Position Description

POSITION TITLE: Plastic and Reconstructive Surgery Registrar DIVISION: Surgical Services
REPORTS TO: Unit Consultant DIRECT REPORTS:
ENTERPRISE AGREEMENT: EVA 2018 -21 CLASSIFICATION: Hm 25 - 30
APPROVED: APPROVAL DATE: May 2018
PRIMARY OBJECTIVE:
To provide effective supervised day to day clinical management of both ambulatory and admitted patients to the Clinical Unit, whilst fulfilling Medical Board of Victoria pre-
registration training requirements.
BARWON HEALTH VISION – Together with our community we build healthier lives, inspired by world class standards

PRIORITIES VALUES
RESPECT
Our Consumers at the Forefront We RESPECT the people we connect with
Our People at their Best
COMPASSION
Right Care, Right Time, Right Place We show COMPASSION for the people we care for and work with

Research, Education and Training for Excellence

COMMITMENT
Our Community’s Wellbeing We are COMMITED to quality and excellence in everything we do

ACCOUNTABILITY
Mission We take ACCOUNTABILITY for what we do
With our consumers at the forefront, we excel in delivering efficient integrated care,
education & research to advance health and wellbeing for all. INNOVATION
We drive INNOVATION for better care
POSITION DIMENSION & DECISION MAKING AUTHORITY: KEY COMMUNICATION CONTACTS (INFORMED):

Without referral to Manager (RESPONSIBLE) Contact/Organisation Purpose/Frequency of Contact

 To attend to urgent and emergency clinical problems in a timely and  Unit Consultant, Inpatient medical  Daily multiple times
prompt manner. staff, junior medical staff, Nursing
 To organise patient admissions so that all inpatients have appropriate Staff
clinical plans
 To ensure clear, accurate communication with patients and/or relatives  Daily/multiple times
regarding their presenting condition, using the concept of informed
consent  Patients , Families, Carers
 To document changes in condition, results of investigations and
procedures which may alter diagnosis, management or discharge status,  Daily
clearly in the patient record
 To communicate relevant and important clinical information to Unit  Surgical Services, Directors,
Consultant who are responsible for the care of the patient at all times, Administration staff
including patient handover at weekends and when going off duty
 To participate in all clinical service of the Surgical Unit, including  Daily/ Required
Operating Theatre lists, Outpatient Services and Endoscopy lists
 Participate in after-hours cover according to a roster and with support of  Medical Care Providers
Consultant Surgeon
 When Required
 To supervise and support Surgical staff, including Surgical Registrars and
Interns
 Department of Health

After Consultation with Manager or others (CONSULTED)

  Decisions outside position delegation

KEY ACCOUNTABILITIES:
Key Result Area Major Activities Performance Measures
Patient Assessment  To attend to patients of varying acuity and  Feedback
condition and to ensure the assessment and  Professional development review.
management of these patients is appropriate,  Patient satisfaction
timely and clearly documented.  Clinical unit audits – sanctioned by consultant
 Involve Unit Consultant as appropriate to ensure staff
quality patient care is attained and maintained.  Quarterly assessment of performance

Patient Care and Management
 Overall care of Plastic and Reconstructive  Feedback and professional development review.
surgery patients, both in inpatient and  Client (patient) satisfaction
outpatient  Demonstration of effective management plans
 Clinical unit audits – sanctioned by consultant
 Prioritise treatment of multiple patients
staff
simultaneously according to urgency of  Quarterly assessment of performance
conditions
 Formulate and execute an appropriate
management plan for patients
 Recognise personal limitations with an ability to
judge when to seek advice and/or assistance
 Involve Unit Consultant as appropriate to ensure
quality patient care is attained and maintained.
 Organise relevant investigations in consultation
with registrars and senior colleagues
 Document changes in conditions, results of
investigations and procedures which may alter
 diagnosis, management of discharge status
clearly, in the patient record.
 To prescribe inpatient and discharge
medications under guidance of senior doctors.
Review medication lists regularly and be
cognisant of important and common potential
drug interactions and side effects.
 To organise patient admissions so that all
inpatients have appropriate clinical clerking
which at a minimum includes:
- The presenting complaint and duration
- The relevant past medical history and
comorbidities
- The relevant family history and social
circumstances
- A list of current medications
- Documenting known allergies or sensitivities to
pharmacological and other agents
- Performance and documentation of a systemic
patient examination
- Documenting of provisional diagnosis
- Documenting a management plan
- Education of the patient and/or relatives re their
presenting condition, using the concept of
informed consent.
- Recording a discharge plan
- To provide clear and informative discharge
summaries within 24 hours of discharge
- To demonstrate effective time management
skills, so that work is dealt with according to
priority
Professional and personal competence  Participate in continuing medical education  Demonstrated attendance and participation at 5
activities in the hospital under the guidance of hour protected teaching time each week
the Supervisor of Surgical Training and/or  Organisational feedback and professional
Professor of Surgery development review
 Recognise personal limitations with an ability to  Clinical unit audits – sanctioned by consultant
judge when to seek advice and/or assistance staff
 Develop an understanding of common medical  Quarterly assessment of performance
conditions and practical skills relevant to Surgical  Evidence of implemented education &
Services development program.
 Accept direction and feedback to assist in
ongoing learning
 Demonstrate an ability to work as part of a
team, understanding the roles and
responsibilities of other health professionals
 Demonstrate professional and ethical behaviour
when dealing with colleagues and patients
 Show self-evaluation skills in relation to
professional performance
 Continuous improvement as appropriate with
the scope of the appointment
 To attend the HMO educational program,
hospital grand rounds and other relevant
meetings
 To gain an understanding of the role of the
members of the multi-disciplinary team in the
management of each patient
 Assist the other Plastic and Reconstructive
consultants in the management of the
Department including participation in:
- On call roster
- Session roster, including outpatients and
theatre
- Ward rounds
- Teaching to medical students, junior doctors
nursing and allied health staff
- Research
Communication  Demonstrate effective timely communication  Feedback and professional development review.
skills with nursing staff, medical staff and other
health professionals
 Develop professional rapport with patients and
their relatives
 To communicate to patients and / or relatives in
an empathetic and informative manner
 To communicate relevant and important clinical
information to senior medical staff and
colleagues who are responsible for the care of
the patient at all times, including patient
handover at weekends and when going off duty
 Demonstrate an ability to communicate
effectively with patients and their relatives
including an ability to explain procedures and/or
teach home management where appropriate
 Facilitate communication with other Health Care
Providers
 Work in close collaboration with senior nursing
staff in the general wards to ensure high quality
Plastic and Reconstructive care is provided to all
patients within the hospital
Safety and Quality  Promoting continuous quality improvement  Service adherence to clinical quality standards
activities  Participation in incident and complaint
 Reporting clinical incidents, case reviews, root management, peer review activities and quality
cause analysis and complaints as required. improvement initiatives
Occupational Health and Safety
Equal Opportunity
Information Technology Skills
 Awareness of and adherence to organisational  Adherence to OH&S policies and procedures.
OH&S policies, procedures and legislative  Up to date with compliance issues.
requirements.
 Participate in regular training as required
including Hospital emergency, fire and
evacuation procedures and policies.
 Be conversant with and respond to the action
required in the event of either an internal or
external emergency situation.
 Develop and maintain sound knowledge of and  Aware and promotes EEO policies and
commitment to Barwon Health Equal procedures
Opportunity Policies and Procedures.
 Ensure that every staff member is treated fairly,
equitably and not subject to any form of
harassment.
 Ensure all staff are aware of the appropriate and
acceptable standards of behaviour, their rights
and responsibilities under the state and federal
legislation.
 Use information technology by completing the  Demonstrated effective use of required
computerised medical record, as an adjunct to technologies.
or instead of the written record where this is  Feedback
available  Performance Development Review
 Use information technology to access
information for patients and illnesses.
 Access both relevant and current literature to
assist with understanding clinical problems and
formulating the best possible management plans
Legislation / Regulations:  Provision of clinical care is practiced in line with
relevant and applicable legislation/regulations
 Follow local guidelines/policies to assist with
delivery of efficient/effective healthcare
 Understand the application of National Safety
and Quality Standards to ensure compliance
with applicable regulatory bodies is maintained.
GENERIC STATEMENTS  Exhibits a commitment the Barwon Health’s
Values including team based above and below
behaviours
 Undertake special projects or reports required
by the Manager on a wide range of issues
 Report all incidents through the incident
management system
 Practice in accordance with the relevant health
care or industry standards
 Demonstrate an understanding of appropriate
behaviours when engaging with children
 Complete mandatory training and education
 Comply with relevant Barwon Health policies
and procedures
 Participate in quality improvement activities
 Perform all other duties as directed within the
limits of skill, competence and training to
maximise flexibility and effectiveness
 Evidence of documentation
 Demonstrated adherence to Barwon Health
policy and procedures and other applicable
regulation/ legislation.
 Clinical unit audits – sanctioned by consultant
staff
 Quarterly assessment of performance
 Adherence to National Quality and Safety
Standards
 Barwon Health values modelled at all times.
 Performance Review
 Demonstrated use of incident management
system
 Adherence to applicable health care or industry
standards
 Demonstrated completion of mandatory training
 Adherence with Barwon Health policy and
procedures
 Adherence with Child Safe Standards
 Active participation in required quality
improvement activities
 Performance Review
KEY SELECTION CRITERIA – LEADERSHIP CAPABILITY FRAMEWORK: Leadership Capabilities - Leading Others
AWARENESS OF SELF
Builds and maintains resilience:
• Persists and focuses on achieving
objectives, even in difficult circumstances
• Encourages others to take a resilient and
optimistic approach at work
Demonstrates commitment to personal
development:
• Critically analyses own performance
• Is open to feedback and is responsive in
adjusting behaviour
COMMUICATE
Communicates clearly:
• Uses non-threatening language to
address and defuse challenging
situations before they escalate
• Provides rationale for decisions
• Shares information and keeps others
informed and up-to-date about what is
happening
• Explains complex information using
language appropriate for the audience
Listens, understands and adapt to others:
• Assesses the emotions of others and
then adapts words, tone, and gestures
accordingly
• Encourages others to share their view
point and ideas
RELATIONSHIPS
Works in teams:
• Gains trust and support of others
• Implements formal and informal team-
building activities
• Fosters teamwork and rewards
cooperative and collaborative behaviour
• Resolves team conflict using appropriate
and respectful strategies
Develops others:
• Takes time to understand the career
objectives of team members
• Provides coaching, training opportunities
for team members
• Promptly identifies and constructively
addresses under-performance
RESULTS
Supports a shared purpose and direction:
• Shows personal commitment to the
mission, vision and values of Barwon
Health
• Provides direction to others regarding the
purpose and importance of their work
aligned with the mission, vision and
values of Barwon Health
Displays openness to change:
• Encourages others to be flexible and
understand the impact of and benefits of
change
• Recognises and reinforces the
behaviours of those who embrace
change
 • Attracts and selects new staff that live
the Barwon Health Values

Exemplifies personal integrity and
professionalism:
• Models the Barwon Health Values and
Code of Conduct,
• Confronts and deals with inappropriate
behaviours in alignment with the Barwon
Health Values and Code of Conduct
• Demonstrates consistency between
words and actions
Influences positive outcomes:
• Establishes credibility
• Listens to and evaluates differing ideas
• Discusses issues credibly and
thoughtfully
Values individual differences and Takes accountability for achieving quality
diversity: and excellence:
• Encourages the exploration of diverse • Challenges self and the team to achieve
views high quality results aligned with mission,
vision and values of Barwon Health
• Creates inclusive teams in which a
diversity of people feel they are valued • Looks for new or better ways of doing
and respected things and takes action
• Discerns the differing and preferred
working styles of individuals and uses
this information to enhance the operation
of teams

KEY SELECTION CRITERIA - SPECIALIST KNOWLEDGE:

Appointment to this position requires proof of qualification and/or registration with the appropriate registration authority, including any necessary endorsements, to be provided
prior to commencement of duty

QUALIFICATIONS AND EXPERIENCE –

ESSENTIAL:

 Postgraduate experience in an environment where similar Plastic and Reconstructive Surgery is practised
 Evidence of current AHPRA General Registration

 Evidence that you exhibit high standards of professional behaviour; integrity, punctuality, reliability and ethical practice?
DESIRABLE:

 Do you have an intention to train to become an Plastic and Reconstructive Surgeon