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                            SPECIALIST RADIATION ONCOLOGIST


To provide Radiation Oncology specialist care to patient’s resident within the Otago
and Southland regions.


     1. The Oncology and Haematology Service is committed to implementing a team-
        based approach to providing excellence in patient care, and to improving the
        value of the service by improving the quality of the service.
     2. The specialist is expected to participate in the peer review activities with the
        objective of providing a high standard of clinical practice and clinical expertise,
        contributing to the provision of effective and efficient Oncology Services at
        Dunedin Hospital and throughout the Southern DHB region.


Reports to:                                   Radiation Oncology Clinical Leader
                                              SB&CS Service Manager

Supervision of:                               Junior Medical Staff

Internal Relationships:                       Multidisciplinary staff within SDHB
                                              Patients and relatives
                                              Radiation Therapists
                                              Nursing Staff
                                              Medical Staff

External Relationships:                       Staff from other DHBs
                                              Cancer Society of Otago-Southland
                                              Otago Community Hospice
                                              University of Otago Medical School
                                              Other NGOs


Dunedin Hospital, 201 Great King Street Dunedin.


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.


Southern District Health Board is committed to achieving the highest level of health
and safety for its staff. All employees are expected to show initiative and identify,
report and resolve issues that may cause harm to themselves or others in the
organisation. As an employee of Southern District Health Board the health and safety
ODHB Job Description: Specialist Radiation Oncologist                       Page 1 of 5
Date: 30 July 2004                       To be Reviewed:   July 2005
                                SPECIALIST RADIATION ONCOLOGIST
    of clients and colleagues, as well as your own, are your responsibility. You are expected
    to work safely at all times, and to actively participate in health and safety programs in
    your area. It is expected that you will report all accidents or potential hazards to your


    Direct clinical contact will make up 70%of position, 30% non-clinical time. Service
    provision will include participation in the after hours rosters maintained by the
    Oncologists at a planned frequency of 1 in 3.

Clinical Duties
o     Patients to be well informed of options –                  Explain and discuss with patients their
      complaints in this regard to be minimal.                    treatment options including the risks and
      Informed consent will be obtained for all                   benefits of such treatments
      patients in accordance with Southern                       Be available to consult patients in the Medical
      DHB policy for undertaking any operation,                   Day Unit and Ward 8C on an urgent basis
      test or procedure.                                          when their clinical condition warrants it
o     Maintain a high standard of professional                   Share responsibilities for establishing and
      care in accordance with the New Zealand                     maintaining mechanisms to ensure high quality
      Medical Association Code of Ethics, with                    standards of radiotherapy administration
      New Zealand Medical Council regulations                     throughout the Otago/ Southland region
      and in accordance with the Royal
      Australian and New Zealand College of                      Participate in the specialist roster providing
      Radiologists Guidelines, Protocols and                      after hours cover for Oncology patients
      Standards, statutory and medico legal                      See patients promptly and advise on their
      requirements, and SDHB policies.                            management when referred for a specialist
                                                                  oncology opinion.
                                                                 Participate in the weekly multidisciplinary ward
                                                                 Deliver care on a sessional basis in the
                                                                  Oncology Outpatient clinics, the Medical Day
                                                                  Unit and Ward 8C in a timely and effective
                                                                 Be available for telephone consultations with
                                                                  health professionals about oncology patients
                                                                  throughout the Otago/ Southland region
                                                                 Deliver care on a sessional basis as rostered
                                                                  using the allocated time efficiently and
                                                                  effectively to meet service goals
                                                                 Participate in tumour board meetings.
                                                                 Participation in the national Radiosurgery
                                                                  Programme as required
                                                                 Deliver minimally 3 Out patient clinic sessions
                                                                  per week each of a four hour duration

Acute Services
                                                                    Be available at all times by pager/ phone/ cell
                                                                     phone to give advice on the care of inpatients
                                                                     in Ward 8C and outpatients under the care of

    ODHB Job Description: Specialist Radiation Oncologist                            Page 2 of 5
    Date: 30 July 2004                       To be Reviewed:   July 2005
                              SPECIALIST RADIATION ONCOLOGIST
                                                                   any of the Oncologists
                                                                  Be available to attend acutely ill patients in
                                                                   Ward 8C within 45 minutes
                                                                  Provide consultations as requested by other
                                                                   medical staff.
The specialist will participate in developing                  o    Demonstrate a personal commitment to
clinical guidelines to meet service and                             meeting Southern DHB service and team
organisational objectives.                                          objectives.
                                                               o    Ensure comprehensive, accurate and up to
                                                                    date clinical records are maintained for all
                                                                    patients seen
                                                               o    Ensure reports and letters are completed and
                                                                    dispatched in a timely manner or by due date;
                                                               o    Ensure procedure and policy documents that
                                                                    you are responsible for are updated when
                                                               o    Attend review sessions, including strategic
                                                                    development sessions, budgetary meetings
                                                                    and other service meetings as appropriate
                                                               o    Work as part of the allocated team(s) to meet
                                                                    the throughput and budget targets for that
                                                                    team as contained in the operating plan
                                                               o    Prepare reports for outside agencies as
                                                                    required     –    for   example    Accident
                                                                    Compensation Corporation, WINZ, Health
                                                                    and Disability Commissioner. Where this task
                                                                    is carried out in scheduled work time,
                                                                    payment should be arranged through SDHB.
                                                               o    Prepare reports for management as required
                                                               o    Maintenance of department database.

Continuous Quality Improvement (CQI)
Southern DHB is committed to the concept of                   o    Carry out review of drugs, equipment and
continuous quality improvement. All Southern                       methods of clinical management as decided by
DHB services, teams and staff have                                 the service;
responsibilities both at a professional level and             o    Participate in CQI projects undertaken by the
at a service level to understand and participate                   service
in CQI activities as an integral part of their
position.                                                     o    Participate in an audit of oncology care related
                                                                   to morbidity/ mortality and critical incidents
                                                              o    Demonstrate a willingness to achieve service
                                                                   and organisational objectives in an innovative
                                                              o    Research and investigate areas relevant to
                                                                   specialty and service, as decided in
                                                                   conjunction with the Service Manager and
                                                                   Clinical Leader;
                                                              o    Participate on Southern DHB credentialing

  ODHB Job Description: Specialist Radiation Oncologist                            Page 3 of 5
  Date: 30 July 2004                       To be Reviewed:   July 2005
                                SPECIALIST RADIATION ONCOLOGIST
                                                                o    Attend and participate in regular clinical audit
                                                                o    Implement systems          for   monitoring   and
                                                                     reporting on quality
                                                                o    Participate in clinical research where
                                                                     appropriate and actively promote research
                                                                o    Promulgate research results to other staff in
                                                                     the service, and present or publish as
                                                                o    Participate in regular peer review meetings
                                                                     including generation and maintenance of
                                                                     clinical guidelines.
All Southern DHB staff are bound by the                         o    Maintain effective interpersonal relationships
provisions of the Privacy Act and the Health                         with multidisciplinary staff, patients and
and Disability Code, SDHB policies and                               relatives;
contractual provisions when they are                            o    Handle problems and complaints sensitively,
communicating with patients, relatives, other                        following Southern DHB protocols for dealing
members of the public, and other health                              with complaints.
                                                                o    Provide services in a sensitive way to users of
                                                                     the service and be culturally sensitive in all
                                                                     personal decisions and actions;
                                                                o    Ensure that areas that may give rise to patient
                                                                     complaint are identified and where practical
                                                                     take steps to ensure that complaints do not
                                                                     arise. If complaints do arise, Southern DHB
                                                                     procedures on such matters shall be followed;
                                                                o    Ensure that patients receive an appropriate
                                                                     level of information regarding their condition
                                                                     and its management
                                                                o    Communicate with next of kin, in particular
                                                                     where patients or minors are unable to
                                                                     comprehend fully   the   implications    of
                                                                     management options
                                                                o    Communicate with general practitioners to
                                                                     facilitate follow up care of patients.
                                                                o    Communicate with other medical teams who
                                                                     previously or subsequently have responsibility
                                                                     for patient care to ensure appropriate patient
                                                                     hand over.
Staff Training/ Teaching and Supervision
     Each employee has a responsibility as                         The specialist has a professional responsibility
      part of their normal work activities to                        to participate in the service training
      provide other staff with ongoing training,                     programmes,       including  as     appropriate
      including informal instruction during                          undergraduate teaching and postgraduate
      routine clinical activities                                    programmes
                                                                    The specialist is responsible for the direct
                                                                     supervision of House Physicians, Registrars,
                                                                     Trainee Interns and Nursing Staff working in
                                                                     the Oncology and Haematology Service
                                                                    The specialist is expected to participate in the
    ODHB Job Description: Specialist Radiation Oncologist                             Page 4 of 5
    Date: 30 July 2004                       To be Reviewed:   July 2005
                              SPECIALIST RADIATION ONCOLOGIST
                                                                   evaluation of staff he/she has direct
                                                                   supervisory     responsibility    for, including
                                                                   immediate feedback relating to performance as
                                                                   appropriate. Evaluation includes assessment
                                                                   of staff performance in relation to:
                                                                  Clinical competence
                                                                  Timely and accurate documentation
                                                                  Adherence to service protocols
                                                                  Communication with patients, relatives, peers,
                                                                   other staff and GPs
                                                                  Participation in orientation of new staff as
Self Learning.
Southern DHB encourages its specialists to                        Participate in the re-accreditation programme
participate in these activities, and in the                        of the Australasian College of Physicians
activities of other relevant learned societies,                    (MOPS) as appropriate
as well as the publishing of reports and                          Participate    in    professional      continuing
papers, the organising of conferences,                             education activities, regular performance
invitation of experts, and membership of                           review, and have a commitment to maintaining
national committees. These activities reflect                      and updating their own knowledge and skills
well on the organisation and service, and on                      Maintain     involvement       in    professional
the calibre of its staff.                                          organisations in order to:
                                                                  Fulfill CME and recertification requirements
                                                                  Contribute to maintenance of high professional
                                                                   and ethical standards in Oncology
                                                                  Contribute to professional education and
                                                                   assessment programmes


  Must hold the fellowship of the Royal Australia and New Zealand College of
  Radiologists or a similar qualification that can be registered with the Medical Council
  of New Zealand for the practice of Radiation Oncology.

  ODHB Job Description: Specialist Radiation Oncologist                             Page 5 of 5
  Date: 30 July 2004                       To be Reviewed:   July 2005

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