Advanced 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.

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 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 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 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. 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.

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. 

Advanced Trainees work under the supervision of Specialist Intensive Care Physicians to lead the multidisciplinary ICU team 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.  Advanced Trainees in the specialty of Intensive Care may be seconded to rotational positions in Anaesthesia or Medicine, according to their training requirements. 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.  Advanced Trainees work under the supervision of Specialist Intensive Care Physicians to lead the multidisciplinary ICU team 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. 

Advanced 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 for ICU.

*  Implementation of all Consultant instructions for patient management in ICU including the implementation of relevant guidelines and protocols.

*  Supervision of activities and tasks allocated to ICU Advanced Trainees and Residents, including patient management and documentation.

*  Discussion of any concerns regarding patient management with the Duty Consultant

*  Liaison with referring Consultants or their Advanced Trainees/ Fellows regarding patient management.

*  Supervision of all ward rounds.

*  Specialised procedures as directed and supervised by the Consultant on duty.

*  Attend cardiac arrest calls, trauma calls and medical emergency calls when required.

*  Participate in the onsite duties at night when rostered.

*  Contribution to the weekly teaching program, including tutorials, journal club and lectures by guest speakers.

*  Teaching of Advanced Trainees, Residents and nursing staff.

*  Participate in clinical research and quality assurance activities within the unit including Mortality and Morbidity presentation at the monthly audit meeting.

*  Completion of APACHE forms for all patients admitted to ICU in a timely manner (within 48 hours of admission).

Important information:​​​​​​​
​​​​​​​- The Selection Criteria is available in the position description and this must be addressed when you apply to the position
- This is a Category A position. All Category A applicants must read and understand NSW Health Policy PD2024_015. 
-  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