General Medicine / OP and RS
Permanent / Full time
Position No. 50906-21657

Applications are invited for a full-time Specialist Physician working 0.5 FTE in Older Persons and Rehabilitation services and 0.5 FTE within General Medicine. This position becomes available in August 2009.

The successful appointee will have a broad range of acute general medical and experience in adult rehabilitation. The incumbent will provide expert consultation, education and training and will participate in the acute General Medicine roster. A commitment to customer focus, service development and teamwork are essential.

Essential:
• Hold or be eligible for Provisional Vocational / Vocational registration with the Medical Council of New Zealand.
• FRACP postgraduate qualification.

Come to the Waikato – with Hamilton situated on the banks of Waikato River – is a region of lush, green hills, bush and farmland, with exceptional surf on the West coast. The beautiful Waikato River carves its journey through the landscapes, intersecting Hamilton situated in the North Island.

Closing date: Open

For further information and to apply please visit our website www.waikatodhb.govt.nz or phone 00647 839 8949. E-mail applications can be sent to recruitapplications@waikatodhb.govt.nz
Please quote position number when applying.

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Permanent / Full time
Position Mo. 50906-21658

We are seeking a neurologist with a broad range of experience / training to commence August 2009.

You will:
• Hold or be eligible for provisional / vocational registration with the Medical Council of NZ
• Be part of a multidisciplinary team of health professionals
• Provide specialist assessment, diagnosis, intervention and management for referred / admitted patients with neurological conditions
• Participate in teaching, continuing CME and quality assurance
• Have a commitment to customer focus, service development and teamwork.

Waikato Hospital is located in Hamilton within the North Island and is the fourth largest stand alone city situated on the banks of Waikato River. We have well respected tertiary educational facilities, scientific research, world class stadiums and event venues, parks, gardens, fine cuisine, cafés and culture.

Closing date: Open

For further information and to apply please visit our website www.waikatodhb.govt.nz or phone 00647 839 8949. E-mail applications can be sent to recruitapplications@waikatodhb.govt.nz
Please quote position number when applying.

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There might be any number of reasons you make a deliberate decision to relocate - gaining experience that will take your career places, building a career that won't see you pigeonholed professionally, looking for a lifestyle that offers more for you and your family or an adventure.

Whatever the reason we'll make you welcome. How does Southland Hospital differ to some? Ours is a secondary level hospital rebult just five years ago. We've incredibly good facilities and equipment. We're benefiting from a strong emphasis on clinical goverannce - our services and working relationships across the hospital are reflective of it.

As one of four general surgeons you'll appreciate the fact your work will be wide ranging - you won't be stuck in a sub specialty. That said a breast or colo-rectal sub-specialty interest would be of value. You're assured of the opportunity to combine private and public practice if you'd like to.

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This full-time position working 80 hours per fortnight will provide a service to the Child, Adolescent Mental Health Service in Wairau. We are seeking a Clinical Psychologist who will be able to establish objectives, set priorities, and follow through their implementation. The appointee must have excellent communication skills, cultural sensitivity and be able to work within a multi disciplinary team.

Applicants must have completed the Diploma of Clinical Psychology or equivalent, be registered in New Zealand as a Psychologist and hold a current practising certificate. Previous experience with children and youth at risk and child and family work is essential.

Closing date: Open. Reference: W2009/038.

A job description and application form are available online or email vacancies@nmdhb.govt.nz or from Human Resources, Nelson Hospital, telephone 03 546 1362. An application form and CV are required before your application can be processed.

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MidCentral District Health is seeking an enthusiastic and committed psychiatrist to join our Services for Older People (ElderHealth) team as soon as possible.

ElderHealth provides a geriatric and psychogeriatric medical service mainly to the elderly population of the Manawatu, Horowhenua and Tararua districts. There are approximately 170,000 people in the area, of whom 20,000 are aged 65 years and over.

Current medical staffing of the service at Palmerston North Hospital is four consultant geriatricians and two consultant psychiatrists (1 part time and the currently advertised position full time), a Medical Officer in OAP, in addition to a Registrar, Medical Officers (4) and House Officers (2).

S.T.A.R. 1 is a 15-bed psychogeriatric Assessment, Treatment and Rehabilitation ward. S.T.A.R. 2 is Assessment, Treatment and Rehabilitation for patients over 65 years. There is consultant medical support from a geriatrician. Professional Development and Peer Support occur from within the service as well as opportunities with Mental Health services at MidCentral, and a well established monthly peer review for OAP in the lower North Island.

Acute medical care and rehabilitation is carried out at Palmerston North Hospital and at Horowhenua Health Centre (Levin) (49 beds between the sites). Outpatient clinics are held at Palmerston North Hospital and Horowhenua Health Centre. Psychogeriatric beds are sited at Palmerston North Hospital where the geriatric and psychiatric components of the service share common resource and responsibility for patient care. The teams in both facilities are multi-disciplinary.

The position is full time, working in a key role within our multi-disciplinary team. In addition to meeting the qualification requirements of this position(above) you will require proven leadership ability, demonstrated teaching skills and a high standard of clinical care.

Further information about the position can be obtained by contacting
Dr Kirsten Holst. Clinical Director, ElderHealth, email: kirsten.holst@midcentral.dhb.govt.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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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.

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We are seeking an experienced and motivated Cardiologist to participate in the continuing expansion of our multi-disciplinary Cardiology Service as well as the Community Cardiology initiative.

Palmerston North Hospital has a six-bed Coronary Care Unit and dedicated attached cardiac ward.

There are facilities for exercise ECG’s, ambulatory monitoring, echocardiography (including TOE), diagnostic cardiac angiography, and the insertion and follow up of permanent pacemakers. There is a well established heart failure service as well as hospital based cardiac rehabilitation.
Responsibilities will include participation in the newly established Community Cardiology programme which will provide specialist cardiologist and nursing support to outlying areas of the MidCentral region.

Our 420-bed base hospital serves a population of approximately 155,000 people.

Applicants must be eligible for vocational registration in Internal Medicine 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.

Conditions of appointment, job description and further information please contact Christine Wood, Medical Recruitment Consultant, christine.wood@midcentraldhb.govt.nz ph 64 6 350 8204 and fax 64 6 350 8011.

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We are looking for a full time Emergency Physician to join the two existing specialists and team at Palmerston North Hospital, New Zealand.

Palmerston North Hospital is a 300 bed secondary hospital, which services an urban population of 75,000 and a total population catchment of 161,000. The emergency department is a district trauma centre, servicing a geographically large area with pockets of isolated rural townships – Otaki, Wairarapa, Horowhenua, Tararua, southern Hawke’s Bay districts and Linton Military camp – with a rural population of 86,000.

The Level 5 Emergency Department is a modern facility with close access to ICU, radiology, and operating theatres. All acute services are provided on site with the exclusion of neurosurgery, cardio-thoracic and plastic surgery. Patients requiring these services are transferred to Wellington.

The Emergency Service is busy with approximately 36,000 patients a year and an admission rate of about 31%. There is a higher than average trauma workload due to work related rural injuries, and also road accidents from a number of state highways that transect the region.

Palmerston North is a major university city and is at the hub of key routes to the central North Island ski fields, and river adventures. Wellington the capital city, is only a 2 hour journey by road, as are the wine growing regions of Hawke’s Bay and Wairarapa.

For further information please contact Christine Wood, Medical Recruitment Consultant, christine.wood@midcentraldhb.govt.nz ph 64 6 350 8204 and fax 64 6 350 8011.

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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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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 Christine Wood, Medical Recruitment Consultant.

Enquiries can be directed through Richard Atkinson, Service Leader, AOD Service, phone +64 6 350 8356 or email richard.atkinson@midcentraldhb.govt.nz

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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 Kevin Smidt, Clinical Director Support Services, phone +64 6 350 8454 or email kevin.smidt@midcentraldhb.govt.nz

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Full or part-time hours available. Variable hours are available.

We are looking for Clinical Cardiac Physiologists to join our extremely motivated team. We seek professionals who are career focused, dedicated and enjoy working with other likeminded colleagues.

To fill this role, you will be a self-motivated, well organised individual with excellent interpersonal skills and the ability to prioritise and use your own initiative. A willingness to undertake further education is essential to foster the continued improvement of our team.

You will need experience in the following non-invasive cardiac investigations:

• Fitting and reading holter monitors
• Event monitors
• Exercise stress testing, including assisting with Dobutamine and Exercise Stress Echoes and taking of ECG’s.

Candidates should be a member of the Society of Cardiopulmonary Technology (SCT) or be eligible to become a member and should be registered with the CPRB or eligible for registration.

We have two roles available with Echocardiography experience essential for one of the positions.

Applications close: Open

For further information please contact Angela Geary on (04) 570 9487 or angela.geary@huttvalleydhb.org.nz

All candidates applying for any of our current vacancies must complete an application form. For further information about us as an organisation, and to apply online, please visit our website: www.healthyjobs.co.nz.

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National Women’s Health

National Women’s Health has an exciting opportunity for a full time position, working in the High Risk pregnancy team in a tertiary/quaternary setting.

National Women's Health, Auckland City Hospital, is a leading tertiary provider of women’s health and level three neonatal services to the northern part of the North Island; including subspecialty services in Reproductive Endocrinology and Infertility, Maternal Fetal Medicine, Gynaecological Oncology, Urogynaecology and Minimal Access Surgery. The hospital has a close association with the Auckland University Faculty of Health Sciences and has a leading role in research, undergraduate teaching and post graduate training.

The Maternal Fetal Medicine Unit is growing and this new position is part of that growth. The Maternal Medicine aspect of the service is well established and world renowned with a multi-disciplinary approach. The Fetal part of the Service is also established but expanding. The Fetal Therapy Unit is now offering the whole range of Fetal interventional services, including the newly introduced National Selective Fetoscopic Laser Photocoagulation for Twin-to-twin Transfusion Syndrome Service. This is an exciting opportunity to join a busy unit which is expanding.

The Maternal Fetal Medicine Unit is a RANZCOG recognised training centre for sub-specialty training in Maternal Fetal Medicine.

It is envisaged that the applicant will be a RANZCOG (or equivalent) certified or eligible for registration with Medical Council of New Zealand as a Specialist in Obstetrics and Gynaecology with an interest and preferably experience in Maternal Fetal Medicine. DDU qualification is an advantage. For more information, please contact Dr Emma Parry, Clinical Director, Maternal Fetal Medicine Service, National Women’s Health, emmap@adhb.govt.nz

To apply, please visit our website www.adhb.govt.nz/careers and apply online quoting reference number 022351. For requesting a position description or for help with your online application, please contact Sonu Anand, Recruitment Consultant on sonua@adhb.govt.nz

Applications close 26 July 2009

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Starship Children's Health serves a paediatric population in New Zealand of over 2 million. The hospital has approximately 150 inpatient beds and has all the ancillary support services and subspecialities represented. The paediatric gastroenterology and hepatology service provides a national tertiary referral service for varied and complex gastroenterology and hepatology cases including inflammatory bowel disease, intestinal failure and chronic liver disease amongst others and performs approximately 7-8 liver transplants in a year. It also provides an inpatient intravenous nutrition service.

Our current team includes 3 consultants supported by 2 nurse specialists and a fellow in training and junior medical staff. There is also excellent dietetic, pharmacy and social work support.

This role is ideally suited for someone seeking a full time, permanent position who has wide gastroenterology and hepatology experience and is well versed in endoscopic procedures. There will be opportunities for teaching and research, as well as outreach clinics outside of Auckland.

You must hold an FRACP in Paediatric Gastroenterology or equivalent specialist qualification. You should also be eligible for specialist registration with the Medical Council of New Zealand.

For further information please contact Dr Simon Chin, Clinical Director Paediatric Gastroenterology/Hepatology on email simonc@adhb.govt.nz

To apply, please visit our website www.adhb.govt.nz/careers and apply online quoting reference number 021760 attaching your latest CV. For requesting a Position Description or for help with your online application, please contact Sonu Anand, Recruitment Consultant on sonua@adhb.govt.nz

Closing date is 26 July 2009

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Addiction Psychiatrist
Community Alcohol and Drug Services (CADS)

Would you like a rewarding and challenging career, developing specialist addiction psychiatry skills with the largest alcohol and drug treatment provider in New Zealand? CADS provides a wide range of alcohol and drug services throughout the greater Auckland region, including methadone maintenance, detoxification, dual diagnosis and adult and youth outpatient treatment services.

We are currently seeking a Psychiatrist to take on a role within CADS. The position would incorporate clinical time providing psychiatric assessment and treatment for CADS clients as well as service development, quality improvement and risk management activities.

Liaison with and establishing strong relations with the primary health care sector and with mental health services across the Auckland region will be essential. Applicants will have a commitment to Clinical Governance and provide leadership and active decision making in partnership with the manager.

Psychiatrists new to the addiction field are encouraged to apply as the position will be well supported by established CADS SMOs. There is potential for the position to be re-structured for suitable applicants who are unable to work full-time.

For more information regarding this position please contact Dr Grant Christie, Telephone: (09) 845 1891 or email: grant.christie@waitematadhb.govt.nz

Closing Date: Friday, 10 July 2009.
Position Number: 020799.

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Paediatricians
Child Protection and General Paediatrics
Starship Children's Hospital

Starship Children's Health Child Protection and General Paediatric services are seeking Paediatricians for 2 fixed term posts :-

 12 month locum for a Paediatrician on secondment. Up to 0.9 FTE available, comprising up to 0.6 Child Protection and 0.3 General Paediatrics, position available now.
 4 month locum for a Paediatrician on sabbatical. Up to 0.9 FTE available, comprising up to 0.6 Child Protection and 0.3 General Paediatrics starting date November 2009.

The successful applicants will assist Te Puaruruhau in the provision of child protection services to metropolitan Auckland, including after-hours call. Experience and commitment to the area of child protection will be an advantage, but support and supervision are available through a highly skilled multi-disciplinary team.

You will also assist Starship’s General Paediatric Service in the provision of general paediatric services to the Central Auckland population. These services may involve inpatient care at Starship, rostered on call availability, ambulatory and community paediatrics.

You must have vocational registration in Paediatrics with the Medical Council of New Zealand.

The starting dates and FTE are negotiable. For more information, please contact Dr Patrick Kelly on patrickk@adhb.govt.nz (Clinical Director, Te Puaruruhau) or Elizabeth Wood (Service Manager) on elizw@adhb.govt.nz.

To apply, please visit our website www.adhb.govt.nz/careers and apply online quoting reference number 022383. For help with your online application or to request a position description, please contact Sonu Anand, Recruitment Consultant on sonua@adhb.govt.nz

Closing date is 15 July 2009

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Paediatrician
Child Protection and General Paediatrics
Starship Children's Hospital

Starship Children's Health Child Protection and General Paediatric services are seeking a Paediatrician for a permanent part time position (0.8 FTE).

The successful applicant will assist Te Puaruruhau in the provision of child protection services to metropolitan Auckland, including after-hours call. Experience and commitment to the area of child protection will be an advantage, but support and supervision are available through a highly skilled multi-disciplinary team.

You will also assist Starship’s General Paediatric Service in the provision of general paediatric services to the Central Auckland population. These services may involve inpatient care at Starship, rostered on call availability, ambulatory and community paediatrics.

You must have vocational registration in Paediatrics with the Medical Council of New Zealand.

For more information, please contact Dr Patrick Kelly on patrickk@adhb.govt.nz (Clinical Director, Te Puaruruhau) or Elizabeth Wood (Service Manager) on elizw@adhb.govt.nz.

To apply, please visit our website www.adhb.govt.nz/careers and apply online quoting reference number 022384. For help with your online application or to request a position description, please contact Sonu Anand, Recruitment Consultant on sonua@adhb.govt.nz

Closing date is 15 July 2009

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Rural South – Waipa, King Country, Ruapehu
Mental Health & Addictions Service
Full Time
Position No. 50906-45962

An opportunity has arisen to join our community multi-disciplinary team based in Te Awamutu and servicing the King Country and Ruapehu areas (this does involve travel for which a work car is provided).

Committed to continuing medical education/professional development we have active peer review groups and a recognised training scheme for Fellows of the RANZCP.

As part of the team, the senior medical officer is expected to perform tasks in relation to assessment, individual service planning and review, and day-to-day service delivery as part of their workload and to contribute specific psychiatric expertise to the team. You will be expected to function as part of the multi-disciplinary team providing high quality specialist psychiatric services to service users / tangata whai ora and consultation services to staff of the Adult Mental Health Rural Service. You will also supervise registrars, trainees and other SMOs as required.

Closing date: 20 July 2009

For further information and to apply please visit our website www.waikatodhb.govt.nz or phone 00647 839 8949. E-mail applications can be sent to recruitapplications@waikatodhb.govt.nz
Please quote position number when applying.

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Mental Health Services - Nelson

Nelson Marlborough District Health Board Mental Health Service has a permanent full-time position to join our well-established effective multi-disciplinary team performing vital work across our inpatient, outpatient and community services. Excellent training and support provided.

Inpatient care is provided through a 31 bed, spacious modern facility, IPC, well developed community care, crisis intervention and AOD services.

You would be based in Nelson serving a population of 123,000. Staffing includes 6 psychiatrists along with a child and adolescent psychiatrist, 2 medical officers, 2 registrars and house surgeon.

Nelson is one of the most attractive areas of New Zealand, surrounded by three National parks and is rich with recreational and cultural activities.

A career AND lifestyle choice!

Applicants should be eligible for registration with NZ Medical Council.

More information with regard to duties available from Dr Heather McPherson, Clinical Director, email: heather.mcpherson@nmhs.govt.nz

Reference: 09/158.

A job description and application form are available online or email vacancies@nmdhb.govt.nz or from Human Resources, Nelson Hospital, telephone 03 546 1362. An application form and CV are required before your application can be processed.

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Fixed Term Contract Available
Critical Care Complex (ICU & HDU), Middlemore Hospital

For a health career packed with benefits, you won't find much better than at Counties Manukau District Health Board. We're pretty unique in terms of the diverse population we serve and the medical challenges we face, and that all adds up to a great training ground for medical procedures and cultural practices alike.

Our brand new ICU unit sees about 1000 admissions annually with 86% acute admissions and 12%-15% paediatrics. Complex Burns also contribute to the case mix as we are part of the National Burn Service.
You would be joining a close-knit team of Specialists who enjoy working together on a day-to-day basis. As well as the challenge of the clinical work, we are excited by our recent move to a new facility. We are taking this opportunity to revise and update our service guidelines and protocols especially with respect to paediatrics and burns. We also have a strong quality, research and teaching focus. You would be encouraged to take part in these non-clinical activities and become an integral player in our team.

So if you are looking for an exciting and varied position in a well-established department, contact us to find out more.

Registration with the Medical Council of NZ is essential. Relocation assistance is provided.

For an informal conversation please contact either Jo Ritchie, Consultant Intensivist +64 9 276 0000 ext 8112, Jo.Ritchie@middlemore.co.nz or Nicole Nairn in the Recruitment Centre nicole.nairn@middlemore.co.nz. Applications can be made via www.cmdhb.org.nz/careers or ask Nicole for an application form.

Closing date: 31 July 2009

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Do you have Paediatric or Interventional radiology experience?

The Department of Radiology at Counties Manukau District Health Board (CMDHB) is inviting applications for Radiologists, particularly those specialising in paediatric or interventional radiology.

Based at Middlemore Hospital, we are an accredited 800-bed teaching hospital, offering specialist services, including neo-natal intensive care, renal dialysis, reconstructive and maxillofacial surgery.

Middlemore Radiology services a population of almost 470,000 in South Auckland, performing 165,000 procedures per year including plain film, CT, ultrasound, MRI, mammography, vascular and non vascular intervention. The radiology services use PACS for all modalities.

Our department has recently gone through a remarkable refurbishment providing you with a modern, superbly equipped department. You will be a member of a dedicated and innovative team of Radiologists, Radiographers, Sonographers, Nurses and Administrative staff comprising of 175 staff in total.

You must be either registered or eligible for registration with the Medical Council of New Zealand alternatively to ascertain eligibility for registration with the Medical Council of New Zealand, please go to www.mcnz.org.nz. Relocation assistance is provided.
For further information contact either Stuart Barnard, Clinical Head Radiology, Stuart.Barnard@middlemore.co.nz or Nicole Nairn in the Recruitment Centre, nicole.nairn@middlemore.co.nz applications can be made online at www.cmdhb.org.nz/careers or ask Nicole for an Application Form.

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Wairau Hospital, Blenheim

Situated at the top of the South Island, Marlborough has a growing population of approximately 44,000+ residents. No wonder, with National Parks close by, beautiful beaches, clean rivers, boating, and all manner of outdoor pursuits available within minutes of the town centre of Blenheim. For those who enjoy a more leisurely pace, the region is well known for world-class wineries, arts and crafts, and excellent cafes and restaurants. This all makes our part of New Zealand a very desirable place to live, why not come and join us?

Wairau Hospital in Blenheim is currently undergoing an extensive and exciting redevelopment, due for completion in 2010.

We are looking for a suitably qualified person for the permanent 0.8FTE position of Obstetrician & Gynaecologist to augment our current team.

Applicants must hold a medical specialist qualification that can be vocationally registered with the NZ Medical Council. Recent hospital experience and evidence of continued education are desirable.

Closing date: Open. Ref: W09/042

A job description and application form are available online or email vacancies@nmdhb.govt.nz or from Human Resources, Nelson Hospital, telephone 03 546 1362. An application form and CV are required before your application can be processed.

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Wanganui Hospital, New Zealand

Permanent full time

Wanganui Hospital is seeking expressions of interest from General Surgeons who may be interested re-locating to Wanganui in 2010.

Our hospital serves a population of 63,000 and performs 4,000 procedures annually in four theatres including General, Orthopaedic, Gynecology and Obstetrics, ENT, Ophthalmology and Dental Surgery. You will be part of a team of four General Surgeons and two Registrars.

Eligibility for vocational registration with the NZ Medical Council is essential.

Wanganui is situated on the river on the west coast of the lower North Island of New Zealand and is centrally located for tramping, skiing, fishing and a variety of outdoor adventure pursuits. Wanganui proudly boasts a heritage rich in arts and culture, excellent educational and sports training facilities. A relaxed lifestyle, affordable housing and an easy commute.
Wanganui is only a two and a half hour drive from New Zealand’s capital city, Wellington.

For more information please contact the SMO Recrutoment Co-ordinator recruitmentsmo@wdhb.org.nz or wayne.thompson@wdhb.org.nz phone +64 6 348 3250

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Emergency Medicine Physician / Medical Officer
Wanganui Hospital, New Zealand

Permanent full time-vacant

Wanganui is located on the west coast of the lower North Island and is ideally situated for tramping, skiing, hunting and a variety of outdoor adventure pursuits. Wanganui has excellent educational and sports facilities, and is only a two and half hour drive from Wellington.

Our bustling, spirited and friendly department has a vacancy for a suitably qualified and experienced career doctor. The department currently cares for 18,000 patients per annum covering a wide spectrum of interesting pathology. We value individual qualities which embrace professionalism, teamwork, continuous quality improvement and a positive attitude to one’s career.

Our hospital is a well resourced centre, proud of its comprehensive range of services including spiral CT, 1.5T MRI, new theatres, ICU and resuscitation bay, providing definitive care to most patients. Prospects for the future include an integrated care service structure delivered from a newly designed customized department and acute assessment unit.

You will be registered with the Medical Council of New Zealand, possess emergency medicine experience and have completed qualifications as an Accident and Medical Practitioner. Desirable but not essential - FACEM registered (Fellow Australian College Emergency Medicine).

For more information please contact the SMO Recruitment Co-ordinator recruitmentsmo@wdhb.org.nz or wayne.thompson@wdhb.org.nz phone +64 6 348 3250

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Consultant Physiican Wanganui Hospital, New Zealand

Permanent full-time

Wanganui is a coastal city, within easy distance of New Zealand’s famed North Island ski fields. Mt Ruapehu in the Tongariro National Park is the North Island’s highest peak and principal skiing ground. The views from around the mountain are beautiful. Wanganui offers an impressive array of sporting and recreational facilities and venues. The Whanganui River sweeps through the valley over which the city is spread and is the longest navigable waterway in the North Island. The river provides facilities for rowing, sailing, canoeing, water skiing and windsurfing. The city also boasts excellent sporting facilities and has an international reputation as being one of the finest sports training regions in the world.

Wanganui is approximately mid-way between Wellington and New Plymouth. Wellington is 193km away (two and a half hours drive). Daily flights are available from Wanganui to both Wellington and Auckland.

We are seeking a consultant physician to become part of the general medical team comprising 5 consultants, supported by 5 house officers. Eligibility for vocational registration with the Medical Council of New Zealand is essential.

For more information please contact the SMO Recruitment Co-ordinator recruitmentsmo@wdhb.org.nz or wayne.thompson@wdhb.org.nz phone +64 6 348 3250

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Children's Emergency Department

Starship Children’s Health requires Paediatric Emergency Medicine Specialists for our Children’s Emergency Department (CED). We have a full time and a part time (6/10) position available.

Starship Children’s Health is a tertiary paediatric teaching hospital and associated services aligned with the University of Auckland, New Zealand. The CED receives 30,000 acute attendances per annum and is the paediatric advanced trauma centre for the region. There is a high acuity mix, with approximately 30% of children being admitted. The CED is in close proximity the Paediatric Intensive Care Unit, Radiology Department, and Operating Theatres and there are strong collaborative working relationships between these units dealing with acute illness and injury. The CED includes 9 short stay beds for management of children for up to 12 hours under the care of the Emergency Specialist.

Auckland is a challenging and rewarding environment in which to practice Paediatric Emergency Medicine as we see a broad range of childhood illnesses and injuries. The CED is housed in a new purpose built facility with state of the art equipment and is staffed by a great team of health professionals. There are excellent opportunities to be involved in research and teaching.

The positions will have a primarily clinical focus, with protected time for teaching, research and administrative duties. Clinical duties will include evening and weekend work, and involve supervision of Registrars and SHOs as well. You will be responsible to the Clinical Director, Children’s Emergency Department.

You should have strong clinical skills, together with an interest and experience in teaching and have excellent training and experience in Paediatric Emergency Medicine. You would have FRACP and/or FACEM and must be eligible to be registered as a Specialist in Paediatrics and Emergency Medicine in New Zealand.

For more information please contact Dr Richard Aickin, Clinical Director, Children’s Emergency Department on richarda@adhb.govt.nz.

For a position description or help with making an online application, please contact Sonu Anand, Recruitment Consultant on sonua@adhb.govt.nz

For applying, please visit our website www.adhb.govt.nz and apply online quoting reference number 022171

Closing date is 31 July 2009.

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There might be any number of reasons you make a deliverate decision to relocate - gaining experience that will take your career places, building a career that won't see you pigeonholed professionally, looking for a lifestyle that offers more, for you and your family or an adventure.

Whatever the reason we'll make you welcome. How does Southland Hospital differ to some? Ours is a secondary level hospital rebuilt just five years ago. We've incredible good faciliteis and equipement. We're benefiting from a strong emphasis on clinical governance - our services and working relationships across the hospital are reflective of it.

You'll complement a well respected senior team of general anaesthetists. If you are a consultant starting out you'll be hard pressed to find a better environment in which to establish a reputation. Or, as an experienced consultant you'll find yourslef with a definite scope to balance the work you love with a life outside of it. The department is accredited for training so it is crucial you be eligible for vocational registration. You're assured of the opportunity to combine private and public practice if you'd like to.

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Heard stories about life in NZ but never quite got there - we don’t think you’ll have any excuse not to now!

Some people thrive on life in a big city and on the pressures that are part and parcel of it. But if you want more out of life, more balance, there’s no escaping the fact that life’s better in New Zealand, and this is especially so in Southland. The space, the outdoor lifestyle, the people - it’s just so easy. Add to that, state of the art facilities and first class peer support. And then, there’s the fact that you’ll not be pigeonholed - you’ll see it all, do it all and what you don’t know you’ll learn because here we push the boundaries of secondary care because we’ve got the staff to do it.

We’re looking for an experienced Obstetrics and/or Gynaecology Consultant (able to gain NZ registration) who thrives in a tight-knit team, who loves time spent with patients and who enjoys seeing things through to completion.

No excuses not to live life to the full!

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Positions available at Lakes District Hospital, Queenstown and Emergency Department, Southland Hospital, Invercargill.

As a senior Emergency Doctor there won't be many thinks you haven't seen and experienced - but are you used to finishing your day and heading down to the beach to catch a four foot swell or up a mountain to carve up some fresh powder? Whatever you like doing, we've a backyard to do it in.

And career wise? At Southland Hospital you'll work solely in ED, part of a team determined to deliver more than 'just a service' - here we aim for best practice. Our facilites are first rate, our team well supported by Specialist Medical Staff. You'll diagnose, you'll treat, you'll teach, and you will have the time to make a difference to patients in your care.

Or there's Queenstown - adventure capital of the world. Here you'll spend a large chunk of time in ED but combine it with general medicine and in-patient care. You'll be one of a small and thoroughly competent team. Specialist support isn't around the corner - it's up to you to diagnose, treat and push the boundaries just a little. It's a role calling for broad based skills and complete confidence in who you are and what you do.

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There is no doubting our Paediatric team are very much at the heart of the community. Professionally committed, they take it personally too - biking for miles to raise funds for our new neo-natal unit or shaving their heads for worthy causes.

National benchmarking sees us increasing our paediatric team to four. You'll complement a well oiled and superbly resourced unit complete with its very settled and well experienced nursing team.

A registered Paediatrician (or eligible for NZ registration) you'll be keen to work across the spectrum of care and ideally have an interest in community based work - clinics in the heart of our rural communities. Alternatively you'll free another up to drive this aspect of our service.

Sometimes it's hard to feel a part of the community in which you live - not so here. Life and career can coincide nciely.

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TARANAKI BASE HOSPITAL, NEW PLYMOUTH, NEW ZEALAND

Applications are invited for the post of Consultant Physician. Consideration will be given to Physicians with a sub specialty complimentary to a department of seven other Consultants who have subspecialty interests in Cardiology, Endocrinology, Gastroenterology, Renal, Respiratory and Rheumatology. The successful candidate will take part in a 1:6 on call rota with Registrar and house surgeon support.

Taranaki is situated on the west coast of the lower North Island of New Zealand with a population of approximately 105,000. It is an area with outstanding scenery and a stable economy. It is an excellent and affordable place to live and raise a family, with first class educational facilities. The mountain to surf environment encourages outdoor living and recreational activities which are all available within minutes of New Plymouth, the provincial capital.

Taranaki Base Hospital, situated in New Plymouth, is a progressive regional secondary referral centre for the province of Taranaki with a wide range of medical and surgical specialties, an Intensivist-managed ICU, an HDU and a well equipped Radiology Department providing interventional radiology, CT guided biopsy , ultrasonography MRI, CT and angiography,

TDHB is currently developing regional links with neighbouring DHBs, including a tertiary centre for clinical support, education and peer support.

Taranaki Base Hospital is about to begin an $80 million dollar redevelopment plan recently approved by the Ministry of Health. IT services are a priority and there is a strategic plan to innovate in the area of integrated information and technology.

The successful applicant should have comprehensive experience and training. Vocational Registration or equivalent qualifications recognised in New Zealand, such as FRACP. The Department of Medicine has a strong track record with education and training, and the successful incumbent will be expected to participate and contribute to the departments activities, including advanced trainee registrar teaching, audit and medical student teaching.

The position is available on a full-time basis. Applications will be considered from candidates wishing to work for a fixed term greater or equivalent to twelve to twenty-four months. Applications will also be considered from candidates currently in training posts seeking employment within twelve to twenty-four months. Salary will be based on the recent MECA settlement and will take into account equivalent positions in the country. Continuing Medical Education within New Zealand and at overseas meetings is actively supported through CME allowances of $16,000 p.a. A comprehensive relocation package would be available to the successful candidate.

To discuss the post informally please contact Dr Campbell White, Consultant Physician and Head of Department on 0064 6 753 6139 or by e-mail campbell.white@tdhb.org.nz.

If interested in this position please "apply on line" from our website www.tdhb.org.nz

Information about applying may also be obtained by emailing charles.hunt@tdhb.org.nz or calling 0064 6 753 6139

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Child, Adolescent, Youth and Family Mental Health Services
North and West Auckland

Full or Part Time
Permanent or Locum

Voted one of the top 5 cities around the world for Quality of Living in 2009 – Auckland has all the attractions of a big city while still retaining its relaxed atmosphere, with beaches and mountains all within close proximity to the city centre.

As the largest provider of Mental Health Services in New Zealand, we are committed to providing a rewarding work environment by enabling you to deliver a high standard of care and clinical leadership.

You will be part of a multidisciplinary team that provides a comprehensive service to the culturally diverse communities of North and West Auckland and Rodney. Within Child, Adolescent, Youth & Family services you will have a strong consumer focus and be ready to embrace the challenges this role will bring. Your clinical expertise and knowledge will be highly regarded by our teams.

If you would like to experience the ‘Kiwi’ way of life for yourself, we can offer relocation assistance to support you in your move. To check your eligibility with the Medical Council of New Zealand go to www.mcnz.org.nz

If you are interested in finding out more, please contact Dr Margaret Mitchell-Lowe, Service Clinical Director Child, Adolescent, Youth and Family Service telephone 0064 9 837 6616 or email margaret.mitchell-lowe@waitemataDHB.govt.nz or Stephanie Doe, Portfolio Manager Child, Adolescent, Youth and Family Service telephone 0064 9 489 0555 or by email Stephanie.Doe@waitemataDHB.govt.nz

Position Number: 021752.

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Our District Health Board provides a range of specialist mental health services for all ages, to a base population of just over 100,000 people, and is committed to continued development of modern community based and orientated services.

We currently have vacancies in Adult, Child and Adolescent, and Psychogeriatric services.

Based in Invercargill, you will have the opportunity to provide outpatient clinics in rural areas of Southland as well as the larger centres, such as picturesque Queenstown and Gore, and in Invercargill. Our distance from big cities and the wide geographical area we serve, also means you can anticipate tremendous scope for variety.

You will be involved in Southland Hospital's brand new purpose-built acute inpatient facility, as well as child, adolescent and family services; community forensic services; adult community health teams in Invercargill, Gore and Queenstown; and alcohol and drug services (including methadone). The Mental Health Services also provides a 24 hour 7 day per week crisis team.

As a Consultant Psychiatrist, you must be eligible for Vocational Registration with the New Zealand Medical Council, possess a reasonable depth of experience and have an ongoing interest in following your caseload - whether inpatient or community.

A special interest in areas such a Mental Health Specialist services for older people, Primary Health or Rural Health would also be an advantage. The service is rapidly expanding into the primary mental health part of the sector. It is also developing early intervention programs following on from this improved linkage between primary and secondary mental health services. You will be a dedicated team player and leader, who is flexible enough to enjoy working as part of a small service alongside other professionals, within a committed multidisciplinary team setting.

In return, you can look forward to a highly competitive pay rate and a culture where staff are supported, included, valued and respected for their expertise.

Located in the lower South Island, Southland offers a wide range of recreational activities. It is home to two of New Zealand’s national parks offering opportunities for tramping, internationally acclaimed fishing and a wide range of outdoor pursuits. Four ski fields are within easy driving distance. Invercargill itself is a family friendly city with excellent schools and an enterprising, innovative tertiary education provider, where free fees exist.

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Southland Hospital, was relocated to a new building in late 2004 and provides healthcare to a population of 108,000. The new facility includes state of the art diagnostic equipment such as MRI and 16 slice CT. Located in the lower South Island, Southland offers a wide range of recreational activities. It is home to two of New Zealand’s national parks offering opportunities for tramping, internationally acclaimed fishing and a wide range of outdoor pursuits. Four ski fields are within easy driving distance. Invercargill itself is a family friendly city with excellent educational and sporting facilities.

We are seeking Physicians for vacancies arising in 2009, due to staff retirements. The position offers the opportunity to work closely within a dedicated team of at least six General Physicians each of whom has a subspecialty interest, and one Geriatrician. The team is supported by Registrars and House Officers. The role is to provide a comprehensive general medical service associated with a provincial hospital. You will participate in an on-call roster of 1:5 for general medicine.

The department of General Medicine is actively involved in teaching and is accredited for training by the Royal Australasian College of Physicians (RACP). It is affiliated to the Dunedin School of Medicine and actively supports 4th and final year students within the department, with Physicians providing Senior Lecturer roles to the School of Medicine.

Applicants must have completed their specialist training, be FRACP qualified and be eligible for vocational registration with Medical Council of New Zealand. We welcome applicants in general medicine and with a subspecialty interest in any of the following; cardiology, endocrinology, diabetology, geriatrics, rheumatology, neurology, renal medicine or respiratory medicine. The position offers an attractive remuneration package, relocation assistance and CME allowance.

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Southland Hospital was relocated to a new building in late 2004 and provides healthcare to a population of 105,000. Southland Hospital is the base hospital for a wide geographical area, creating enormous scope for variety in the work of a talented professional like you. And with our new state-of-the-art hospital now open, together with the latest in PACS digital radiology, MRI, CT and iSOFT patient management system, there's no better place to take a leading role in maintaining and enhancing our general medical and respiratory service.

The respiratory service at Southland Hospital has three certified Respiratory Technologists who provide a wide range of diagnostic tests including challenge testing. There is a dedicated Sleep Technologist responsible for the diagnosis, fitting and ongoing care of patients in our community with CPTAP and BiPAP units.

You would be the sole respiratory physician and work closely with the tertiary level services in Otago and Canterbury, which are within close geographical location. You would provide full outpatient respiratory services to the Southland population and provide an inpatient consultation service. The position offers the opportunity to work closely within a dedicated team of at least six General Physicians each of whom has a subspecialty interest, and one Geriatrician. The team is supported by Registrars and House Officers. You may participate in an on-call roster of 1:5 for general medicine.

The department of General Medicine is actively involved in teaching and is accredited for post graduate training by the Royal Australasian College of Physicians (RACP). It is affiliated to the Dunedin School of Medicine and actively supports 4th and final year students within the department, with Physicians providing Senior Lecturer roles to the School of Medicine.

Located in the lower South Island, Southland offers a wide range of recreational activities. It is home to two of New Zealand’s national parks offering opportunities for tramping, internationally acclaimed fishing and a wide range of outdoor pursuits. Four ski fields are within easy driving distance. Invercargill is a family friendly city with excellent educational and sporting facilities.

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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.

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We have vacancies for Consultant Radiologists at the Auckland City Hospital and Greenlane Clinical Centre.

The Radiology Department is organised into body sections and the current vacancies are in body imaging. You would have an interest in body imaging in all modalities involved, with the ability to perform a range of biopsies and basic interventional procedures. Alternatively, you could have an interest in Emergency Radiology.

The Radiology Department in Auckland has moved to its new facility in the Auckland City Hospital and has developed the Greenlane Clinical Centre as an Outpatient Facility. The department services an active specialist referral base with tertiary regional and national services. There is an AGFA PACS system with a virtually filmless environment.

The Inpatient facility at The Auckland City Hospital has 3 multislice CT scanners, 2 new angiography rooms and plans are underway to upgrade the third room to a combined surgical and interventional radiology room. There is MRI and high quality Ultrasound. The Paediatric Hospital adjacent is run by specialist paediatric radiology staff, some of whom rotate into this department. They have a separate CT but share MR and Interventional/angiography facilities. There is a further sub section of ultrasound servicing the National Women’s Hospital section of the facilities, staffed by Radiologists and Obstetricians.

A satellite Radiology Department adjacent to the Emergency Department and the Admission and Planning Unit has one of the multislice CT scanners, ultrasound and plain film rooms. This area handles most initial investigations of Emergency Department patients and patients for assessment for possible admission. There is very active clinical interaction in this area. A candidate for this position may have an interest in Emergency Department Radiology, and be able to work in this area as their area of interest.

The Outpatient facility has Ultrasound and general radiology with a public/private CT.

This is a big, exciting department, with active clinicians, high quality technical and nursing staff, and is excellently equipped. You would need to be a person who enjoys working in this type of multidisciplinary environment. There are frequent clinical conferences, and the department is the centre for registrar training for the Auckland region. The departments are part of the teaching facility for the University of Auckland and there are academic appointments within the radiologist staff.

Salary will be based on the ASMS collective agreement.

For further information and to request a Job description, please contact Dr Alan List, Clinical Director, Radiology, email: AlanL@adhb.govt.nz

To apply, visit www.lookherefirst.co.nz and submit an online application quoting reference number 014351 or email Sonu Anand on sonua@adhb.govt.nz for more information on how to apply.

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Medical Officer (MO)

RESPONSIBLE TO:
Operational – Manager Taupo Hospital
Professional – Clinical Director
LOCATION: Taupo

FUNCTIONAL RELATIONSHIPS:
Medical Colleagues
Associate Director of Nursing Taupo
Quality Co-ordinator Taupo
Clinical Nurse Leader Taupo ED
Clinical Nurse Leader Inpatient Unit
Clinical Midwife Leader Maternity Unit
Nursing Staff
Allied Health Staff
Administration Team
Laboratory Staff
X-ray Staff
Consultants Taupo and Rotorua
P.E.T. Team
General Practitioners
St John’s Ambulance
External Providers

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. Providing general medical and surgical services to the 30,000 population of Taupo and Turangi including inpatient services – 20 general beds, 8 day stay beds, Emergency Department, Maternity unit as required and clinics at Taupo Hospital.
2. Participation in the Medical Officer Roster as indicated in Objective 1.
3. Supervision and teaching of nursing and allied staff
4. Peer reviews and clinical audits
5. Continuous quality improvement programs
6. Self improvement and Continuous Medical Education (CME)

KEY RESPONSIBILITIES

1. Clinical Service :

Expected Outcomes:
• The MO will provide a comprehensive clinical service for patients in the Lakes DHB area.

2. Inpatient:

Expected Outcomes:
• Medical and low risk Surgical patients will be admitted under the direct care of the Physician/Surgical Team l. The Specialist will undertake all necessary ward rounds and direct the assessment, investigation and treatment appropriate to each patient. Close liaison with multidisciplinary team is required to ensure continuity of care.
• The MO will discuss the patients with the Specialists on a daily basis as required and attend ward rounds as defined in the schedule titled "Weekly Timetable''.
• The MO will ensure that criteria set for admission and discharge are met.
• The MO will implement Unit policies and guidelines where clinically appropriate.
• The MO will attend as appropriate to any enquiries and complaints from Patients relatives, staff or management.
• The MO will provide medical reports to the Coroner, Police, Ministry of Transport and legal profession as required and to attend to other legal
• Requirements when requested by appropriate officers working in accordance with Appropriate legislation. This should be done in consultation with the appropriate Specialist.
• The MO will regularly review his clinical performances as part of the maintenance of professional standards. This activity will be performed with other colleagues through mortality and morbidity conferences, patient reviews and presentation.

3. Emergency Service

Expected Outcomes:
• The Taupo MO, supported by Rotorua based specialists, will run a comprehensive emergency department to provide cover at all times. Paediatric, obstetric, psychiatric and surgical patients are referred on to Rotorua Hospital as required, after stabilisation. There are no acute admissions in these specialities.

• When a MO is on Duty but cannot fulfil their obligations and wishes to substitute a colleague, it is the MO responsibility (given practical consideration) to arrange a replacement. Changes to be notified to the Manager Taupo Hospital or Duty Manager after hours, Clinical Director, Taupo and Front Office Team Leader.

4. Day patient and Outpatient Services

Expected Outcomes:
• The MO has the authority to transfer inpatients, outpatients, day patients and emergency department patients to other centres for medical care not available in Taupo according to predetermined and mutually agreed criteria.

In respect of this service the MO will -

• Manage patients, as far as possible, on an outpatient basis.
• Efficiently use the Outpatient Clinics to ensure optimal utilisation
• Encourage, where possible, the continued care of patients by their primary practitioner.

5. Documentation

Expected Outcomes:
• The MO will provide reports, complete standard hospital documentation and record data as required and in the manner prescribed from time to time by the Employer. Reports on patients will be completed and made available promptly to referring practitioners. The MO will provide immediate reports by telephone as appropriate.

6. Networking and Liaison

Expected Outcomes:
• The MO will participate in a comprehensive Health service and be involved in the co-ordination and education of nursing programs, participate in necessary meetings important for the identification of health problems.
• The MO is also expected to maintain close liaison and provide a consultative, as well as an educational role for allied services. Involvement is clearly dependent on reasonable time considerations.
• The MO agrees to work both the fixed and flexible sessions required to meet certain contractual requirements and will co-operate with the employer through the Hospital Manager in achieving these.
• The MO recognises and accepts that the department will be required to meet certain output targets and he will co-operate with the employer in obtaining and collating the data necessary to fix these targets.
• The MO will, in the event of a civil emergency carry out such other duties as the Employer may require.
• As appropriate the MO 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.

7. Professional Development

Expected Outcomes:
• Facilitates the professional development of personnel within Lakes in a manner that is appropriate to the needs of each professional group.

8. Teaching

Expected Outcomes:
• The MO will instruct, guide and supervise the work of junior staff including the trainee intern as necessary, give advice as required, and participate in tutorial sessions for all junior resident officers. It is expected that each Member of the Medical Staff will be given clear guidelines in respect of the requirements of the Department, is aware of the Employer's and Departmental policies, and maintains effective interpersonal relationships with other staff and patients. The review of performance will include a report on these matters.

9. Resource Advice

The MO will provide local clinical leadership for Medical and Surgical Services and provide professional advice to other professionals and managers to improve services.

Expected Outcomes:
• Promote best practices for Medical and Surgical Services.
• In keeping with their primary objective of providing high quality patient care and aware of being a user of finite resources, the MO will attempt at all times to work in a cost efficient manner and within budget.
• Will ensure that resources are used efficiently.

10. Own Professional Development and Research

Assumes responsibility for own professional development.

Expected Outcomes:
• In addition to his/her role in the continuing medical education of colleagues, the MO will keep abreast of relevant literature in respect of clinical matters, medical management topics, including quality assurance and medical audit.
• As appropriate, and as approved by the Employer, the MO will attend Conferences on relevant topics both in New Zealand and overseas, and will attend local post-graduate medical meetings; in respect of such meetings and Conferences, the MO will report to his colleagues and thereby share – with them the information and knowledge obtained.
• The MO will develop with appropriate management support to the best of their ability computer literacy to enable the MO to best utilise modern technology.
• The MO 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 or successor as requested.

11. Continuous Quality Improvement

The MO will ensure that standards of practice and service are met, maintained and improved according to identified continuous improvement methods which support the Medical and Surgical Services Lakes DHB Quality Plans.

Expected Outcomes:
• The MO, with their medical colleagues, will participate in the formulation and implementation of a quality assurance program (including the updating on a regular basis of protocols and procedures) for the medical service. Assistance may be available from the Employer'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.
• Standards of Practice will be consistent with standards set from time to time by the Royal Australasian Colleges.
• The MO acknowledges that the Employer will need to contract with the Ministry of Health on standards of service, conduct and performance and they will assist the Employer in meeting these.

11. 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.

12. 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.

13. 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.

GENERAL

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

• The quality of medical services provided by the MO taking into account:

• The effectiveness with which the Specialist has carried out their regular duties and responsibilities as outlined in this job description.
• The quality of the advice offered and the co-operation given to the Employer and the colleagues of the MO in achieving high standards of service for the patients of the hospital.
• Professional skills as measured by Special and peer review and quality audits.
• The number of justified complaints (if any) received by the Employer in respect of the performance of the MO.
• The adherence by the MO to the policy of the Employer in relation to patient's rights and cultural sensitivity.
• The success of the MO in adhering to budget constraints where they are clearly shown to be within their control and responsibility.

• The quality of the relationships developed with Specialists, colleagues, management and other staff of the employer taking into account:

• The level of co-operation between the MO. other MO, specialist Senior Medical Staff, other staff of the Employer, and management.
• Participation by the MO in the formulation of clinical plans, protocols and guidelines.
• Standards achieved by the MO in the completion of hospital documentation in an accurate and timely manner.

RESOURCES REQUIRED FOR THE PROVISION OF THIS SERVICE

• Minimum of four Medical Officers of Special Scale working within the hospital in order to share duties. These doctors are necessary to aid in the provision of continuity of care and for dealing with both day time and after hour ward and emergency cover.
• Adequate secretarial and clerical help - essential for clinical documentation and administration.
• Appropriate nursing for higher dependency inpatients and outpatient services, especially specialist procedures.
• Access to appropriate specialist colleague opinions, liaison meetings,
• eg: radiological, pathological as well as other clinical support.
• Adequate Social Worker support.
• Adequate physiotherapists, Occupational and Speech Therapist support.
• Home visiting services, eg: Home care specialist Nurses.
• Medical educators, e.g. diabetes, asthma, infection control dietician.
• An efficient Pharmacy providing ready access to medications when needed.
• The MO recognises that he/she is expected to use the Hospital’s Preferred Medicine List but can obtain other therapeutic agents when clinically indicated.

Information Systems Support

Reliable, accessible and user friendly.

• Access to a supportive and comprehensive pathology/laboratory service also providing 24 hour emergency investigations.
• Access to a supportive and comprehensive radiological service including 24 hour emergency service plus other services appropriate to a Level 4/5 hospital, including CT.
• The authority to transfer patients to other centres of medical care not available in Lakes area according to predetermined and mutually agreed criteria.
• Ready access to a medical library providing comprehensive technology support.
• Photographic service for medical and clinical documentation and for
• assistance with audiovisual clinical presentations.
• Access to dietary service, dietician advice.
• Speech Language therapy service.

• Clinical Records service providing:
• Fast efficient retrieval of notes
• A local and consistent filing system.

• An efficient pharmacy providing ready access to medications when needed. The MO recognises that he/she is expected to use the Hospital’s Preferred Medicines List but can obtain other therapeutic agents when clinically indicated.

• Neurological and physiological testing services, e.g. ECG, EEG, respiratory function, cardiac stress testing etc.

• An office in a pleasant environment providing opportunity for confidentiality and privacy as well as adequate room for personal records to be kept securely in addition to personal telephone.

PERSON SPECIFICATIONS

Essential:

QUALIFICATIONS
• Basic medical qualifications recognised by Medical Council of New
Zealand
• Post-graduate qualifications and experience eligible for MO
• Current Practicing Certificate.
• Member of Medical Defence Organisation, eg. Medical Protection Society or Medical Defence Unit.

EXPERIENCE
• Possesses clinical practice skills and competencies appropriate to a MO
• position covering medical, surgical and emergency service needs
• Evidence of Continuing Medical Education and professional development
• Involvement with Quality Assurance or Continuous Improvement
• Programmes including audit programmes and peer review.

Desirable:
• Ability to work and contribute in terms of fair and equitable workload, particularly in terms of providing cover for scheduled leave to your
• team.
• Proven professional and clinical credibility.
• Proven commitment to provision of quality medical care.
• Excellent communication and interpersonal skills.
• Ability to function as a multidisciplinary team member.
• Proven skills as educator and role model including non smoker.
• Demonstrates cultural safety in practice.
• Acts as professional resource for management.
• Demonstrated commitment to own professional development.
• Ability to meet defined timeframes and to be self directed.
• Evidence of functioning as a professional leader.
• Management skills.
• Innovative and acts as pro-active change agent.
• Has keyboard skills and is computer literate.
• Has good command of conversational and written English.

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A Specialist Anaesthetist is sought for participation in the full spectrum of anaesthesia services provided by the Department of Anaesthesia and Intensive Care, Palmerston North Hospital.
In addition applications are encouraged from anaesthetists who are:
• Fellows of JFICM, as Intensive Care duties could be negotiated for such an applicant.
• Fellows of FPMANZCA, or who have significant expertise in the field of Pain Management, as clinical responsibilities in this area could be negotiated for a suitable applicant.
The Department provides a wide range of anaesthesia and intensive care services. The modern theatre complex consists of seven operating theatres. The department is staffed by 16 specialist anaesthetists, 5 registrars in training posts and 4 senior house officers. Palmerston North Hospital offers most sub-specialties with the exception of neurosurgery and cardiac surgery.
For further information please contact:
Dr John Sendall: john.sendall@midcentraldhb.govt.nz

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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 Hospital when required as soon as appropriate.

He / she will respond to a paging call as soon as possible.

Regular Hours

Shall fall within 8.00am to 5.00pm - Monday to Friday inclusive

6. 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.

7. 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.

8. 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.

9. PERSON SPECIFICATION
Essential:
QUALIFICATIONS
* Basic medical qualifications recognised by the Medical Council of New Zealand.
* Post-graduate qualifications and experience eligible for specialist registration by the Medical Council of New Zealand.
* Current Practicing Certificate.
* Member of Medical Defence Organisation, eg. Medical Protection Society or Medical Defence Union.

EXPERIENCE
* Possesses clinical practice skills and competencies appropriate to a specialist Pathologist
* Undergraduate and/or post graduate teaching
* Evidence of Continuing Medical Education and professional development
* Involvement with Quality Assurance or Continuous Improvement Programmes including audit programmes and peer review.

Desirable:
Proven professional and clinical credibility.
* Proven commitment to provision of quality care.
* Excellent communication and interpersonal skills.
* Ability to function as a multidisciplinary team member.
* Proven skills as educator and role model including non smoker.
* Demonstrates cultural safety in practice.
* Acts as professional resource for management.
* Demonstrated commitment to own professional development.
* Ability to meet defined timeframes and to be self directed.
* Evidence of functioning as a professional leader.
* Management skills.
* Innovative and acts as proactive change agent.
* Has keyboard skills and is computer literate.
* Has good command of conversational and written English.

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 lCD 10 coding, DSM IV (1994).
* Code of Ethics of NZ Medical Association.
* WHO Rights of Child.
* Ethics: A manual for Physicians RACP (1992)

Read more or apply for this position >>

Medical Officer (MOSS)

RESPONSIBLE TO:
Head of Department, Emergency Department

LOCATION: Rotorua & Taupo

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 Medical Officer Special Scale is responsible with 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 Medical Officer Special Scale 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.

HOURS OF WORK
You will be expected to work up to 40 hours per week rostered shifts inclusive of weekends as per the roster, currently 1:4 ratio. Hours of work may be a minimum of 8 hours per day between the hours of 0800 – 2400.

Although there is currently no call-back requirement it is envisaged that a call-back roster will be developed in the near future following consultation with all affected staff and contractors.

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 the Head of Department 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.
• Acknowledging X-ray and Lab reports.
• Evidenced based practice is encouraged.
• Clinical research is encouraged 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.
• Assisting with maintenance of the Lakes District Health Board Emergency Department Disaster Plans.
• Supports the delivery of patient and family focused care in accordance with relevant legislation and standards documented by professional bodies and Lakes District Health Board.
• Promoting preventative medicine in areas influencing Emergency Medicine such as trauma reduction (sexual, domestic, paediatric, industrial, sporting and vehicular).
• Attendance at departmental meetings
• Provide assistance and support to the Head of Department as required, (i.e attendance at meetings, assist with recruitment, etc)
• Involvement in recruitment of Junior Medical Staff.
• 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 contracts and officially agreed variations.
• Rosters will be notified, where possible with 28 days notice provided that less notice will be given when unpredictable changes occur.
• Six weeks notice of any annual leave request must be provided, however less notice may be accepted by the employer in certain circumstances.

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
• Identifying learning needs of Junior Medical Staff, assisting in an ongoing programme of clinical meetings and tutorials to meet those needs.
• The Medical Officer Special Scale 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 Contract).
• Fire evacuation training attended annually and CPR training 6 monthly.
• Input given to formal orientation programmes for new medical staff.
• Routine clinical case teaching as opportunities arise.
• Key performance indicators set in Performance Review at least annually with Head of Department - Emergency Department.
• Involved in planning, preparation and teaching of junior medical staff.

3. QUALITY AND RISK MANAGEMENT

Expected Outcomes:
• Self and others protected by use of and ensuring that others use appropriate procedures and equipment.
• Guidance given and action initiated when unsafe and/or unprofessional behaviour is observed or reported.

4. 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.

5. 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 Head of Department 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.

6. CONTINUOUS QUALITY IMPROVEMENT
• 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.

7. 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.

8. 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 a 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.

9. PERSON SPECIFICATION

QUALIFICATIONS

Essential
• Current full registration with the New Zealand Medical Council.
• Recent clinical experience in Emergency Medicine.
• Professional Medical Indemnity Insurance.
• ACLS and resuscitation Course Desirable
• Extensive clinical experience.
• Membership of the Australasian Society of Emergency Medicine.
• Membership of Australasian Trauma Society.
• Recent attendance at:
• EMST
• ACLS
• APLS
• PALS

Professional Skills/Attributes
• 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.
• Evidence of effectiveness in managing even busy/stressful workloads in a planned and co-ordinated manner.
• Commitment to own professional development.

10. POSITION SPECIFICATION

1. The appointee, based at Rotorua Hospital, will be responsible for providing general medical and surgical services.

2. The appointee will participate in:
• Supervision and teaching of nursing and allied staff.
• Continuous quality improvement programmes.
• Peer review, clinical audits.
• Self improvement and CME.
• After hours roster.

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

4. Lakes District Health Board is committed to the application of the Principles underlying the Treaty of Waitangi and its application to Health.

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Southland Hospital, rebuilt in 2004, is a new state-of-the-art facility that provides healthcare to a population of 105,000. Located in the lower South Island, Southland offers a wide range of recreational activities. It is home to two of New Zealand’s national parks offering opportunities for tramping, internationally acclaimed fishing and a wide range of outdoor pursuits. Four ski fields are within easy driving distance.

Southland Hospital is the base hospital for a wide geographical area, creating enormous scope for variety in the work of a talented professional like you. And with our new state-of-the-art hospital, together with the latest in PACS digital radiology, MRI, CT and iSOFT patient management system, there's no better place to take a leading role in maintaining and enhancing our Ophthalmology service, while taking the initiative in developing new ones.

An outstanding team player and capable leader, you'll have the energy to make a positive difference with both patients and colleagues alike. In addition to enjoying a challenging workload and an exceptional quality of life, you can look forward to a highly competitive pay rate and a culture where staff are included, valued and respected for their expertise.

Recognised as an ideal place to raise a family, Invercargill is a modern city offering access to outstanding leisure pursuits and a caring, safe community. The town also has superb facilities such as the brand new indoor velodrome and sporting complex, excellent schools and an enterprising, innovative tertiary education provider, where free fees exist.

Applicants must have completed their specialist training and be eligible for vocational registration with Medical Council of New Zealand. The position offers an attractive remuneration package, relocation assistance and CME allowance.


For further information, please contact:

Jan Jenkins
SMO Advisor
Medical Officers Unit, Southland Hospital
telephone +64 3 214 8261 or email to: jan.jenkins@sdhb.govt.nz

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We are seeking an enthusiastic and committed Diabetologist/Endocrinologist/General Physician to join our team as soon as possible. The ideal applicant will have previous experience in service development and in the delivery of specialist services in a community setting.
This is a new position with a Primary Health Care focus established as part of the MidCentral District Health Board Diabetes Service Plan. The purpose of this position is to work within an inter-disciplinary team to provide a high standard of clinical practice and clinical expertise. The successful applicant will contribute to the provision of efficient diabetes and endocrinology services to the community and region served by MidCentral District Health Board, the four Primary Health Organisations and Iwi across the district.
For more information about the role please contact:
Dr Paul Dixon: paul.dixon@midcentraldhb.govt.nz

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We are seeking an enthusiastic and committed General Physician or General Physician with another medicine sub specialty to join our team as soon as possible.
The ideal applicant is a General Physician with specific skills in acute medical assessment. This is a recently developed role that works closely with our Emergency Department, the Acute Medical Ward and Outpatient Clinics to ensure the appropriate and efficient management of patients presenting with acute medical conditions.
For further information please contact:
Dr Mark Beale: mark.beale@midcentraldhb.govt.nz

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Primary Function:

To provide a high standard of clinical practice and clinical expertise, under the supervision of the Consultants thereby contributing to the provision of a quality clinical service to the community and region served by Wairarapa District Health Board.

To provide supervision, instruction and teaching to Resident Medical Officers (RMO) and other Clinical staff.

To advise service managers & associated health professionals of professional standards and management issues for the provision of patient care.

To assist in the development and maintenance of a quality service.

To participate in covering the Emergency department 24/7 roster. This will be a minimum of 10, 8 hour shifts in a fourteen day period covering either morning, afternoon-evening or night shifts on weekdays, or weekends. This will include rotation both day or night into the inpatient services as well as the Emergency department.

To participate in a flexible system of rostering, which may include covering for absent registrars / house surgeons as requested or as number of patients dictate. This may involve some after hours on call.

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Live the Dream – in the beautiful Nelson-Marlborough region of New Zealand.


0.8 FTE Locum Position - 6 Months with the possibility of extending to one year.

This District Wide position provides services to Nelson and Marlborough Districts and could be based at either the Nelson or Blenheim (Wairau) Hospital. It is available from the beginning of July 2009 and offers a minimum of 4-5 clinical sessions per week of general Otolaryngology, at these two busy provincial hospitals. 1:4 call roster.

Applicants are required to hold a specialist qualification that is registerable in New Zealand.

Nelson Marlborough District Health Board provides health services over the north of the South Island of New Zealand. Nelson/Marlborough has a growing population, at present 132,000, one third of this in Marlborough and two thirds in the Nelson/Tasman districts. Blenheim and Nelson are 120km (90 minutes drive) apart. Wairau Hospital is currently undergoing an exciting new rebuild.

The region offers an outstanding climate and excellent opportunities for outdoor activities from sea to mountains.

Closing Date: Open. Reference: 09/104

A job description and application form are available online or email vacancies@nmdhb.govt.nz or from Human Resources, Nelson Hospital, telephone 03 546 1362. An application form and CV are required before your application can be processed.

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Bay of Plenty District Health Board,
Tauranga Location

A unique and exciting opportunity has arisen for a professional with the confidence, vision and passion to develop the next generation of health leaders.

Whether you’re leading the team responsible for developing the learning, programme delivery and research function in the organisation, or briefing the CEO - your influence here will be considerable.

To succeed in this role, you need to be very, very good. This means having a high level of professional credibility, a quality focus and the wherewithal to deliver a high quality and sustainable Clinical School for the benefit of the clinicians and patients in the Bay of Plenty.

If you have the academic standing, international outlook and clinical experience to rapidly expand our pre-entry, undergraduate and postgraduate programmes, and if you think you could live in an area offering golden sand beaches, bush clad mountains and lush farmland, we’d very much like to hear from you.

Position No: 11905-022
Closing Date: 17 July 2009

For further information go to www.bopdhb.govt.nz or contact the Recruitment Office on 07
579 8361. Alternatively, you can email job.vacancies@bopdhb.govt.nz

Please quote position number when applying

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New Plymouth, NEW ZEALAND
Vacancy No. 793
Applications are invited for the post of Consultant Physician / Respiratory subspecialty. This is a replacement position and the successful applicant will join a department of seven other Consultant Physicians who have subspecialty interests in Cardiology, Endocrinology, Gastroenterology, Renal and Rheumatology. The successful candidate will take part in a 1:6 on call rota with Registrar and house surgeon support.

Taranaki is situated on the west coast of the lower North Island of New Zealand with a population of approximately 105,000. It is an area with outstanding scenery and is undergoing strong economic growth. It is an excellent and affordable place to live and raise a family, with first class educational facilities. The mountain to surf environment encourages outdoor living and recreational activities which are all available within minutes of New Plymouth, the provincial capital.

Taranaki Base Hospital, situated in New Plymouth, is a progressive regional secondary referral centre for the province of Taranaki with a wide range of medical specialties, an Intensivist-managed ICU, an HDU and a well equipped Radiology Department providing interventional radiology and respiratory related support, which includes digital radiology, CT guided biopsy MRI, CT and angiography. Taranaki Base hospital has video bronchoscopy facilities and a respiratory lab for spirometry and DLCO testing. A thoracic surgeon is available locally for referral for VATS/lung resections.

Taranaki DHB is currently developing regional links with neighbouring DHBs, including a tertiary centre for clinical support, education and peer support.

Taranaki Base Hospital is about to begin an $80 million dollar redevelopment plan recently approved by the Ministry of Health. IT services are a priority and there is a strategic plan to innovate in the area of integrated information and technology.

The successful applicant should have comprehensive experience and training. Vocational Registration or equivalent qualifications recognised in New Zealand, such as FRACP with renal subspecialty. The Department of Medicine has a strong track record with education and training, and the successful incumbent will be expected to participate and contribute to the departments activities, including advanced trainee registrar teaching, audit and medical student teaching.
The position is available on a full-time basis. Applications will be considered from candidates wishing to work for a fixed term greater or equivalent to twelve to twenty-four months. Applications will also be considered from candidates currently in training posts seeking employment within twelve to twenty-four months. Salary will be based on the recent MECA settlement and will take into account equivalent positions in the country. Continuing Medical Education within New Zealand and at overseas meetings is actively supported through CME allowances of $16,000 p.a. A comprehensive relocation package would be available to the successful candidate.
To discuss the post informally please contact Dr Campbell White, Consultant Physician and Head of Department on 0064 6 753 6139 or by e-mail campbell.white@tdhb.org.nz.
Please “apply online” on our website www.tdhb.org.nz/careers/taleo_frame.htm or for further information about the position itself please contact charles.hunt@tdhb.org.nz or call 0064 6 753 6139.

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Specialist Anaesthetist
Paediatric and Ambulatory Anaesthesia
Auckland District Health Board

Auckland District Health Board (ADHB) is seeking applications from anaesthetists with an interest in paediatric and ambulatory anaesthesia (adult and paediatric practice). The position is based at two sites, Starship Children’s Health and Short Stay Surgical Unit, and will be a combined position. Due to the involvement with tertiary paediatric anaesthesia, candidates are required to have undertaken a minimum of one year fellowship in Paediatric Anaesthesia in addition to their basic anaesthetic training. It is anticipated that the successful candidate will have on call responsibilities for Paediatric Anaesthesia at Starship Children’s hospital. Details of the individual components of the job are below.

Short Stay Surgical Unit (SSSU)
The SSSU has 5 operating theatres at the Greenlane Clinical Centre, an ambulatory facility at Greenlane for outpatient clinics and elective surgery. Expansion is planned and by end-2011 there may be 11 operating rooms, and overnight beds. Anaesthesia is currently provided for adult and paediatric patients from various specialties, including Oral Health (dental and oral surgery), Ophthalmology, Otorhinolaryngology (ORL), Urology (including lithotripsy), General Surgery, & Gynaecology. It is expected that after expansion services will be provided to other specialities such as Orthopaedics. For more information, please contact Dr Judy Bent, Clinical Director of SSSU at judyb@adhb.govt.nz.

Paediatric Anaesthesia, Starship Children’s Hospital
Starship Children’s Hospital is a tertiary referral centre for paediatric surgical services and related activities. The department of Paediatric Anaesthesia currently undertakes 10,000 cases per year, managed through 6 operating rooms and a variety of non-OR sites. The successful applicant will be involved in the provision of anaesthetic care for a variety of surgical disciplines in children (excluding paediatric cardiac surgery), plus a wide range of procedures requiring anaesthesia outside the operating rooms. For more information, please contact Dr Niall Wilton, Clinical Director of Anaesthesia & Operating Rooms, Starship Children’s Hospital on niallw@adhb.govt.nz

You must be eligible for vocational registration with the Medical Council of New Zealand www.mcnz.org.nz

To apply, please visit our website www.adhb.govt.nz/careers and apply online quoting reference number 022101. Please attach your latest CV. For requesting a position description or for help with your online application, please contact Sonu Anand, Recruitment Consultant on sonua@adhb.govt.nz.

Closing date is 31 July 2009

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Head of Department and Consultant
Obstetric and Gynaecology Services
Taranaki District Health Board

We are seeking expressions of interest from experienced clinical leaders to come and join our team in Taranaki.

Our organisational values are improving, promoting, protecting and caring for the health and wellbeing of the people of Taranaki.

With a population of 105,000, the Taranaki District Health Board Obstetric and Gynaecology department provides a wide range of services within the Taranaki District area which includes New Plymouth City and a large rural / lifestyle population in South Taranaki (Stratford/Hawera).

Taranaki Base Hospital is the regional specialist centre, has 215 beds and is located in New Plymouth, the major city of the beautiful Taranaki Province. The maternity arm of our hospital comprises a 6 bed delivery suite with 4 adjoining antenatal beds, as well as 14 post-natal beds. Located at Hawera Hospital is a 4 bed primary care maternity unit and there is also a privately run primary care facility in Stratford for delivery and post natal care.

We wish to build and maintain the service with five O & G surgeons including the Head of Department role. They will be supported by a strong multidisciplinary team, including a committed peer group of midwives, paediatricians, radiologists and anaesthetists. This is very much an opportunity to influence the future direction of our obstetric and women’s health servicers across the province including the interface between primary and secondary sectors, within the Midland region, and nationally.

Reporting to the GM Hospital & Specialist services, you will working in partnership with the Service Manager to lead on-going development in models of service provision, quality improvement projects, enhancing clinical standards of medical practice within the O & G services province wide.

This is an exciting and potentially rewarding challenge for the right individual to be involved in the continuing development of one of New Zealand’s leading service providers in provincial health care.

If you are a member of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, or qualify for, with extensive experience and leadership ability, we would like to hear from you.

For further information (strictest confidence assured) please contact Joy Farley, General Manager Hospital & Specialist Services Ph 027 249 8708 or email joy.farley@tdhb.org.nz or Charles Hunt, Recruitment Manager Ph 06 753 7777 ext: 8464 or email charles.hunt@tdhb.org.nz

Closing Date for Expressions of Interest 5th December 2009

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North Shore Hospice offers a specialist comprehensive palliative care service, that is well established and integrated into the local community. Good professional relationships exist with the North Shore Hospital, local General Practitioners and other service providers.

We require a full-time senior clinician (minimum 0.8 FTE) to lead and foster the comprehensive palliative care we provide to our In-Patients and Community Patients. You will take a lead role in the Practice, Research and Quality Improvement forum and mentor the medical and nursing teams in developing research initiatives.

Excellent relationship management skills, and experience in quality programmes, clinical audit and original research will ensure your success in the role.

If you are a qualified Palliative Care Physician (MRCP, FAchPm or equivalent) and are seeking to advance your expertise in leadership and clinical governance, we welcome your application.

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KEY ACCOUNTABILITIES

1. Clinical Practice and Medical Team Leadership
Provide best quality palliative care to patients in the Hospice Programme, ensuring symptom management is of a high standard (where possible this will be evidence-based) and emotional and spiritual needs of patients and their families are met.

Provide leadership to the medical team including coaching, mentoring, supervision and role modelling.

Provide senior medical expertise in CPC and IPU and collaborate with other team members to ensure appropriate medical support

Ensure patients and their families are appropriately informed of their treatment options and empowered to make decisions affecting their care.

Ensure patient's families receive the support that they require and be aware of what agencies are available to provide on-going support when a patient and family is discharged.

Organise and attend case review and discharge meetings as required.

Encourage a multi-professional team orientated culture by developing and facilitating positive, effective working relationships with all staff.

Provide supervision to registrars and other, less experienced Medical Staff, in the IPU and in the Community as required.

Provide support and advice to the Nursing and Family Support Teams in the IPU and Community as required

Be available as a consultant to hospice patients in the community to support the Community Palliative Care Medical Officer and be available to provide telephone advice to General Practitioners and other Medical Professionals.

Liaise with other medical providers to ensure continuity of care both while in the IPU and during admission and discharge.

Maintain accurate and current patient records both written and using the Electronic Patient Information Management System (Palcare).

Ensure the use of medication is safe, efficient and effective and promotes the best quality of life.

Meet obligations regarding certification of death.

Be aware of and work within the Medical Bylaws and other relevant statutory and legal requirements

Undertake delegated duties regarding management of all risk related to patient care including infection control and restraint minimisation.

Be available to be rostered on-call for the in patient unit and to provide phone advice both to nurses in the CPC team and medical care providers as required.

Assist the Medical Team Leader in the management of the Medical Team On-call roster.

Uphold the primacy of the Treaty of Waitangi.

Establish and maintain collaborative relationships with other palliative care providers in the district.

2. Clinical Governance, Quality Assurance and service development
Participate in delegated duties for the Quality programme for North Shore Hospice. Which may include:
• Infection Control Programme
• Restraint minimisation and Safe Practice
• Identification and development of relevant audit projects
• Development and maintenance of quality program initiatives.

Participate in the development of policies and procedures as required and ensure all procedures and policies are adhered to.

Demonstrate the use of evidence to inform clinical decision making and care.

Participate in the development and maintenance of audit cycles and other quality programmes and participate in these.

Actively participate in education and training of health professionals, medical students and professional visitors to the Hospice. Develop presentations and curricula to achieve this.

3. Professional Development and education of self.
Identify development needs and actively seek programmes and education opportunities to meet needs. Participate in relevant Maintenance of Professional Standards (MOPS) activities

Attend relevant National and International Conferences and Symposia to follow trends and new research with which to inform practice.

Participate in annual performance management and review activities.

Be aware of own emotional needs and seek support if appropriate. Attend clinical supervision regularly.


For further information, copy of the job descriptions and the application form please e-mail Chris Mak, Human Resources hr@nshospice.org.nz

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General Surgeon with an interest in Upper GI

Whangarei Hospital, New Zealand

Applications are invited from General Surgeons (with an interest in Upper GI) for a full time post based in Whangarei, but with possibly some work in our three satellite hospitals. The surgical team of six General Surgeons are looking for someone to work with them to provide comprehensive surgical care for the people of Northland.
With a population of approx 150,000 and a land mass of 12,600km2, we have the space, a subtropical climate and spectacular scenery for you to enjoy yourself in. For those with interest in coastal pursuits, the world renowned Bay of Islands and the Poor Knights Islands reserve are both within an hour's drive of Whangarei.
For those in need of more city based fun and a family focused environment, Whangarei City is growing into a multi-ethnic society with festivals, international acts and local culture blending together to make it a vibrant place to live, work and play. And, when you need really bright lights, with the recent improvements in roading, or with a cheap charter flight – Auckland is only a quick trip away.
All applicants should be eligible or able to achieve eligibility for specialist registration with Medical Council of New Zealand.

Vacancy No: MD09-006 Closing date: Open

For further information contact Gerrie Snyman, General Surgery, +64 9 430 4101 xtn 3314,
Gerrie.Snyman@northlanddhb.org.nz
For more information on Northland, please check out this site www.northlandnz.com
Applications should be sent to Meredith.Wightman@northlanddhb.org.nz, Recruitment Officer – SMO, Northland District Health Board, Private Bag 9742; Whangarei 0148. +64 430 4101 xtn 7402

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Permanent and Fixed Term Contract positions available.

Counties Manukau District Health Board provides a quality healthcare service to a large and fast-growing multi-cultural community in the south of New Zealand's largest city. It operates over two sites, Middlemore Hospital, an 860 bed hospital with 11 operating theatres, and Manukau Surgical Centre, a purpose built elective surgical unit of 78 beds and 10 operating theatres with a separately staffed Intensive Care Unit. There is a wide range of clinical sub-specialties to tertiary level, excluding cardiothoracic and neurosurgery.

A variety of terms and conditions of employment can be considered for the right applicant, including flexible hours of work, the option to work on call or not as desired, and a negotiable start date.

A broad scope of tertiary level clinical capabilities, a commitment to teaching and to continuing medical education are essential, as is a strong focus on continuing quality improvement, development and administration of departmental activities are essential.

There is a large variety of clinical work, both adult and paediatric; an Acute Pain Service, an Anaesthetic Preadmission Service, a busy Obstetric Unit, and a strong focus on Regional Anaesthesia.

The environment is challenging but friendly and supportive. There is a heavy acute workload, requiring specialist cover on site in the evenings and weekend days to support 22 Registrars and SHO’s. This is covered by the On-Call System.

An interest and expertise in acute and chronic pain would be an advantage.

Applicants are encouraged to complete a self assessment questionnaire via the New Zealand Medical Council website to check their eligibility for registration. This can be completed by visiting the website www.mcnz.org.nz and clicking on medical registration.

For further information contact Nicole Nairn in the Recruitment Centre nicole.nairn@middlemore.co.nz. applications can be made online via www.cmdhb.org.nz/careers or ask Nicole for an Application Form.

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