To be eligible to apply for this position you must be PGY4+. This position is a part-time (0.4 FTE) position, commencing as soon as possible for six months.

North Canberra Hospital (formerly Calvary Public Hospital Bruce) and Clare Holland House are now run and operated by Canberra Health Services (CHS). This is a significant milestone as the ACT Government is moving towards delivering a new hospital on Canberra’s Northside.

The new Northside Hospital will be built on the existing North Canberra Hospital (NCH) campus in Bruce. It will be a modern, state-of-the-art hospital for patients, visitors and its workforce and will provide more beds and increased services. Until then, it's business as usual at NCH, and we'll keep providing high-quality care to our patients and community.

HITH NCH is a multidisciplinary inpatient unit providing acute medical care for patients in their own homes. It is a progressive unit known for its multidisciplinary approach and will give trainees exposure to a rapidly expanding service model for inpatients with acute illnesses, not requiring treatment based in a hospital ward. Whether you are interested in general medicine, general practice, emergency medicine, geriatric medicine or infectious diseases, this position provides excellent broad experience in acute medicine and management of chronic comorbidities.

As an unaccredited registrar, you will work as part of the HITH multi-disciplinary team assisting consultants with clinical management of patients, applying medical knowledge and experience in the clinical diagnosis, investigation, treatment, ongoing management and appropriate discharge of patients.

1. Assess patients for admission or transfer to the HITH unit with respect to both their clinical and psychosocial capacity to be safely admitted to HITH.
2. Assess acutely deteriorating patients in the ZMC day infusions service and provide management as required in consultation with their admitting specialist and/or MET team if required.
3. Provide clinical support for all staff members of the HITH Service including, but not limited to, junior medical officers and nursing staff.
4. Maintain effective communication with patients and their relatives, hospital staff, medical colleagues, general practitioners and other community care providers to ensure the best provision of care and education.
5. Ensure medical records are appropriately updated and with the HITH senior medical staff ensure cost-effective use and wise stewardship of hospital resources.
6. Contribute to quality assurance and/or research activities within the unit to fulfill training requirements.
7. Holistically manage patient’s primary condition as well as other co-morbidities which may be affected during their illness.
8. Identify discharge goals and timelines for patients admitted to the HITH service.
9. Ensure discharge communication, supports and processes are in place for safe discharge of patients back to their GP and community services from HITH.
10. Participate in HITH multidisciplinary handover and meetings on a twice daily basis.
11. Undertake other duties appropriate to this level of classification which contribute to the operation of the organisation.

• Strong organisational skills with a high degree of drive.
• Sound written and verbal communication skills.
• Adaptability and flexibility to accommodate change and provide responsive services to meet clients’ needs.
• A commitment to practicing holistic medicine that considers and is sensitive to a patient’s unique psychological, spiritual and socioeconomic background.
• Ability to liaise effectively with staff at all levels and across disciplines.
• Hold a strong interest in developing further skills in medical education across all training levels.

Specific responsibilities include, but are not limited to, the following.

Essential

• Hold an Australian MBBS medical degree or equivalent
• Be registered or be eligible for registration with the Australian Health Practitioner Regulation Agency (Ahpra).

Desirable

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

For Senior Specialist we will also expect that you:

Essential

• Have completed the equivalent of at least three years of relevant full time clinical experience
• Ability to meet recency of practice requirements with Ahpra.

Desirable

• Fulfil the responsibilities of this role in alignment to the CHS Exceptional Care Framework and all other related frameworks.

• Pre-employment National Police Check.
• Comply with Canberra Health Services Occupational Assessment, Screening and Vaccination policy.
• Comply with Canberra Health Services Medical and Dental Appointments Advisory Committee (MDAAC) credentialing and scope of clinical practice requirements for medical professionals.

• Adhere to the Canberra Health Services Values and the ACT Public Service Code of Conduct
• Act in accordance and comply with all relevant Safety and Quality policies and procedures.
• Comply with all relevant clinical and/or competency standards.
• Be available for weekend and/or after-hours work.

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.

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

1. Demonstrated ability to work effectively as part of a multi-disciplinary team.
2. Ability to apply theoretical knowledge and experience in determining the appropriate clinical diagnosis, investigations and treatment of patients.
3. Ability to work within personal level of expertise and seek assistance as needed from senior staff.
4. Ability to assist interns and residents to extend their clinical skills and knowledge.
5. Demonstrates understanding of, and adherence to, safety and quality standards, work, health and safety (WH&S) and the positive patient experience. Displays behaviour consistent with CHS’s values of reliable, progressive, respectful and kind.

The following work environment description outlines the inherent requirements of the role and indicates how frequently each of these requirements would need to be performed. Please note that the ACT Public Service is committed to providing reasonable adjustments and ensuring all individuals have equal opportunities in the workplace.

Administrative	Frequency
Telephone use	Frequently
General computer use	Frequently
Extensive keying/data entry	Occasionally
Graphical/analytical based	Occasionally
Sitting at a desk	Frequently
Standing for long periods	Occasionally

Psychosocial demands	Frequency
Distressed People e.g. Emergency or grief situations	Occasionally
Aggressive & Uncooperative People e.g. drug / alcohol, dementia, mental illness	Occasionally
Unpredictable People e.g. Dementia, mental illness, head injuries	Occasionally
Restraining e.g. involvement in physical containment of clients/consumers	Occasionally
Exposure to Distressing Situations e.g. Child abuse, viewing dead / mutilated bodies; verbal abuse; domestic violence; suicide	Occasionally

Physical demands	Frequency
Distance walking (large buildings or inter-building transit)	Occasionally
Working outdoors	Occasionally

Manual handling	Frequency
Lifting 0 - 9kg	Occasionally
Lifting 10 - 15kg	Occasionally
Lifting 16kg+	Occasionally
Climbing	Never
Running	Never
Reaching	Occasionally
Kneeling	Occasionally
Foot and leg movement	Frequently
Hand, arm and grasping movements	Occasionally
Bending/squatting	Occasionally
Bend/Lean Forward from Waist/Trunk twisting	Occasionally
Push/pull	Occasionally
Sequential repetitive movements in a short amount of time	Frequently

Travel	Frequency
Frequent travel – multiple work sites	Never
Frequent travel – driving	Occasionally

Specific hazards	Frequency
Working at heights	Never
Exposure to extreme temperatures	Never
Operation of heavy machinery e.g. forklift	Never
Confined spaces	Never
Excessive noise	Never
Low lighting	Never
Handling of dangerous goods/equipment e.g. gases; liquids; biological.	Occasionally
Slippery or uneven surfaces	Occasionally