Run Description
Psychiatry Registrar
1
COLLECTIVE EMPLOYMENT CONTRACT
The following run description is in accordance with the conditions set out in the
current Resident Doctors’ Association & District Health Boards Multi Employer
Collective Agreement.
2
TRAINING POST
Northland District Health Board Registrar positions are recognised as training posts
by the Royal Australian and New Zealand College of Psychiatrists. As such, all
stipulations specified by the College with regard to supervision, assistance,
equipment and other standards are complied with.
3
PLACE OF WORK
The place of work is based on the community or hospital setting of the run.
Community runs are all integrated which means that the work place is based in the
community with some work in the Mental Health Unit at Whangarei Hospital.
4
CLINICAL RESPONSIBILITIES and WORK SCHEDULES
Responsible to:
Clinical Head of Department Mental Health Services
Other Consultants
The registrar is accountable to the supervising psychiatrist of the run for clinical
matters. On call they are under the supervision of the consultant on call. They have
monitoring and support regarding training requirements with the Registrar Training
Coordinator.
Clinical responsibilities to include:
 The assessment and treatment of patients that are referred to the service with
which they are working
 Development of comprehensive management plans for their patients – this
could include biological, psychological and rehabilitation strategies as well as
risk management and relapse prevention
 Liaison with family / whanau as part of providing comprehensive care
 Liaison with NGO and primary health care services as appropriate
 To be aware of cultural issues and liaise with cultural support people and
services that may be involved in a patient’s care
 To identify and develop plans for substance abuse issues for a patient
 To document accurate and appropriate notes
 To work as part of a multidisciplinary team
 To actively seek advice and discuss assessment, management and ethical
issues of concern with the supervising psychiatrist
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To assist with crisis assessments and admissions as required and
appropriate for patients enrolled with the service
To assist with continuity of care for the inpatients of the team as negotiated
with the supervising consultant
To attend teaching and educational secessions both as part of the registrar
training program and locally run program
To participate in matters related to the Mental Health Act as appropriate for
level of seniority and under the supervision of the consultant psychiatrist
Outside the ordinary working hours, when rostered, Registrars will be available to
assess and manage psychiatric inpatients or patients in the community requiring
psychiatric assessment or advice
5
PATIENT CARE and SERVICE DELIVERY RESPONSIBILITIES
As determined by the Clinical Head of Department Mental Health Services, having
regard to the service needs and the requirement of the specialty.
6
PROVISION FOR TRAINING / EDUCATION
Adequate provision to be made to meet requirements for trainees of the Royal
Australian and New Zealand College of Psychiatrists, as well as ongoing education
and development of skills. Provisions:
1. Supervision as per RANZCP Training Bylaws.
2. Reserved time during normal working hours for attendance at tutorials and inservice education – This will include attendance at the Auckland Regional
Psychiatric Training Centre based in Auckland as part of the regional training
scheme for day release teaching for two x 12 week semesters.
3. Attendance and participation at:
Psychiatrists, Medical Officers and Registrars
meeting
1030-1200
Group Psychotherapy Meeting
Registrar Training Coordinator Meeting
Grand Round
1240-1330
Tuesday,
fortnightly
weekly as
rostered
weekly as
rostered
Friday
7
ASSESSMENT and PERFORMANCE APPRAISAL
Ongoing training assessment and performance appraisal of registrar as required by
the College will be made by specialist staff and the Registrar Training Coordinator.
The supervising consultant will provide a written report to the registrar at the end of
each three monthly period. This report shall be confidential to the trainee, Registrar
Training Coordinator and the Director of Registrar Training and will be available for
inspection by other parties only with the written approval of the registrar.
A six monthly review of performance of the registrar on behalf of Northland District
Health Board will be conducted by the supervising Consultant Psychiatrist.
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RESPONSIBILITIES FOR TRAINING and PROFESSIONAL
DEVELOPMENT OF OTHER STAFF.
Registrar will participate in education of other staff as negotiated between the
Registrar and supervising Consultant Psychiatrist. Teaching will be designed to fulfil
learning goals of the registrar as well as for the benefit of the recipients. This may
include:
Teaching of House Officers
Teaching of nursing staff.
Presentations within the MDT
9
RESEARCH and REVIEW ACTIVITIES
Research
Participation in and evaluation of Research is considered an important part of
registrar training and duties.
Review
Registrar will participate in clinical audit and quality assurance activities. This will be
subject to their level of seniority in training and consistent with their goals of progress
through the fellowship programme.
10
OTHER REGISTRAR AND SPECIALIST COVER
Registrars will be requested to cover absence of other senior and junior staff in
certain circumstances, viz
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Cover for absence on annual/sick/conference/exam/course leave
Cover for Specialist will be limited, providing that registrars will not be called
upon to perform duties beyond their experience and the proportion of
unsupervised work will not exceed that recommended by the College
At all times when registrars are working in the absence of their supervising
consultant psychiatrist an alternative consultant psychiatrist will be identified
who can be actively available for the registrar as required.
11
HOURS OF WORK
Rostered Duties
Ordinary day time hours will be between 0800-1700
The Registrar will participate in a 1:5 roster.
The Registrar will be rostered to work 5 long days in a 5 week period between the
hours of 0800-2300 on site.
The Registrar will be rostered to work one full weekend, Saturday and Sunday, in a 5
week period between the hours of 0800-2230 on site.
2.5 Hours of overtime per week has been included to cover any unforeseen
circumstances as well as 2.3 hours for travel to required teaching sessions.
Ordinary Hours
Rostered Hours
Non Rostered Hours
40
16.4
4.8
Total average hours per week of 61.2 = B category run.
Any hours not covered by those outlined above will be paid at the rates as specified
in clause 11.0 of the RDA MECA
12
LEAVE
Provisions for all leave as outlined in clauses 16.0 – 24.0 of the Collective.