Maitland) Port Macquarie Tamworth
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.

Assess and manage, under supervision, patients presenting to the Emergency Department and admitted to inpatient wards when rotating to inpatient specialities.

The position supports meeting the requirements for provisional training with the Australasian College for Emergency Medicine (ACEM).

Position Requirements The Provisional Trainee will be required to participate in a 24/7 roster and may be rostered to day, evening and night shifts across a seven day roster.

The Provisional Trainee is responsible for:

  • Assessing and managing patients, including arranging appropriate investigations, reviewing and interpreting results, prescribing appropriate medications and organising referrals and consultations.


  • Maintaining accurate medical records and completing discharge letters/summaries, referral letters, medication prescriptions and death certificates accurately and in a timely way.


  • Consulting with and communicating with medical staff in the Emergency Department and other speciality teams in the hospital in regard to patient management plans, diagnostic requests and consultations.


  • Communicating with nursing staff, allied health and other members of the health care team in regard to management plans, diagnostic reports and consultations


  • Ensuring effective follow up and continuity of care of the patients leaving the Emergency Department.


  • Communicating with patients and family members in a respectful way.


  • Research and Teaching

  • Participate in the Emergency Medicine Department teaching and relevant weekly meetings

  • Comply with ACEM provisional training requirements and examination requirements, including completion of In-Training Assessments( ITAs)

  • Participate in Emergency Medicine Department quality activities

  • Participate in teaching of interns, other junior medical officers, medical students, nursing and allied health staff


  • Local Background & Environment Tamworth Rural Referral Hospital is a training hospital with clinical affiliation with the University of Newcastle and University of New England. The University Department of Rural Health (UDRH) which is part of Newcastle University is located near to the Tamworth campus. The UDRH caters for medical, allied health and nursing students who gain invaluable rural health experience.

    The culture within the Tamworth Hospital is extremely friendly and cooperative and continuous quality improvements practices are in place. It has a progressive, interactive management, keen to provide assistance in the delivery of a quality service. Tamworth Hospital is a rural referral hospital with a 24-hour emergency department, high level surgical and medical services, including a diagnostic and interventional cardiac catherization laboratory, intensive care, coronary care, rehabilitation services (including brain injury), Diabetic Centre, ENT, Gastroenterology, mental health unit, renal services, paediatrics, maternity, rheumatology, oncology, radiology and pathology. Outpatients clinics link the New England area with specialist tertiary hospitals in Newcastle and Sydney. Tamworth Rural Referral Hospital is the main referral centre and the only Major Non-Metropolitan Referral Hospital, for acute care management within the Hunter New England Local Health District (HNELHD). With 348 treatment spaces, Tamworth Hospital has cross referral flows in from the upper Hunter Area Health Service and Greater Western Area Health Service. The health service transfers patients to South-Eastern Sydney and Central Sydney Area Health Services. Flows out are predominantly to John Hunter Hospital and St Vincent's Hospital, Sydney.

    Tamworth Hospital has a variety of core clinical services units which include a Medical/Surgical Unit, Paediatrics, Maternity, Rehabilitation, Orthopaedics, Surgical, Medical, Renal, Intensive Care, Coronary Care, High Dependency, Operating Theatres, CADE unit, Palliative Care, Mental Health, Day Surgery and Allied Health. Other major service provision is in diagnostics, Allied Health services, pathology and outpatient clinics, which incorporates Diabetes, Oncology (both Medical and radiation), Respiratory, Orthopaedics, Arthritis, and Mammography. Radiological facilities, including DSI, ultrasound, CT and MRI are available onsite.
    Routine services are available from 0730-2100 hours 7 days/ week, on-call staff are available for urgent services. Area Pathology are co-located on the grounds of Tamworth Hospital.

    The service operates 24 hours 7 days/week The hospital maintains an extensive range of outpatient services using either local specialists of Visiting Medical Officers from Sydney and Newcastle Hospitals. Tamworth Hospital Emergency Department is a key part of the provision of acute and critical care services in Tamworth and the rural northwest of NSW. We are the referral centre for the town of Tamworth (population 60,000) with an additional 150,000 residents in surrounding areas. The Emergency Department (ED) is delineated at Level 5 and offers a great deal of experience in the management of the widest variety of trauma and critically ill patients. Medical retrievals, by road, fixed wing and helicopter are coordinated and undertaken from Tamworth. Most specialists are represented with the exception of neurosurgery and cardiothoracic surgery. Patients arriving to the Department requiring these services are initially stabilised and transferred to a tertiary centre with an available bed. The majority of emergency transfers are directed to John Hunter Hospital at Newcastle. Flight time is approximately 1 hour.

    Provisional Trainees work on a rotating roster. Staff Specialists/ Consultants are rostered during the day then on-call for night staff.

    For more information on Hunter New England Local Health District, please refer to the following hyperlink http://www.hnehealth.nsw.gov.au/Pages/home.aspx

    For more information on what Tamworth has to offer you and your family, please visit www.destinationtamworth.com.au

    Key Internal and External Relationships Key Internal Relationships
  • Director of Emergency Medicine Training

  • Director of Emergency Medicine and other Emergency Medicine Specialists

  • Inpatient (wards) teams

  • Nursing and Allied Health staff

  • Hospital Administration


  • Key External Relationships
  • Patients and their carers, family members

  • Medical Specialists

  • General Practitioners

  • Paramedics and Police

  • Supervision Arrangements The Provisional trainee will provide supervision to interns, postgraduate year two (PGY2) and other junior medical officers working in the Emergency Medicine department
    Challenges/Problem Solving
  • Working co-operatively with Emergency Department staff to ensure the efficient management of patients presenting for assessment and management, with a view to enabling appropriate process for all presenting patients.


  • Working in a complex environment


  • Matching training requirements with service provisions, with the limitations of a busy public health service, whilst maintaining a professional role and responsibility for patient care.


  • The role requires the doctor to be part of a combined model of critical care rather than operating merely within an ED “silo”. This may require liaison with an LMO in a remote town, coordination of transfer to Tamworth, continued management in the ED and institution of ICU management in the ED.

    Dealing with the problems of long inter-hospital transfer times are a specific challenge of the rural environment. Medical Officers are expected to be able to manage the most unwell patients in the Department and to also provide supervision and support to their junior colleagues.

    In the Tamworth model this may require that the doctor is called-in after hours and may, in addition to dealing with ED patients, require that s/he assess and manage problems with ICU patients(with on-call specialist support).
    Decision Making The doctor will be expected to be able to assess and manage uncomplicated emergency department presentations without referral. These would include minor fractures/sprains, minor wounds/burns/lacerations, infections and exacerbations of chronic illnesses.

    The department has formal guidelines for the management of abdominal pain, asthma (adult and child), acute coronary syndrome/AMI, sore throat, CVA/TIA, foot/ankle/knee injuries, burns, head injury, bronchiolitis, croup, febrile child, sore ear, meningitis and gastroenteritis.

    The management of major trauma and critically ill patients requiring invasive management (intubation, central access, vasopressor support) will be discussed with the supervisor.

    The degree to which the applicant can subsequently carry out the management and decision-making related to the presentation will depend on the level of seniority and skills set of the applicant. The medical officer may be the senior medical officer in the Emergency Department in the absence of the Emergency Physician. As such, the medical officer will manage the departmental workload.

    The medical officer is encouraged to seek advice and guidance from other
    Emergency medical officers, CMO’s and/or Consultants at any time when they are presented with a situation with which they are unsure as to what to do or uncomfortable with the proposed management plan initiated by another staff member.

    Close and effective liaison with consultants will allow the doctor to demonstrate their level of ability and understanding of patient care and enable you to expand your areas of responsibility.

    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.

    The doctor will be required:
    a) To assess and manage lower triage categories (more general practice, non-life threatening presentations) independently
    b) It would be expected that higher triage categories (major trauma, acute medical and surgical presentations) will be managed with a Critical Care Physician
    c) To exercise independent judgement, initiative and problem solving skills, but this should be exercised in consultation with supervising medical staff
    d) To ensure appropriate input from key decision makers and achieve consensus when possible
    e) To deal with matters in a confidential manner
    f) To respect the professional values of staff
    g) Exercise independent clinical judgement, initiative and problem solving skills, but this should be exercised in consultation with supervising medical staff.
    h) Ensure appropriate input from key decision makers and achieve consensus when possible.
    i) Have a strong broad based medical knowledge and will be confident in clinical decision making
    j) Know their limitations and will be clearly capable of seeking appropriate advice and support from senior doctors and supervisors
    k) Appropriately allocate teaching time according to evidence of learning need
    l) Deal with matters in a confidential manner
    m) Respect the professional values of staff
    Communication The Provisional Trainee works as a member of the multi-disciplinary team and will communicate with patients and their relatives, medical colleagues, nursing staff, allied health staff and support staff as part of their role
    Performance Monitoring ACEM In –Training Assessments
    Additional Information

    Emergency Medicine Provisional Trainees
    Tamworth Rural Referral Hospital

    Come and work in our hospital as part of our friendly, focused team.


    18 months ACEM accredited ED training


    Six month accredited rotations in Anaesthetics, ICU and Retrieval medicine


    Paid protected teaching time


    Fellowship preparation tailored to you by FACEMs who passed the current exams


    Tailored education program for Primary preparation


    Tamworth is a city of 60,000 with a great selection of schools and cafes. Come and have a true rural experience without giving up access to shopping, dining and a great night out. There is an abundance of local sporting teams and clubs as well as numerous other social activities to keep you busy.


    We are the regional referral centre providing trauma and critical care services to over 15 rural hospitals. The ED sees 45,000 presentations annually across all specialties and age groups. There are daily opportunities for procedural skills improvement in a supported environment with 9.5 full time equivalent FACEM staff.


    The Westpac Helicopter Retrieval Service has a base in Tamworth and medical staffing mainly consists of local ED senior staff. There is a 6 month ACEM accredited retrieval medicine term available for suitably experienced Provisional Trainees.


    If you are looking for an immersive and rewarding Emergency Medicine training experi-ence, this is the job for you!


    Interested? contact Dr Liz Jones - Director of Emergency Medicine Training 02 6767 7447 elizabeth.jones@health.nsw.gov.au Application enquiries: Ms. Nicole Lewis - JMO Manager 02 6767 7266 nicole.lewis@health.nsw.gov.au


    NB: Interviews will be held on the 20th October 2020 via videoconference



    Additional Documents no addditional documents have been provided

    College Australasian College for Emergency Medicine
    Organisation Chart Organisational Chart Emergency Medicine2.pdf
    Job Demands Checklist Click Here to View
    Selection Criteria 1: MBBS or equivalent, currently registered with the Medical Board of Australia.

    2: Selected into Fellowship training or has applied for Fellowship training by the Australasian College for Emergency Medicine (ACEM) ( NB: Must provide evidence of either selection or application into Fellowship training)

    3: Demonstrated ability to work independently in a supervised environment.

    4: Demonstrated ability to work effectively as part of a multi-disciplinary team with an understanding of the roles of the doctor and other members of the health care team.

    5: Demonstrated good organisational and time management skills and ability to manage competing priorities in a complex environment.

    6: Demonstrated commitment to quality improvement, patient safety and risk management.

    7: Evidence of continuing professional development and commitment to self-education.