POSITION DESCRIPTION

Transcription

1 POSITION DETAILS: POSITION DESCRIPTION TITLE: REPORTS TO: Senior Medical Officer Consultant Hepatologist, Intra-Abdominal Transplantation/Liver Unit 1. Clinical Clinical Director 2. Non-clinical Manager Transplant service New Zealand Liver Transplant Department at Auckland City Hospital. LOCATION: AUTHORISED BY: Service Manager DATE: July 2014 PRIMARY FUNCTION: To provide both transplant and non-transplant Hepatology service. To ensure that the service provided is consistent with the vision of the service. Key Accountabilities 1. Clinical Practice: Provides specialised hepatology and liver transplantation care to the population of New Zealand. Provides clinical supervision to registrars and/or Fellows and Ward 71 Clinical nurse specialist Performs specialist hepatological procedures, including liver biopsy and Fibroscan procedures Participates in on-call roster (approximately 1: 4). Participates in biennial satellite hepatology/liver transplant clinics held in Wellington, Christchurch and Dunedin Participates in the Multidisciplinary Hepatoma Service Participates in clinical audit, credentialling, peer review and accreditation. 2. Professional Development, Education and Support: Responsible for own ongoing professional development (Including meeting College MOPPS requirements) Responsible for ensuring updates required are undertaken (ACLS, Fire). Participating in relevant research activities. Responsible for assisting with the coordination and facilitation of formal Registrar teaching programme. Responsible for encouraging, supervising and assessing registrars and fellows research and audit activities 3. Communication and Interpersonal Skills: Provides feedback/updates on all patients to referrer. Liases with clinic co-ordinator and surgical bookings clerks regarding clinics and OR list compilation. Annual Leave and Conference leave is notified at least six weeks in advance and is co-ordinated with the other three Hepatologists within the Unit Ensures that registrars receive feedback during specialist runs as prescribed. 4. Team Contribution: Assists department to achieve objectives, including budgeted outputs. Ensures departmental resources are used effectively Support ADHB key goals to ensure the service is safe and effective 5. Qualifications All applicants must hold a primary medical qualification recognised by the Medical Council of New Zealand. They must also have undertaken a general training in internal medicine plus advanced training in gastroenterology, internal medicine or immunology. They should have completed a fellowship which is recognised by the Australasian College of Physicians or Clinical experience. Preferably, they should have completed a fellowship at a recognised liver transplant centre and have completed or are currently writing a thesis for a post-graduate qualification (MD or PhD).

2 Authorities: This position has the following delegated authority N/A Direct Reports (if applicable): None Budget Accountability (if applicable): None Relationships: External Internal Committees/Groups Relevant college Clinical Director NZLTU Departmental meetings G.P s Chief Hepatologist NZLTU NZGES Specialists in DHBs & in Service Manager ANZLTG (including private practice Nurses representing NZLTU at Staff & services of other Admin/clerical staff these meetings) DHBs ADHB specialities/services ADHB staff PERSON SPECIFICATION Education & Qualifications Essential Desired Medical practitioner registered with NZ Medical Council, or eligible for registration Professional qualification as Physician, either internist, gastroenterologist or immunologist Fellowship of the Royal Australian and New Zealand College of Physicians (or equivalent). MD or PhD (or in progress), desired Training in recognised liver transplant centre Current CV includes evidence of presentations at scientific journals and publications in peer-reviewed journals

3 Critical Competencies Competency Clinical competence & quality of care Patient Focus Teamwork Description Competent in the management of chronic viral hepatitis. Competent in the management of end-stage liver disease, including acute and chronic liver failure. Competent in the management of liver transplant recipients and able to participate in the regular revision of the NZLTU Liver Transplant protocol to reflect advances in management of liver transplant recipients. Competent in the management of hepatocellular carcinoma and able to participate in the regular revision of the NZLTU HCC protocol to reflect advances in management of liver transplant recipients.. Competent in performing liver biopsies and supervision of registrar training in this procedure Principal and co-investigator for clinical research projects conducted within the Liver Unit (both externally funded and investigator initiated), and supervisor to clinical research co-ordinators (x5). Commitment to improving the national and international reputation of NZLTU, as a centre of excellence in both liver transplantation and general hepatology. This will be through conduct of original research and through presentations of findings at international hepatology or transplantation meetings (AASLD, EASL, APASL, ILTS, ATC, TSANZ) and publication of original manuscripts in peer-reviewed journals. Commitment to and demonstrable involvement in, auditing, accreditation, credentialing, peer review. Orientation towards serving patients first Collaborates with team members from all disciplines & professional groupings Committed to the on-going development/improvement of hepatology services at Auckland City Hospital and the successful introduction of innovative procedures (such as the Fibroscan service and quality improvements). Committed to providing satellite hepatology/liver transplantation clinics around New Zealand and building shared care with referring physicians Communication & Interpersonal skills Actively listens, drawing out information and checking understanding. Expresses information effectively, both orally and in writing, adjusts language and style to the recipients and considers their frame of reference. Empathises with others and considers their needs and feelings. Able to negotiate and resolve disputes amicably. Effective at building relationships both internally and externally. Organisational skills Establishes a plan of action and achieves priority goals. Manages workload/flow, recognises and addresses barriers, and takes account of changing priorities. Self-Management Sets high standards and strives to achieve stretching goals, displays drive and energy and persists in overcoming obstacles. Copes with stress, is resilient to change and understands personal limitations. Is proactive and displays initiative.

4 Innovation Ability to set up and run new initiatives such as specialised Hepatology clinics, and to join the other hepatologists in the provision of Fibroscan at Auckland City Hospital Actively questions old ways of doing things, thinks outside the square and develops creative, effective solutions to improve outcomes. Intermediate Computing Ability to use standard software application. Able to contribute to and perform analyses on the current centre databases for transplantation, hepatocellular carcinoma and chronic viral hepatitis WORKING FOR ADHB EXPECTATIONS OF EMPLOYEES CITIZENSHIP All employees are expected to contribute to the innovation and improvement of Auckland District Health Board as an organisation. This means: Using resources responsibly Models ADHB values in all interactions Maintaining standards of ethical behaviour and practice Meeting ADHB s performance standards Participating in organisation development and performance improvement initiatives Helping to develop and maintain Maori capability in ADHB, including developing our understanding of the Treaty of Waitangi and ways in which it applies in our work Raising and addressing issues of concern promptly THE EMPLOYER AND EMPLOYEE RELATIONSHIP We have a shared responsibility for maintaining good employer/employee relationships. This means: Acting to ensure a safe and healthy working environment at all times Focusing our best efforts on achieving ADHB s objectives A performance agreement will be reached between the employee and their direct manager and/or professional leader containing specific expectations. CONSUMER/CUSTOMER/STAKEHOLDER COMMITMENT All employees are responsible for striving to continuously improve service quality and performance. This means: Taking the initiative to meet the needs of the consumer/customer/stakeholder Addressing our obligations under the Treaty of Waitangi Involving the consumer/customer/stakeholder in defining expectations around the nature of the services to be delivered and the timeframe Keeping the consumer/stakeholder informed of progress Following through on actions and queries Following up with the consumer/customer/stakeholder on their satisfaction with the services PROFESSIONAL DEVELOPMENT As the business of ADHB develops, the responsibilities and functions of positions may change. expected to contribute and adapt to change by: All staff are Undertaking professional development Applying skills to a number of long and short term projects across different parts of the organisation Undertaking such development opportunities as ADHB may reasonably require

5 1.0 FTE Hepatologist Clinical Roster Monday Tuesday Wednesday Thursday Friday Saturday Sunday 7.30am HCC MDM 8am Ward Round (1:4) Ward Round (1:4) Ward Round (1:4) ID Round Journal Club Ward Round (1:4) Ward Round (1:4) 9am Hepatology Clinic (3 in 4 weeks): 3 NP including 1 OLT assessment Transplant Clinic 4 f/u 10am 11am 12am Admin/Research Admin/Research 1pm Liver F/U Clinic 2pm 8-10 f/u 3pm 4.30pm- 5.30pm Hepatology Clinic: (1 in 4 weeks) Transplant MDM Ward Round (1:4) Admin/Research HCC Clinic 3 f/u Ward Round (1:4) Ward Round (1:4) Ward Round (1:4) Ward Round (1:4) Ward Round (1:4) Ward Round (1:4)