POSITION DESCRIPTION POSITION TITLE: CONSULTANT OPHTHALMOLOGIST DEPARTMENT/SERVICE: OPHTHALMOLOGY REPORTS TO: CLINICAL DIRECTOR, SURGICAL SERVICES BUSINESS/SERVICE MANAGER, APPROVED: Manager Date ACCEPTED: Employee Date ROLE SUMMARY This position works principally within the departments or services specified above, however all employees at the Whanganui District Health Board and MidCentral District Health Board may be required to undertake duties in other areas of the organisation which promote the efficient and effective operation of the DHBs which reasonably fall within the general parameters of this position. PURPOSE OF THE POSITION DIRECT REPORTS Nil To provide a high standard of clinical practice and clinical expertise in assessment, investigation, diagnosis and treatment of ophthalmological patients, contributing to the provision of efficient and effective ophthalmologist surgical services to the community and region served by the Whanganui District Health Board. To deliver clinical care to patients requiring ophthalmologist surgical treatment/ service. To provide acute care for ophthalmologist surgical services. To provide training/education to Registrars and Resident Medical Officers. 1
DELEGATED AUTHORITIES Financial Nil Staff Nil FUNCTIONAL RELATIONSHIPS Key Contacts (internal): Nature or purpose of contact: Senior medical staff Discuss patient referrals and outcome of investigative procedures with senior medical staff Participate in peer review Clinical Director, Service Professional responsibility / accountability Manager Delivery of strategy and advice on clinical related issues Clinical staff including junior medical staff Management and administration staff Discuss patient referrals and outcome of investigative procedures with senior medical staff and general practitioners Assist in educating staff Advise and work collaboratively with management and administrative staff Key Contacts (external): Patents and their Family/whanau General Practitioners and Dentists Senior Medical Staff external to organisation Nature or purpose of contact: Provision of Patient Care Peer / clinical support, assistance and liaison Maintain collegial relationships REGISTRATION/SCOPE OF PRACTICE You must be able to demonstrate that you are registered with the Medical Council of New Zealand and that your scope of practice enables you to undertake the duties of this position. 2
Key Accountabilities (Key areas of focus) Delivery of clinical care to patients requiring ophthalmologist treatment/service KEY PERFORMANCE INDICATORS Tasks (How it is achieved) Clinical Maintains a high standard of professional care in accordance with the NZMA Code of Ethics (Appendix 1), statutory and regulatory requirements and Whanganui DHB policies and any subsequent amendments hereto. Conducts outpatient clinics, ward rounds and operating sessions (if appropriate) in accordance with the schedule attached. Uses the time for operating sessions, clinics, ward rounds and administration efficiently and effectively towards achieving the goals of the annual business plan. Will ensure minimum hospital stay compatible with a high standard of ophthalmologist care. (The average length of hospital stay will be comparable to the average stay at comparable institutions after adjustment for age and case mix). Where possible, investigation and treatment procedures will be carried out within Whanganui District Health board. The surgeon will be present and ready to commence theatre work at the official starting time for the list. Key Performance Indicators (How it will be measured) Professional care meets all required standards Requirements of attached schedule are met in all respects Active contribution can be measured against the goals of the annual business plan 3
Provision of acute specialist care for surgical care Patient information and informed consent Health promotion and disease prevention Staff and patient relations In-service education of Registrars and Resident Medical Officers Participates in the roster providing 24-hour cover for the Ophthalmalogical Services. When 'on call' is available to consult with the house surgeon / registrar by telephone or will respond to requests to be called back to assist. All general surgical patients admitted acutely will be seen by the consultant immediately if required and as soon as necessary in all cases. Gives patients a full and clear explanation of all procedures and treatments. Obtains informed consent for all patients in accordance with Whanganui District Health Board's policy for undertaking any operation, test or procedure. Advises patients about the advantages of healthy lifestyles and specific measures that may prevent recurrences of ill health. Participates in health promotion awareness campaigns relevant to his / her specialty and Whanganui District Health Boards goals. Responds to and fulfils the needs of community groups requiring information concerning the specialist's area of expertise and interest. Maintains effective interpersonal relationships with multidisciplinary staff, patients and relatives / whanau. Handles problems and complaints sensitively. Non-Clinical Provides clinical supervision and teaching for Resident Medical Officers, on a regular basis. Meets the needs of Resident Medical Officers in assisting them to reach their training and examination requirements and development of clinical competence. Participation in roster and on-call requirements is to a high standard Patient feedback is positive Consents meet all requirements for patients Active participation in health promotion Positive feedback from community groups Positive feedback from staff, patients and the wider community Clinical supervision and teaching is provided as required 4
Formal teaching activities for other health professionals Utilisation of resources Completion of adequate records and reports to referring doctors Knowledge and practice updated and maintained Research activities relevant to area of specialty Participation in quality assurance programmes Participation annual performance in Provides appropriate teaching and guidance to other health professionals on a regular basis. Is accountable for efficient resource usage within financial allocation. Provides reports and information as required by the General Manager. Provides reports and information as required by the General Manager. Comprehensive, accurate and up to date medical records are maintained for all patients seen by the consultant. Reports and discharge letters are completed and dispatched immediately, following the discharge of every patient. Demonstrates evidence of continuing self-education through attendance at relevant courses / seminars / conferences, reading relevant literature. Utilises appropriately annual entitlement of Continuing Medical Education leave. Projects are approved by Whanganui District Health Board s Ethics Committees, ethical guidelines are followed and research is published. Carries out reviews of drugs, equipment and methods of clinical management as time permits. Attends and participates in regular departmental audit / peer review activities, including morbidity / mortality reports. Has positive interaction with patients at all times. Meets six monthly with the Clinical Director, Head of Department or Medical Head to discuss and record performance issues and professional / personal Teaching and guidance provided as required Demonstrates efficient utilisation of resources to the General Manager General Manager satisfied with high standard of medical records Attends and participates in local postgraduate medical education activities. Research activities are confirmed with published outcomes Participation meets required professional standards Clinical Director/HoD/Medical Heads satisfied with participation levels 5
review Professional Health and Safety in Employment development. The medical practitioner is required to undertake their clinical responsibility and to conduct themselves in all matters relating to their employment in accordance with best practice and relevant ethical and professional standards and guidelines as determined from time to time by: The New Zealand Medical Association s code of ethics; The practitioner s relevant medical college(s) and/or professional association(s); The Medical Council of New Zealand; and The employers policies and procedures except to the extent that they may be inconsistent with any other provision of this agreement Comply with all safe work procedures, policies and instructions. Report all incidents hazards and injuries to supervisors in a timely manner. Actively participate in the ongoing development of safe workplace practices. Manager is satisfied that best practice and relevant ethical and professional standards guidelines are being consistently met Completed Health and Safety Orientation Course and updates Attendance at workplace safety meetings (indicated by minutes) Demonstrated by signed training records Active Involvement in, and completion of, rehabilitation programmes as required Timely, full and accurate completion of accident and hazard forms if and when required. 6
IDEAL PERSON PROFILE QUALIFICATIONS, SKILLS AND EXPERIENCE Essential MbChB or equivalent Registered with the Medical Council of New Zealand FRACS or equivalent qualification Higher qualification in a relevant specialty Previous employment in a similar position PHYSICAL ATTRIBUTES Under the Human Rights Act 1993 discrimination based on disability is unlawful. Whanganui District Health Board and MidCentral District Health Board will make all reasonable efforts to provide a safe and healthy work place for all, including persons with disability. Every effort has been made to outline requirements clearly. If a potential applicant has uncertainties about their ability to fulfill these physical requirements, enquiry should be made whether it would be possible to accommodate a particular issue by obtaining advice from Occupational Health Unit/Infection control team. Must be able to function in rapidly changing and demanding conditions when required. Hearing and speech sufficient to communicate clearly with patients and co-workers, monitor patient status and equipment, recognise impending emergencies relating to patients and equipment. Ability to wear face masks and rubber gloves for protection against infectious disease. Absence of a health condition which could increase appointee's susceptibility if exposed to infections more frequently than usual. Skin condition should allow frequent contact with water, soap/disinfectant soap, chemicals and latex rubber. Skin should not be fissured, scaly, cracked on hands, forearms, face or neck. The appointee must not have infection or colonisation with MRSA. The appointee must not have a health condition that will put others at risk. Manual dexterity sufficient to operate a variety of specialised equipment used within wards/departments at Wanganui Hospital as required, including syringes and use of clerical items including personal computers. A high degree of physical capacity is required as the work is physically demanding, involving standing, walking, sitting, stretching, twisting bending and lifting/moving weights up to and above 15 kilograms frequently. (Stature extremes may increase hazard of shared activities). A high degree of mental concentration is required. Ability to move about and undertake necessary duties (sometimes in restricted spaces) in wards / departments / community settings within Whanganui District Health Board. Visual ability sufficient to read, write/record, operate equipment, safely administer medications, monitor equipment and patient status enabling accurate performance of essential job duties. Successful interviewees will need to know their "Hepatitis B" status 7
BEHAVIOURAL COMPETENCIES Whanganui District Health Board has a Competency Framework that describes the behavioural competency levels required for each role within the organisation. One = high level of competency required to perform this role five = low level of competency required. Competency Description Level Required Communication All communication has a clear purpose, is well Two structured, uses appropriate language and grammar and conveys the information in a clear and concise manner. Asks questions and summarises key points to ensure understanding. Time management Is able to set goals and realistic timeframes to meet Two those goals. Understands the significance of their time management skills from an organisational perspective. Teamwork and cooperation Leadership Problem solving Invites all members of a group to contribute to a process. Understanding and appreciative of different and opposing perspectives on an issue. Actively promotes a friendly climate, good morale and co-operation within the team. Accepts responsibility for the effectiveness of the team. Sets a good example by providing a clear sense of purpose. Actively seeks to improve others skills and talents through coaching, training opportunities and feedback. Uses strategies to promote team morale, quality service etc, e.g., team projects, multi-skilling Constructively questions the rationale and process behind decisions and actions. Anticipates and prepares for problems not seen by others. Problems are solved to ensure they don t reoccur in the future. Considers impact on other affected parties. Produces creative but practical solutions to problems. Two Two Two Responsibility / Accountability Cultural awareness Accepts responsibility for implementation and completion of a task/action. Learns from mistakes to ensure improvement in future performance. Accepts accountability for outcomes and seeks to improve future performance. Has an understanding of the Articles and Principles of Te Tiriti O Waitangi / the Treaty of Waitangi. Is aware of the Maori Model of Health Te Whare Tapa Wha. Attempts to pronounce Maori words correctly. Is aware of Kaupapa/Tikanga Maori. Demonstrates some understanding of health gains. Two Three 8