POSITION DESCRIPTION Position Details: Title: Obstetric Physician Department: Regional Maternity Service - Women s Health Reports to: Service Clinical Director Regional Maternity Service Location: Auckland City Hospital and Greenlane Clinical Centre Authorised by: Service Clinical Director Date: September 2015 Primary Function: To provide high quality specialist clinical care in consultation with the Obstetric team for antenatal and postpartum woman with medical complications of pregnancy. Clinical practise will be evidencebased and supports National Woman s Health in providing a clinical service to the community. To provide leadership and teaching for junior doctors and contribute to an effective service environment. CLINICAL FOCUS National Women s Health (Permanent Part time) Inpatient care: provision of clinical care in consultation with obstetric team for antenatal and postpartum women with medical complications of pregnancy. Clinical service provided Monday to Friday (0800-1700); after-hours rostered weekends on-call (approximately 1 in 4-5) and 1 x week after hours on call from home. Supervision and support of obstetric medicine registrar (generally an advanced trainee in general medicine). Out-patient clinics High risk maternal fetal medicine (x 1 weekly) and diabetes in pregnancy clinic (x 1 weekly) Waitemata DHB (Additional duties if full time employment preferred) Out-patient clinics. Obstetric medicine clinic 1 weekly, 1 alternate weeks Diabetes in pregnancy clinic: 1 weekly Position Obstetric Physician SMO NWH Area Acute clinical assessments and inpatient care Required actions when on clinical ward service at National Women s Health 1 Ward round with obstetric medicine registrar of inpatients on antenatal and postpartum patients on obstetric wards. Obstetric Physician SMO Position Description September 2015 1
2 Coordinate with MDT (e.g. obstetricians, ward midwives, allied health, clinical charge midwife etc.) as required 3 Teaching as prescribed (At least 1 informal teaching session with obstetric medical registrar each week when consultant on clinical ward service). Involvement in registrar teaching for obstetrics and gynaecology trainees. Contribution to teaching of midwives as required. 4 Documentation review - SMO responsible to ensure Electronic Discharge Summaries, Labs, Radiology etc. signed off and completed 5 Provide appropriate clinical handover to on call obstetric physician. 6 Attendance at weekly multi-disciplinary maternal-fetal medicine ward round (it is expected that the obstetric physician not on clinical-service also attend this weekly meeting) Required actions throughout the year 7 Attend team and unit meetings (CME, business meetings, perinatal mortality meeting, combined anaesthesia/obstetric meetings) 8 Attendance at out-patient clinics in Obstetric Medicine and Diabetes in Pregnancy (both sites): antenatal, postpartum and pre-pregnancy assessments Position Obstetric Physician SMO Waitemata DHB Required actions throughout the year 1 Attendance at out-patient clinics in Obstetric Medicine and Diabetes in Pregnancy (both sites): antenatal, postpartum and pre-pregnancy assessments 2 Advice re in-patients at WDHB as required by clinical staff. In-patient review if appropriate. Additional Responsibilities Accept calls from GPs, obstetricians, midwives relating to patient care. Non-clinical time including contribution to the wider Women s Health service Performance Improvement programme Support Research & Innovation Audit Non Clinical Component Teaching Obstetric registrars and SHOs and midwifery staff teaching Administration Regular planning/administration meetings Audit and Quality Development of clinical guidelines for Women s Health CME and professional self development The medical practitioner is required to undertake their clinical responsibilities and to conduct themselves in all matters relating to their employment in accordance with best practice and relevant ethical and professional standards and guidelines as determined from time to time by: The New Zealand Medical Association The Royal Australasian College of Physicians The New Zealand Medical Council The Health & Disability Commission Obstetric Physician SMO Position Description September 2015 2
Authorities: This position has the following delegated authority Direct Reports (if applicable): Budget Accountability (if applicable): Nil Nil Relationships: External Internal Committees/Groups Local/national/international hospitals Associated Medical schools College(s) Private lead maternity carers (obstetricians and midwives) Clients/Customers/Patients Lead Clinician Service Clinical Director Charge Midwives / Nurses Midwife / Nurse Unit Manager He Kamaka Oranga (Maori Health Services) Hospital based health care professionals Obstetric Medicine and diabetes in pregnancy Team Meetings Member of the Relevant Clinical Governance committee PERSON SPECIFICATION Education and Qualifications Qualifications Experience/ knowledge Teaching and Training Research, innovation and service improvement Essential Specialist internal medicine/general physician or subspecialist qualification Eligible for specialist registration in New Zealand Demonstrated experience in obstetric medicine with experience in clinical obstetric medicine at consultant level or Fellowship Currently practising clinician Sound understanding of medical ethics Ability to teach clinical skills to medical and nursing staff and other disciplines. Ability to appraise junior doctors Proven application of research outcomes to clinical problems An awareness of current specialty developments, initiatives and issues. Desired Higher degree Knowledge of the implications of the Treaty of Waitangi and a commitment to biculturalism Publications in relevant peer-reviewed journals in the past five years. Evidence of having undertaken original research. Obstetric Physician SMO Position Description September 2015 3
CRITICAL COMPETENCES Competency Communication / Interpersonal Skills Teamwork Self-Management Patient / Family Orientation Quality Orientation Professional Development Value Diversity Management and Administrative Experience Clinical Effectiveness Description 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 needs and feelings. Collaborates with fellow team members and other work groups to achieve objectives for the good of the whole. Actively contributes to and accepts consensus decisions. Seeks out opportunities to support others in achieving goals. Recognises and respects individual differences. Establishes an action plan and achieves priority goals. Manages workload/flow, recognises and addresses barriers, and takes account of changing priorities. Copes with stress and understands personal limitations. Is proactive and displays initiative. Develops positive working relationships with patients and families, identifies and seeks to meet their needs. Treats them as first priority and improves service. Pays attention to detail and initiates self-checking procedures; ensures high levels of accuracy and consistent quality. Monitors quality and devises systems to support continuous improvement. Seeks to continuously develop skills and knowledge in all aspects of speciality and paediatrics. Understands significance of Treaty of Waitangi. Displays a willingness to work positively to improve outcomes for Maori. Displays cultural sensitivity. Appreciates insights and ideas for all individuals and works effectively with these differences. Ability to organise and prioritise workload effectively. Ability to plan strategically and to exercise sound judgements when faced with conflicting pressures. Ability to motivate and develop the multi-disciplinary team, balancing departmental and personal objectives. Experience of conducting clinical audit. Ability to use the evidence base and clinical audit to support decisionmaking. Obstetric Physician SMO Position Description September 2015 4
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. All staff are expected to contribute and adapt to change by: 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 Obstetric Physician SMO Position Description September 2015 5