Our Vision: : creating exceptional health care together

Our Role: to be a health service that is trusted by our community

Our Values: Reliable, Progressive, Respectful and Kind

Applications are sought for a full time 12 month contract from 5 August 2024 to 3 August 2025. Applications may be considered for 6 month contract if requested.

Canberra Hospital is a modern 600 bed hospital and the major tertiary teaching hospital for the Australian Capital Territory and surrounding NSW region serving a population of 0.5 million. The annual caseload is over 19,000.

The Canberra Hospital has positions for 24 Registrars and 4 Senior Registrars/Provisional Fellows. The Department of Anaesthesia and Pain Management at Canberra Hospital provides a comprehensive range of clinical anaesthesia services for most surgical specialties including cardiothoracic-, neuro-, upper GI, orthopaedic, ENT, vascular and paediatric surgery along with an active preadmission clinic, and an acute and chronic pain management service. The hospital has 13 operating theatres (including a dedicated MRI neuroanaesthesia suite) and a 31-bed intensive care unit. The new clinical services building, which includes 22 new operating theatres is due to open in August 2024. In addition, the Department of Anaesthesia meets a number of out-of-areas requirements for general anaesthesia or sedation, such as gastroenterology, angiography and brachytherapy.

Calvary Public Hospital is accredited for 6 Registrars. It is a modern healthcare service complex comprising a 174-bed public district general hospital.

Both hospitals are teaching hospitals of the Australian National University (ANU) Medical School and have strong research links to the John Curtin School of Medical Research at the ANU as well as to the University of Canberra.

The provisional fellowship positions available are:

· Provisional fellow in Perioperative anaesthesia

· Provisional fellow in Obstetric anaesthesia

· Provisional fellow in Anaesthesia and hepatobiliary and Upper GIT surgery

· Anaesthetic provisional fellow - General

More specific information is available below on each of the sub-speciality positions.

Fellows will also be required to provide general anaesthetic services to a wide variety of specialities in a busy anaesthetics department and at times supervise junior trainees.

Fellows are required to participate in the after-hours roster. This will include rostered after-hours shifts, including weekends, nights and on-call. It is expected that the on-call requirement will help the transition to consultant practice.

Fellows are expected to participate in education and quality improvement projects within the department.

Perioperative medicine
Perioperative medicine is an emerging subspecialty within anaesthesia, as the importance of patient centred perioperative care has become a focus. The Department of Anaesthesia and Perioperative Medicine at The Canberra Hospital provides anaesthesia services for general, hepatobiliary, orthopaedic, cardiothoracic, ENT, paediatric, vascular, maxillofacial, urology and neurosurgery, as well as medical imaging, angiography and electrophysiology studies. The department runs specific consultant led high-risk preoperative assessment clinics to assess suitability for surgery and achieve patient optimisation. Involvement in these clinics will be central to the fellowship. There will be scope for fellows to anaesthetise and participate in the postoperative care of some of these patients.

There is provision for fellows to gain some experience in transthoracic echocardiography (TTE) working with echocardiography technicians, as well as interpreting echocardiograms with cardiologists and anaesthetists. We are accredited for training in the Chapter of Perioperative Medicine course. This option can be explored by individual provisional fellows who are interested in this pathway.

Obstetric

The obstetric anaesthetic provisional fellowship will provide the trainee with ample exposure to straightforward and complex obstetric cases in a busy tertiary department with close to 4000 deliveries per year. The trainee will function as part of a multidisciplinary team providing excellent care to women and their families at the Centenary Hospital for Women and Children. They will have the opportunity to participate in teaching and supervision of junior trainees, to be involved in quality improvement activities, and to pursue particular subspecialty areas of interest.

Hepatobiliary and upper GI surgery

The Canberra Hospital provides anaesthesia for a variety of complex open and laparoscopic upper GI surgery including Ivor-Lewis Oesophagectomy, Liver resection, pancreatectomy, adrenalectomy and Gastrectomy. Fellows will participate in all aspects of care for these patients. This 12month provisional fellowship consists of 6months hepatobiliary and Upper GI and 6months general.

Anaesthesia Provisional fellow

The Department of Anaesthesia, Perioperative Medicine and Pain management at The Canberra Hospital provides anaesthesia services for general, hepatobiliary, orthopaedic, cardiothoracic, ENT, paediatric, vascular, maxillofacial, urology and neurosurgery, as well as medical imaging, angiography and electrophysiology studies. The general fellowship will provide broad exposure across these areas with the potential to develop specific interests as opportunities arise.

Under limited direction of the unit director you will:

1. Provide competent and efficient clinical management of patients of the Health Directorate under the supervision and direction of the Consultant Medical Practitioner;
2. Participate in the ANZCA training. Candidates are expected to have passed the final examination ad completed the requirements of advanced training prior to the commencement date of the fellowship;
3. Contribute to clinical audit and research and participate in changes that improve quality and safety of patient care;
4. Participate in the supervision, training and professional development of junior medical staff;
5. Comply with the policies and requirements of the Australian Health Practitioner Regulation Agency and the policies of the Health Directorate. This includes the promotion and application of workplace relations, workplace equity and diversity and workplace safety; and
6. Undertaking other duties as directed, within the approved scope of clinical practice.

7. Undertake other duties appropriate to this level of classification which contribute to the operation of the organisation.

CHS is committed to workforce diversity and to creating an inclusive workplace. As part of this commitment, we welcome applications from all diversity groups. Aboriginal and Torres Strait Islander peoples, people with disability and people who identify as LGBTQIA are particularly encouraged to apply.

Behavioural Capabilities

1. Motivated, enthusiastic and able to work effectively with a wide range of people;
2. Strong academic and clinical background;
3. Good organisational skills and the ability to prioritise tasks and plan well ahead when required to achieve academic goals;
4. Ability to work well within a team as both a team leader and a junior member of a team as circumstances dictate; and
5. Be responsive to feedback and thrive in an environment where you may be expected to both give and receive this on a regular basis.

Position Requirements / Qualifications

Mandatory

· Be registered or be eligible for registration with the Australian Health Practitioner Regulation Agency (AHPRA);

• Tertiary qualifications or equivalent in medicine and eligibility for membership ANZCA;

· Have completed all requirements for the completion of Advanced Training, or be able to show these will be satisfied prior to commencement date of this position

• CHS is leading the drive to digitally transform health service delivery in Australia through the implementation of a territory wide Digital Health Record. Computer literacy skills are required which are relevant to this role as you will be responsible for completing required documentation and becoming a proficient user of the Digital Health Record and/or other Information Technology systems; once proficient, you will need to remain current with changes, updates and contingencies.

Desirable

· Demonstrated interest in research or higher-level academic achievements.

· Have an understanding of how the National Safety and Quality Health Service (NSQHS) indicators align with this role.

· Fulfil the responsibilities of this role in alignment to the CHS Exceptional Care Framework, Clinical Governance Framework, Partnering With Consumers Framework and all other related frameworks.

Please note prior to commencement successful candidates will be required to:

· Undergo a pre-employment National Police Check.

· Comply with Canberra Health Services Occupational Assessment, Screening and Vaccination policy.

These are the key selection criteria for how you will be assessed in conjunction with your resumé and experience.

1. Have you completed or will you complete all your requirements of advanced training prior to commencement of the fellowship position?

2. Have you demonstrated a commitment to non-clinical skills such as teaching and/or quality assurance activities?

3. How do you demonstrate good communication skills and an ability to work within a multidisciplinary team?

4. How have you demonstrated an understanding of, and adherence to, safety and quality standards, work, health and safety (WH&S) and the positive patient experience.’

5. How do you display behaviour consistent with CHS’s values of reliable, progressive, respectful and kind.

6. Which fellowship position are you applying for and why? Are you interested in any of the other fellowship positions?

Applications must be submitted through the e-recruitment system. Applications must include a copy of a current resumé, and

· A response to the selection criteria under “what you require” in no more than two pages.

Where possible include specific relevant examples of your work

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Directorate	Canberra Health Services
Branch	Surgery
Section	Anaesthesia
Position Number	P33165
Position Title	Anaesthetic Provisional Fellow (Senior Registrar)
Classification	Senior Registrar
Vacancy Type	Full Time
Duration	12 months with possible extension
Location	The Canberra Hospital, Garran ACT
Base Annual Salary	$158,632
Contact Officer	Adam Eslick, Director of Training. [email protected]
Closing Date	21 April 2024

CONTACT OFFICER: Adam Eslick, Director of Training. [email protected]

Canberra Health Services (CHS) is focussed on the delivery of high quality, effective, person-centred care. We provide acute, sub-acute, primary and community‐based health services, to the Australian Capital Territory (ACT) and surrounding regions. More information can be found on the CHS website.

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