Run Description
Medicine Senior House Officer
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.
3
PLACE OF WORK
Whangarei Hospital.
4
CLINICAL RESPONSIBILITIES and WORK SCHEDULES
Responsible to:
Clinical Director of Acute Care
Clinical Head of Department
Other Consultants
Clinical responsibilities to include:
• Attending acute and elective admissions under the team during normal
working hours
• Attending inpatients and ward rounds with consultants
• Seeing new and follow up appointments in outpatient clinics
• Attending elective patients where required
• Assist in acute cases when required.
• Liaise with other staff within the department of Medicine
• Liaise with other specialities including the Emergency department,
general practitioners
• Communicate with patients and their families about the patient’s problem
and treatment where appropriate.
• Keep appropriate clinical progress notes
• Follow up investigations
• undertaking practical procedures within your competencies
• Instigate treatments as directed by the consultant.
During ordinary hours the SHO will work with the on call Medical team. The SHO will
attend post acute ward rounds as required, clinics, elective assessments and acute
admissions when appropriate as determined by their team consultants. The SHO will
be responsible for acute admissions.
Outside the ordinary working hours, the SHO will be responsible for attending all
medical, geriatric admissions as appropriate and admitting new patients to these
services and attending all cardiac arrest calls.
The SHO will complete a 6 month rotation as a SHO and must be registered as a
basic trainee with the Royal Australasian College of Physicians. The registrar should
then work as a Medical Registrar for a further 6 months.
5
PATIENT CARE and SERVICE DELIVERY RESPONSIBILITIES
As determined by the Clinical Head of Department Medicine / Medicine consultants,
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
Australasian College of Physicians as well as ongoing education and
development of skills. Provisions:
• An adequate degree of supervision.
• Attendance and participation in:
Radiology Meeting
Registrar Teaching
Medical Meeting
Journal Club
Grand Round
1230
1330-1430
0815-0900
1200-1240
1240-1330
Monday
Wednesday
Wednesday
Friday
Friday
Please note that the Senior House Officer is required to attend Registrar teaching
sessions
7
ASSESSMENT and PERFORMANCE APPRAISAL
Ongoing training assessment and performance appraisal of the Senior House Officer
as required by the College will be made by specialist staff that will provide a written
report to the Senior House Officer at the end of each six monthly period. This report
shall be confidential to the trainee, Supervisor of Training and the Clinical Head of
department of Medicine and will be available for inspection by other parties only with
the written approval of the Senior House Officer. The supervising consultant will
conduct a six monthly review of performance of the Senior House Officer on behalf of
NDHB.
8
RESPONSIBILITIES FOR TRAINING and PROFESSIONAL
DEVELOPMENT OF OTHER STAFF.
Senior House Officer will participate in education of other staff as determined by the
Clinical Head of Department Medicine
teaching of House Officers
teaching nursing staff
teaching of Medical Students
This may consist of teaching during the management of cases in the ward
environment and outpatient clinics as well as by giving the occasional tutorial or
lecture.
9
RESEARCH and REVIEW ACTIVITIES
•
Review – Senior House Officer will participate in clinical audit and quality
assurance activities, including attendance at fortnightly Continuing Medical Education
sessions.
10
OTHER REGISTRAR AND SPECIALIST COVER
SHOs
will
be
required
to
cover
absence
of
other
HOs
for
Annual/conference/exam/course leave and limited sick leave.
SHOs will also be required to cover absence of other senior and junior staff in certain
circumstances.
11
HOURS OF WORK
Rostered Duties
The SHO will be available for acute and arranged admissions during ordinary hours
whenever rostered.
The SHO will be required to work short take shifts between 0800-1800 when rostered
with team.
The SHO will be required to work Long take shifts between 0800-2330 when rostered
with team.
The SHO will be required to work 1 weekend in 5, Saturdays 0800-2130 and Sunday
between 0800-1500 when rostered with team.
The SHO will be required to work the following over a 5 week roster:
15 x 0800 hrs-1630 hrs
5 x 0800 hrs -1800 hrs
5 x 0800 hrs -2330 hrs
1 x 0800 hrs-2130 hrs
1x 0800 hrs – 1500 hrs
2.5 Hours over time per week has been included.
Ordinary hours
Rostered hours
Non rostered Hours
40
15.1
2.5
Total average hours per week of 57.5 = C 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 18.0 – 24.0 of the Collective.