Position Description Position title : Reports to : Award: HMO 2 General/HMO3 General DiT Manager and Director, Medical Workforce Unit (administrative) and relevant Clinical Services Unit Directors and senior clinical staff Victorian Public Health Sector (AMA Victoria) – Doctors in Training – multi-enterprise agreement 2013-2017 Classification: HM12/HM13 Hours per week : 38 hours base – as per unit roster Period of Establishment: April 2014 1. ORGANISATIONAL CONTEXT Austin Health comprises the Austin Hospital, Heidelberg Repatriation Hospital (HRH) and the Royal Talbot Rehabilitation Centre (RTRC). Austin Health operates 980 beds across acute, sub-acute and mental health with a 2011-12 annual operating budget of more than $700 million. Austin Health is an internationally recognised leader in clinical teaching and training, affiliated with eight universities. In addition, it is the largest Victorian provider of training for specialist physicians and surgeons. With the recent addition and partnership of the Mercy Hospital for Women, Austin Health continues expand and develop its health services to the community. State-wide services Austin Health is renowned for its specialist work in cancer, liver transplantation, spinal cord injuries, neurology, endocrinology, mental health and rehabilitation including a number of state-wide services: Victorian Spinal Cord Service Victorian Respiratory Support Services Victorian Liver Transplant Unit Acquired Brain Injury Unit Child Mental Health Inpatient Unit Austin Toxicology Service Victorian Poisons Information Centre Austin LifeSciences Austin LifeSciences brings together internationally-renowned research institutes and over 800 Austin Health researchers, with a focus on cancer, diabetes, respiratory disease, liver disease, heart disease, stroke, epilepsy and psychiatry. The Austin Health research institutions include: The Florey Neuroscience Institutes Revised April 2014 Position Description Ludwig Institute for Cancer Research Institute for Breathing and Sleep Austin Medical Research Foundation Parent-Infant Research Institute Spinal Research Institute External research funding to Austin Health is over $20 million per annum. Our facilities Austin Hospital The Austin Hospital features: Over 560 acute beds A 20 bed Intensive Care Unit A 42 cubicle adult emergency department containing a specialist six-bed unit for children A purpose-built, 26-bed high-tech spinal unit to serve all of Victoria and Tasmania An expanded mental health precinct with 55 adult mental health beds A unique teaching, training and research precinct including a teaching space and laboratory on each level of the Austin Hospital Tower. Austin Hospital is also home to a number of state-wide services. The Olivia Newton-John Cancer & Wellness Centre opened in July 2013. Heidelberg Repatriation Hospital The Heidelberg Repatriation Hospital has a proud history of caring for veterans and war widows. Originally built in 1941, the hospital became part of Austin Health in 1995. Today the Heidelberg Repatriation Hospital continues to treat veterans and war widows and the wider community with day surgery, palliative care, mental health services, aged care, and a range of outpatient services. With the opening of four additional operating theatres at the Heidelberg Repatriation Hospital in 2013, it now fills a substantial elective surgery role. Royal Talbot Rehabilitation Hospital The Royal Talbot Rehabilitation Centre is a specialist provider of intensive rehabilitation programs, providing a comprehensive and coordinated range of medical, nursing, therapy and support services to people with a wide range of disabilities. Areas of specialty include acquired brain injury rehabilitation, amputee rehabilitation, neurological rehabilitation, spinal cord injury rehabilitation, orthopaedic rehabilitation and orthotic and prosthetic services. Services are provided on an inpatient and day patient basis. Further information on Austin Health can be found at www.austin.org.au Revised April 2014 Position Description Austin Health Values The Austin Health values play a critical role in shaping how we operate as an organisation. They influence our performance planning, recruitment, training and development, and relationships with colleagues, work mates, our patients and their relatives and friends. The Austin Health values set standard that we expect all staff to live up to in the way they undertake their duties and responsibilities across the Hospital. Our Values: 2. Integrity We work in the spirit of collaboration and honesty to build effective working relationships across the whole organisation. Accountability We are transparent, responsible and build trust by fulfilling promises and communicating effectively. Respect We care about others and treat each other with consideration, equality and fairness. Excellence We continually strive to advance patient focused care through innovation, research and effective stakeholder management. LOCAL WORK ENVIRONMENT This position is a joint appointment with Northern Health, a major community hospital based in Epping. Some rotations are associated with locations associated with Northern Health’s partner organisations, such as Bundoora Extended Care Rehabilitation facility. Further positions may rotate through PGPPP placements associated with either Austin Health or Northern Health. Rotations for HMO2 General positions include ICU, Paediatrics, Psychiatry, General and specialty medical and surgical rotations, as well as rotations through PGPPP placements. HMO3 rotations may also be available upon request depending upon rosters. Rosters are flexible and may be changed in-year providing suitable swaps are arranged at no inconvenience to the clinical unit/s concerned. Applicants seeking specific terms prior to application for training programs are encouraged to discuss their needs with either the DiT Manager or the Director of Clinical Training. Our Clinical Education Unit (Medical Education) delivers diverse training and education session, both targeted to specific training programs and general development session covering generalist skills. Dedicated Intern and HMO2/3 training sessions are given weekly at both Austin Health and Northern Health. Other programs include weekend surgical skills workshops, study groups, exam preparation tutorials, practice interviews, journal groups, conference presentations, etc. There are also handbooks for all rotations outlining hours, duties, basic common drug protocols for the unit, staff (medical and nursing), clinic and ward details. Revised April 2014 Position Description Smoke-free organisation Austin Health promotes a healthy work environment and is progressively moving toward achievement of an entirely smoke free environment. Smoking is no longer allowed in any Austin Health building or vehicle or on the grounds of Heidelberg Repatriation Hospital and Royal Talbot Rehabilitation Centre. Whilst smoking is still allowed in designated outdoor areas at Austin Hospital, this site has become totally smoke free from 1 July 2009. 3. POSITION OBJECTIVE To provide excellence in patient care whilst undertaking comprehensive learning, training and professional development opportunities and uphold Austin Health’s values. 4. POSITION REQUIREMENTS CLINICAL DUTIES Patient Support To provide appropriate patient care to: All inpatients within the Unit/Department and to undertake a daily ward round of all patients Unit outpatient clinics Pre-admission clinics Patients for whom consultation is requested Relevant Hospital In The Home (HITH) patients. Relevant patients in day surgery, medical imaging and endoscopy Please note that the first responsibility is to inpatients and attendance in theatre is only acceptable if all ward work has been completed. Unit Support To support the Unit Registrar and other relevant registrars and senior medical staff in the care of the patients under the care of your allocated unit or department. Daily Duty Requirements Attend the hospital regularly both in-hours and out-of hours according to the daily duty statements and rosters. Participate in regular receiving duties as per duty roster. Hours may vary according to rotations however the normal range is between 43 – 53 hours per week. Extraordinary Obligations To provide clinical support for other interns/registrars where this may be required due to workload or other unforeseen circumstances. To support the following services to a limited extent: Medical and Surgical sub-specialties Revised April 2014 Position Description Inpatient psychiatry Inpatient paediatrics ICU/CCU Quality Ensure that patients and their families are given adequate information upon which to base treatment decisions and follow-up. Participate in the relevant divisional/unit quality activities program(s) as requested by the Unit/Department registrar and/or senior staff. Be responsive to patient and relative complaints, liaising with appropriate senior staff and the patient representative if required (refer to Patient Representative section in the Junior Doctor handbook). Notify appropriate personnel in a timely manner of any incident leading to an adverse outcome for a patient or staff member if such an incident occurs, and to complete a RiskMan report if it is deemed necessary. Ensure a high level of work quality, develop, implement and monitor quality improvement activities within the department/ward, in accordance with Austin Health Policies as varied from time to time. Communication Facilitate excellent communication and liaison with other staff, general practitioners and others involved in patient care. Access the Clinical Education Unit Homepage on the intranet to ensure you are kept up to date on important hospital information. Use and access your Austin email address on a regular basis to ensure that you are not excluded from Clinical Education Unit organised activities such as workshops and tutorials, and kept up to date with communications from the Medical Workforce Unit and Austin Health as a whole. Undertake not to reveal to any person or entity any confidential information relating to patients and employees, policies, processes and dealings and not to make public statements relating to the affairs of Austin Health without prior authority of the Chief Executive Officer. Patient Discharge To facilitate the timely admission and discharge of all patients in accordance with Austin Health policy. Medical Records To complete appropriate documentation in the patient’s hospital record. Entries should be legible, timely, regular and comprehensive so as to document important changes or decisions, and ALL entries must be dated, designated and signed. Notes should include adequate information fir coding and patient care purposes. ADMINISTRATION AND NON-CLINICAL DUTIES Medical Workforce Unit (MWU) Promptly inform the Deputy Director, MWU of any relevant administrative issues Provide timely notification of inability to attend duties for any reason Notify MWU in writing of all roster swaps before the swap is to take place. Submit a properly completed timesheet for each pay period in a timely manner. Revised April 2014 Position Description Complete an annual leave form at least 28 days prior to commencing annual leave Promptly advise the roster coordinator, MWU if you have a roster clash (E.g. night duty commences at 2130 hours on Sunday evening) Notify the unit you are working in and the MWU of any absence from the hospital during rostered hours of duty, including arrangements for cover Notify the After Hours Site Manager through the switchboard of any sick leave occurring in the after hours roster Policies & Procedures To abide by Austin Health policies and procedures. Education, Training & Support Attend and participate in the formal Intern and HMO education and training program coordinated by the Clinical Education Unit together with the Supervisor of Intern Training. Attend and participate in ALL mandatory training requirements at Austin Health, including CERNER training and OH&S training as required. Participate in the emergency incident response activities, as defined within the Emergency Response Manual, as and when required, at the direction of management. Orientation, Feedback, Assessment & Unit Evaluation To follow Austin Health’s protocols with regards to Unit Orientation, Mid Term Feedback, End of Term Assessment and Unit Evaluation. Human Resources 5. Ensure up to date contact information is available to the hospital. Salary packaging – In the event tax becomes payable on fringe benefits, the total cost of the package to the hospital does not increase. Ensure safe work practices and environment in accordance with Austin Health Policies as varied from time to time. KEY SELECTION CRITERIA Essential for Performance of the Position Appropriate tertiary medical qualification from either Australian Medical School or recognised overseas training. Registration with the Australian Health Practitioner Regulation Agency (AHPRA) of Australia (note eligible applicants will be assisted through this process). Dedication to delivering excellent service – to patients, all colleagues (nursing, medical, managerial, support staff), GPs and other contact points. One year post-graduate medical experience. Revised April 2014 Position Description Desirable but not essential for Performance of the Position 6. Australian citizenship or permanent residency. OTHER RELEVANT INFORMATION Pre-Existing Injury Prior to any person being appointed to this position it will be required that they disclose full details of any preexisting injuries or disease that might be affected by employment in this position. 7. DOCUMENT REVIEW DETAILS Date Position First Documented (if known): ____/____/____ Date of this Position Description Review: ____/____/____ Signature of Manager: Signature of Employee: Revised April 2014 . Date: ____/____/____ Date: ____/____/____