SA Health Job Pack Job Title Advanced Trainee - Clinical Pharmacology SALHN Job Number 592596 Applications Closing Date 31/08/2016 Region / Division Health Service Location Classification Southern Adelaide Local Health Network Flinders Medical Centre Adelaide Metro MD2 Job Status Full Time Temporary to 04/02/2018 Indicative Total Remuneration* Criminal History Assessment Applicants will be required to demonstrate that they have undergone an appropriate criminal and relevant history screening assessment/ criminal history check. Depending on the role, this may be a Department of Communities and Social Inclusion (DCSI) Criminal History Check and/or a South Australian Police (SAPOL) National Police Check (NPC). The following checks will be required for this role: Child Related Employment Screening - DCSI Vulnerable Person-Related Employment Screening - NPC Aged Care Sector Employment Screening - NPC General Employment Probity Check - NPC Further information is available on the SA Health careers website at www.sahealth.sa.gov.au/careers - see Career Information, or by referring to the nominated contact person below. Contact Details Full name Heather Bailey Phone number 82044999 Email address heather.bailey2@health.sa.gov.au Public I1 A1
Guide to submitting an application Thank you for considering applying for a position within SA Health. Recruitment and Selection processes across SA Health are based on best practice and a commitment to a selection based on merit. This means treating all applications in a fair and equitable manner that aims to choose the best person for the position. A well presented, easy to read application will allow the panel to assess the information they need from your application. To give yourself the best opportunity to reach interview, the application should clearly and concisely demonstrate to the selection panel that you are suitably equipped to perform the role, and that you possess all of the stated minimum essential skills, abilities, knowledge, experience and educational qualifications (where required). The online application form to apply for this position will ask for employment history, education, qualifications and referees however to understand the position and requirements we suggest you become familiar with the attached Job and Person Specification. We request that you attach the following to your application - A covering letter of up to 2 pages introducing yourself to the selection panel and describing your skills, abilities, knowledge, qualifications and experience in relation to the position; A current Curriculum vitae/resume that includes your personal details, relevant employment history, education, training courses, qualifications and professional memberships. * Refer to http://www.sahealthcareers.com.au/information/ for further information regarding The Indicative Total Remuneration which is inclusive of Award salary, superannuation and other monetary benefits. Information for Applicants Criminal History Assessment requirements
Department of Clinical Pharmacology The mission of the Department of Clinical Pharmacology, Flinders University School of Medicine is to provide national and international leadership in the disciplines of pharmacology and toxicology through excellence in research, teaching, clinical pharmacology service delivery, and professional activities. This is achieved through implementation of the individual strategic plans for research, teaching and service delivery. The Department of Clinical Pharmacology was established as a fully integrated department of the Flinders University School of Medicine and Flinders Medical Centre (FMC) in 1978. The Department is located in Flinders Medical Centre (Southern Adelaide Local Health Network), the teaching hospital associated with Flinders University. Staff of the department contribute to the planning, coordination and provision of teaching activities in the Doctor of Medicine program, and to biomedical programs offered by the Faculty of Medicine, Nursing and Health Sciences. In particular, the Department of Clinical Pharmacology coordinates topics within the Bachelor of Medical Science, Master of Nursing, Paramedics and Optometry programs. Staff of the Department undertake cutting-edge research in a number of areas, with particular strengths in drug and chemical metabolism, and cardiovascular clinical pharmacology. The xenobiotic metabolism group comprises John Miners, Kathie Knights, and Peter Mackenzie. In addition, members of the Group have established research collaborations with colleagues worldwide, including Germany, Indonesia, Japan, New Zealand, Sweden, Thailand, United Kingdom, and USA. Attractive projects are always available for honours and postgraduate research students. The clinical applications group, Arduino Mangoni, Andrew Rowland, Ben Lewis and John Miners are active in three main areas. 1. Therapeutic drug monitoring, particularly concentration targeted dosing of cancer treatment. 2. Drug-Drug Interactions in clinical practice. 3. Physiological and population modelling of pharmacokinetics and pharmacodynamics. Collaborative projects are being performed locally with the Departments of Medical Oncology, Gastroenterology, Endocrinology and Diabetes, and Palliative Care. State collaborations are with the Basil Hetzel research institute, Adelaide University and the University of South Australia. National collaborations are with the Centre for Health Informatics at University of Sydney and with the Centre of Epidemiology and Biostatistics at the University of Newcastle. Within FMC, staff of the department contribute to the provision of clinical service to General Medicine and Endocrinology. The Department also has close links with SA Pathology including professional responsibility for the therapeutic drug monitoring service at FMC. Staff of the department have high national and international profiles, many holding office in scientific societies relevant to pharmacology. The Clinical Pharmacology Registrar participates in departmental activities. He/she conducts a research project, appropriate to his/her training, under departmental supervision. He/she is involved in teaching Clinical Pharmacology.
Background Clinical Pharmacology is concerned with the rational, safe and effective use of medicines. Clinical Pharmacologists are involved with patient care, service provision, teaching health professionals, medical research, and medicines policy and regulation. Clinical Pharmacology training is usually based in tertiary teaching hospitals. Flinders Medical Centre and Flinders University both have a nationally and internationally recognised Department of Clinical Pharmacology. The department has three Clinical Pharmacologists, one employed by the hospital. (Most members of staff are employed by Flinders University, in academic or grant funded positions). The Department has strong links with laboratory science, pharmacy and medical specialities, and makes substantive contributions to local and national policy through contributions to a number of committees related to medicines use. The Department is thus one of the best equipped in the country to provide training in Clinical Pharmacology. The Clinical Pharmacology Registrar position in the Southern Adelaide Region has substantial benefits to the region in meeting current clinical needs. FMC currently has a consultant allocated to clinical pharmacology services in the region and the registrar represents an important contribution to clinical resources. The safe and cost-effective use of medicines has been identified as a national priority and Clinical Pharmacology is the medical specialty at the forefront of this area. As well as providing clinical services registrars in training represent our future workforce. Training our future workforce Medicines are the major therapeutic tool used in the health system and prescribing is the commonest medical intervention. As the medical speciality underpinning the use of medicines, Clinical Pharmacology has a substantial amount to offer other specialities. A training position in Clinical Pharmacology can provide valuable training experience for trainees in other specialities as well as training Clinical Pharmacologists. Furthermore the presence of a Clinical Pharmacology Registrar increases the opportunities for Clinical Pharmacologists to contribute to staff training and development. The key areas covered in Clinical Pharmacology training are outlined in appendix 1. Service Delivery Clinical Pharmacology is a support speciality for therapeutics, as radiology and pathology are for diagnostics. We provide a service of a polypharmacy review within general medicine, addressing the increasing prevalence of complex polypharmacy seen in patients. - In matters relating to safe and effective use of medicines (Quality Use of Medicines or QUM) the Department of Clinical Pharmacology works closely with Pharmacy. The Clinical Pharmacology Registrar, in conjunction with the clinical pharmacists, has a key role in providing front line support to junior medical staff in day-to-day QUM issues, including problem solving around adverse drug reactions, drug interactions, and polypharmacy, or difficult pharmacokinetic and pharmacodynamic issues. - The therapeutic drug monitoring (TDM) service for specific drugs, e.g. gentamicin, is jointly coordinated by the Department of Clinical Pharmacology and the Pharmacy Department. Provision of a drug concentration alone does not lead to substantially improved therapeutics and clinical support is required. Provision of the clinical support for TDM is a key role of the Clinical Pharmacology Registrar. - Assistance with after-hours clinical care: Hospital staffing is often defined around provision of 24 hour care. The Clinical Pharmacology Registrar participates in after-hours clinical care rosters, for example in General Medicine. - An advocate for therapeutic excellence: Therapeutic skills are largely developed during the years worked as a junior doctor. The value of having a member of this peer group as an advocate for quality therapeutics should not be underestimated.
- Support to other departments by involvement in projects related to improvements in therapeutics and contribution to CME is a key component of the role (e.g. collaboration with gastroenterology in establishing a monitoring programme for thiopurine use in inflammatory bowel disease). - The Clinical Pharmacology Registrar makes a valuable contribution to policy and management decision making in various hospital bodies and at the state level with involvement in the South Australian Formulary Committee. They bring the combination of a junior doctor s clinical experience and an understanding of the principles of therapeutics. - Community support in pharmacovigilance and the quality use of medicines: the department would like to extend its role to support primary care and regional services. A registrar would both contribute to this and to free up consultant time for this activity. Research Clinical Pharmacology is involved actively in research and scrutiny of research. The Clinical Pharmacology Registrar is exposed to research skills that other trainees do not, for example by participation in the Clinical Drug Trials Committee. The position contributes to the research output of the Institution and at the same time develops skills likely to serve the Institution into the future. Integrated Care As a speciality concerned with the use of medicines, Clinical Pharmacology has a substantive role to play in the development of service models spanning community and hospital care. Training and development of skills in integrated care are key to the future of our health service. Job Description - Consideration to dual training with another subspecialty can be accommodated. In particular, dual training with General Medicine would be considered favourably and we anticipate this will help with recruitment of General Medicine advanced trainees. - After hours roster participation, on call for the medical subspeciality admissions.
Southern Adelaide Local Health Network (LHN) JOB AND PERSON SPECIFICATION (MANAGERIAL) TITLE OF POSITION: Clinical Pharmacology Advance Trainee Classification: MDP2 Position No: FM3249 Position Created: 4/2/2009 Review Date: Feb 2017 1 ADMINISTRATIVE UNIT: SA Health - Southern Adelaide LHN Health Unit: Flinders Medical Centre Division: Medicine Cardiac & Critical Care Department / Section: Clinical Pharmacology Job and Person Specification Approval CEO or Delegate / / Date JOB SPECIFICATION 1. PREAMBLE The Southern Adelaide Local Health Network (LHN) provides care for around 341,000 people living in the southern metropolitan area of Adelaide as well as providing a number of state-wide services, and services to those in regional areas. More than 7,000 skilled staff provide high quality patient care, education, research and health promoting services. Southern Adelaide LHN provides a range of acute and sub-acute health services for people of all ages, and has three hospitals, Flinders Medical Centre, Noarlunga Hospital and the Repatriation General Hospital. Primary Health and Transition services delivers a range of services across the southern metropolitan area of Adelaide, with a focus on providing chronic disease management programs in the community, and transition and hospital substitution and avoidance programs targeted at chronic disease and frail aged. Southern Mental Health provides a range of integrated services across community and hospital settings, targeted at all age groups, in collaboration with non-government organisations and Southern Adelaide Fleurieu Kangaroo Island Medicare Local (SAFKIML). 2. SUMMARY OF THE BROAD PURPOSE OF THE POSITION and its responsibilities/duties
The Clinical Pharmacology Registrar (ESTP) will undertake training in Clinical Pharmacology and contribute to clinical practice, education and research in Clinical Pharmacology in the Southern Region. This will be under the supervision of Clinical Pharmacologists according to the conditions of the ESTP funding. The primary focus of the position is to meet the requirements of the RACP training in Clinical Pharmacology. The Clinical Pharmacology Registrar (ESTP) will: Undertake training in and contribute to the provision of the therapeutic drug monitoring service provided by the Department of Clinical Pharmacology. Undertake training in and contribute to research in Clinical Pharmacology. This will be within the combined University and Regional Department of Clinical Pharmacology Undertake training in and contribute to educational programs in Clinical Pharmacology for a range of students and practitioners particularly medical students, physicians and physician trainees. This will be under joint supervision of the Department of Medical Education of Flinders University, School of Medicine. Undertake training in and contribute to medicines information within the Southern Region and wider Australia. This will be in collaboration with the Australian Medicines Handbook (AMH). Undertake training in and contribute to the development of medicines policy by participation in committees involved in policy and regulation of the research and use of medicines. Undertake training in and contribute to the provision of clinical consultation services in Clinical Pharmacology. Develop clinical skills through outpatient clinics and after hours acute roster. 3. REPORTING/WORKING RELATIONSHIPS (to whom the person reports, staff for whom the person is responsible, and other significant connections and working relationships within the organisation) Reports to: Supervising consultants, Department of Clinical Pharmacology. The position interacts extensively with clinical staff both within and outside SALHN. The position interacts extensively with scientific staff particularly within the Clinical Chemistry division of SA Pathology. The position interacts with editorial staff of the Australian Medicines Handbook. The position interacts with medical staff of the Department of Medical Education, at the Flinders University School of Medicine. The position interacts with students of the Flinders University School of Medicine. 4. SPECIAL CONDITIONS Job and Person Specifications are reviewed regularly as part of the ongoing Performance Development process. May be required to work within other locations of the Southern Adelaide LHN. Some out of hours work may be required. Support values consistent with the aims of SA Health and the LHN, including honesty, respect and integrity. May be required to undertake a health assessment prior to commencement. Appointment will be subject to a satisfactory Department of Communities and Social Inclusion (DCSI) Criminal History Check. Comply with the Principles of the Code of Fair Information Practice, adopted by the Department of Health, which regulate the collection, use, disclosure, storage and transfer of
all personal patient/client information within the Department and throughout its funded service providers. 4. STATEMENT OF KEY OUTCOMES AND ASSOCIATED ACTIVITIES Meet training objectives and clinical performance goals in the provision of therapeutic drug monitoring and toxicology services by the Department of Clinical Pharmacology for SA Pathology including the interpretation and reporting of drug assay and toxicology results. Meet training objectives and performance goals in research and development programs in Clinical Pharmacology under appropriate academic supervision. Meet training objectives and performance goals in the review and provision of education programmes in Clinical Pharmacology to students and health professionals. Meet training objectives and performance goals in the implementation of Quality Use of Medicines and community and hospital drug information service particularly as contributed to by the Department of Clinical Pharmacology for the Australian Medicines Handbook. Meet training objectives and performance goals in medicines policy and regulation, particularly as applied in the Southern Region. This may include: Membership of the Drug and Therapeutics Advisory Committee (DTAC) Membership of the Human Research Ethics Committee Membership of the Hospital Formulary Implementation Party Membership of the Medicines Safety Group Membership of other Committees and Working Parties, where appropriate. Meet training objectives and clinical performance goals in the provision of clinical consultation services in Clinical Pharmacology for SALHN. Meet training objectives and clinical performance goals in pharmacovigilance. Meet training objectives and clinical performance goals in ambulatory care settings such as outpatients and clinical trials. Ensure that a safe and healthy work environment, free from discrimination is provided for employees by: implementing departmental human resource policies ensuring that the principles of Equal Employment Opportunity and Ethical Conduct are a normal part of doing business managing industrial relations issues appropriately as they arise managing compliance to the National Safety & Quality Health Service Standards
PERSON SPECIFICATION 1. ESSENTIAL MINIMUM REQUIREMENTS Educational/Vocational Qualifications Bachelor of Medicine; Bachelor of Surgery (MBBS) or equivalent Registrable with the Medical Board of Australia as a Medical Practitioner with General Registration. FRACP part 1 exam or equivalent. Personal Abilities/Aptitudes/Skills Demonstrated commitment to the principles and practices of Equal Employment Opportunity and Ethical Conduct, and an understanding of, experience in, and ability to manage to the spirit and principles of the Premier s Safety Commitment and the legislative requirements of the Work Health & Safety Act 2012, utilising AS/NZS 4360 Risk Management, or to an equivalent set of standards. Ability to undertake training in and participate in quality use of medicines activities. Ability to undertake training in and participate in activities determining policies relating to the use of medicines. Ability to undertake training in and contribute effectively to medical education at medical undergraduate and postgraduate levels. Ability to undertake training in and contribute to clinical research. Able to work both in a team environment and independently under supervision. Ability to handle confidential and sensitive information in a professional manner. Experience Proven experience in basic computing skills, including email and word processing Knowledge Sound knowledge of Work Health Safety principles and procedures Sound knowledge of Quality Management principles and procedures Understanding of delegated safety roles and responsibilities Understanding of the Charter of Health and Community Services rights. Knowledge of National Safety and Quality Health Service Standards Working knowledge of Microsoft Applications An understanding of the principles of Clinical Pharmacology and Therapeutics to FRACP part 1 level including: Pharmacokinetics Pharmacodynamics Inter-individual variability including pharmacogenetics Therapeutic drug monitoring Clinical toxicology Pharmacovigilance Quality use of medicines
Pharmacoepidemiology 2. DESIRABLE CHARACTERISTICS Personal Abilities/Aptitudes/Skills Ability to provide leadership amongst his/her peers Ability to provide clinical leadership Experience Experience in biomedical science Experience in biomedical statistics Knowledge Understanding of the medicines policy frameworks. Understanding of medical informatics. Understanding of statistical modelling. Understanding of laboratory principles and practice. Educational/Vocational Qualifications Research degree or qualification in other fields relevant to the position.