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OVERVIEW

You're on holidays! We get it - but unfortunately there's some things we want you to do and to think about before 21st Jan when Orientation Week starts.

You will have already been sent a package of Orientation Preparation material, some of which requires a response. If you lost the package or never received it, most of the material can be downloaded below.

But forgetting this for the moment -  the act of moving from student to doctor, with all the real world responsibilities which go with that, is simultaneously exiting, challenging and terrifying. You might find that thinking about some of these things before hand helps - with both the terror and excitement.So you will find some things below to be thinking about, or to do before Orientation. And if you explore a little further you'll find in the adjacent web pages, a whole host of useful Orientation material.

If this raises any questions, or you're not sure what's expected - you're welcome to e-mail me: Dr Andrew Baker, DPET at andrew.baker@health.nsw.gov.au

MEDICAL REGISTRATION - make sure you have it

By now you should have applied for Medical Registration. As you know, interns are eligible for provisional registration, and only after satisfactorily completing 12 months, including at least one medical, one surgical and one ED term, can they apply for General Registration. For further information about registration and an application form click here for the Medical Board of Australia Website

It is worth emphasising that Medical Registration is your responsibility and no-one else's, and this will be the case for the rest of your medical career. If at any stage your registration lapses - even for the most mundane of administrative reasons - you are legally not entitled to practice. If this were ever to happen. the hospital has no choice but to stand you down without pay.

Every year at least one intern manages to make it to Orientation Week without Medical Registration - usually due to failure to submit the right paperwork - and if you are still unregistered by 4th February, this is a BAD way to start the year. So if AHPRA is chasing you for outstanding documentation, do not ignore their request.

PROVIDER AND PRESCRIBER NUMBERS - you need to apply

All new interns are required to apply for both a Medicare Provider Number and a PBS Presrciber number. The situations where, as interns,  you will need either of these, do not occur frequently, but it is frustrating if you don't have them when you need them.

Medicate Provider number
A provider number entitles doctors to charge services to Medicare and to refer to other practitioners. As an intern you are not allowed to bill Medicare, but there are circumstances where you may need to write referrals. You can apply for a Provider number here. Provider numbers are site specific. This means you need to apply for a new one for each new hospital you work at.

PBS Prescriber number
A prescriber number allows you to prescribe medications on the Pharmaceutical Benefits System. Most of your prescribing will be done in the hospital, which does not involve use of the PBS excepting in rare circumstances. On occasions you may be required to write an outside PBS script, especially from ED. You can apply for a prescriber number on the same application form as a provider number.

Further information about the PBS can be found at the PBS website.

O WEEK PREPARATION MATERIAL - to be completed before you start

You should have received a package outlining three activities which need to be completed by Mon Jan 14th 2019. If you have not received this you should contact Susan Pabon on susan.pabon@health.nsw.gov.au or on 8890 7027 or Andrew Baker. Key documents from this package can be downloaded below.

Prescribing Exercise
Click here to download detailed instructions from pharmacy. You are required to read the 2 case histories and complete two medication charts and one discharge medication script. In addition there a 6 e-learning modules to complete from the NPS Medicine Wise website. Click here for the 5 Antimicrobial modules and 1 module on the National Inpatient Medication Chart (NIMC). In order to complete these modules you will need to create an NPS account which is a straightforward process. You should print the certificates, or take a screen shots when you have completed each module.

The completed medication charts should be returned in the self addressed envelope which we have sent you, along with the certificates from the NPS modules. These need to be returned to the hospital by Mon 14th Jan, in order for the pharmacists to have time to mark your medication charts before Orientation week commences.

We would prefer you to return the medication charts and the certificates at the same time, but if for whatever reason you are running late, you should prioritize the medication charts and hand the certificates in on Mon 21st. You can download a spare copy of a discharge script here. You can download a scanned copy of a medication chart here - BUT if you are currently overseas and don't return till just before O Week, we would rather you fill in eh hard copy of a real medication chart and submit this on the first day, than complete a scanned version

Discharge Summary Exercise
Click here to download detailed instructions and Case History. You are required to read the case history and complete a discharge summary - starting with a blank WORD document - as well as Death certificate. Both should be returned electronically via e-mail to Dr Baker at andrew.baker@health.nsw.gov.au.


DETECT Manual
Read the DETECT manual which has been sent to you, prior to your DETECT Simulation Sessions during the Orientation fortnight - ie before 24th Jan.

Other e-Learning
You may have noticed reference in some of our communication, about My Health Learning and you have been explicitly directed to one e-learning module on "Continuity of Medication Management" as part of the Prescribing exercise. E-learning and My Health Learning is discussed in more detail in the next section.

E-LEARNING - Early access to "My Health Learning" available now

All NSW Health Employee are expected to complete Mandatory e-learning, which is done on line through the “My Health Learning” Website. This site both hosts e-learning modules (some mandatory and many others) and also maintains your own personal record of e-learning, as well as face to face learning, which will be retained throughout your public hospital employment.

As new interns you can now access My Health Learning. All you need is a login (which is your 8 digit employee number) and a password. You will need to obtain your password by ringing the statewide service desk, on 1300 28 55 33, explaining that you are a new intern about to start next year, quoting your employee number and asking for your password to be set. Your employee number is on the label on the Medication Charts you were sent - and you should also have received an e-mail from Susan Pabon. If you a not clear about this, e-mail susan pabon on susan.pabon@health.nsw.gov.au

When you first log in and look at My Current Learning, it should display all of the modules which you are expected to complete. The only module we expect you to complete before Orientation is "Continuity in Medication Management", as part of the Prescribing exercise. You are welcome to look at any of the other modules in the "Medical Intern Learning Pathway" or the "Medical Officers Mandatory Training Pathway", all of which will need to be completed at some stage.
You will be given some time after commencing, to complete your mandatory on line training.

Download more detailed information about expectations of My Health Learning here.

MEDICAL ORIENTATION ON LINE- Browse before you start

You've found you way to this site already, so you must be aware that it contains orientation information specific to Interns. Look a little further afield and you'll find more generic medical officer orientation covering our computer systems, how to get paid, finding your way around, JMO Welfare, the RSU and more.

And of course dont forget to download the app

HETI JMO ORIENTATION ON LINE- Browse before you start

Another source of on-line Orientation material is HETI. They have a number of resources which you can find on the HETI website

TERM DESCRIPTION AND ROVER FORMS - Look for this Term 1 orientation material

Every Term has a formal HETI approved Term Description, which gives you some information about the term. Usually there is also a Rover form - which is a wiki type document created and maintained by the JMOs themselves. These vary in quality - depending on the effort of the JMOs who have come before you - although there has been a concerted effort to improve these in recent months. They have the potential to be extremely useful handover resources. You should look up yours for Term 1, although don't forget you will have a whole week buddying with the outgoing JMO to learn all the tricks of the trade. Links to these documents are found below:

Term descriptions
Rover forms. 

TIME COMMITMENTS DURING ORIENTATION - Prepare beforehand

You probably need to start thinking now about your comings and goings during the Orientation Fortnight.

The official start date is 21st Jan, but we have purely voluntary social mixer beforehand, on the afternoon of Fri 18th. Starting at 1pm we'll provide some lunch, some fun activities, a race around the hospital, and plenty of time for you to make new friends with your colleagues, outside of the pressured environment of the following week.

The following week will be full on - 8am-5pm(ish) each day, and although there are generous breaks (when we provide plenty of food), there are also activities during the breaks, so you'll find there's not much time to relax. In the early part of Wednesday evening there will be a Trivia night. This is obviously optional, but its always fun and always well attended.

From then on, the following week is buddy week - buddying up with the outgoing JMOs on the wards. Don't forget that Mon 28th is the Australia Day Public Holiday, so you wont need to come in.

Do not assume this buddy week will be all routine Mon-Fri days. For some of you there will be out of hours sessions:
  • If Term 1 for you is on the wards at Westmead, then you'll buddy up with the JMO assigned to your position in the last week of term 5. Remember that for most terms, the JMO starts at 08:00 or earlier. In Cardiology it is 7:30 and in Surgery it is 7:00 or earlier.
  • If Term 1 for you is in ED, you will attend ED Orientation on the morning of Tues 29th and then be allocated to a further three 10 hour shifts during the week, which may involve evenings or a weekends.
  • If Term 1 for you is relief, you will be allocated to at least two and possibly more after-hours wards shifts in the evening or weekend (or possibly on Australia Day). Some of you may be allocated to nights. You will be asked in advance about your availability, so you should be thinking about this now. This roster is now available - click here
  • If Term 1 for you is on Secondment, you will commence at your secondment hospital at 08:00 on Tues 29th.
      Your first term starts for real in the first week after buddy week (ie from 4th Feb). Your after hours roster for the whole term will be written by and sent out to you by RSU - usually by mid January. If you were not exposed to an after hours shift during buddy week, then your very first after hours shift there-after will always be as a supernumerary, with a buddy.

PARKING

You will want to think about your transport options during orientation week. Parking is not cheap and train/bus access is very good.

Parking costs $23.20/week and if you want to use the on-site parking, you need to complete a form authorising deductions from your pay. If you are going to Coffs Harbour for Term 1 there may be a good argument for public transport in Week 1 of orientation, other wise you will need organise payment for just one week on the first day of orientation.

If you intend to pay for parking in term 1, you should notify Susan Pabon, and this will be communicated to Secure Parking (the private company that runs our parking service), who will ensure this is linked to your security badge.

RED RESIDENT PROGRAM - let us know if you want to opt out

Every year we run a mentor program for new interns. Groups of around 3-4 new interns are matched up with a pair of RMO mentors. The purpose of the mentors is to ease the transition into internship; to meet up with you regularly, to answer your questions, to offer clinical and emotional support. In short to try to look after you - particularly in those frightening first few weeks, but hopefully much longer than this.

At Westmead, like many other hospitals, we have adopted the "Red Resident" nomenclature and branding. This means that our mentors will be wearing red lanyards with the intent of improving visibility and letting all interns know that this is a person who has signed on to be approached by or to offer help to any Intern- not just the few who have been assigned as mentees.

Participation as a new intern in the mentor program is voluntary, but we will approach this from an "opt out" perspective. That is, you will need to let us know if you do not want to participate - otherwise will will provide your mentor with your contact details and expect them to make contact before orientation week.

JMO LIAISON REPRESENTATIVE - do you want to nominate?

This year the hospital will formally appoint a liaison representative council, with up to 5 intern representatives. These representatives will be a focus for communication between the Administration and the JMO body. They will feeding back information arising from the JMOs, or seeking input from JMOs at the request of admin.

JMO liaison representative need to have skills in advocacy, problem solving and leadership. This will require a regular commitment, attending the monthly Pre-vocational Clinical Training Committee (PCTC), as well as JMO Liaison Council meetings. Representatives may wish to pursue special interest within their broader representative role - typically the hospital will be involved in particular projects which require JMO input, focusing around broad topics such as patient safety and quality, education, IT, JMO welfare, Rostering and working conditions - and so on.

One PGY1 and one PGY2 from the JMO Liaison Council will be nominated as the HETI JMO forum representative. This is a statewide forum which brings together Prevocational Trainees from each hospital to meet and discuss issues relevant to prevocational supervision and training, recruitment, accreditation, workforce allocation and welfare.

Anyone can put up their hand for JMO Liaison Council. The successful candidate often has a background in medical student organisation and or advocacy, though this is not essential. More important is a desire to work within the system to try to improve it. We'll give you more information about how to nominate in the near future but if you have any questions you can talk to Dr Baker. Alternatively you are welcome to contact our current representatives Lucy Geraghty (RMO) on lucy.geraghty.health.nsw.gov.au or Nick Allen (Intern on nicholas.allen@health.nsw.gov.au

Other information about the JMO Forum can be downloaded below:

SCRUBS - order Now if you need them for Term 1

“Scrubs” are not mandatory for doctors, and therefore are not provided free of charge by the hospital. However, doctors assigned to emergency and after hours shifts during (especially in your relief term) tend to prefer to wear scrubs, and these are also entirely appropriate - though not required -in surgical terms. The Westmead ED scrubs tend to be considered the most fashionable and can be ordered through "Infectious - Medical Scrubs Australia" on www.infectious.com.au/Westmead-ED.   Reasonably priced uniforms can also be purchased through the government supplier, TAMS, or Total Apparel Management System. You can search for TAMS on the intranet and you will be directed to a login page where you can lodge an order, or go through the following link: https://www.adaorders.com.au/DefaultHSS.aspx 

MISCELLANEOUS

This is a great time to be on the look out for information which you are going to need when you start. There is an abundance of good Free Open Access Medical (FOAM) information these days. Four examples are given below but why not start developing your own "go to" lists now that this is all getting real!
  • Life in the Fast Lane - One the original and still one of the best FOAM sites. Look out for its fantastic ECG library
  • CIAP - The NSW Health initiative to put as much medical information at your fingertips as possible. Its biggest drawback is that it has so much information that people don't know whats there and so it is under-utlilised. You can book yourself into training courses and the Westmead Medical Librarians would love to give you personal tuition
  • The On the wards website - originally kicked of by the RPAH DPET, but now a statewide resourse has a great section on Tips for Interns
  • The Westmead Medical Library - has amazing resources and unlimited availability to information. Why not drop in before you start and make yourself familiar with it. They can help you get set up with Free smartphone access to Up to Date, Clinical Key, My Athens, & Endnote - or help you with downloading resources from CIAP such as MIMs onto your phone

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