Role Title: Consultant Rheumatologist

Position Description

Role title: Consultant Rheumatologist

Reports to: Clinical Leader for clinical performance and other Professional duties. Service Manager for employer and related service matters.

Directorate: Surgical

Direct reports: Registrars and junior medical staff appointed to the Rheumatology Service and students attached to the unit.

Location: Rheumatology Service, Dunedin Hospital

Role of the District Health Board

Our Vision:

 Better Health, Better Lives, Whanau Ora.

Our Mission:

 We work in partnership with people and communities to achieve their optimum health and wellbeing.  We seek excellence through a culture of learning, enquiry, service and caring.

Our Values:

Kind Looking after our people: we respect and support each other. Our Manaakitanga hospitality and kindness foster better care.

Open Being sincere: we listen, hear and communicate openly and Pono honestly. Treat people how they would like to be treated.

Positive Best action: we are thoughtful, bring a positive attitude and are always looking to do things better. Whaiwhakaaro

Community As family: we are genuine, nurture and maintain relationships to promote and build on all the strengths in our community. Whanaungatanga

Our Statutory Purpose:

 To improve, promote and protect the health of our population.  Promote the integration of health services across primary and secondary care services.  Seek the optimum arrangement for the most effective and efficient delivery of health

Consultant Rheumatologist, Southern DHB Page 1 of 9 services.  Promote effective care or support for those in need of personal health or disability support services.  Promote the inclusion and participation in society and the independence of people with disabilities.  Reduce health disparities by improving health outcomes for Maori and other population groups.  Foster community participation in health improvement, and in planning for the provision of, and changes to the provision of services.  Uphold the ethical and quality standards expected of us and to exhibit a sense of social and environmental responsibility. Purpose of the Role The Rheumatology Service sits with the Orthopaedic service under the Specialist Surgery Service. The Specialist Surgery Service is committed to implementing a team-based approach to provide excellence in patient care. The Specialist will work with other members of the Specialist Surgery Service team to provide clinical services and is expected to participate in the appropriate team’s training activities with the objective of providing a high standard of clinical practice and clinical expertise, while contributing to the provision of efficient and effective Rheumatology services within the Southern Region.

Organisational Competencies Customer Focus Is dedicated to meeting the expectations and requirements of internal and external customers; gets first hand customer information and uses it for improvements in products and services; acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect.

Integrity and Trust Is widely trusted; is seen as a direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences; admits mistakes; doesn’t misrepresent him/herself for personal gain.

Drive for Results Can be counted on to exceed goals successfully; Is constantly and consistently one of the top performers; very bottom line oriented; steadfastly pushes self and others for results.

Managing Diversity Manages all kinds and classes of people equitably; deals effectively with all races, nationalities, cultures, disabilities, ages and both sexes; hires variety and diversity without regard to class; supports equal and fair treatment and opportunity for all. Key Relationships Internal External Patients (and their family/ Other healthcare providers Community groups whanau/caregivers). Other health professionals Service Managers/Charge Nurse Managers Medical staff in other disciplines. Knowledge, Experience and Skills required

Essential Criteria

Consultant Rheumatologist, Southern DHB Page 2 of 9  Able to work well with professional staff from a wide range of disciplines.

 Able to work positively, sensitively and constructively with managers, professionals, cultural and elected representatives from a wide range of community organisations to secure positive on-going public health outcomes.  Able to work flexibly and independently as well as part of a multidisciplinary team.

 Openness to change and willingness to adapt and initiate change within the overall development of services to better meet the needs of the population.

 Respect for others – promotion of mutual trust.

Experience/Knowledge

 Be registered as a medical practitioner with the Medical Council of New Zealand or eligible for registration with the Medical Council to enable practice within New Zealand.

 Hold a higher qualification appropriate to the practice of Rheumatology. This qualification must be recognised by the Medical Council for vocational registration as a Rheumatologist.

Key Accountabilities Deliverables Example Measures

Clinical Duties  To attend to Rheumatology inpatients  Undertake the above and outpatients as required. mentioned  To expedite appropriate and timely duties/activities to the discharge of Rheumatology inpatients satisfaction of the and outpatients. Clinical Leader and  To arrange inter-hospital transfer of the Service Manager. patients as required, including compiling of clinical information and undertaking consultation with medical colleagues and nursing team.  To follow up patients in outpatient clinics as and when clinically appropriate.  To prioritise referral letters and allocate to clinics as clinically appropriate.  To provide guidelines for junior medical staff relating to the management of patients and to delegate tasks and responsibilities appropriately to junior medical staff.  To conduct two four hour general rheumatology clinics per week and an injection clinic weekly on a 1:4 rota.  To participate in the Rheumatology on call roster on a 1:4 basis  Provide regular ward-based activities/teaching sessions as required.  To maintain and enhance the provision of an acceptable standard of care to both outpatients and inpatients within the care of the Rheumatology Service.  To participate in outreach clinics as required at times to be mutually agreed usually once a month. This will involve

Consultant Rheumatologist, Southern DHB Page 3 of 9 travelling to outreach hospitals/clinics. Teaching sessions for rural and primary practitioners may form part of this process. A board car or flight as appropriate will be provided for such travel commitments.  Provide all patients with a full explanation of all procedures and treatments.  Obtain informed consent from all patients in accordance with Southern District Health Board’s policy for undertaking any operation, test or procedure.  Maintain a high standard of professional care in accordance with the New Zealand Medical Association Code of Ethics and in accordance with the New Zealand Rheumatology Association protocols and standards documents, statutory and regulatory requirements and Southern District Health Board policies.  Deliver care on a sessional basis in Rheumatology, in a timely and cost effective manner.  Be punctual in the commencement and delivery of service provision.  To place patients on the Rheumatology booking system as per established criteria and to assign priorities according to the degree of urgency.  Administration  To attend review sessions, audits, Southern District Health budgetary meetings and other Board is committed to departmental meetings as developing self- appropriate. managing teams and  To maintain quality clinical records, the consultant will: clinical care pathways. 1. Ensure prompt reporting of The specialist will patient diagnostic, participate in developing treatment and discharge these philosophies to information (typically within meet service and five days of discharge); organisational 2. Actively participate in objectives. seeking accurate coding of Rheumatology service data; 3. Ensure necessary documentation is completed in a timely and accurate manner, eg medical audit.  To prepare reports as agreed for outside agencies as requested, eg Accident Compensation Corporation, New Zealand Police, Department of Social Welfare, etc. Where this task is carried outside Consultant Rheumatologist, Southern DHB Page 4 of 9 of scheduled hospital work time, payment will be arranged in advance through Southern District Health Board.  To prepare reports for hospital management as required and where appropriate.  To document and update all relevant procedures and policies.  To endeavour, with management, to achieve performance and financial objectives within the Rheumatology services, including throughput and budget targets.  To assist with the interpretation of statistical and clinical information for management as required and where appropriate.  Attendance and contribution at regular Health and Safety meetings (Fire Training is mandatory).  Undertake annual training/recertification in CPR/ALS practices.  Demonstrate personal commitment to meeting Southern District Health Board service objectives.  Maintain comprehensive, accurate and up-to-date records for all patients seen.  Complete and dispatch reports in a timely manner or by due date.  Update, as and when necessary, all policy and procedure documents for which you are responsible.

Communication  Ensure that the service is The provisions of the delivered in a sensitive way to Privacy Act, the Health both the users and family and to Code, Southern District be culturally sensitive in all Health Board policies personal decisions and actions undertaken in the delivery of that and contractual service. provisions bind all  Ensure that patients receive and Southern District Health understand an appropriate level of Board staff when they information regarding their are communicating with condition(s) and its/their patients, relatives and management. other members of the  Attend promptly to all patient complaints, observing Southern public and other health District Health Board procedures professionals. on such matters.  Organise and respond to hospital communications regarding patient matters.  Communicate effectively and in a

Consultant Rheumatologist, Southern DHB Page 5 of 9 timely manner with the next of kin, in particular where patients or minors are unable to fully comprehend the implications of management options.  Communicate with general practitioners to facilitate timely and appropriate follow-up care of patients.  Maintain effective interpersonal relationships with multi-disciplinary staff, patients and relatives.  Handle problems and complaints sensitively, following Southern District Health Board protocols for dealing with complaints.  Staff  To participate in undergraduate The employee has a Training/Teaching and teaching of Rheumatology and its professional Supervision related aspects (responsibility for responsibility to provide this is through the Head of undergraduate and Medicine section to the Dean of the Otago School of Medicine). postgraduate teaching  To supervise Rheumatology to all health registrars and junior medical professionals of lesser officers and contribute towards skill, knowledge or their training experience as experience. This required. obligation includes  Support clinical supervision and informed instruction instruction with timely and appropriate reports on individual during routine clinical performance. activities.  Where the specialist has direct supervisory responsibility for staff, he/she will provide immediate feedback relating to performance as appropriate.

Research and Review  To participate in approved  research projects within the service. Research is considered an integral part of medical practice.

Self-Learning  Participate in the RACP Southern District Health Maintenance of Standards Board encourages its programme or equivalent, as specialists to participate agreed by the Clinical Leader. in these activities and in  Participate in professional Continuing Medical Education the activities of other (CME) activities. relevant learned  Participate in regular performance societies as well as the reviews. publishing of reports  Demonstrate a commitment in and papers, the maintaining and updating own organising of knowledge and skills. conferences, the  Maintain membership in professional societies in order to invitation of experts, the fulfil CME and recertification membership of national Consultant Rheumatologist, Southern DHB Page 6 of 9 requirements. committees, in that  Contribute to maintenance of high these activities also professional and ethical standards reflect well on the in the service. organisation and service  Contribute to professional education and assessment and on the calibre of its programmes. staff.  Actively participate in medical credentialing activities as to be  determined within Southern District Health Board.  Provide yearly evidence of full participation in the RACP Maintenance of Standards programmes and other MOPS activities that are agreed with the Clinical Leader.  Identify research needs and when appropriate undertake research projects within the department after securing peer review and prior approval by Southern District Health Board’s ethical committee and the Group Manager.  Attend and contribute to meetings relating to the physician’s professional interest as well as those of more general importance to the clinical service.  Other  To maintain a high level of patient  care, including treating patients in a sensitive and courteous manner.  To ensure that courtesy and respect for other members of staff and the public is maintained.  To comply with all Southern District Health Board policies, including application documentation and supporting processes when applying for study, conference, annual and other such leave.  To maintain professional standards and protocols at all times.  To maintain an appropriate standard of conduct for an employee/joint clinical of a public health sector organisation charged with carrying out government policy. Conduct should not bring Southern District Health Board or your profession into disrepute.  To maintain knowledge and development in the discipline of medicine providing that this is to the benefit of Southern District Health Board. This includes Consultant Rheumatologist, Southern DHB Page 7 of 9 participation in approved continued medical education. (Opportunities for study leave will be provided by application through the Service Manager to the Group Manager.)  The lack of validated complaints arising from the consultant’s personal performance with regard to clinical, administrative and research undertakings or communications.  To hold at all times an up to date Annual Practising Certificate and indemnity insurance cover and be able to provide evidence of such.  To carry out any other mutually agreed duties as may be requested by the Service Manager.

Treaty of Waitangi  The Southern District Health Board is committed to its obligations under the Treaty of Waitangi. As an employee you are required to give effect to the principles of the Treaty of Waitangi - Partnership, Participation and Protection.

Health and Safety  Foster and support commitment to achieving the highest level of health and safety, including identification and reporting of all hazards, assistance in resolving issues that may cause harm to staff, and working safely at all times. Quality and  Maintain professional and  Performance is in Performance organisational quality standards. alignment with HR quality audit  Ensure delivered work is planned, standards, delivered, and implemented organisational consistently against quality requirements, and standards. professional  Continuously identify improvement standards. opportunities to perform job in most effective manner.  Investigate opportunities to achieve goals in a more efficient way.

Note: The above example measures are provided as a guide only. The precise performance measures for this position will require further discussion between the job holder and manager.

Consultant Rheumatologist, Southern DHB Page 8 of 9 I have read and understand the above job description:

Name: ______

Signed:______

Date: ______

Consultant Rheumatologist, Southern DHB Page 9 of 9