The Royal Children’s Hospital, Melbourne
Flemington Road, Parkville
Victoria 3052, Australia
Telephone (03) 9345 5522
International (+613) 9345 5522
Facsimile (03) 9345 5789
TITLE: Specialty Medicine Morning Handover Supervisor
DEPARTMENT: Junior Medical Staff Department
CLASSIFICATION: Registrar/Fellow Classification according to experience
AGREEMENT: HMO Award
RESPONSIBLE TO: Head of Junior Medical Staff Department
HOURS: 1.5 – 7.5 hours per fortnight depending on number of
people sharing the position.
DATES: One year post from 2nd February 2009
The Royal Children’s Hospital is committed to a philosophy and practice of quality management
to ensure the best possible services to patients. This entails an organisational structure which
• Devolves decision making and accountability, within clearly defined delegations, to patient
care providers as close as possible to the consumer
• Encourages and supports teamwork and coordination amongst staff
• Develops the participation of consumers and workers in the planning and evaluation
The Specialty Medicine Morning Handover (SMMH) is a formal, supervised, structured,
multidisciplinary handover. It occurs between 0750 and 0830hrs in the Blue Room, 5th
Floor, Main Building (Dept of General Medicine).
The main purpose of the handover is to improve continuity of care between day,
evening and night junior medical staff covering the Specialty Medicine units at RCH.
The handover also serves several other important functions in providing a formal
• supervise and support night staff;
• encourage feedback between afterhours and daytime staff;
• discuss and address adverse events and near misses;
• maximise education;
• improve patient management planning though the inclusion of 5th floor Care
Manager and HITH representative, who can both facilitate discharges.
SMMH was established in August 2007 and has been running successfully since. Audit
of practice shows that having a structured supervised handover improves improves
efficiency, content and comprehensiveness.
The role of the supervising fellow is to provide leadership for the session, so that it
runs efficiently, on time, and in a structured, constructive manner. The Fellow is
particularly important for maximising educational opportunities – audit of practice
shows that instances of education average x5/session when the session is supervised,
and x0/session when it is not.
The position also provides opportunities for improving the pastoral care and
mentoring of junior medical staff, particularly those on night shift; providing feedback
on performance; communication and liaison especially with nursing staff; adverse
incident follow-up and debriefing.
• Essential – FRACP exam or equivalent.
• Desirable – ‘Teaching as You Go’ or equivalent. Applicants who have not
completed this will be considered in exceptional circumstances on the proviso
TAYG or equivalent course will be completed as soon as practical.
Training: face-to-face training will be provided prior to commencement, and the
supervisors will be provided with written guidance on how to structure and run the
The position can be shared between up to 5 supervisors at any one time. Supervisors
are expected to provide cross-cover to colleagues for planned absences such as
annual and conference leave.
Created: December 2008
Reviewed by: Dr Margot Nash
Date of next Review: December 2009