Specialist Intensive Care and Anaesthesia
Full time, Permanent
As we develop our refurbished ICU at Dunedin Hospital, we have opportunities for a Specialist Intensivist and Anaesthetist. The post would be suited to either a recently qualified specialist desiring a supportive and interesting work environment with a strong team-based culture or an already established specialist seeking new challenges and opportunities in their career development or a move for improved life-style and work-life balance.
A new 22 bed ICU–HDU complex is scheduled to open in 2018. Dunedin Hospital has almost 400 beds and provides care for a population of approximately 180,000 spread over the lower South Island of New Zealand including some tertiary services provided to over 309,000 in the SHDB. The current 8 bed ICU admits around 720 patients per annum with a split of 1.2 : 1 acute vs elective. The current HDU has recently expanded to a total of eight beds housing a mixture of neurosurgical, general surgical and occasional medical HDU patients over two locations – the HDU patients are currently cared for by their individual primary teams with assistance from the ICU service as required. With the opening of the new combined ICU-HDU complex, it is intended to transition primary responsibility for care of patients in both ICU and HDU to the Department of Critical Care Medicine with input from their hospital specialist teams as required. Although comparatively small to many of Australasia’s larger metropolitan ICUs, the case-mix is refreshingly diverse as a result of the location and large geographical catchment area: cardiothoracic surgery, neurosurgery, major vascular surgery, trauma as well as general medical and surgical patients are catered for. Paediatric and burns patients re also stabilised and cared for in the ICU until safe transportation to Starship PICU in Auckland or Middlemore Hospital Burns Unit can be arranged if required.
Clinical ICU duties are currently shared with 6 other colleagues with an intention to increase to a total of 9 by the end of 2018 and 12 by 2020. Additionally, colleagues from emergency medicine and anaesthesia currently participate in the voluntary (but remunerated), night-time and weekend aero-medical retrieval roster. The department is very much in evolution and presents an excellent opportunity for an enthusiastic and adaptive colleague to contribute to the development of the service and to help shape the ICU, HDU, outreach and AME services for the future. A research supervisor post without clinical duties and joint academic-clinical intensive care senior lecturer/associate professor post are being established by the SDHB and the University of Otago; opportunities to be involved in both clinical and health economic research are expected to increase incrementally over the next three years.
The post-holder will be expected to provide a mixture of cover for ICU, HDU, retrieval services, outreach service and anaesthesia. Administrative duties in governance, quality and safety, clinical review, audit, simulation, teaching, research supervision, mentoring and business-planning are shared amongst the departmental team and some participation in one or more of these areas will be expected as part of the post-holder’s non-clinical duty allocation. It is encouraged that individual members of the department become champions for subspecialty interests such as advanced ventilation, renal replacement, transfusion, antibiotic stewardship, neuro-critical care, health IT, paediatrics and a wide variety of interests can be accommodated by negotiation. It is an exciting time to be joining the department with training programmes developing in ICU-US, an in-situ simulation training suite opening in the new unit, BASICS, paeds-BASICS and RACE-plus courses all being hosted in Dunedin over the next 18 months and programmes in health-economics and management training being developed.
The ICU is currently covered using a mixture of day shifts, evening shifts with later night-call, and weekend call. However, the roster and work-patterns are evolving dynamically as our staffing increases and models of care modernise. The post-holder will be expected to undertake a full share of the Intensive Care on-call roster with other members of the team and also to contribute to the ICU-covered theatre lists during normal working hours in the theatre complex. No out-of-hours duties are anticipated for the anaesthetic service. Additional payment is made for clinical duties outside of regular hours in negotiation with the Southern District Health Board. Aeromedical retrieval duties and occasional attendance at primary missions within normal working hours are anticipated as part of this post but are not essential to the role and can be swapped with other duties by mutual agreement and negotiation.
Outside of work, Dunedin is an excellent city to live in. It boasts a very competitive cost-of-living by Australasian standards, offers excellent schools, a relaxed lifestyle, world-famous wildlife on the Otago Peninsula, acclaimed museums and excellent access to outdoors pursuits such as skiing/snowboarding, fishing, surfing, kayaking, mountain-biking, and tramping. Many staff combine a hospital career with care of life-style blocks, pursuit of sporting or equestrian interests, viticulture or even farming. The city-centre is compact but has plenty of energy with more than 20,000 students adding to the local population in term-time.
A thriving live-music scene, two theatres, three cinema complexes, periodic rock concerts and regular regional and national as well as intermittent international rugby matches add to the city’s vibrancy. Cultural events run annually include ID Dunedin Fashion Week, the Dunedin Fringe Festival, the Dunedin Writers Festival, the Matariki Festival and numerous smaller events such as Summer Cuisine Scene and the Christmas Parade. In 2014, Dunedin was designated a UNESCO Creative City of Literature. The region is very family focused with facilities for numerous sports and recreational activities spread across the area and easy access to Central Otago with all of its great holiday spots and outdoor recreation opportunities.
To be considered for this post, it is essential that you have completed or are shortly to complete a post-graduate training in both intensive care medicine and anaesthesia, ideally holding FCICM and FANZCA or their equivalents. Informal enquiries and expressions of interest are welcomed. Applicants who wish to work part-time (0.5) in Intensive Care Medicine only would be considered. We will be considering all applications individually on receipt. Informal enquires can be made to either Craig Carr, Clinical Director of Intensive Care Medicine (email@example.com) or Lisa Horrell, Clinical Director of Anaesthesia (firstname.lastname@example.org).
Closing Date: Sunday 23rd July 2017
For further information please contact Milair Ryalls, Recruitment Advisor – Senior Medical Officers, Phone (03) 470 9604 or Email:email@example.com