General Training / General Practice Training

What should employees expect from the role?
PGY2+ General Training/General Practice Training positions within the Northern Adelaide Local Health Network will provide a challenging and rewarding year, personally and professionally. The training year is comprised of four equal terms of 13 weeks, which includes rotations across the Units and Divisions listed below.

The position will offer a range of diverse opportunities to consolidate and develop knowledge, skills and attitudes, whilst building on skills and knowledge attained in internship and other medical officer positions.

PGY2+ Trainee Medical Officers appointed to NALHN will be assigned to rotations which may encompass terms at both Lyell McEwin Hospital, Modbury Hospital and Gawler Hospital where they will be well supported by colleagues.

Where possible, terms will be matched to best suit the needs and requests of the employee, with goals to aid career progression and future employment opportunities.

NALHN will ensure that PGY2+ employee’s complete terms and assessments that meet the requirements of the new AMC framework.

What are the key outcomes of the program?
This role aims to provide broad exposure and experience in a variety of medical and surgical specialities, whilst ensuring trainee safety and welfare by providing well-supported positions.

The NALHN General Training program’s aim is to ensure that the year of employment should offer terms that will assist the medical officer in meeting requirements for future career choices; some highly sought after positions are limited, and as such allocation to these terms is competitive. The Medical Services Directorate (MSD) team will do their utmost to provide rotations which meet the applicant’s preferences, whilst maintaining equality and fairness for all applicants.

The MSD has a strong focus on wellness and wellbeing and are working to improve the rotations we offer. We strive to seek your feedback and use it to improve the rotations. This is done while ensuring the anonymity of trainees so that psychological safety is maintained.

What are the hours of work and overtime?
Contract hours of work are 76 hours per fortnight. These hours will be rostered on an individual basis for each role, as determined by the specific Units and Divisions. These hours will be specified in term descriptions provided at the commencement of the term or during orientation to NALHN.

Overtime will sometimes be required by certain roles and will be provided for as per requirements the SA Health Salaried Medical Officers Enterprise Agreement 2022.

What education is provided?
All TMOs receive a comprehensive orientation and induction program at the commencement of employment with NALHN. TMOs are supported throughout the year at each site by a medical education team from the MSD, comprised of the Director of Clinical Training (DCT) Medical Education Officers (MEO) and Medical Education Registrars (MER).

Education opportunities include, but are not limited to:

• Weekly tutorials covering a broad range of medical and surgical topics of interest held at the Lyell McEwin Hospital and video conferenced across sites. These teaching activities are evaluated. This information is used to improve the sessions presented and for quality assurance.
• Weekly Medical Grand Round at both sites with guest speakers presenting various topics Clinical skills training sessions are scheduled throughout the year.
• Teaching that is more relevant to specific TMO positions will occur in each term/division to supplement the work experience. This may include tutorials, demonstrations, journal clubs, and morbidity and mortality conferences.
• MET Training simulation sessions as part of combined sessions with ICU Registrars and TMOs. TMOs can participate in simulation sessions, often in collaboration with ICU Registrars and other medical staff. These sessions focus on improving practical skills in emergency scenarios, enhancing the ability to respond to critical situations in a controlled, simulated environment.
• NALHN provides several platforms for TMOs to engage in research and gain recognition for their academic efforts, including the Ellen Price Award at Modbury Hospital for a trainee presenting original research, and Research Day at Lyell McEwin Hospital, where trainees with original research have an opportunity to present to the NALHN community are held yearly.

How will supervision be provided? Will this vary from rotation to rotation?
Supervision will be provided by Registrars and Consultant staff from the respective Divisions and Units. The MSD provides support to the Units and Divisions and are involved in formal assessment procedures.

Each TMO role will have an allocated Term Supervisor as well as other senior team members who will directly or indirectly support you.

What other support is provided?
The Medical Education Unit (MEU) staff are available to provide support, guidance and education throughout your TMO terms. They are available for your welfare/wellbeing support and debriefing whenever required.

The Trainee Medical Officer Unit (TMOU) will support your administration requirements.

Both the TMOU and the MEU are useful sources of information.

Library Services are available at both major hospital centres within NALHN which have Librarians at hand who are ready, willing and experienced to assist with research.

Both Lyell McEwin Hospital and Modbury Hospital offer on-site parking, with LMH providing the safety of a high-rise locked compound for secure parking. Modbury Hospital also offers secure parking with gated parking lots for those rostered on afternoon, night & weekend shifts. Both sites have local security officers patrolling the parking areas and monitoring the hospital for the safety and security of all employees, patients, and visitors. Both sites offer cafeteria facilities and a TMO lounge.

NALHN prides itself on promoting staff wellness. By investing in the junior medical officers that choose to work in the North and by constantly striving to ensure quality in the rotations, education and support they receive, NALHN hopes these junior doctors will become their consultants of the future.

Will the TMO supervise interns/others in their role?
TMOs will be expected to provide supervision in various roles to junior medical officers of lesser experience including interns and medical students where applicable.

Although formal supervisory capacity will remain with advanced trainees and consultant staff as allocated with each role, day-to-day supervision and education should be provided to staff from any members of staff that are capable of doing so. This may include a wide variety of tasks and skills, such as supervision of ward procedures, clinical skills, documentation and general management principles.

Regarding formal assessment, TMOs may be called upon to provide feedback to Senior staff regarding colleagues, junior medical officers, interns as well as medical students in an attempt to obtain a complete picture of the subject’s progress during the term.

What pathways are there after the year is completed?
Applicants who successfully complete the year of PGY2+ General Training/General Practice Training will have the option to continue working at NALHN via an Expression of Interest process which is run prior to the yearly SA MET recruitment process.

Alternatively, applicants can apply to other PGY2+ programs via the Statewide SA MET process.

When pre-requisite rotations have been fulfilled and the trainee attains a level of experience and development determined by the individual colleges to be suitable for accredited training in that given field, the trainee can seek new opportunities in accredited training programs.

NALHN endeavours to provide trainee positions that will assist with these future career paths within Emergency, Critical Care, Surgical, Medicine, Paediatrics, Obstetrics and Gynaecology Radiology and Mental Health subspecialties.

What should employees expect from the role?
At SALHN, our General Training/General Practice Program provides rotations in a range of specialty areas. If your particular interest isn’t listed, let’s discuss, and we’ll ensure you’re connected with the right opportunities or advocate on your behalf.

What are the key outcomes of the program?

• Other Skills Development:
  SALHN recognises the significance of non-clinical skills alongside clinical expertise and actively facilitates development. We prioritise skills development in research, quality improvement, education and leadership, understanding their vital role in enhancing patient care and supporting career progression. Trainee Medical Officers are encouraged to participate in leadership roles within various committees and forums, these platforms offer opportunities for building rapport and collaborate with colleagues.
• Personal Wellbeing:
  Trainee Medical Officers are provided with opportunities for leave, which is scheduled in advance to ensure appropriate coverage and continuity of patient care. Additionally, SALHN offers support services and resources to help Trainee Medical Officers, our Medical Education Unit and Trainee Medical Officer Unit are central supports.

What education is provided while on rotation?
Each rotation has their own teaching program which includes consultant teaching, journal club, ground round, radiology meeting, mortality and morbidity meeting, presentation just to name a few. Simulation training may also be offered.

What education is available outside of the rotation?
You will have access to SALHN’s Medical Education programs too. These programs include:

• Tutorial Program (Medi-JETS)
  Schedule once a month on Tuesday between 13:00-14:00This comprehensive program comprises tutorials and clinical skills sessions covering a diverse array of disciplines and topics. Each session is expertly facilitated by professionals in their respective fields.We highly value audience feedback, tailoring our program to meet your specific needs and preferences. Additionally, we utilise safety and quality data to ensure our content remains relevant and aligned with the evolving organisational requirements.
• Simulation Program
  2 session every Tuesday, 13:00-15:00 or 15:00-17:00This program encompasses a wide spectrum of clinical scenarios and learning objectives. You’ll receive ample notice for your sessions time, allowing you sufficient time to adjust your duties and attend. These sessions are key to maximising your learning experience and professional development. Feedback is always positive.
• GP Teaching:
  General Practice (RACGP and ACRRM Trainees)
  Those in confirmed accredited training positions that are in their final 12 months of hospital practice will be offered additional educational sessions to support their transition to community practice.

How will supervision be provided? Will this vary from rotation to rotation?
Consultants are present within the hospital within hours and on call 24/7 via switchboard. The teams’ Registrars and TMOs are available via DECT, mobile phone or text pagers. There is a clear escalation pathway for each rotation should any clarification been required.

What are the hours of work and overtime?
Rostered hours would vary with different units/divisions. On average you would expect to work 40-45 hours per week. Most rosters are over seven days. TMOs are required to record actual hours that they work on their timesheet and are paid for those hours.

Part time friendly!

What other support is provided?
For grievances and interpersonal problems in the workplace TMOs are encouraged to attempt to deal with it at that level. It is suggested to find a member of the unit e.g. Registrar, Consultant, Term Supervisor, who will review with the TMO the nature and importance of the problem and then advise the TMO or act as advocate. If that is not appropriate TMOs are encouraged to speak to their Divisional Director or Director Education and Training. If all else fails, contact the TMO Unit for a copy of the Grievance Procedures.

TMOs whom are experiencing difficulty, either personal or knowledge deficits, are encouraged to contact the TMO Unit and Medical Education Unit who are available for pastoral care and support.

Will the TMO supervise interns/others in their role?
As a general trainee you will be responsible for supporting the intern and medical student on your team.

What pathways are there after the year is completed?
If you have General Registration with AHPRA then most college accredited training opportunities are open for you to apply.

Where else can I find information?
For those currently in SA Health, please review our SharePoint page here.

What should employees expect from the role?
The Program is intended to provide junior medical practitioners with a supervised framework for developing clinical competency, with the appreciation that they will have different training needs and goals towards their intended career path.

What are the key outcomes of the program?
To provide comprehensive training in a variety of medical disciplines that will broaden the medical experience of the trainee in preparation for entering a more specialised Program.

The placements will encompass diagnostic, technical, analytical, interpersonal and communication skills as well as teaching philosophy and attitude pertinent to good medical practice.

To provide a supportive and collegial atmosphere where individual trainees view themselves as an important and integral part of this institution and where their needs and concerns are addressed and catered for.

To provide a balanced and positively rigorous training program.

What are the hours of work and overtime?
Full time is 76 hours per fortnight. Rostered overtime is common, and the amount will vary according to the unit and the roster.

Non-rostered overtime should be expected during busy periods or when there are staff shortages within the department.

Part time contracts can be negotiated with Medical Administration upon Expression of Interest.

What education is provided?
This program provides ongoing educational and training opportunities in response to the changing needs of General Trainees as you progress through your clinical rotations. These are practical, case-based discussions guiding you on how to solve problems that you can expect to experience in your daily practice.

How will supervision be provided? Will this vary from rotation to rotation?
Directly supervised by consultants as nominated in clinical departments.

All General Trainees will be formally assessed at the completion of each clinical term. The summative assessment process will involve the completion of an assessment form in discussion between the General Trainee and a Consultant member of the unit, who should represent the consensus of the unit.

In addition, it is expected that General Trainees will have undertaken a mid-term review of learning objectives with their Registrar or Consultant, as well as sought regular formative feedback on clinical and academic performance throughout the attachment.

What other support is provided?
Both RAH and TQEH have on-site Medical Education Officers, whom can be contacted with regards to pastoral care issues.

Medical Administration at RAH and TQEH can provide support with regards to annual / PD leave and human resources functions.

The Director of Clinical Training for GTs/GPTs, Dr Ken Lim, can provide assistance and guidance with regards to career progression and training support.

Will the TMO supervise interns/others in their role?
GTs/GPTs supervise interns and Medical Students on their clinical unit, if applicable.

What pathways are there after the year is completed?
For those seeking a future career in Physician, General Practice, Surgical, Radiology or Critical Care Training, a year as a GT/GPT in CALHN provides you with the support for a great steppingstone toward your ultimate career pathway.

I am a GP trainee, will I be provided with the required Paediatric exposure if I apply to CALHN?
Due to the changes in GP training with RACGP becoming a GP training provider, the Paediatric hospital requirements have become more stringent. At this stage, CALHN has limited Paediatric rotations. Although we are working with the WCH to find solutions, there is no guarantee we can provide the required paediatric experience to all GP trainees who apply. Please consider this when applying.

• Bachelor of Medicine; Bachelor of Surgery (MBBS) or equivalent.
• Registrable with the Medical Board of Australia as a Medical Practitioner with General Registration.

• High level of skills in negotiation and communication and the ability to communicate confidently and appropriately with patients and their families/relative and other health professionals.
• Skilled in problem solving and decision making at both the clinical and the individual level, at times under pressure and in stressful circumstances.
• Previous experience working as an effective team member in a multi-disciplinary environment.
• Possess basic skills in patient assessment and in ward procedures.
• Demonstrate a commitment to providing a quality service to patients and their families including the involvement of patients in their own medical outcomes.
• Can effectively use organisational skills (incorporating documentation, time management skills, critical thinking, and priority setting).
• Demonstrated commitment to continuing education, quality improvement, research and or teaching.
• Knowledge of contemporary medical practice and procedures appropriate to the level of the position.
• Knowledge of investigations and treatments appropriate to the level of the position.
• Knowledge of Work, Health and Safety principles and procedures.

Recruitment and allocation for General Training/General Practice (GT/GP) Trainees in metropolitan South Australia is undertaken as a state-wide, centralised process (for NALHN, SALHN, CALHN). Applicants who meet the eligibility criteria for employment in SA Health will be screened for suitability and ranked accordingly.

• Applicants CVs are scored, reference reports are screened to ensure criteria of 2 reports was met, and any concerns highlighted.
• The State-Wide GT/GP Recruitment interview process uses the MMI method – This involves the candidate answering 3 short answer situational questions under timed conditions.
• Candidates scores are aggregated using a formula weighting the candidates:

1. Total score
2. CV Score
3. Total Interview Score
4. Question 1
5. Question 2
6. Question 3

Implementing this weighting formula resulted in the effective sorting markers to the data captured through the recruitment process; additionally, this ensures that no applicants are placed ‘by default’ and drastically minimises the phenomenon of candidates being ranked as equal.

Candidates that are flagged as having concerns will have their recruitment files reviewed (CVs, References, and interview scores) by the Review Committee (membership Director Clinical Training).

The Statewide General Training / General Practice Trainee interviews will be via pre-recorded video interviews. Recorded video interviews will be available for one week in August (dates to be confirmed) over two weekends. This unique interview uses the world’s latest technology and allows the applicant to complete the interview at their convenience.

All Expression of Interests will be scored/ranked for shortlisting. Shortlisted applicants will be invited to a face to face or Teams interview, and in some circumstances, this can be conducted via teleconference.

SA MET will match the highest ranked candidate to this position. See the PGY2+ Application Guideline for more information on the matching process.

In addition to the standard documentation outlined in the PGY2+ Application Guideline, you will be required to provide the following:

Curriculum Vitae (CV)
Evidence of the following is required:

• Undergraduate excellence by way of awards, academic scores, leadership.
• Postgraduate excellence including evidence of higher qualifications and/or contributions to the field of medicine by way of publications/education programs.
• Outstanding achievement in more than one area of research, quality improvement and teaching.
• Participation in continuing professional development in multiple fields.
• Seeking additional, higher education experiences beyond the immediate position.
• Extracurricular activities (i.e. JMO forum, committees).

Other Expression of Interest questions not applicable.

Cover letter not required.

All general training applicants are required to provide a CV and a minimum of two completed referee reports.

Interview

Recorded video interviews will be available for one week in August over two weekends (dates to be confirmed). This unique interview uses the world’s latest technology and allows the applicant to complete the interview at their convenience

The State-wide GT/GP Recruitment interview process uses the MMI method – This involves the candidate answering three short situational questions under timed conditions (two-minute reading time and – three-minutes response time).

Each question is scored on how well the candidates provides an example of clear and sound reflection on their role in the situation and/or their learning re how to respond in a future situation.

Applicants are shortlisted and notified of their interview by email. All relevant information about the recorded video interview process will be in an email. The contact person will be noted in the signature block of the email.

Review Committee

If an applicant is unhappy with their outcome (or in the event of any other conflict) they should email the Lead of the Statewide Recruitment who will direct them to the appropriate recruitment team to discuss the issue(s) of concern with them.

For applicants who disagree with the initial assessment there is opportunity to escalate to the Statewide General Training / General Practice Training Review Committee who will assess the Expression of Interest independently of the initial reviewing team, and based on the evidence available, will determine the scored assessment for ranking in the GT/GPT allocation process.