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Specialist Ophthalmologist, Position DescriptionRole title:Specialist Ophthalmologist,Reports to:Clinical Leader, Ophthalmology, Southern District Health BoardService Manager, Surgical Directorate, SouthlandDirectorate:SurgicalDirect reports:NoneLocation:Southland Hospital, InvercargillRole of the District Health BoardOur Vision: Better Health, Better Lives, Whanau Ora.Our Mission: We work in partnership with people and communities to achieve their optimum health andwellbeing.We seek excellence through a culture of learning, enquiry, service and caring.The Southern Way: The community and patients are at the centre of everything we do.We are a single unified DHB which values and supports its staff.We are a high performing organisation with a focus on quality.We provide clinically and financially sustainable services to the community we serve.We work closely with the entire primary care sector to provide the right care in the rightplace at the right time and to improve the health of the community.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 healthservices.Promote effective care or support for those in need of personal health or disability supportservices.Promote the inclusion and participation in society and the independence of people withdisabilities.Reduce health disparities by improving health outcomes for Maori and other populationgroups.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 socialand environmental responsibility.Southern DHB Issued 26/08/2015Page 1 of 10Initial: EmployeeEmployer
Purpose of the Role Provide to patients a safe competent and respectful service in the management of theirconditions according to their clinical priority. Communicate adequately with patients on their condition and treatment, ensure that at alltimes patient rights are protected and all consents required are acquired before treatment. Provide for comprehensive and appropriate records of patients seen and be responsiblefor ensuring that such records are available in accordance with normally acceptedprocedures. Act as a member of the Consultant Team in providing suitable cover for SouthlandHospital, Kew, requirements as well as additional services offered by Southern DistrictHealth Board (SDHB) at other locations. Provide such tuition and lectures to SDHB staff as may be required by agencies such asthe College Training Scheme fulfilment of Medical Council requirements and hospitaltraining requirements and to instruct, monitor and advise those staff under the directguidance of the Senior Medical Officer. Report promptly to the Service Manager - Surgical Directorate any unusual incidents oroccurrence, especially those which may give rise to complaints or legal action againstSDHB. Ensure effective use of SDHB's resources of staff and facilities, by the application ofeffective, efficient and economical patient management techniques. Ensure that the standard of service provided is commensurate with SDHB's duties andintentions and SDHB's business plan, with cognisance of SDHB's By-Laws and Policies. Keep informed of developments in the area pertinent to speciality and maintain own skillsand knowledge of speciality to professional college guidelines. Provide speciality advice as requested by the Divisional Manager – Surgical Directorate. Promote awareness in the community of health promotion activities and diseaseprevention within speciality by the provision of health education. Actively participate in processes regulating performance and accountability which willinclude quality assurance measures, medical audit and medical peer review. Identify from time to time research needs and in consultation with the Service Manager Surgical Directorate and with approval of SDHB's Ethical Committee, conduct suchresearch. Ensure that supervision of Resident Medical Officers occurs to meet requirements of theclinical environment and statutory organisations, and that appropriate reports are providedto meet the requirements of the Medical Council. Ensure that any lawful instructions of the Service Manager - Surgical Directorate arecarried out in a prompt manner.Southern DHB Issued 26/08/2015Page 2 of 10Initial: EmployeeEmployer
Organisational CompetenciesCustomer FocusIs dedicated to meeting the expectations andrequirements of internal and external customers; getsfirst hand customer information and uses it forimprovements in products and services; acts withcustomers in mind; establishes and maintains effectiverelationships with customers and gains their trust andrespect.Integrity and TrustIs widely trusted; is seen as a direct, truthful individual;can present the unvarnished truth in an appropriate andhelpful manner; keeps confidences; admits mistakes;doesn’t misrepresent him/herself for personal gain.Drive for ResultsCan be counted on to exceed goals successfully; Isconstantly and consistently one of the top performers;very bottom line oriented; steadfastly pushes self andothers for results.Role Specific CompetenciesDecision QualityMakes good decisions (without considering how muchtime it takes) based upon a mixture of analysis, wisdom,experience, and judgment; most of his/her solutions andsuggestions turn out to be correct and accurate whenjudged over time; sought out by others for advice andsolutions.Developing Direct Reports andOthersProvides challenging and stretching tasks andassignments; holds frequent development discussions; isaware of each person's career goals; constructscompelling development plans and executes them;pushes people to accept developmental moves; will takeon those who need help and further development;cooperates with the developmental system in theorganization; is a people builder.Interpersonal SavvyRelates well to all kinds of people—up, down, andsideways, inside and outside the organization; buildsappropriate rapport; builds constructive and effectiverelationships; uses diplomacy and tact; can defuse evenhigh-tension situations comfortably.Southern DHB Issued 26/08/2015Page 3 of 10Initial: EmployeeEmployer
Knowledge, Experience and Skills requiredEssential Criteria Vocationally registered or suitable for locum tenens specialist registration with MedicalCouncil of New Zealand or eligible for general registration. Holds FRACP or an equivalent specialist qualificationExperience/Knowledge Must have a knowledge and empathy for bi-culturalism and practices in a manner, whichthe patient determines, is culturally safe. Knowledge of quality system and evidence based practice Two years experience as a hospital specialist preferredSpecific Skills High standard of oral and written communication skillsDemonstrated ability to promote and develop teamworkHave the vision and ability to accommodate changeComputer skillsAbility to access and interpret relevant researchAble to provide constructive and timely feedbackActively seeks networking opportunitiesCapable of working under pressurePersonal Qualities Innovative and flexibleHigh standard of ethical and professional practiceEnergetic and able to motivate othersIs able to think clearly and manage own workloads well.Ability to interact well with other people from a variety of cultural backgroundsSouthern DHB Issued 26/08/2015Page 4 of 10Initial: EmployeeEmployer
Key eclinicalservice: Share responsibility for the assessment and care of patients atSouthland Hospital, on a regular basis during scheduled hours Conduct outpatient clinics and procedures on a weekly basis toat Southland Hospital. This will include seeing both newpatients referred by General Practitioners or other Specialists,and those requiring follow up, the ratio being dependent upondemand and the time available. Patients will be referred backto the referring practitioner as soon as practicable andconsistent with the delivery of a high standard of care. Participate in clinical meetings. Shall be responsible for the ophthalmic assessment and care ofpatients at Southland Hospital, Kew on a regular basis duringaverage routine hours. Be familiar with appropriate modern techniques. Continue to keep patient hospital stay to the minimumcompatible with high standards of ophthalmic care to bereviewed annually. Carry out ward rounds as required during the average routineworking hours. Complete operating session as required and actively participatein Avastin management Provide early advice for those patients referred for anophthalmic opinion by hospital specialist colleagues. He/shewill also provide advice for General Practitioners and ResidentMedical Officers.Ensure optimalresourcesuseofProvide patient care in linewith accepted best practiceandwithinresourceconstraints Delegate tasks and responsibilities appropriately to clinicalsupport staff assessing task complexity against assessed skilllevels of individuals. Be responsible for the clinical and educational management ofHouse Surgeons, attached to the Ophthalmic SurgicalDepartment. That the patient is fully informed of her/his condition and clinicalmanagement. That patients are seen in priority order in the clinic andassessed and decisions regarding clinical investigation andtherapeutic options made. That further investigation of the patient where appropriate isarranged and monitored to ensure accurate diagnosis andtreatment. That where appropriate the patient is admitted to hospital orplaced on a waiting list according to condition severity andpriority.Southern DHB Issued 26/08/2015Page 5 of 10Initial: EmployeeEmployer
To appropriately manageall patients admitted underyour care That appropriate investigations are arranged and all necessarysteps are taken to determine condition and diagnosis. That patients are properly and adequately informed about thetreatments and procedures and that consent procedures arecarried out. Risks and benefits of all treatment is explained and discussedwith the patient. That special procedures and investigations are carried out byself or a designated member of the team who has the skillsdeemed appropriate by the consultant. That all necessary forms, reports and documentation arecompleted. That post procedure/investigation management of patients isappropriate and efficient and all appropriate information isrelayed to patient caregiver and General Practitioner.Participate in all aspects ofdirect individual patientcontactThe Specialist Ophthalmologist will ensure the following whenmanaging elective cases: That all letters of referral are vetted at the earliest possibleopportunity, prioritised within 7 days of receipt, and allocated toan appropriate outpatient clinic. That all such patients are seen in the clinic, assessed, anddecisions regarding management made. That further investigation of the patient, where appropriate, isarranged and monitored for accurate diagnosis and treatmentrequirements. That the patient is fully informed of his/her condition and theproposed management of such. That, where appropriate, the patient is placed on the ophthalmicwaiting list. S/he will be assigned a priority according to thedegree of urgency of the complaint. That the general administrative requirements of the clinic arefulfilled. That the report requirements for agencies such as insurancefirms. Department of Social Welfare, ACC, and NZ Police arefulfilled.The Specialist Ophthalmologist will ensure when managing acutecases: That he/she assists his/her colleague to provide cover andmanagement of patients who present with an acute complaint.The Specialist Ophthalmologist will ensure the following whenmanaging all patients requiring surgery: That all patients are seen pre-operatively to review the decisionSouthern DHB Issued 26/08/2015Page 6 of 10Initial: EmployeeEmployer
to operate and to plan the surgery. That all patients are properly and adequately informed aboutthe planned surgery and the administrative requirements forconsent are carried out. That in the case of planning operating lists, that the workloadfor the list is neither unduly excessive nor unduly light and thatthe order in which the cases are scheduled facilitate the orderlyand efficient progress of the list. That operations will be carried out either by him/herself or by amember of his/her team under supervision of a degree deemedappropriate by the surgeon. That an operation note, laboratory forms, audit forms, MIS dataentry and any other necessary documentation is completed. That the post-operative management of all patients isappropriate and efficient. Attendance in the wards at othertimes as required, and consultation with other members of theteam.The Specialist Ophthalmologist will ensure the following whenmanaging all inpatients: That regular ward rounds are conducted with other members ofthe medical team, nursing staff, and other ancillary staff whereappropriate. That where necessary the surgeon will be available to attend atother times within the hospital and also be available forconsultation by phone with other members of the medical team. The administrative requirements for discharge are carried outpromptly, including communication with the patients GeneralPractitioners, in order to facilitate proper ongoing care of thepatient after s/he leaves hospital. That follow-up in an outpatient clinic occurs where necessary.Communication That patients, receive an appropriate level of information regardingtheir condition and its management. sciplinary staff, patients and relatives.with Ensure patient complaints are dealt with sensitively, promptly andeffectively following Southern DHB procedures. Communicate effectively with appropriate community servicessuch as general practitioners to facilitate safe follow up care forpatients. Ensure legal requirements and Southern DHB policies andcontractual provisions are adhered to when communication withpatients, relatives, members of the public and other healthprofessionals.Tomaintainownprofessional developmentby:Southern DHB Issued 26/08/2015 Participate in regular clinical meetings with other members ofmedical staff. These meetings may include the Friday GrandRound, medical x-ray meetings, journal club, weekly departmentalPage 7 of 10Initial: EmployeeEmployer
meetings and discussion with visiting consultants. Comply with the requirements of appropriate Professional bodiessuch as Medical Council. Be committed to maintaining and updating own knowledge andskills and participate in ongoing professional activities and regularperformance review. Participate in the re accreditation programme of the AustralasianCollege of Physicians or equivalent College as appropriate.Participate and contributeto education of staff andpatients Contribute to case review sessions and other activities. Conduct formal or informal teaching for other professional groups,including nurses and general practitioner as requested. Advise individual patients regarding preventative aspects of healthcare. Liaise with community support groups as appropriate.Information managementand technology Information gathering processes are followed to collect patient,clinical and volume information. Identifies information requirements and resources needed andfollows documentation standards for both internal and externalcommunication. Acts as a role model for the use of on-line tools.General Attend and contribute to Southern DHB meetingsrequested/approved by the Clinical Leader Ophthalmology.as Keep up to date with Southern DHB matters and read such papersas necessary. Prepare reports as required. Uphold the principles of the Treaty of Waitangi, developing andmaintaining an effective multi-cultural perspective. Perform such other duties as may be reasonably required by theClinical Leader. Be subject to the overall direction of Southern DHB. Comply with all Southern DHB policies and procedures.Treaty of WaitangiHealth and SafetySouthern DHB Issued 26/08/2015 The Southern District HealthBoard is committed to itsobligations under the Treaty ofWaitangi. As an employee youare required to give effect to theprinciples of the Treaty ofWaitangiPartnership,Participation and Protection. Foster and support commitmentto achieving the highest level ofPage 8 of 10Initial: EmployeeEmployer
health and safety, includingidentification and reporting of allhazards, assistance in resolvingissues that may cause harm tostaff, and working safely at alltimes.Quality and Performance Provide a high standard of specialist care for the community ofSouthland. Demonstrate a willingness toachieve service and organisationalobjectives in an innovative manner. Participate in audits of ticalincidents.Performance is inalignment with , andprofessionalstandards. Maintain accurate records for thepurposes of clinical audit. Support Southern DHB in theimplementation of quality standardstomeetaccreditationandcertification requirements. Understand and practice theprinciples of quality improvementand contribute to the developmentof quality plans to ensurecontinuous quality improvement. Comply with requirements outlinedin Service Specifications Attend and participate in regularclinical audits.Southern DHB Issued 26/08/2015 Participate in clinical researchwhere appropriate and onalandorganisational quality standards. Ensure delivered work is tqualitystandards. Continuously identify improvementopportunities to perform job inmost effective manner. Investigateopportunitiestoachieve goals in a more efficientway.Page 9 of 10Initial: EmployeeEmployer
Note: The above example measures are provided as a guide only. The precise performancemeasures for this position will require further discussion between the job holder and manager.I have read and understand the above job description:Name:Signed:Date:Southern DHB Issued 26/08/2015Page 10 of 10Initial: EmployeeEmployer
Specialist Ophthalmologist, Position Description Role title: Specialist Ophthalmologist, Reports to: Clinical Leader, Ophthalmology, Southern District Health Board Service Manager, Surgical Directorate, Southland Directorate: Surgical Direct reports: None Location: Southland Hospital, Invercargill .
