VICTORIAN PUBLIC HOSPITALS REFEREE ASSESSMENT FORM NEONATAL REGISTRAR POSITIONS INSTRUCTIONS TO APPLICANT: 1. Three (3) Referee Assessments are required. At least two (2) should be from Consultants. Registrars possible for one (1) only. 2. Complete the below details in full, prior to forwarding to your Referee, to ensure that this assessment is successfully matched to your application/s at the Hospitals. 3. As your Referee is to send the completed Form directly to the Hospital/s nominated by you overleaf, tick on the back page, the Health Services to whom you are applying and to whom the assessment is to reach. Applicant s etails Name: Position(s) Applying For: (i.e. HMO3/Registrar, and Speciality/Stream e.g. surgical/e/icu) Phone: Email: Referee etails Title & Name: Position Held: Current Hospital: Phone: INSTRUCTIONS TO REFEREE: 1. Complete the details below; rating the applicant according to the criteria by ticking the appropriate box, mindful of the applicant s ability expected at his/her particular level of training. 2. Retain the original Assessment until the end of the year (in the event of miss faxing or additional requests). 3. Fax/mail a copy of the FRONT PAGE ONLY to the Health Services nominated by the Applicant on the back. Email: In what capacity did this person work with you? (Eg surgical resident, medical registrar)... When? (year)... For how long? (Eg. 6 months)... Would you be prepared to have the applicant work with you again? Yes No N/A Please comment:...... Please tick the appropriate areas. Requires substantial assistance (5% of population) Requires further development Performance just adequate Consistent with level of appointment Performance better than expected Performance exceptional N/A (5% of Unable to assess population) CLINICAL COMPETENCY Knowledge base. emonstrates adequate knowledge of basic and clinical sciences. Clinical skills. Elicits and records accurate, complete history and clinical examination findings Clinical judgement / ecision making Organises, synthesises and acts appropriately on information; applies sound knowledge base. Self-awareness. Recognises limits of own skills & knowledge, and actively seeks feedback & assistance to continuously improve. Procedural skills. Performs procedures competently VERBAL & WRITTEN COMMUNICATION SKILLS Patient and family. Interacts effectively and sensitively with patients and families / care givers. Medical records / Clinical documentation. Provides clear, comprehensive and accurate records. PERSONAL AN PROFESSIONAL CONUCT Professional responsibility. emonstrates punctuality, reliability, honesty and self-care. Teaching. Proactive in teaching other healthcare professionals, patients and/or care providers. Time management skills. Organises and prioritises tasks in an effective manner. Teamwork and colleagues. Works with and contributes effectively within a team. Signature of Referee: ate: Page 1 of 2 Last Updated: 1 June 2017
INSTRUCTIONS TO REFEREE: Fax /mail the FRONT PAGE only to the Health Service/s ticked below. o NOT fax this page to Hospitals! Please retain a copy of the assessment until the end of the year, in the event of miss faxing or additional requests. HEALTH SERVICE Incorporating Address Fax Phone/Email ALBURY WOONGA HEALTH AUSTIN HEALTH BALLARAT HEALTH SERVICES BARWON HEALTH ALFRE HEALTH BENIGO HEALTH HMO Coordinator EASTERN HEALTH JMS Coordinator CENTRAL GIPPSLAN HEALTH ECHUCA REGIONAL HEALTH GOULBURN VALLEY HEALTH LATROBE REGIONAL HOSPITAL MERCY HOSPITAL FOR WOMEN Medical Staff Recruiter Wodonga Hospital Vermont Street WOONGA Vic 3692 Austin Hospital Studley Rd HEIELBERG 3084 Ballarat Base Hospital PO Box 577 BALLARAT 3353 Geelong Hospital PO Box 281 GEELONG 3220 The Alfred, Sandringham Hospital & Caulfield Hospitals Commercial Road PRAHRAN 3181 The Bendigo Hospital PO Box 126 BENIGO 3552 Angliss Hospital PO Box 94 Box Hill Hospital BOX HILL 3128 Maroondah Hospital 155 Guthridge Pde SALE 3850 Echuca Hospital PO Box 25 ECHUCA 3564 Goulburn Valley Base Graham St Hospital SHEPPARTON 3630 PO Box 424 TRARALGON 3844 163 Studley Rd HEIELBERG 3084 02 6051 02 6051 7322 7477 9496 3148 9496 5848 / 6813 5320 4554 5320 4238 4215 0901 4215 0891 9076 6046 Please email: hmoenquiries@alf red.org.au 5454 6330 5454 7554 9895 3461 9895 3740 5143 8633 5143 8600 / 8700 5482 5478 5485 5041 5832 2394 5832 2739 5173 8444 5173 8000 8458 4331 Refer to advert MILURA BASE HOSPITAL NORTHERN HEALTH NORTHEAST HEALTH WANGARATTA PENINSULA HEALTH Manager Medical Workforce PETER MACCALLUM CANCER CENTRE ROYAL CHILREN S HOSPITAL ROYAL MELBOURNE HOSPITAL ROYAL VICTORIAN EYE & EAR HOSPITAL THE WOMEN S Medical Workforce Unit SOUTH WEST HEALTHCARE ST VINCENT S HEALTH WERRIBEE MERCY HOSPITAL WESTERN ISTRICT HEALTH SERVICE WESTERN HEALTH WIMMERA HEALTH CARE GROUP The Northern Hospital Wangaratta Base Hospital Frankston & Rosebud Hospitals, Golf Links Rd & Mornington Centre Royal Melbourne Hospital Warrnambool Base Hospital St Vincent s, St Georges & Caritas Hospitals PO Box 620 MILURA 3502 185 Cooper St EPPING 3076 PO Box 386 WANGARATTA 3676 PO Box 52 FRANKSTON 3199 St Andrew s Place EAST MELBOURNE Flemington Rd PARKVILLE 3052 Grattan St PARKVILLE 3052 32 Gisborne St EAST MELBOURNE 3002 Cnr Grattan St & Flemington Rd, PARKVILLE 3052 Ryot St WARRNAMBOOL 3280 41 Victoria Pde FITZROY 3065 300 Princes Highway WERRIBEE 3030 Hamilton Base Hospital PO Box 283 HAMILTON 3300 Western, Sunshine & Williamstown Hospitals Wimmera Base Hospital Private Bag FOOTSCRAY 3011 Baillie St HORSHAM 3400 5022 3234 5022 3478 8405 8032 8405 8209 5722 0109 5722 0260 9784 7380 9784 7725 9654 8457 9656 3662 Please call 9345 6365 9345 6365 Refer to Refer to advert advert 9663 7203 9929 8575 8345 3648 Please email: medical.recruitme nt@thewomens.org.au 5563 1627 5563 1346 9288 3324 9288 3304 /2836 9216 8777 9216 8710 555 18219 5551 8388 8345 6355 8345 6951 5382 0829 5381 9365 Page 2 of 2 Last Updated: 1 June 2017
MERCY HOSPITALS VICTORIA LT POSITION ESCRIPTION Core Mercy Values: Compassion, Hospitality, Respect, Innovation, Stewardship, Teamwork Position title: Entity/Group: Business Unit/epartment: Hospital Medical Officer (Paediatric Hospital Medical Officer) Mercy Hospital for Women Paediatric epartment Employee name: ate: Position reports to: Clinical irector Neonatology (Medical) Position Purpose: Qualifications: Resource management: Primary care of public patients Primary care of all patients in SCN/OP/Emergency epartments Care of private patients outside of SCN in cases of:- Emergencies or as direction by Consultant staff Completion of discharge summaries Completion of data entry into unit database Participation in epartmental and Hospital Quality Assurance Activities Medical practitioner registered with the Australian Health Practitioner Regulatory Agency (AHPRA). Hospital Medical Officer (HMO) will be paid according to experience. Hours of work will be a thirty eight (38) hours per week plus oncall where applicable. Total staff management (FTE): Annual Operating Expenditure: Annual Capital Expenditure: HMO Paediatric
Mandatory Organisational Competencies Personal Competencies Job Competencies Orientation (on commencement) Commitment to the Mercy values. Comply with the requirements of the annual organisational mandatory and role related competencies policy and procedure. Equity & Inclusion (annual) emonstrated ability to build relationships with people at all levels. Relevant professional registration Emergency Procedures (annual) Ability to work as part of a team. Good knowledge, understanding and commitment to the mission, vision and values of Mercy Health Work Health & Safety (annual) Capacity for constructive selfreflection and learning from actions and feedback. Knowledge of contemporary clinical issues Infection Control (annual) Highly developed leadership skills. Knowledge of funding in public health care facilities Communication/interpersonal skills Ability to work effectively in multidisciplinary team Teamwork/Collaboration Ability to communicate effectively with families under stress Customer focused Computer literate Adaptability/flexibility A practical common approach to problem solving & trouble shooting Generic Requirements Act professionally and in accordance with the Mercy Health Code of Conduct Maintain clinical registration (where applicable) Participate in annual performance development review (PR) process Key Result Areas Key Activities Standard Measures Ensure the values of Mercy Health are incorporated into daily work practices for all staff. emonstrates and upholds the Values and Mission of Mercy Health. Shows compassion and provides support to staff and customers. Consistently shows respect and values each person s dignity. Seeks opportunities to be innovative for improvement. HMO Paediatric
Key Result Areas Key Activities Standard Measures Communicates openly and honestly as an effective member of the leadership team. emonstrates leadership in the area of safety, quality & risk and contributes to organisational quality and safety initiatives Administrative Clinical Maintain a safe environment for patients/self/colleagues and members of the public. Escalate concerns regarding safety, quality & risk if unable to rectify yourself. Lead, develop, implement and participate in evaluation and continuous improvement and clinical indicator processes. emonstrate and champion the principles of Person Centred Care: o Respect & ignity o o o Information Sharing Participation Collaboration Inform the Clinical irector as soon as possible regarding:- o Any incidents that occur of a medico-legal nature. o Any complaints received from patients or relatives. o Any problems in regard to the provision of services and equipment for the care of patients. The appointee is to act as Medical Practitioner for the patients of the hospital within the policies and guidelines pertaining to Registrars/ RMOs. In particular the registrar/rmo is required to:- o Exercise due professional care in the management of patients who may be allotted to him/her, within the limits of their own competence and experience. o Have due regard for the reputation and Risk assessments completed and controls implemented. Incident/s reported as soon as practicable. Undertake incident investigations. Injured employees are managed within Guidelines. Orientation records. Training records. Accreditation outcomes. Patient satisfaction and experience survey results. evelop and action annual quality plan and business plan. Complete administrative tasks as directed HMO Paediatric
Key Result Areas Key Activities Standard Measures interests of the hospital at all times. o Undertake such duties as the Clinical irector may determine either by roster or from time to time as occasion may demand. o Carry out such treatments or operations as shall be ordered by the Neonatologist responsible for the treatment of the patients. o Make such reports and issue such certificates as are necessary by the nature of the appointment. o Maintain a proper record of symptoms, examinations and treatment of patients allotted. Specific duties: Patient Care Inpatients Responsibility for admission and care of newborn infants. To undertake such patient care as may be delegated by a Neonatologist of the Mercy Hospital for Women. This care may be extended to private patients. Care of infants on postnatal wards of Mercy Hospital for Women Accompanying Neonatologists on the principal rounds. Advise Neonatologist regarding any emergency admission and any significant clinical problems arising during the registrar s hours of duty. Perform a daily round of his/her patients when rostered for duty. Consult with the Associate Unit Manager (nursing) of the ward regarding treatment of patients. Orders must be recorded appropriately in the medical records. ocumentation of all aspects of patient care in medical record ata entry to unit database HMO Paediatric
Key Result Areas Key Activities Standard Measures Communication with referring units and clinicians Undertake clinical audit activities as directed Outpatients Outpatient responsibilities will not be a routine part of the position. In the event of illness or other such event cover may be required. Care of infants in Emergency epartment will be required. Employee s Signature: ate: Print Name: Manager Signature: ate: Print Name: HMO Paediatric
MERCY HOSPITALS VICTORIA LT POSITION ESCRIPTION Core Mercy Values: Compassion, Hospitality, Respect, Innovation, Stewardship, Teamwork Position title: Paediatric Registrar Employee name: Entity/Group: Business Unit/epartment: Mercy Hospital for Women Paediatric epartment ate: Position reports to: Clinical irector Neonatology (Medical) Position Purpose: Qualifications: Resource management: Primary care of public patients Primary care of all patients in SCN/OP/Emergency epartments Care of private patients outside of SCN in cases of:- Emergencies or as direction by Consultant staff Completion of discharge summaries Completion of data entry into unit database Participation in epartmental and Hospital Quality Assurance Activities Medical practitioner registered with the Australian Health Practitioner Regulatory Agency (AHPRA). A Registrar will be paid according to experience. Hours of work will be a forty three (43) hours per week plus oncall where applicable. A Registrar working part time hours will apply to the position description. Annual Operating Expenditure: Annual Capital Expenditure: Paediatric Registrar
Mandatory Organisational Competencies Personal Competencies Job Competencies Orientation (on commencement) Commitment to the Mercy values. Comply with the requirements of the annual organisational mandatory and role related competencies policy and procedure. Equity & Inclusion (annual) emonstrated ability to build Relevant professional registration relationships with people at all levels. Emergency Procedures (annual) Ability to work as part of a team. Good knowledge, understanding and commitment to the mission, vision and values of Mercy Health Work Health & Safety (annual) Capacity for constructive selfreflection Knowledge of contemporary clinical issues and learning from actions and feedback. Infection Control (annual) Highly developed leadership skills. Knowledge of funding in public health care facilities Communication/interpersonal skills Ability to work effectively in multidisciplinary team Teamwork/Collaboration Ability to communicate effectively with families under stress Customer focused Computer literate Adaptability/flexibility A practical common approach to problem solving & trouble shooting Generic Requirements Act professionally and in accordance with the Mercy Health Code of Conduct Maintain clinical registration (where applicable) Participate in annual performance development review (PR) process Key Result Areas Key Activities Standard Measures Ensure the values of Mercy Health are incorporated into daily work practices. emonstrates and upholds the Values and Mission of Mercy Health. Shows compassion and provides support to colleagues and patients. Consistently shows respect and values each person s dignity. Paediatric Registrar
Key Result Areas Key Activities Standard Measures Seeks opportunities to be innovative for improvement. Communicates openly and honestly as an effective team member. emonstrates an understanding of individual responsibility for safety, quality & risk and participates in organisational quality and safety initiatives. Maintain a safe environment for patients/self/colleagues and members of the public. Escalate concerns regarding safety, quality & risk to an appropriate staff member. Participate in evaluation and continuous improvement and clinical indicator processes. emonstrate the principles of Person Centred Care: o Respect & ignity o Information Sharing o Participation o Collaboration. Administrative Inform the Clinical irector as soon as possible regarding:- o Any incidents that occur of a medicolegal nature. o Any complaints received from patients or relatives. Any problems in regard to the provision of services and equipment for the care of patients. Clinical The appointee is to act as Medical Practitioner for the patients of the hospital within the policies and guidelines pertaining to Registrars/ RMOs. In particular the registrar/rmo is required to:- o Exercise due professional care in the management of patients who may be allotted to him/her, within the limits of their own competence and experience. Risk controls implemented. Incident/s reported as soon as practicable. Undertake incident investigations. Orientation completed. Training up to date. Accreditation outcomes. Patient satisfaction and experience survey results. Participate in implementation and delivery of annual quality plan and business plan. Complete administrative tasks as directed Paediatric Registrar
Key Result Areas Key Activities Standard Measures o Have due regard for the reputation and interests of the hospital at all times. o Undertake such duties as the Clinical irector may determine either by roster or from time to time as occasion may demand. o Carry out such treatments or operations as shall be ordered by the Neonatologist responsible for the treatment of the patients. o Make such reports and issue such certificates as are necessary by the nature of the appointment. o Maintain a proper record of symptoms, examinations and treatment of patients allotted Specific duties: Patient Care Responsibility for admission and care of Inpatients newborn infants. To undertake such patient care as may be delegated by a Neonatologist of the Mercy Hospital for Women. This care may be extended to private patients. Care of infants on postnatal wards of Mercy Hospital for Women Accompanying Neonatologists on the principal rounds. Advise Neonatologist regarding any emergency admission and any significant clinical problems arising during the registrar s hours of duty. Perform a daily round of his/her patients when rostered for duty. Consult with the Associate Unit Manager (nursing ) of the ward regarding treatment of patients. Orders must be recorded appropriately in the medical records. ocumentation of all aspects of patient care in medical record ata entry to unit database Paediatric Registrar
Key Result Areas Key Activities Standard Measures Communication with referring units and clinicians Undertake clinical audit activities as directed Outpatients Outpatient responsibilities will not be a routine part of the position. In the event of illness or other such event cover may be required. Care of infants in Emergency epartment will be required. Employee s Signature: ate: Print Name: Manager Signature: ate: Print Name: Paediatric Registrar