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Clinical Head Renal – Consultant Nephrologist
Full Time, permanent position

Auckland, New Zealand's largest city, has all the amenities of a major city, as well as superb weather and an outdoors lifestyle, from beaches to ski fields, cafes and cultural events, all nestled on one of the world's best harbours.

CMDHB offers excellent career development and training, working at the cutting edge of the latest technology. CMDHB is recognised as one of the busiest community health care providers in Australasia, serving New Zealand's most culturally diverse population. It's this diversity that offers unique opportunities for health professionals on both a personal and professional level.

Middlemore Hospital is the main hub for acute care and referral services within CMDHB. It is an accredited, 800 beds, teaching hospital of Auckland University and caters for most medical and surgical specialties with a catchment area of around 400,000 people.

We are currently seeking a Clinical Head who will provide leadership and direction in partnership with the Service Manager and Nursing Leaders for the Renal Service at CMDHB. Ideally you would have strong teamwork skills, be a strategic thinker and enjoy being innovative in looking for new approaches to service delivery.

Our Renal Department currently has 6.5 Renal Consultants with a further 1 being recruited now, as well as 2 Medical Officers, 3 Registrars and 2 House Officers, 1 Nurse Manager, 3 Charge Nurses, 4 Clinical Nurse Specialists, nurses, technicians and allied health staff.

We provide excellence of care in renal medicine, high quality under-graduate and post-graduate teaching, and have a focus on research. As New Zealand's largest provider of renal replacement therapy, it currently treats over 450 dialysis patients. All dialysis modalities are provided and there is a strong philosophy of supporting our patients to achieve independent home based renal replacement therapy. We are very active in the follow up of renal transplant patient and there is a major outpatient clinic with an interesting spectrum of pathology.
Salary and conditions of service will be in accordance with the New Zealand ASMS collective agreement. Applicants must have suitable training and hold a vocational registration in Internal Medicine/Renal Medicine. Eligibility to be registered with the New Zealand Medical Council is a prerequisite, www.mcnz.org.nz.

For further information please contact Assoc Professor Jeff Garrett, Clinical Director - Division of Medicine, phone +64 21 784, 097, or email jrosman@middlemore.co.nz, alternatively Nicole Nairn in the Recruitment Centre +64 9 276 0044 ext 8680 or nicole.nairn@middlemore.co.nz.

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Auckland, New Zealand's largest city, has all the amenities of a major city, as well as superb weather and an outdoors lifestyle, from beaches to ski fields, cafes and cultural events, all nestled on one of the world's best harbours.

CMDHB offers excellent career development and training, working at the cutting edge of the latest technology. CMDHB is recognised as one of the busiest community health care providers in Australasia, serving New Zealand's most culturally diverse population. It's this diversity that offers unique opportunities for health professionals on both a personal and professional level.

Middlemore Hospital is the main hub for acute care and referral services within CMDHB. It is an accredited, 800 bed, teaching hospital of Auckland University and caters for most medical and surgical specialties with a catchment area of around 400,000 people.

We are currently inviting applications for an additional full time Renal Consultants to join our current team of 6.5 Renal Consultants, 2 Medical Officers, 3 Registrars and 2 House Officers.

We provide excellence of care in renal medicine, high quality under-graduate and post-graduate teaching, and have a focus on research. As New Zealand's largest provider of renal replacement therapy, it currently treats over 450 dialysis patients. All dialysis modalities are provided and there is a strong philosophy of supporting our patients to achieve independent home based renal replacement therapy. We are very active in the follow up of renal transplant patient and there is a major outpatient clinic with an interesting spectrum of pathology.
Salary and conditions of service will be in accordance with the New Zealand ASMS collective agreement. Applicants must have suitable training and hold a vocational registration in Internal Medicine/Renal Medicine. Eligibility to be registered with the New Zealand Medical Council is a prerequisite, www.mcnz.org.nz.

For further information please contact Assoc Professor Johan Rosman, Clinical Head of the Renal Department, phone +64 21 543 639, or email jrosman@middlemore.co.nz, alternatively Nicole Nairn in the Recruitment Centre +64 9 276 0044 ext 8680 or nicole.nairn@middlemore.co.nz.

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We are looking for locum or permanent non-specialist Medical
Officers, full or part-time, to join our Emergency Care Centre teams at Waitakere and North Shore Hospitals.

Our team provides on-site Emergency Medicine specialist cover for a minimum of 16 hours daily, so experience within an emergency department is preferred.

Applicants need to be eligible for registration as a Doctor in New Zealand and able to start as soon as possible.

Consider the opportunity to work with our large, supportive team, with weekly teaching sessions and training support.

We offer a very competitive salary package, including paid leave for CME/conferences, six weeks annual leave, an employer superannuation subsidy, reimbursement of APC, and indemnity insurance.

If you are from outside Auckland, our candidate care team will help with the logistics of immigration and relocation, to make your move as smooth as possible.

To find out more about our department, please contact Anne Haller, Unit Manager of Emergency Medicine on +64 9 486 8900 ext 2226 or email
anne.haller@waitematadhb.govt.nz.

To express your interest in this position, please contact Karyn Sage,
Recruitment Consultant on +64 9 487 1551 or email
karyn.sage@healthalliance.co.nz
so that we can provide you with all the information you need.

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We are looking for locum or permanent non-specialist Medical Officers, full or part time, to join our Emergency Care Centre teams at Waitakere and North Shore Hospitals in Auckland New Zealand.

Our team provides on-site Emergency Medicine specialist cover for a minimum of 16 hours daily so experience within an Emergency Department is preferred. Applicants need to be eligible for registration as a Doctor in New Zealand and able to start as soon as possible.

Consider the opportunity to work with our large, supportive team, with weekly teaching sessions and training support. We offer a very competitive salary package, including paid leave for CME/conferences, six weeks annual leave, an employer superannuation subsidy, reimbursement of APC, indemnity insurance.

If you are from outside Auckland, our candidate care team will help with the logistics of immigration and relocation, to make your move as smooth as possible.

To find out more about our department, please contact Anne Haller, Unit Manager of Emergency Medicine, +64 9 486 8900 ext 2226 anne.haller@waitematadhb.govt.nz.

To express your interest in this position, please contact Angela Shaw, Recruitment Consultant on 09 487 1551 or email angela.shaw@healthalliance.co.nz so that we can provide you with all the information you need.

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Your focus is on medicine, ours is on management...

Focus on medicine and a life outside of work, rather than paperwork and management.

We’re able to offer GP’s a variety of unique opportunities – part time to fit around your lifestyle; fulltime; as an employee or, as the owner of your practice. Servicing a large geographic area we’re also able to offer roles in small rural communities or slightly larger centres. As a DHB we lead the way in many respects when it comes to innovations in rural health delivery in New Zealand.

You can be assured we take care of management leaving you to focus on what it is you do best – medicine. Regardless of the area in which you to choose to practice you’re supported by teams of PRIME trained Practice and Rural Nurses ensuring patients get the quality of care you believe in delivering. You’re also supported by an active network of GP’s and Base hospitals within easy traveling distance.

Focus on medicine and, on life outside of work in this spectacular region of NZ. Email Anita Roney on anita.roney@westcoast.dhb.org.nz or call (03) 768 0499 and get back in touch with medicine as it should be.

The West Coast District Health Board is committed to the Principles of Equal Employment Opportunities and to the Principles of the Treaty of Waitangi.

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The Medical Council is the body set up to protect the health and safety of the public by ensuring that doctors are competent to practise medicine. This is achieved by registering doctors to practise medicine in New Zealand and by regulating doctors’ education, performance standards, conduct and health.

The medical adviser provides input into policy and research projects for the Council, advises on competence reviews and programmes, and assists with health, education, and registration processes.

Applicants should be vocationally registered doctors with knowledge of maintenance of professional standards and experience in assessment / research methods. A keen interest in medical education will be an advantage.

The position will be for three days (or 24 hours) per week (0.6 FTE) and the successful incumbent will also be required to continue active clinical practice. The person will be based at the Wellington office of the Council, reporting to the CEO and working closely with each service area. Flexible working arrangements can be negotiated to allow the successful applicant to meet other professional demands.

For more information, including a job description please call Valencia van Dyk on (04) 381 6992 or visit our website at www.mcnz.org.nz and go to our Vacancies page.

Applications (including a cover letter and CV) should be sent to the Human Resources Manager, Medical Council of New Zealand, P O Box 11 649, Wellington or by email to vvandyk@mcnz.org.nz.

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Green Lane, Auckland, New Zealand

The Green Lane Department of Cardiothoracic and ORL Anaesthesia is New Zealand’s largest cardiac surgical unit. We have active TOE, transplant, research and training services and perform a wide range of tertiary ORL and cardiothoracic procedures.

We are looking for fulltime locum specialist anaesthetists with cardiothoracic and TOE experience. Ability to anaesthetise for major head and neck surgery is essential. Applicants should be eligible for vocational registration with the New Zealand Medical Council.

Please contact Dr Cornelis Kruger on corneliusk@adhb.govt.nz for more details or visit our website to apply online.

Reference # 011196

Closing date is 31 May 2008.

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Position No -15804-006

You will be joining three other haematologists to provide haematology service in the Midland Region. You will be the first haematologist based in the Bay of Plenty District Health Board and will be joining a well established haem/onc dept here.

Duties include management of malignant and non malignant haematology including inpatient care, clinics, advice to GP’s and other doctors, training and supervision of junior staff. Tauranga hospital does not currently look after acute leukaemia or have a transplant unit.
The Haem/Onc department dovetails in with Waikato Hospital as part of the Midland Regional Cancer service to provide collegial support and high quality cancer/haematology care. Workloads are tightly controlled and the work atmosphere is pleasant and enjoyable. A new cancer centre also contributes to the excellent working conditions.

Tauranga itself is one of the premier places to live in New Zealand. It has a lovely climate and fantastic beaches (both for surfing and family). There is an excellent café lifestyle on offer here and world class schools for the children.

If you are looking to be a general haematologist in an excellent centre in one of the most beautiful places in the world then this is your opportunity.
Lifestyle and career can be yours!
Applicants must hold or be eligible for vocational registration with the New Zealand Medical Council.

Closing date: Open

For further information and to apply online please go to our website at www.bopdhb.govt.nz or, alternatively, send us an enquiry by e-mail to job.vacancies@bopdhb.govt.nz
Please quote position number when applying.

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Position No: 15804-004

We seek to recruit a medical oncologist to the Bay of Plenty District Health Board.
The role involves providing general medical oncology care to both inpatients and outpatients based at Tauranga hospital. The successful applicant will become part of a growing medical oncology department with an excellent established chemotherapy suite and medical oncologist.

Duties include management of all solid tumours including inpatient care, clinics, advice to GP’s and other doctors, training and supervision of junior staff. Outreach clinics to Whakatane Hospital occur regularly.
Tauranga itself is one of the premier places to live in New Zealand. It has a lovely climate and fantastic beaches (both for surfing and family). There is an excellent café lifestyle on offer here and world class schools for the children.

If you are looking to be a general oncologist in an excellent centre in one of the most beautiful places in the world then this is your opportunity.
Lifestyle and career can be yours!
Applicants must hold or be eligible for vocational registration with the New Zealand Medical Council.

Closing date: Open

For further information and to apply online please go to our website at www.bopdhb.govt.nz or, alternatively, send us an enquiry by e-mail to job.vacancies@bopdhb.govt.nz
Please quote position number when applying.

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Auckland, New Zealand

We are looking for locum or permanent non-specialist Medical Officers, full or part-time, to join our Emergency Care Centre teams at Waitakere and North Shore Hospitals.

Our team provides on-site Emergency Medicine specialist cover for a minimum of 16 hours daily so experience within an emergency department is preferred. Applicants need to be eligible for registration as a doctor in New Zealand and able to start as soon as possible.

Consider the opportunity to work with our large, supportive team, with weekly teaching sessions and training support.

We offer a very competitive salary package, including paid leave for CME/conferences, six weeks annual leave, an employer superannuation subsidy, reimbursement of APC, indemnity insurance.

If you are from outside Auckland, our candidate care team will help with the logistics of immigration and relocation, to make your move as smooth as possible.

To find out more about our department, please contact Anne Haller, Unit Manager of Emergency Medicine on +64 9 486 8900 ext 2226 or email anne.haller@waitematadhb.govt.nz
To express your interest in this position, please contact Angela Shaw, Recruitment Consultant on +64 9 487 1551 or email angela.shaw@healthalliance.co.nz so that we can provide you with all the information you need.

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National Women's Health at Auckland City Hospital is a tertiary provider of Women's Health and Neonatal Services for the northern part of the North Island of New Zealand. The hospital has specialised Maternal Foetal Medicine and gynaecological Oncology services, and there are approximately 7,500 births annually. A wide variety of pathology is seen and we have good multidisciplinary support.

We provide anaesthesia and analgesia for obstetrics and gynaecology for National Women's Health. Approximately 3500 neuraxial procedures are done by us annually. In addition we have a very active pain team for the management of both acute and chronic pain.

We have two positions available for Specialist Anaesthetists for a fixed term of one year from December 2008. This position would ideally suit a newly qualified anaesthetist with an interest in Obstetric and Gynaecological Anaesthesia. Opportunity exists to become involved in research and quality assurance. The Department of Anaesthesia is a friendly department with a wide skill range provided by 20 full- and part-time consultants, a fellow, 7 registrars and 3 pain nurses.

For further information please contact Anthony Taylor, Clinical Director Anaesthesia, Women's Health on 00 64 21484693 or email AnthonyT@adhb.govt.nz

Please visit our website to apply on line attaching your CV quoting reference number 017082

Closing date is 31 May 2008

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Adult and Emergency Anaesthesia
Auckland District Health Board, New Zealand.

We have full time and part time positions based at Auckland City Hospital, a large tertiary and quaternary service, with strong links with the Auckland University’s Medical School. This department provides anaesthesia services for a wide range of surgical departments, including Neurosurgery, Urology, Trauma, Orthopaedics, Vascular, Solid Organ Transplant and Chronic Pain Management.

The department has a sound clinical base and is looking to develop wider interests; therefore, we are specifically interested in applicants with a strong interest in Research and Information Technology relevant to anaesthesia and peri-operative medicine.

You must be eligible for vocational registration with the Medical Council of New Zealand. For further information please contact Dr Nigel Robertson, Clinical Director on email nigelr@adhb.govt.nz

To apply, please visit our website www.aucklandhealthcareers.co.nz quoting reference number 017084.

Closing date is 31 May 2008

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Taranaki District Health Board, New Plymouth
Vacancy No. 28

Are you seeking an easy living and stress free lifestyle?
Taranaki Base Hospital is a progressive, modern, hospital situated in coastal New Plymouth, the major city of the beautiful Taranaki Province. With a spectacular mountain and sweeping coastline, New Plymouth offers excellent surfing, sailing, fishing, climbing and skiing, along with art galleries, great schools and cafes.
Current Psychiatrist Vacancies:

Consultant Psychiatrist - Adult
Taranaki seeks a Consultant Psychiatrist experienced in Adult Mental Health to share clinical responsibility and rostered duties in the clinical management of Adult clients in our Community Mental Health Service and our acute inpatient unit (27 beds including 4 beds IPC).
Our service also encompasses associated teams such as Acute Services (Inpatient, Residential Care and a Crisis Team), Maori Mental Health Community Services, Alcohol & Drug Service, Child & Adolescent Service, and Mental Health Services for Older People.

Consultant Psychiatrist – Te Rau Pani Maori Mental Health Trust, Specialist Kaupapa Maori Mental Health Provider
This Consultant post is part of a very successful partnership between Te Rau Pani Maori Mental Health Trust and Taranaki District Health Board Mental Health & Addiction Services.
We are currently looking for a Consultant Psychiatrist with an interest in Adult Maori MH Community Services. We offer cultural and administrative support, case management by key workers and a manageable case load.
The intention of the NGO and Provider Arm partnership is to deliver a wide range of specialist Mental Health and employment placement services using the Whanaungatanga concept—embracing all cultures. Te Rau Pani is a community based team, offering a free and confidential service alongside full access to Provider Arm specialist services including Crisis Team, Respite Care and Inpatient Unit. We deliver onsite specialist clinics at our rooms in New Plymouth and Hawera, as well as providing mobile services.

We enjoy a stable workforce with a team multidisciplinary approach and key worker system to the provision of our Mental Health & Addiction Services with our aim being to provide the best possible available treatment for our seriously mentally unwell consumers and their family/whanau in our community.

For further information on this position please contact the Recruitment team at recruitment@tdhb.org.nz or apply online at http://www.tdhb.org.nz/careers/new/default.htm . For more information on our region, check out www.taranakinz.org

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A Specialist Anaesthetist is sought for participation in the full spectrum of anaesthesia services provided by this Department. Any Anaesthetist who is also a Fellow of JFICM is encouraged to apply as Intensive Care duties could be negotiated for such an applicant. Any Anaesthetist who is a Fellow of FPMANZCA, or who has significant expertise in the field of Pain Management, is also encouraged to apply as clinical responsibilities in this area could be negotiated for a suitable applicant.

The Department of Anaesthesia and Intensive Care provides a wide range of anaesthetic and intensive care services. The modern theatre complex consists of seven operating theatres. The department is staffed by 16 specialist anaesthetists, five registrars in training posts and four senior house officers.

Palmerston North Hospital is a busy secondary hospital providing some tertiary services, with recently completed modern facilities.

We offer:
• almost all sub-specialties (except neurosurgery and cardiac surgery)
• specialist medical staff with registrar and house officer support
• active Postgraduate Medical Society
• well-subscribed medical library with Medline computer facilities
• committed multi-disciplinary teams for our services, including quality nursing and paramedical staff

There is a healthy private practice of anaesthesia in Palmerston North, and a half day off per week would be available for the appointees to the above position to pursue opportunities in this area.

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Expressions of interest are invited from any Fellow of the Joint Faculty of Intensive Care Medicine (FJFICM) who may be seeking a new career direction. It is anticipated that a mutually agreeable work-package could be negotiated and structured according to the skills and needs of a desirable applicant. Ideally, the respondent will be at least 5 years post-Fellowship, as well as also qualified as a Specialist Anaesthetist. However individual FJFICMs who are more recently qualified and/or who have additional qualifications other than Anaesthesia are encouraged to respond in order to allow exploration of what could be offered.

The Palmerston North Hospital Intensive Care Unit operates in a closed fashion as a level 2 Unit, providing the full spectrum of general Intensive Care including CRRT and ICP monitoring. It has a stand-alone senior medical staff complement, currently staffed by Specialist Anaesthetists (who all provide Anaesthesia on a sessional basis when not engaged in Intensive Care Medicine), with an ICU-only after-hours call roster. There is also a stand-alone 24-hour RMO presence with sole responsibility to ICU. The Unit admits around 350 patients per annum of whom around two-thirds receive mechanical ventilation. There is an active Quality Assurance programme and a developing research culture.

Palmerston North Hospital is a 300 bed secondary care hospital, which services an urban population of 75,000 and a total population catchment of 166,000. Administratively, Intensive Care is part of the combined Department of Anaesthesia and Intensive Care.

It is anticipated that significant redevelopment of Critical Care services across the full spectrum will be occurring within the next 5 to 10 years, including the likelihood of a new ICU ± HDU. This offers an ideal opportunity for a senior FJFICM to come on board to help guide this process. It is anticipated that the FJFICM will assume Directorship of the Unit. It is anticipated that employment of an FJFICM will allow successful application for restoration of JFICM core training accreditation (formerly C6; currently accredited for JFICM Basic Training).

The actual pattern of work and any non-ICU clinical components will be subject to negotiation and mutual agreement, as will the remuneration package. For further information or for initial contact, any interested FJFICM is encouraged to make contact with the current Medical Head of ICU (details below).

Contact details:-
Dr Gerard McHugh, email: gerard.mchugh@midcentraldhb.govt.nz
Medical Head, ICU
Palmerston North Hospital,
phone:+64 6 3508015
Private Bag 11036
Palmerston North
New Zealand

Check out our website: www.midcentraldhb.govt.nz

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General Surgeon
With an interest in Acute Care Surgery and Trauma.

Department of General Surgery
Auckland City Hospital (ACH), New Zealand.

Applications are invited from suitably qualified medical practitioners with an interest in acute care surgery and trauma eligible for registration as a Specialist Surgeon by the Medical Council of New Zealand.

ADHB has state of the art facilities with both secondary and tertiary inpatient services at ACH Grafton and surgical out patient and Day-Stay facilities at Greenlane Clinical Centre. We are a major tertiary hospital with a teaching focus in partnership with the University of Auckland.

Ideally, you will have surgical training equivalent to FRACS level with competence in acute treatment of general surgical conditions and advanced training trauma care. A commitment to research, audit and quality assurance will be encouraged.

An attractive salary with provisions for continuing medical education will be negotiated.

For more information please contact Mr Wayne Jones, Clinical Director, Department of General Surgery, phone + 64 9 307 4949 ext 22793 or + 64 21 400 016, email waynej@adhb.govt.nz

For applying please visit our website www.aucklandhealthcareers.co.nz
and apply online quoting the reference number 017191 attaching your latest CV.

Closing date: 31 May 2008.

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Consultant Ophthalmologist (Full time/Part time)

Looking for a change of work & lifestyle in beautiful New Zealand?

Counties Manukau District Health Board is situated in South Auckland and services a population base of over 460,000 people in one of the fastest growing areas in New Zealand. We have an ethnically diverse population with high and complex health needs. Counties Manukau DHB, has a strong history of striving to “making a difference” for the community it serves and is well regarded for service innovations in both hospital and community settings.

The CMDHB Ophthalmology Department is located at Manukau Superclinic in South Auckland. The service delivers a broad range of secondary care ophthalmology with tertiary providers. The Department will be moving to new premises in 2009.

The Ophthalmology Department has excellent facilities and equipment including the latest Zeiss digital mydriatic camera, OCT, a new Leica operating eye microscope and the first PASCAL laser in New Zealand.

We are seeking to appoint additional full time or part time Consultants particularly with interests in Paediatrics and Medical Retina, in addition to general ophthalmology.

There is also an opportunity for candidates with interest and skills in leadership to submit an expression of interest for the Clinical Head of Department in conjunction with this application.

Candidates must have a higher qualification in Ophthalmology preferably FRANZCO and be eligible for specialist registration with the Medical Council of NZ.

For further information please contact Dr Carolyn Hope, Paediatric Ophthalmologist and HOD chope@middlemore.co.nz or Bronwen Nicholls, Service Manager Ophthalmology
BNicholls@middlemore.co.nz. Applications can be made at www.aucklandhealthcareers.co.nz/cmdhb

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An opportunity is available now for a GP or Medical Officer interested in undertaking short and long term assignments in our developing Emergency Department at Hutt Hospital. Assignments could be tailored to fit your circumstances; whether you are looking to augment an existing working arrangement or fill a gap in your forward work plans.

We offer extremely competitive remuneration and flexible arrangements for the right people. You will be part of a department that is gearing itself for significant expansion. Our Board has committed the funding to develop a top class Emergency Care Centre at Hutt Hospital – in both facilities and staffing. This will involve building a new 36 cubicle emergency department with associated acute assessment unit/medical assessment unit. Alongside this we are bringing together a group of motivated, forward-thinking, inclusive emergency care medicine specialists. We already have an Emergency nursing team recognised nationally for its quality and we are committed to building a team of emergency doctors that will meet our community’s needs.

Hutt Hospital is beautifully positioned four kilometres from the northern shores of Wellington Harbour; 15 minutes drive from the centre of our nation’s vibrant and multicultural capital city and with a huge range of lifestyle choices and recreational activities within close reach.

For further information, in confidence, contact Lindsay Wilde +64 4 570 9167 or email: Lindsay.Wilde@huttvalleydhb.org.nz or visit our website www.healthyjobs.co.nz.

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Waikato District Health Board
Position No. 50804-26497

Applications are invited for this new post, to join the existing team of four full time nephrologists at Waikato Hospital, Hamilton New Zealand.

Who is Waikato Distrist Health Board?
We are one of the largest providers of healthcare services in New Zealand, responsible for treating a regional population of 700,000 people within a geographic area, which includes the greater Waikato and Bay of Plenty regions. Waikato Hospital, which is located in the city of Hamilton, has 600 beds and provides tertiary specialist healthcare for all medical specialities.

Regional Renal Service:
We provide Nephrology, all Dialysis modalities and Transplant Care with support in both the community and secondary / tertiary setting for Renal patients in the Midland Region.

New Zealand is located in the South Pacific / Tasman with an extremely pleasant climate (Hamilton 5-15 C in Winter, 18-30 C in Summer), wide open empty beaches on all coasts, great outdoor sports from tramping to fishing, to skiing. On the whole it's an excellent lifestyle. In winter Central North Island ski fields are within easy travelling distance. For familiies, couples and singles the array of social sporting and entertainment facilities abound. Not only that, it's only a couple of hours to some fabulous tropical islands. Check out www.purenz.com, www.HamiltonCity.co.nz

General enquiries should be directed to:
Dr Maggie Fisher, Clinical Director, Renal - Telephone +64 7 839 3399 Email: fisherm@waikatodhb.govt.nz

Closing date: 31 May 2008

For further information and to apply please visit our website www.waikatodhb.govt.nz or phone 07 839 8949. Please quote position number when applying.

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Medical Services
Part-time – 0.3FTE
Position No. 50804-26492

Are you interested in working with a dedicated multi-disciplinary team with a focus on patient care, research and education.

We are currently recruiting a Medical Officer to work with the Adult Weight Management Team. We are particularly interested in a general practitioner who can take this on as a portion of their work week. The Weight Management Team specifically deals with diabetic and non diabetic patients with morbid obesity referred for medical management. The team is lead by Dr Wu (an Endocrinologist), and comprises dietetic, physiotherapy, psychologist and nursing inputs. Interest in obesity is a primary requisite rather than experience or specialist knowledge.

What can a position at Waikato offer? - The Diabetes Service has an extremely strong clinical and service focus providing their staff with very satisfying career opportunities.

For further information contact: Dr Peter Dunn, Clinical Director, Diabetes Service duunp@waikatodhb.govt.nz

Closing date: 31 May 2008

For further information and to apply please visit our website www.waikatodhb.govt.nz or phone 07 839 8949. Please quote position number when applying.

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MidCentral District Health Board is looking for a full time or part-time specialist to join the O&G team at Palmerston North Hospital.

Palmerston North Hospital is a 300-bed secondary care hospital, which serves a population of 155,000 and provides a regional oncology service to the wider region. The women’s health service includes five O&G Specialists, six registrars and five House Officers, with a considerable commitment to training.

The obstetric service provides a range of primary and secondary inpatient, outpatient, day patient and community-based care in the MidCentral district. These services are provided from Palmerston North Hospital. Primary and limited secondary obstetric services are provided by MidCentral Health from Horowhenua Hospital, while outpatient postnatal services operate from Feilding.

Gynaecology services, including colposcopy and fertility clinics, are provided at Palmerston North Hospital on an inpatient and outpatient basis for women throughout MidCentral district. Outpatient clinics are also provided at Horowhenua Hospital and at Dannevirke by MidCentral Health consultants. Opportunities exist for greater collaboration across the Central Region, this includes both service delivery and workforce development.

For further information contact Nicholas Glubb, Group Manager on phone (06) 350 8357, email: nicholas.glubb@midcentraldhb.govt.nz

Visit our website: www.midcentraldhb.govt.nz for a job description and official application form.

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We are looking for a full time Specialist Respiratory Physician to join the existing specialist and team.

Palmerston North Hospital is a 300 bed secondary care hospital, which services an urban population of 75,000 and a total population catchment of 166,000. The respiratory department serves a geographically large area with pockets of isolated rural townships and Wanganui, a neighbouring DHB with a population of 64,000. The respiratory service is busy with approximately 2500 respiratory and sleep outpatients, and 600 admissions a year.

The respiratory service has a team of 12, including specialised senior nurses, qualified sleep and respiratory physiologists. It has a Thoracic Society of Australia and New Zealand (TSANZ) accredited category 3 respiratory function laboratory and also undertakes hospital and community sleep studies, and has community oxygen, and pulmonary rehabilitation services. The Specialist Respiratory Physician works closely to support the general medicine services. There is excellent availability to ICU, radiology including CT and MRI, nuclear medicine, and pathology. The team works closely with the tertiary regional cancer and palliative care services.

The service is actively supporting the development of integrated care for the community including a combined hospital and sleep general practitioner sleep service, as well as community respiratory nursing, physiotherapy, psychology and pharmacy services.

For further information please visit our website: www.midcentral.co.nz or contact Dr Alistair Watson +64 6 350 8616, or email: alistair.watson@midcentral.co.nz

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Our maturing and expanding Alcohol and Other Drug Service provides a comprehensive service to both the growing populations of Palmerston North City, Horowhenua and Tararua. Our client base is approaching 600, with an approximately even split between those on the Opiod Substitution and Generic programmes. We operate as a multi-disciplinary team that includes Clinical Psychologists, Social Workers, Counsellors and Registered Nurses. A part-time Senior Medical Officer is employed who serves primarily the Opiod Programme.

We are open to non specialist doctors with an interest in attending a training programme to achieve specialist qualification and would discuss opportunities with applicants who may wish to develop in the AOD field.

A full job description and application form are available from the Human Resource Department.

Enquiries can be directed through Richard Atkinson, Service Leader, AOD Service, phone +64 6 350 9561 or email richard.atkinson@midcentral.co.nz

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This new post augments existing Child, Adolescent and Family (CAF) specialist and team resources where acuity and demands are rising, and also helps cover the maori Mental Health CAF team.

A job description is available on our website, or by contacting Gail Lucinsky at the Human Resource Department.

Enquiries can be directed through Richard Atkinson, Service Leader, AOD Service, phone +64 6 350 9561 or email richard.atkinson@midcentral.co.nz

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Emergency Medicine Specialist

RESPONSIBLE TO:
Surgical Services Manager

LOCATION: Rotorua

FUNCTIONAL RELATIONSHIPS:
Service Manager
Clinical Nurse Leader, Emergency Department
Senior and Junior Medical Staff
Management Accountant, Surgical Services
Members of Te Whakaruruhau
ADON
Nursing Staff
General Practitioners
Allied Health Providers
Client Services

ORGANISATIONAL ENVIRONMENT

The Lakes District Health Board (DHB) was established in January 2001 to work within allocated resources to improve, promote and protect the health and independence of the people of the Lakes region. It is both a funder and through its public hospitals and secondary community services at Rotorua and Taupo, a provider of health care services.

The Lakes DHB, with its emphasis on population health gain, is committed to work with community, iwi, consumers and primary health providers to improve the health and disability status of the Lakes population.

TREATY OF WAITANGI

The Lakes DHB is committed to working within the framework of the New Zealand Public Health and Disability Act (2000) to support the Crown in its Treaty relationship. The Board is committed to the three principles of the Treaty of Waitangi:

Partnership; working together with iwi, hapu, whanau and Maori communities to develop strategies for improving the health status of Maori
Participation; involving Maori at all levels of the sector in planning, development and delivery of health and disability services that are put in place to improve the health status of Maori
Protection; ensuring Maori wellbeing is protected and improved as well as safeguarding Maori cultural concepts values and practices

VISION STATEMENT

The Lakes District Health Board’s Vision for the health and independence of its community is: Healthy Communities – Mauriora!

MISSION

The mission is to:
• improve health for all
• maximise independence for people with disabilities
• support a focus on tangata whenua health

VALUES

Manaakitanga - Respect and acknowledgement of each other’s intrinsic value and contribution

Integrity - Truthfully and consistently acting collectively for the common good

Accountability - Collective and individual ownership for clinical and financial outcomes and sustainability.

PRIMARY OBJECTIVE(S) OF THE POSITION

1. The Emergency Medicine Specialist is responsible as the Head of Department for providing professional, medical leadership and working in partnership with the Clinical Nurse Leader to co-ordinate the day to day management of staff and resources within the Emergency Department.

2. The Emergency Medicine Specialist helps to create an environment in which a high standard of clinical skills in Emergency Medicine are developed and maintained to provide quality patient care.

3. You will be expected to work up to 40 hours per week rostered shifts inclusive of weekends as per the roster.

KEY RESPONSIBILITIES

1. CLINICAL PRACTICE
Supports the delivery of quality, evidenced based medical management within contract and budget.

Expected Outcomes:
• Responsibility for overseeing, co-ordinating and personally providing effective, clinically appropriate and safe assessment and treatment, including clinical documentation of patients presenting to the Emergency Department.
• Effective communication, referrals and liaisons with other hospital staff or community medical and nursing staff to arrange ongoing investigation, treatment or care of patients.
• Working with fellow clinicians to ensure there is screening of all definitive investigation result reports of Emergency Department patients (within 24 hours of receipt of such reports), correlating with their clinical record and arranging appropriate follow up.
• Evidenced based practice is encouraged through clinical as the basis of sound clinical practice. Approved projects will be supported including time for development, review and reading of relevant literature, the collection, compilation and processing of data as approved.
• Participates and adheres to the LDHB Major Incident Response Plan (MIR Plan) as appropriate and when enacted, including the unit specific Emergency Department plan.
• Supports the delivery of patient and family focused care in accordance with relevant legislation and standards documented by professional bodies and Lakeland Health.
• Promoting preventative medicine in areas influencing Emergency Medicine such as trauma reduction (sexual, domestic, paediatric, industrial, sporting and vehicular).
• Involvement in recruitment of junior medical staff via Human Resources.
• Staff encouraged to maintain own health and well being and assistance given with referrals to Employee Assistance Programme, Health and Safety Co-ordinator, ED Medical Staff, etc, as required.
• Being available for consultation by junior medical staff.
• Participate in a flexible system of rostering and allocation of annual leave with quarterly annual leave plan, which meets service requirements and the terms of all the employment agreements and officially agreed variations.
• Familiarize and utilize any/all patient care pathways, care guidelines, protocols as available at Lakes DHB.

2. PROFESSIONAL DEVELOPMENT
Supports and facilitates education and professional development to provide quality medical patient management.

Expected Outcomes:
• To be involved in organising and participation in departmental;
• Teaching
• Meetings
• Morbidity and mortality meetings
• Organisational wide meetings
• Department audit
• Peer reviews
• Identifies learning needs of junior medical staff (SHOs/Registrars)
• Works as part of and alongside LDHB MOSS team, based at both Rotorua and Taupo, to provide guidance and develop clinical leadership skills.
• Assists in development of ongoing programmes of clinical meetings and tutorials to meet learning needs identified.
• Input given to formal orientation programmes for new medical staff.
• Routine clinical case teaching as opportunities arise.
• Hands on involvement in teaching, guiding, instructing and developing clinical skills of the junior medical staff
• Participates in the LDHB senior medical staff credentialing process
• The Emergency Medicine Specialist is responsible for his/her own Continued Medical Education Programme and maintenance and development of clinical skills and knowledge to the standard required by the appropriate College and/or Medical Council (with the support of management as per the collective agreement).
• Key performance indicators set in own performance review at least annually with Surgical Services Manager and Medical Director
• Fire evacuation training attended annually and CPR training 6 monthly.

3. COMMUNICATION
Regular, accurate and appropriate communication with all relevant parties is maintained.

Expected Outcomes
• Liaising with other health professionals to ensure efficient inter-service patient management with emphasis on continuity of care.
• Reports completed for ACC, Police, Insurance Companies and the Health & Disability Commissioner as required.
• All appropriate meetings attended.
• Staff encouraged to meet their responsibilities as outlined in the Code of Rights and Health and Information Privacy Act.

4. MANAGEMENT OF RESOURCES
Manages controllable expenditure in the Emergency Department in such a way to provide a quality, cost effective service.

Expected Outcomes
• With the Clinical Nurse Leader and Service Manager business plan and budget objectives are set and met for the Department.
• Variance analysis provided for monthly reports.
• Cost effective clinical practice is encouraged.
• All staff informed of hazard logs, protective equipment, etc.
• Involvement in product/equipment trials with the Purchasing Department and CAPEX proposals.

5. QUALITY & RISK
• Works towards implementing a proactive continuous quality improvement culture which reflects current trends, Quality Health New Zealand (QHNZ) certification and accreditation requirements and the Lakes District Health Board Quality framework.
• Participates in and actively promotes Continuous Quality Improvement within the role.
• Documents quality improvement activities.
• Ensures any opportunities for continuous improvement activities are reported as they arise.

6. HEALTH & SAFETY
Each individual is responsible to ensure the safety of themselves, their colleagues, patients and their visitors and to comply with all organisational health and safety policies, procedures and guidelines.
The Manager, will
• Initiate annual reviews.
• Support the Hazard Identification Process.
• Encourage accurate use of the reporting system.
• Provide the opportunity for staff to be involved in Hazard Identification.
• Support Employee Return to work / rehabilitation.
• Provide relevant resources for training of managers and staff.
• Ensure Health and Safety representatives are allocated time to attend Education, meetings and to perform Health and Safety tasks.
• Ensure Accidents accurately reported investigated with responsibilities and time frames assigned.
• Ensure Service meeting agendas include meaningful Health and Safety .
• Health and Safety and Emergency Management policies and procedures are implemented in the workplace and reflected in the Line Manager’s performance and KPIs.
• Ensure the Health and Safety and Emergency Management legislative framework applicable to the Service / Department / Unit is integrated into the Service management systems and reflected in changes to the area.
• Budget to address Health and Safety and Emergency Management needs in all planning phases.
• Ensure that incidents/accidents are reported in the required timeframe (24 hours) and investigation is completed (4 working days) and proactive action plans developed.
• Health and Safety Team is notified within 24 hours of all ACC and WorkAon injuries and long term illness / operations to assist in the Graduated Return to Work Programme
• Ensure that all Department Emergency Response Plans are current and relevant exercises, support systems are regularly tested.
• Business Continuity Planning is included in all business planning.

7. MAORI HEALTH
Maori philosophies and values of health are reflected in work practice.

Expected Outcomes:
• Relationships are established and maintained with Te Huinga Takiora Maori in the planning and delivery of services.
• Demonstrates knowledge of and practices in a manner that is consistent with the Treaty of Waitangi in the provision of health care services and support to Maori clients and their whanau.
• Assists in the facilitation of safe services to Maori, including access to Maori treatment options and involvement of whanau in planning and delivery of care.
• Recognises and facilitates the rights of Maori clients and their whanau to participate in cultural activities.
• Has a working knowledge of the Lakes DHB Maori communities.

PERSON SPECIFICATION

Essential
• Current full registration with the New Zealand Medical Council at Emergency Medicine Specialist level.
• Recent and significant clinical experience in Emergency Medicine.
• Experience in a senior clinical leadership role.
• Professional Medical Indemnity Insurance.
• ACLS and Resuscitation Course

Desirable
• Fellowship of the Australasian College of Emergency Medicine or equivalent overseas fellowship
(UK CCST + Fellowship of A & E Medicine or Diplomate of American Board of EM – Board Certified)
• Membership of Australasian Trauma Society.
• Recent attendance at:
• EMST
• APLS
• PALS

Professional Skills/Attributes
• Commitment to the provision of quality patient care.
• Excellent communication and interpersonal skills.
• Skills as an educator and role model.
• Demonstrates cultural safety in the practice setting.
• Evidence of effectiveness in managing busy/stressful workloads in a planned and co-ordinated manner.
• Commitment to own professional development.

POSITION SPECIFICATION (summary)

1. The appointee, based in the first instance at Rotorua Hospital, will be responsible for providing general medical and surgical services specific to the Emergency Department environment.

2. The appointee will participate in:
• Supervision and teaching of MOSS, junior medical staff, nursing and allied staff at both Rotorua and Taupo Hospital Emergency Departments.
• Continuous quality improvement programmes.
• Peer reviews, clinical audits.
• Self improvement and CME.
• After hours roster if required.

3. Works in partnership with the Clinical Nurse Leader to co-ordinate the day to day management of staff and resources within the Emergency Department.

Read more or apply for this position >>

We are seeking a specialist Radiologist to join our team of six Radiologists, two Registrars and a Nuclear Medicine Physician. Palmerston North Hospital serves a base population of 150,000 and is the referral centre for an Oncology population of 500,000. The department performs about 70,000 examinations a year.

We provide a wide range of diagnostic and interventional procedures. As well as plain film, fluoroscopy, mammography and ultrasound facilities, the department has a Phillips DSA unit and Siemens Sensation 16 slice CT. Scintigraphy has a GE starcam and Siemens twin head ECAM. A GE Signa 1.5T MRI is provided onsite by an external contractor. MidCentral Health is contracted to BreastScreen Aotearoa to provide Breast Screening services to most of the lower North Island. Participation in the Breast Screen service and/or MRI sessions may be available to the successful candidate.

The position may be a joint appointment with Broadway Radiology, the local private practice.

An attractive salary package is available to the successful applicant, including potential for share holding in the private practice.

The successful applicant will have knowledge and practice of a wide range of radiological procedures. An interest in Interventional Radiology or Scintigraphy would be an advantage.

Applicants must be registered or eligible for registration as a Specialist Radiologist with the Medical Council of New Zealand.

Further information can be obtained by contacting Dr John Goulden, Medical Head - Radiology, phone +64 6 350 8700 or email john.goulden@midcentral.co.nz

Read more or apply for this position >>

We are seeking enthusiastic and committed medical oncologists to join our team as soon as possible.

Palmerston North Hospital is one of six major cancer treatment centres in New Zealand, covering a population of 520,000. This tertiary service currently receives around 850 referrals for medical oncology each year.

The multi-disciplinary team in the service has a wide range of specialist skills and expertise and currently includes three other medical oncologists, five radiation oncologists, registrars, house officers, medical physicists, medical radiation technologists and nurses. We provide a regional service and outreach clinics are conducted in a number of hospitals across the central North Island.

We have facilities for In Patient and Out Patient chemotherapy management and an active research interest, both in clinical trials as well as a molecular biological transitional research programme with Massey University. We perform around 12 high dose chemotherapy with PBSCR procedures a year.

The service has modern radiotherapy equipment including three Linear Accelerators/two Simulators.

Applicants must be eligible for registration and recognition as a Specialist Medical Oncologist with the Medical Council of New Zealand, as well as having demonstrated clinical, management and teaching skills and the ability to work effectively within the multi-disciplinary team.

Read more or apply for this position >>

Specialist Anaesthetist

RESPONSIBLE TO:
Service Manager, Surgical– Operational Issues
HOD Anaesthetics, Intensive Care and Pain Medicine - Clinical and Professional Issues

LOCATION: Rotorua & Taupo

FUNCTIONAL RELATIONSHIPS:
Medical Director
Clinical Director, Surgical Services
Service Manager, Surgical
PA Service Manager
Anaesthetic Secretary
Anaesthetic Technicians
All Multidisciplinary Team Members particularly in Theatre & Perioperative Clinic
Clinical Nurse Managers
Senior and Junior Medical Staff
Te Whakaruruhau
General Practitioners
Staff in Tertiary Centres
Client Services
Nurse Consultants
Medical Typists

ORGANISATIONAL ENVIRONMENT
The Lakes District Health Board (DHB) was established in January 2001 to work within allocated resources to improve, promote and protect the health and independence of the people of the Lakes region.

The Lakes DHB is both a funder and through its public hospitals and secondary community services at Rotorua and Taupo, a provider of health care services. The Board strives to accomplish the aims of the New Zealand health reforms – a collaborative and accountable environment that encourages co-operation on common goals.

The Lakes DHB, with its emphasis on population health gain, is committed to work with community, iwi, consumers and primary health providers to improve the health and disability status of its population.

TREATY OF WAITANGI
The Lakes District Health Board embraces the three principles of the Treaty of Waitangi. In practical terms this means:
Partnership; working together with iwi, hapu, whanau and Maori communities to develop strategies for improving the health status of Maori
Participation; involving Maori at all levels of the sector in planning, development and delivery of health and disability services that are put in place to improve the health status of Maori
Protection; ensuring Maori wellbeing is protected and improved as well as safeguarding Maori cultural concepts values and practices

The Lakes DHB is committed within the framework of the New Zealand Public Health and Disability Act (2000) to supporting the Crown in its Treaty relationship.

VISION
Healthy Communities – Mauriora!

MISSION
To:
• improve health for all
• maximise independence for people with disabilities
• with tangata whenua, support a focus on health

VALUES
Lakes DHB has three core values:

1. Manaakitanga
Respect and acknowledgement of each other’s intrinsic value and contribution
2. Integrity
Truthfully and consistently acting collectively for the common good
3. Accountability
Collective and individual ownership for clinical and financial outcomes and sustainability
SECTION ONE
LEVEL OF AUTHORITY

Delegations :
• Staff Nil
• Financial Nil


EMPLOYMENT STATUS
• Full time – Permanent

WEEKLY TIMETABLE

6 clinical sessions
(and 1.5 sessions for associated peri-sessional duties) = 30 hrs 0.75 FTE
(N.B. This equates to 7.5 x Clinical Sessions @ 4 hrs
see paragraph below)

3 x Non-clinical sessions @ 4 hours = 12 hrs 0.30 FTE

Total = 42 hrs 1.05 FTE


Call Backs are managed on a rostered basis and are in addition to the above hours. Payments for call backs are made as per the agreed Anaesthetist’ Sessional Contract (revised in 2007).


Session Timetable Description

A session is 4 hours in duration. Sessions will be provided as required by the service. Each full time specialist Anaesthetist will be allocated 6 clinical sessions per week. A further 1.5 clinical session equivalent is allocated for time required for list preparation, recovery & post operative visits as well as clinically related administrative tasks. (this equates to 7 sessions of 4 hours duration for payroll purposes).

Each full time specialist is allocated 3 non-clinical sessions which covers the duties undertaken as described in Section 4.

Overall for a full time specialist the hours of normal duty equate to 42 hours per week which is equivalent to 1.05 FTE as described in the ASMS collective agreement.

Leave entitlement will be 6 weeks annual leave and 2 weeks Continuing Medical Education (CME) leave, allocated pro-rata to FTE.
Additional Clinical Sessions

Payments for clinical sessions performed in addition to the contracted weekly timetable will be made as per the agreed Anaesthetists sessional contract (revised in 2007)

ON-CALL DUTIES

First On Call

The employee will participate with his/her colleagues in a roster for acute call duty during regular and after hours. So long as the roster is no less than 1:6, the employee will agree with his/her colleagues to provide full cover for all regular hours and after hours acute sessions, as below;
• Ensure that the roster provides emergency cover for 24 hours
• Out of hours cover for In Patients and ED Medical and Surgical emergencies
• Cover for Intensive Care Unit – review, ongoing care and admissions of ICU patients
• Provide telephone advice and review as necessary of patients referred to Intensive care

When on call during the week Mon-Thurs the hours are 1700 – 0800 ( 15 hours)

On call cover at the weekend is split and incorporates
• Friday 1700 to Saturday 0800 and Sunday 0800 to Monday 0800 (39 hrs)
• Saturday 0800 to Sunday 0800 (24 hrs)
• When on call the Consultant will be immediately available by phone and able to attend within 20 minutes

Point to Note

When a specialist is not on duty and is called to the hospital to attend an emergency they shall be credited 2 sessions or a lieu day.


VARIATION TO JOB DESCRIPTIONS

Job descriptions shall be varied from time to time to record any mutually agreed changes to rosters and staffing levels.
SECTION TWO
PRIMARY OBJECTIVE(S) OF THE POSITION

1. The Consultant is required to undertake their clinical responsibilities 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 by;

• The New Zealand Medical Association’s code of ethics;
• The practitioner’s relevant medical college(s) and/or professional association(s)
• The New Zealand Medical Council
• The Health and Disability Commissioner; and
• Lakes District Health Board’s policies and procedures, except to the extent that they may be inconsistent with any other provision of this Agreement.
2. To provide safe Anaesthetic services to people in the Lakes District Health Board’s catchment area including Taupo/Turangi.
3. To undertake peri-operative clinics, theatre lists, ICU and on call duties for theatre and the Intensive Care Unit, as per service requirements.
4. To provide advice as required on anaesthetic matters and standards of practice.
5. To provide professional, clinical leadership and supervision to junior medical and Anaesthetic staff and Anaesthetic Technicians
.


SECTION THREE

CLINICAL DUTIES & RESPONSIBILITIES

1. Clinical areas of Anaesthetic Involvement
Delivery of quality evidenced based medical care within service contracts and budget.
The Anaesthesia and Critical Care Directorate provides an integrated service for the following clinical areas:

• Acute Pain
Review post op patients on surgical
Review and assess medical and surgical patients with non surgical acute pain
Provide ongoing care/review of chronic pain patients
Instigate treatments/procedures for acute pain e.g. nerve blocks or epidurals

• ECT
Review and assess patients for ECT
Provide anaesthesia for ECT

• Elective Theatre lists for the following surgical specialties
• ENT
• General Surgery
• Vascular Surgery
• Gynaecology & Obstetrics
• Dental Surgery
• Trauma & Orthopaedics

• Emergency Theatre
• ENT
• General Surgery
• Vascular Surgery
• Gynaecology & Obstetrics
• Dental Surgery
• Trauma & Orthopaedics
• Urology
• Ophthalmology

Within each theatre session the Anaesthetist is responsible for:

List co-ordination
Pre op assessment and preparation
Recovery and Immediate post operative care and visits

• Cardioversion – Provision of safe anaesthesia for patients undergoing Cardioversion

• IV Access – Provision of safe, appropriate IV access services from inpatient and outpatient referrals as deemed appropriate by the department.

• Pre-op Clinic

Assessment and Consent of patients scheduled for surgery including general administration tasks , referrals and correspondence associated with this.

• Obstetrics – Provision of safe obstetric anaesthetic intervention including epidural and alternative analgesic options.

• ICU
Ward rounds and ongoing patient care
ICU admissions
Hospital and ED Emergencies
Invasive procedure as necessary

• Endoscopy
Assessment and provision of safe sedation for endoscopy

• Radiology
Assessment and provision of safe anaesthesia for Elective and Emergency CT, MRI and Interventional radiology patients.

• Emergency Department

• Travel to and from Taupo Hospital for:
Elective Theatre lists for the following surgical specialties

General Surgery
Dental Surgery
And Pre-op Clinic as per Rotorua

• Post Call Break Session
One morning session break following an on call duty which is counted as part of weekly clinical sessions

Record Keeping
• Client records will be comprehensive, accurate, timely and legible
• Quality assurance requirements for client records will be maintained and monitored
• Contributions to staff records will be completed as required

Quality Assurance and quality Improvement
• To provide advice to the Service Manager/Clinical Director on Standards of Practice
• As required by the Service Manager of Surgical Services the Anaesthetist will participate in the formulation and implementation of a Quality Assurance Programme which included the establishment and review, within an agreed time frame, of protocols and procedures for Surgical Services
• Participate to ensure that Surgical Services are prepared for accreditation when such accreditation is due
• Demonstrate commitment to the employer’s philosophy of Continuous Improvement and will participate actively in service and individual credentialing systems as these evolve within Lakes DHB
• In order to maintain high standards of practice, the Anaesthetist will participate regularly with colleagues within and outside the service in a process of peer review and continuing medical education
• Participate in a monthly departmental audit
• Works towards implementing a proactive continuous quality improvement culture which reflects current trends, Quality Health New Zealand (QHNZ) certification and accreditation requirements and the Lakes District Health Board Quality framework.
• Participates in and actively promotes Continuous Quality Improvement within the role.
• Documents quality improvement activities.
• Ensures any opportunities for continuous improvement activities are reported as they arise.


Health & Safety
Each individual is responsible to ensure the safety of themselves, their colleagues, patients and their visitors and to comply with all organisational health and safety policies, procedures and guidelines.
The Manager, will
• Initiate annual reviews.
• Support the Hazard Identification Process.
• Encourage accurate use of the reporting system.
• Provide the opportunity for staff to be involved in Hazard Identification.
• Support Employee Return to work / rehabilitation.
• Provide relevant resources for training of managers and staff.
• Ensure Health and Safety representatives are allocated time to attend Education, meetings and to perform Health and Safety tasks.
• Ensure Accidents accurately reported investigated with responsibilities and time frames assigned.
• Ensure Service meeting agendas include meaningful Health and Safety .
• Health and Safety and Emergency Management policies and procedures are implemented in the workplace and reflected in the Line Manager’s performance and KPIs.
• Ensure the Health and Safety and Emergency Management legislative framework applicable to the Service / Department / Unit is integrated into the Service management systems and reflected in changes to the area.
• Budget to address Health and Safety and Emergency Management needs in all planning phases.
• Ensure that incidents/accidents are reported in the required timeframe (24 hours) and investigation is completed (4 working days) and proactive action plans developed.
• Health and Safety Team is notified within 24 hours of all ACC and WorkAon injuries and long term illness / operations to assist in the Graduated Return to Work Programme
• Ensure that all Department Emergency Response Plans are current and relevant exercises, support systems are regularly tested.
• Business Continuity Planning is included in all business planning.



Training/Education
Individuals may be requested to supervise and be involved with the training of:

• ICU House Surgeons
• Registrars
• Trainee Interns
• Anaesthetic Technicians
• Nurses or Midwives
• Paramedical Staff

Departmental registrars will require oversight by the Supervisor of Training. Time will be allocated in accordance with ANZCA guidelines

The Specialist may undertake research and study in relation to a specific patient during regular working hours as time permits.

Other activities included as part of a clinical session are;

• ACC Reports
• Police Reports etc
• Case Reviews
• Data Entry
• Complaints
• Incidents

SECTION FOUR

Non Clinical Duties
• Regular participation in Continuing Medical Education
• As appropriate and as approved by the HOD, Anaesthetics; the Anaesthetist will attend conferences nationally and internationally, local post-graduate meetings and will report to the Anaesthetic Department on the information and knowledge obtained.
• May undertake research during regular working hours as time permits. Any research undertaken and involvement in therapeutic trials shall be in accordance with the protocol of that committee and Lakes DHB policy.
• Progress reports will be made to the Research Ethical Committee as requested.
• The Anaesthetist will develop to the best of his/her ability, computer literacy to enable the best utilisation of modern technology.
• Personal literature review – in accordance with college Continuing Professional Development guidelines
• Participation in national and regional organisations dedicated to education and maintenance of standards within Anaesthetics.
• Preparation of materials for and provision of formal teaching of junior medical staff, nursing staff and other clinical support staff. (Includes teaching of trainee interns and medical students.)
• Peer review and audit activities
• Attendance at Business meetings is expected
• Clinical Pathway/ clinical indicator development – undertake and participate in the development of Clinical pathways.
• Credentialing – Ensure maintenance of personal portfolios to enable participation in personal and departmental credentialing.
• Ensure that he/she utilises resources efficiently.
• Assist with the Service Manager, Head of Department, Line Managers and in the inquiry into client complaints or serious incident reports
• Surgical Service Meetings
• Interviews/Recruitment
• Advisory Committees
• Hospital Committees
• Service Improvement Teams


Person Specification

Essential:
• Current specialist registration with the New Zealand Medical Council.
• Recent clinical experience in Anaesthesia & ICU.
• Professional Medical Indemnity Insurance.
• Fellowship of the Australasian and New Zealand College of Anaesthetists (ANZCA) or Equivalent.


Position Specification
• Professional and Clinical credibility.
• Proven commitment to provision of quality care
• Excellent communication and interpersonal skills.
• Possess management skills and functions as a professional leader
• Ability to function as a multidisciplinary team member
• Demonstrates cultural awareness
• Commitment to own professional development
• Demonstrates active consumer participation in care planning and consumer focus in service development

Chronic Pain – Appendix One

• Assess new patients with persistent pain in a bio-psycho-social-spiritual-cultural fashion
• Be able to function as part of a multi-disciplinary panel of specialists involved in the care of the patient
• Reliably recognise red-flag conditions which require immediate intervention (cancer, infection, trauma)
• Reliably identify yellow-flag conditions which may interfere with successful treatment outcomes (e.g. litigation, job dissatisfaction, etc)
• Understand the history, philosophy and medico-legal aspects of pain medicine in Australasia
• Be aware of implications of substance abuse in patients and health care professionals and be able to closely co-operate with social workers, police and specialists in the field of addiction medicine
• Have a thorough understanding of anatomy, physiology, biochemistry and pharmacology of nociception
• Have a basic understanding of the genetic influences on pain and its management as well as the role of genetic techniques in probing pain physiology and identifying therapeutic targets
• Be critically familiar with the IASP definition of chronic pain
• Be able to assess the medical literature and to assess clinical practices for reliability, efficacy and validity
• Understand the basic concepts of pain measurement in humans
• Be able to interpret and understand the limitations of common imaging techniques used in the investigation and treatment of pain syndromes
• Understand the roles and limitations of physical and surgical treatments (non-pharmacological) for pain (e.g. TENS, physiotherapy, psychological management, acupuncture, desensitization, etc.)
• Be fluent in assessing patients for and initiating appropriate pharmacological pain management options

• Know the rationale for and safely provide interventional pain management options including application of local anaesthetics, steroids +/- other therapeutic substances in the following ways :
Epidural Steroid injections at every level
Facet Joint Injections
Trigger Point Injections
Scar Infiltrations
Stellate Ganglion Blocks
Coeliac Plexus Blocks
Lumbar sympathectomies
Intravenous Regional Blocks
Peripheral Nerve Blocks
Implantation of intrathecal ports +/- intrathecal drug administration
systems
• Be familiar with the principles and practice of cognitive, behavioural and congnitive-behavioural therapeutic approaches to pain
• Be aware of and incorporate into the practice of pain medicine current concepts of the placebo phenomenon
• Understand the discipline of the specialty of Rehabilitation Medicine and its contribution to Pain Medicine
• Understand the importance of accurate diagnosis of pain in cancer patients and the variety of multi-modal therapies available for treatment (e.g. anti-cancer, analgesic, anaesthetic, neuro-stimulatory, surgical and psychological)
• Understand the possible sources and mechanisms of musculoskeletal pain problems and be able to develop and implement appropriate evidence-based management
• Be competent in the recognition, diagnosis and management of disorders of the central nervous system and or peripheral nerves
• Be aware of the classification, mechanisms, assessment and management of syndromes of headache, facial and oro-dental pain
• Appreciate differences between somatic and visceral pain
• Understand the multidimensional aspects of pain in children, and the effect of developmental stage on the assessment, presentation and management of pain
• Manage pain in the elderly patient, taking into account age-related changes in physiological, psychosocial and socio-economic factors, and the likelihood of concurrent disease
• Effectively communicate with GPs, SMOs, RMOs and other healthcare-providers in verbal and written form
• Be an enthusiastic teacher who is able to teach effectively on every level of knowledge ranging from non-medical audiences to peers within the field of pain medicine
• Be able to initiate and conduct high-quality research in pain medicine and affiliated disciplines

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Consultant Physician Geriatrician

RESPONSIBLE TO:
Clinical Head of Internal Medicine Department

LOCATION: Rotorua & Taupo

FUNCTIONAL RELATIONSHIPS:
Internal Medicine Clinical teams
Senior Medical Officers
Junior Medical Officers
General Practitioners
Nursing Staff
Allied Health teams
Diagnostic teams
Service Manager
Administration Staff
Management Accountant
Hunga Manaaki
Clinical Support Services
Corporate Support Service Staff

ORGANISATIONAL ENVIRONMENT
The Lakes District Health Board (DHB) was established in January 2001 to work within allocated resources to improve, promote and protect the health and independence of the people of the Lakes region.

The Lakes DHB is both a funder and through its public hospitals and secondary community services at Rotorua and Taupo, a provider of health care services. The Board strives to accomplish the aims of the New Zealand health reforms – a collaborative and accountable environment that encourages co-operation on common goals.

The Lakes DHB, with its emphasis on population health gain, is committed to work with community, iwi, consumers and primary health providers to improve the health and disability status of its population.

Lakes DHB is making a commitment offering employment / a career path as a positive health provider, therefore there is an expectation that employees are smokefree or keen to commit to becoming smokefree.

TREATY OF WAITANGI
The Lakes District Health Board embraces the three principles of the Treaty of Waitangi. In practical terms this means:

Partnership; working together with iwi, hapu, whanau and Maori communities to develop strategies for improving the health status of Maori
Participation; involving Maori at all levels of the sector in planning, development and delivery of health and disability services that are put in place to improve the health status of Maori
Protection; ensuring Maori wellbeing is protected and improved as well as safeguarding Maori cultural concepts values and practices

The Lakes DHB is committed within the framework of the New Zealand Public Health and Disability Act (2000) to supporting the Crown in its Treaty relationship.

VISION
Healthy Communities – Mauriora!

MISSION
To:
• improve health for all
• maximise independence for people with disabilities
• with tangata whenua, support a focus on health

VALUES
Lakes DHB has three core values:

1. Manaakitanga
Respect and acknowledgement of each other’s intrinsic value and contribution
2. Integrity
Truthfully and consistently acting collectively for the common good
3. Accountability
Collective and individual ownership for clinical and financial outcomes and sustainability

PRIMARY OBJECTIVE(S) OF THE POSITION

The physician in this role provides care to patients in general internal medicine and also within an area of sub specialty interest. The primary focus of the care:

1. Is to provide safe and efficient general internal medical and designated subspecialty services to patients in Lakes District Health Board.
2. Will include outpatient sessions, inpatient care and on-call duties as per the physicians roster.
3. Will ensure professional clinical leadership and supervision to junior medical staff.
4. Will include maintenance of effective interpersonal relationships with colleagues, staff and patients, with the objective of improving hospital services and handling sensitively any problems which may arise in this respect.
5. Will also include to active participation in peer review, clinical audits quality improvement programmes and clinical governance.
6. Will include provision of local specialist services in designated sub-speciality interest area.
7. Will include development of specialist services to meet local population needs consistent with Lakes DHB objects and NZ Health Strategy goals.

KEY RESPONSIBILITIES

1. Clinical practice
Delivery of quality evidenced based medical management within service contracts and budget.

Expected Outcomes:
• Responsibility for overseeing, coordinating and personally providing effective patient and family focused care in the secondary care setting and in accordance with standards documented by professional bodies and Lakes DHB.
• Medical patients will be admitted under the care of the “on call” physician.
• The consultant will undertake all necessary ward rounds and direct the assessment, investigation and treatment appropriate to each patient.
• The consultant will provide inpatient consultation to other departments of the hospital
• The consultant will liaise closely with and supervise junior medical staff
• The consultant will participate in outpatient sessions as per the weekly schedule and participate in on call roster.
• Manages outpatient waiting times within the Ministry of Health Elective Services Policy criteria.
• Effective communication, referrals and liaisons with other hospital staff or community medical and nursing staff to arrange ongoing investigation, treatment or care of patients.
• Clinical research is encouraged. Approved projects will be supported including time for development, review and reading of relevant literature, the collection, compilation and processing of data.
• Participation in the activities of both morning handover with the junior medical staff and also the multidisciplinary inpatient teams is expected

2. Training
Provides clinical supervision and training to junior medical and other clinical staff.

Expected Outcomes:
• Teaching of Junior medical staff to occur as part of daily activities and as opportunities arise: To include bedside teaching and other formal teaching sessions including a mixture of didactic and evidenced based case presentations, audit and morbidity and mortality review
• Attendance and participation at weekly radiology review meeting is expected
• Attendance at monthly meetings with medical registrars is expected where clinical problems of mutual interest, journal club, quality assurance activities and audit are discussed
• Submits required reports on practice of junior medical staff
• Reviews and assesses the learning/teaching experience for trainee interns.
• Leads and encourages the use of evidenced based practice.
• Upholds the mission statement and values of Lakes DHB and Medical Services.
• Works closely with the development of the specialist nurse role and is involved in the teaching of other clinical staff as able.

3. Sub- specialty practice
Provision of and coordination of sub-specialist services with the Lakes District Health Board region

Expected Outcomes:
• Provides clinical leadership within the sub-specialty area across the Lakes DHB region.
• Participates in business and strategic planning processes.
• Advises on trends and developments that are likely to influence service requirements and their funding
• Provides consultation and advice to hospital colleagues and General Practitioners
• Service is provided acknowledging guidelines from specialist societies .

4. Quality & Risk
• Works towards implementing a proactive continuous quality improvement culture which reflects current trends, Quality Health New Zealand (QHNZ) certification and accreditation requirements and the Lakes District Health Board Quality framework.
• Participates in and actively promotes Continuous Quality Improvement within the role.
• Documents quality improvement activities.
• Ensures any opportunities for continuous improvement activities are reported as they arise.

5. Health & Safety
Each individual is responsible to ensure the safety of themselves, their colleagues, patients and their visitors and to comply with all organisational health and safety policies, procedures and guidelines.
The Manager, will
• Initiate annual reviews.
• Support the Hazard Identification Process.
• Encourage accurate use of the reporting system.
• Provide the opportunity for staff to be involved in Hazard Identification.
• Support Employee Return to work / rehabilitation.
• Provide relevant resources for training of managers and staff.
• Ensure Health and Safety representatives are allocated time to attend Education, meetings and to perform Health and Safety tasks.
• Ensure Accidents accurately reported investigated with responsibilities and time frames assigned.
• Ensure Service meeting agendas include meaningful Health and Safety .
• Health and Safety and Emergency Management policies and procedures are implemented in the workplace and reflected in the Line Manager’s performance and KPIs.
• Ensure the Health and Safety and Emergency Management legislative framework applicable to the Service / Department / Unit is integrated into the Service management systems and reflected in changes to the area.
• Budget to address Health and Safety and Emergency Management needs in all planning phases.
• Ensure that incidents/accidents are reported in the required timeframe (24 hours) and investigation is completed (4 working days) and proactive action plans developed.
• Health and Safety Team is notified within 24 hours of all ACC and WorkAon injuries and long term illness / operations to assist in the Graduated Return to Work Programme
• Ensure that all Department Emergency Response Plans are current and relevant exercises, support systems are regularly tested.
• Business Continuity Planning is included in all business planning.

6. Maori Health
Maori philosophies and values of health are reflected in work practice.

Expected Outcomes:
• Relationships are established and maintained with Te Huinga Takiora Maori in the planning and delivery of services.
• Demonstrates knowledge of and practices in a manner that is consistent with the Treaty of Waitangi in the provision of health care services and support to Maori clients and their whanau.
• Assists in the facilitation of safe services to Maori, including access to Maori treatment options and involvement of whanau in planning and delivery of care.
• Recognises and facilitates the rights of Maori clients and their whanau to participate in cultural activities.
• Has a working knowledge of the Lakes DHB Maori communities.

7. Education & Professional Development
Supports and facilitates education and professional development to provide quality medical patient management.

Expected Outcomes:
• Attends, local and international meetings and conferences on specialist interest when possible.
• Is responsible for own continued medical education programme and maintenance and development of clinical skills and knowledge to the standard required by the appropriate College and/or Medical Council (with the support of management as per the Senior Medical Staff Employment Agreement).
• Has input to orientation programmes for new medical staff.
• Links with the local continuing medical education meetings.
• Discusses, reviews ad establishes key performance indicators and advancement criteria at least annually, as part of the performance review with Clinical Head of Department.

8. Communication
Regular communication with Head of Department is maintained.

Expected Outcomes:
• Liaising with other health professionals to ensure efficient interservice patient management with emphasis on continuity of care.
• Participation in the physician meetings.
• Regular communication with Head of Department is maintained.
• Reports completed for ACC, Police, Insurance companies and the Health & Disability Commissioner, as required.
• Promotes transmission of accurate, relevant information through the correct lines of communication.
• Leads and promotes open and effective teamwork.

9. Management of Resources.
Manages controllable expenditure in such a way to provide a quality, cost effective service.

Expected Outcomes:
• In conjunction with the rest of the physician team, business plan and budget objectives are set and met for the service with assistance from the service manager and management accountant.
• Encourages cost-effective clinical practice.
• Has involvement in product/equipment trials with the purchasing department and CAPEX proposals.

Any other service task undertaken that the Clinical Head of Department may reasonably require within the scope to the role.

10. Person specification
Essential:
• Current Annual Practicing Certificate
• Eligible for Specialist Registration with NZ Medical Council
• Professional Medical Indemnity Insurance
• FRACP or equivalent

11. Professional Skills/Attributes
• Clinical credibility
• Commitment to the provision of quality care
• Excellent communication and interpersonal skills
• Skills as an educator and role model
• Demonstrates cultural safety in the practice setting
• Commitment to own professional development
• Be punctual and dependable team member

12. Documents impacting on the practice of medicine in New Zealand include the following:
• Treaty of Waitangi and its application to the health setting
• Privacy Act (1993) and Health Information Privacy Code (1994)
• Health and Safety in Employment Act (1992)
• New Zealand Accreditation Standards for Health and Disability
• ANDRG and ICD 10 coding, DSM IV (1994)
• Code of Ethics of NZ Medical Association
• New Zealand Health Strategy

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Consultant Pathologist

RESPONSIBLE TO:
Service Manager, Medical and Diagnostics through HOD Pathology

LOCATION: Rotorua & Taupo

FUNCTIONAL RELATIONSHIPS:
Service Manager
Senior Medical Staff
Operations Manager, Diagnostics
Diagnostic Service Administration
Staff.
Management Accountant
Laboratory Manager
Laboratory Staff
Senior Nursing and Midwifery Personnel.
Hunga Manaaki
Clinical Support Services
Corporate Support Service Staff
General Practitioners

ORGANISATIONAL ENVIRONMENT
The Lakes District Health Board (DHB) was established in January 2001 to work within allocated resources to improve, promote and protect the health and independence of the people of the Lakes region.

The Lakes DHB is both a funder and through its public hospitals and secondary community services at Rotorua and Taupo, a provider of health care services. The Board strives to accomplish the aims of the New Zealand health reforms – a collaborative and accountable environment that encourages co-operation on common goals.

The Lakes DHB, with its emphasis on population health gain, is committed to work with community, iwi, consumers and primary health providers to improve the health and disability status of its population.

TREATY OF WAITANGI
The Lakes District Health Board embraces the three principles of the Treaty of Waitangi. In practical terms this means:

Partnership; working together with iwi, hapu, whanau and Maori communities to develop strategies for improving the health status of Maori
Participation; involving Maori at all levels of the sector in planning, development and delivery of health and disability services that are put in place to improve the health status of Maori
Protection; ensuring Maori wellbeing is protected and improved as well as safeguarding Maori cultural concepts values and practices.

The Lakes DHB is committed within the framework of the New Zealand Public Health and Disability Act (2000) to supporting the Crown in its Treaty relationship.

VISION
Healthy Communities – Mauriora!

MISSION
To:
• improve health for all
• maximise independence for people with disabilities
• with tangata whenua, support a focus on health

VALUES
Lakes DHB has three core values:

1. Manaakitanga
Respect and acknowledgement of each other’s intrinsic value and contribution
2. Integrity
Truthfully and consistently acting collectively for the common good
3. Accountability
Collective and individual ownership for clinical and financial outcomes and sustainability.

PRIMARY OBJECTIVE(S) OF THE POSITION

1. To provide safe and efficient Pathology and Laboratory services to the Company.

2. To provide advice to the Company on Pathology and Laboratory matters and professional Pathology and Laboratory standards of practice.

3. To instruct, monitor and advise Medical Officers employed by the Company on Pathology and Laboratory principles.

4. To maintain effective interpersonal relationships with colleagues, staff and patients, with the objective of improving hospital services, and handle sensitively any problems which may arise in this respect.

5. To consult and advise Laboratory Technology and Support Staff on all matters pertaining to the function of the Laboratory and its service, both on a routine, or rostered emergency basis. To authorise specific test requirements as necessary.

Note : Where the word 'Hospital' is used this shall be taken to include both Rotorua and Taupo Hospitals and any other site from which relevant Lakeland Health Laboratory or Pathology Services are delivered.

KEY RESPONSIBILITIES

The Pathologist will be responsible for the provision of the following services on a rostered basis with other Consultant Pathologists:

1.1 (a) Anatomical Pathology

The major commitment will be the macroscopic and histological examination and reporting of surgical specimens. The main emphasis is on gynaecological, breast, gastrointestinal and skin pathology.

The Pathologist will be required to participate in the Breast Screening program.

Examination and reporting of frozen sections.

Examination and reporting of gynaecology and general cytological specimens.

Performance, interpretation and reporting of fine needle aspiration cytology.

Performance of autopsies as required by the Company.

(b) Clinical Pathology

The Pathologist will be available to act in a co-ordinating role with regards patient problems in areas of Haematology, Microbiology, Chemical Pathology and Immunology, and refer the problem on to specialist pathologists/consultants.

(c) Locum Cover - Scheduled Leave

The Specialist agrees to provide internal locum cover for their colleague as part of their normal duties where their colleague is absent on a scheduled basis for annual and CME leave.

(d) Locum Cover - Other

Where locum cover is required for any other reason, the Specialist agrees to provide cover on the basis that they receive additional payment in terms of the Employment Contract as scheduled below. In addition, if requested by the Head of Service, after three days of increased roster cover, for reasons other than scheduled leave, the employer, in conjunction with the Head of Service, will immediately try to find external locum cover. If external cover is not available, the employer will negotiate to curtail non-essential services if requested.

Payment for Additional Pro-rata Roster Cover

Cover 1:

0 - 14 days 20%
14 - 30 days 40%
Over 30 days 60%

1.2 The Pathologist shall notify the Company immediately, through the Head of Service where possible, of any illness which will prevent his / her from performing his duties.

1.3 In the event of a Civil Emergency, the Pathologist will carry out such other duties as may be required from time to time by the Company.

1.4 The Pathologist, in the performance of all of his obligations in respect of this contract, shall maintain an accepted national and international standard and an output at the level fixed by the Company following consultation with the pathologist and his / her colleagues. The Pathologist shall co - operate with the Company in obtaining and collating the data necessary to fix the output levels.

1.5 The Pathologist will see and advise within purchaser contracts on patients referred to him / her by Hospital specialist colleagues, by General Practitioners, midwives and by such other persons as the Company or the Minister of health may from time to time direct. Such advice shall be delivered promptly.

1.6 The Pathologist will provide reports, complete standard Hospital documentation and record data as required and in the manner prescribed from time to time by the Company.

1.7 As appropriate the Pathologist will consult with other health professionals in respect of the care of patients, and will encourage and participate in multidisciplinary team meetings discussing the care and treatment of patients.

1.8 The Pathologist will:

(a) Respect the role of the independent patient advocate
(b) Respect cultural concerns
(c) Respect each individual patient's dignity and rights and ensure that informed consent is obtained in accordance with the Company's policy before undertaking any operation / procedure.

1.9 In order to maintain high standards of practice the Pathologist will participate regularly with colleagues in a review of selected records, case note entries and referral letters.

2.1 The Pathologist will instruct, guide and supervise the work of junior and laboratory staff, give advice as required, and participate in tutorial sessions for all junior resident officers.

3.1 The Pathologist will be familiar with the concept, ethos, structure and purpose of the Clinical Services Model through which the Company operates; or any succeeding model.

3.2 The Pathologist will work, with his / her colleagues and other senior health professionals, and with the Nursing Personnel and other Hospital staff, in the day to day management of the Laboratory and the Hospital generally to ensure that resources are used efficiently.

3.3 As a major user of finite resources, the Pathologist will use resources and procedures in a manner designed to conserve such resources without prejudicing the treatment or well-being of the patient, taking cognisance or information provided by the Employer, advisory groups within the hospital and the Department of Health and other professional organisation as appropriate.

3.4 The Pathologist recognises that the Department must actively participate in the forward planning and budgeting of the Pathology Service to enable the realistic financial allocation to meet the needs of the service to be made.

3.5 The Pathologist recognises that the Department operates under tight budget constraints and will co-operate with the Head of Service and Management to ensure the department operates within budget consistent. Also with the need to safeguard the welfare of patients and will co-operate with the Nurse Leader (or deputy) in respect of Operating Theatre utilisation.

3.6 The Pathologist will be required to participate from time to time in assisting the Company in the formulation of policies and forward plans designed to facilitate the smooth operation and sound management of the Hospital.

Personal Education and Research

4.1 The Pathologist has a key role in the continuing medical education of the Junior Staff, and informing of Senior Medical Staff in respect of relevant clinical matters.

4.2 The Pathologist will maintain currency of knowledge and utilise relevant literature in respect of clinical matters, of medical management topics including clinical budgeting, performance appraisal, quality assurance and medical audit.

4.3 The pathologist will attend conferences on relevant topics both in New Zealand and overseas, and will attend local postgraduate medical meetings; in respect of such meetings and conferences, as appropriate, and as approved by the Company. The Pathologist will report to his / her colleagues and thereby share with them the information and knowledge obtained.

4.4 The Pathologist may undertake research during regular working hours as time permits. Any research undertaken or involvement in therapeutic trials shall first have received the formal approval of the Research Ethical Committee and shall be in accordance with the protocol of that committee. Progress reports will be made to the Bay of Plenty Research Ethical Committee as requested.

4.5 The Pathologist will develop to the best of his ability computer literacy to enable him to utilise modern technology fully.

5.1 The Pathologist, with his / her medical colleagues, will continue the implementation of a quality assurance program (including the updating on a regular basis of protocols and procedures) for the Pathology Service. Assistance may be available from the Company's quality assurance officer (if any) as to the key components of the program. The quality assurance system developed will be regularly carried out and will incorporate review mechanisms in respect of patient care and a monthly audit of death reviews and critical incidents.

5.2 Pathologist Standards of Practice will be consistent with standards set from time to time by the Company (after consultation with the pathologist and with reference to national guidelines).

The Pathologist will be committed to the Company's philosophy of "Continuance Improvement'.

EXPECTED OUTCOMES

The effectiveness with which the Pathologist has performed the job functions set out herein shall be measured with reference to :

(i) The quality of Pathology services provided by the Pathologist taking into account :

(a) The quality of Pathology, the advice offered and the co-operation given to the Company and the colleagues of the Pathologist in achieving the appropriate national or international standards of service for the patients of the Hospital.

(b) Professional skills exhibited in carrying out of Pathology procedures as measured by peer review and quality audits.

(c) The starting and completion of Pathology procedures on and within appropriate time limits.

(d) The number of justified complaints (if any) received by the company in respect of the performance of the Pathologist.

(e) The adherence by the Pathologist to the policy of the Company in relation to patient's rights and cultural sensitivity.

(f) The success of the pathologist in adhering to budget.

(ii) The quality of the relationships developed with colleagues, management and other staff of the Company taking into account :

(a) The level of co-operation between the Pathologist, other pathologists, other senior medical staff, other staff of the Company and management.

(b) Participation by the Pathologist in the formulation of Company plans, strategies and budgets.

(c) Standards achieved by the Pathologist in the completion of Company documentation in an accurate and timely manner.

HOURS OF WORK

Outside Regular Hours

The Pathologist while rostered on call will be available at all times to consult with colleagues by telephone and to be called back to Rotorua Hospital. The Pathologist shall respond immediately and shall attend the Hospita