Trainee

The vision for South Eastern Sydney Local Health District (SESLHD) is ‘exceptional care, healthier lives’. SESLHD is committed to enabling our community to be healthy and well, and to providing the best possible compassionate care when people need it.
The position will provide expert medical assessment and management of patients within the department/service.    Our staff strive to provide excellence in healthcare and uphold a high standard of care for all patients, families, carers and visitors to our facilities.

At the core of our organisation is a set of values - Collaboration, Openness, Respect and Empowerment.

SESLHD covers nine Local Government Areas from Sydney's Central Business District to the Royal National Park and has a culturally and linguistically diverse population of over 930,000 people, which includes highly urbanised areas of eastern Sydney, southern Sydney and industrialised areas around Port Botany.

SESLHD covers urban and suburban communities and manages eight public hospitals and one public nursing home:

•  Calvary Healthcare Sydney (third schedule with Little Company of Mary Health Care)

•  Prince of Wales Hospital

•  Royal Hospital for Women

•  St George Hospital

•  Sutherland Hospital

•  Sydney/Sydney Eye Hospital

•  War Memorial Hospital (third schedule with Uniting Care)

•  Gower Wilson Memorial

•  Garrawarra Centre

SESLHD also operates 28 Child and Family Health Centres, 12 Community Health Centres and nine Oral Health Clinics; providing prevention, early intervention and community-based treatment, palliative care and rehabilitation services.

Drug and Alcohol, Mental Health, Breast screening, HIV/AIDS, Public Health, Women's Health, Youth Health, Sexual Health, Imaging and Pathology services are provided at a number of facilities across SESLHD.

SESLHD is committed to creating a workplace that reflects the diversity of our community. This will help ensure our employees, our patients and their carers, feel supported.

St George ICU is an award winning state of the art Level 3 Intensive Care unit in a 700-bed tertiary referral and the major trauma centre for SESLHD. The unit treats over 3000 patients each year (including 500 post-op cardiothoracic patients) and has 52 physical beds. The unit offers exposure to a broad range of high acuity subspecialty intensive care, including trauma, cardiothoracic surgery, neurosurgery, complex abdominal surgery and ECMO. The department places an emphasis on welfare, diversity and a culture of inclusivity. 

Where you'll be working

The primary location of this position will be Intensive Care Unit at St George Hospital: Level 4, Acute Services Building, St George Hospital, Gray St, Kogarah NSW 2217.

10 REASONS TO CHOOSE ST GEORGE HOSPITAL FOR YOUR MEDICAL TRAINING 

1.       Live in the bustling city, by our gorgeous beaches at world famous Bondi and Cronulla, or the eclectic inner west – we’re only a very short commute and easily accessible by car or public transport with a great work life balance

2.       A fabulous local café culture

3.       A welcoming and supportive culture with fantastic, committed, and friendly consultants

4.       Hands on experience

5.       State of the art facilities with a brand-new ambulatory care and outpatient precinct due for completion in 2026

6.       The largest tertiary referral hospital in the district and the principal teaching hospital of the University of New South Wales with opportunities for JMOs to contribute to medical student teaching

7.       One of the state’s leading level 1 centres for trauma and emergency management

8.       A committed Medical Workforce team dedicated to supporting you throughout your medical training

9.       Strong links with Justice Health, Calvary, Sutherland, Griffith, Shoalhaven and Coffs Harbour for a wide and varied range of experiences

10.   An unwavering commitment to diversity, inclusion and belonging

What you'll be doing

The primary purpose of the position is to provide quality intensive care to patients in a complex clinical environment whilst participating in the College of Intensive Care Medicine (CICM) training program, with the goal of obtaining fellowship of CICM.

St George ICU is an award winning state of the art Level 3 Intensive Care unit in a 600-bed tertiary referral and the major trauma centre for SESLHD. The unit currently treats over 3000 patients each year (including 500 post-op cardiothoracic patients) and has 52 physical beds of which 36 beds are currently funded. Most surgical and medical subspecialties are represented in the case-mix in keeping with the tertiary referral centre status of the hospital. In addition to the major trauma, neurosurgery, cardiothoracic surgery and complex GI cancer surgery, the ICU provides an ECMO service.

There is an ICU-based echocardiography service with an opportunity for hands-on training and supervision for those seeking formal qualification in echocardiography. There is also a fully equipped simulation centre in the Intensive Care complex where regular multidisciplinary simulation sessions are held.

Trainees work under the supervision of Specialist Intensive Care Physicians to manage patients requiring intensive care, as well as those at risk of clinical deterioration. The position is flexible and has graded responsibility to allow increasing clinical autonomy, development of skills in research and administration, and to build on skills and attributes acquired in the early years of training to assist the movement of the trainee into specialist practice.

In addition to the accredited training program for the College of Intensive Care Medicine (CICM), the unit also contributes to anaesthetics, surgery, physician and emergency medicine training. Trainees in the specialty of Intensive Care may be seconded to rotational positions in Anaesthesia or Medicine, according to their training requirements.

Key responsibilities include:

·         Clinical duties as assigned by the Consultants on duty.

·         Immediate management of ICU patients and assist in the day-to-day clinical management of patients in Intensive Care Unit at St George Hospital, Kogarah and ICU at Shoalhaven Hospital, Nowra

·         IT work in Shoalhaven Hospital ICU for a period of 3 months as part of rotation to District Hospital from a Tertiary Centre

·         Attend consult calls from the wards, Emergency Department and Medical retrieval unit.

·         Discuss all admission requests with the ICU Consultant/ Provisional Fellow

·         Assist in liaising with the other teams involved in patient management.

·         Participate in ALS team, Trauma team, and ICU Outreach program.

·         Documentation of history and physical examination on admission and on a continuing daily basis

·         Ordering, follow-up, review and recording of investigations according to protocol and direction.

·         Complete discharge summaries when directed by the Provisional Fellow/ Consultant on duty.

·         Daily progress notes (including documentation of decisions made on the daily Consultant round).

·         Specialised procedures as directed and supervised by the Provisional Fellow/ Consultant on duty.

·         Communicate all TPN requests to Provisional Fellow or TPN Lead Clinician.

·         Implementation of Provisional Fellow / Consultant instructions for patient management.

·         Presentation of patient history, progress and management plans at hand over meetings held at the change of      shifts each day.

·         Training and supervision of Resident Medical Officers.

·         Participate in clinical research and quality assurance activities of the Unit.

This position ensures that the ICU services at St. George Hospital and Shoalhaven District Hospital under the South East Sydney LHD are provided as per the standards laid by CICM for functioning of a tertiary intensive care unit. ICU at St George has 52 physical beds of which 36 beds are funded at present.

Important information:

1. The Selection Criteria is available in the position description and this must be addressed when you apply to the position

2.  This is a Category A position. All Category A+ applicants must read and understand NSW Health Policy PD2023_022. Successful applicants to the role must provide vaccination history and pathology as part of the application documentation, and be certified as compliant before employment can commence. A link will be provided once deemed successful