All first year house officers have two hours of ‘protected time’ each week to attend teaching sessions.
Every Tuesday afternoon, there is a variety of clinical topics presented by senior doctors who are all experts in their fields. These sessions are informal and are usually case-based.
Topics are wide-ranging with an emphasis on a practical approach to caring for patients.
To ensure all first year house officers are well prepared to carry out a variety of procedures at Waikato Hospital, they must attend a three-day orientation course before starting work at the hospital.
The course is organised by the RMO Unit in conjunction with the Director of Clinical Training (DCT), with facilitators coming from a variety of speciality areas.
The Clinical Learning Stations include:
When: Tuedays 1.30 – 2.30pm (Bring your lunch)
Venue: The Bryant Education Centre (BEC)
First year allocations are designed to give year one house officers "endorsed" general registration after one year if they have satisfactory completion of all four clinical attachments.
During the first six months of employment, year one house officers will not be rostered to work nights (in accordance with clause 6.5 of the NZRDA DHB MECA).
Each allocated block of clinical attachments comprises of four 13-week attachments. All these attachments are based at Waikato Hospital.
Waikato DHB's current annual intake of year one house officers is 30. Each year each house officer is allocated four rotations per year (of 13 weeks duration) and these rotations are specifically accredited by the MCNZ for first year training.
PGY1s (or Interns as they are referred to by the Medical Council of New Zealand [MCNZ]) must work in accredited clinical attachments under the supervision of a prevocational educational supervisor (PES). Prevocational medical training requires the Waikato DHB to deliver a 2-year intern training programme with specific requirements for postgraduate year 1 (PGY1 house officers) and postgraduate year 2 (PGY2 house officers).
The MCNZ introduced the ‘New Zealand Curriculum Framework’ (NZCF) in 2015 (external link) – this requires that the year one house officers record their learning, have their progress tracked, create and update their ‘Professional Development Plan’ (PDP), record ‘continued professional development’ (CPD) activities plus complete their assessments through an e-portfolio system known as ‘ePort’.
The NZCF outlines the learning outcomes – underpinned by the concepts of patient safety and personal development - to be substantively completed in PGY1 and by the end of PGY2. These learning outcomes are to be achieved through clinical attachments, educational programmes and individual learning.
Additionally, every intern is required to complete one clinical attachment in a community based setting over the course of their PGY1 and PGY2 intern years ; therefore a year one house officer may be rotated into a community placement and this may require daily travel or a relocation for the duration of the clinical attachment; in such situations, reimbursements can be claimed as per the relevant clauses in the RDA MECA .
Year one house officers are expected to meet with their educational supervisor at the beginning of the year and after each clinical attachment and will meet with their clinical supervisor on the clinical attachment at the beginning, mid-way through and at the end of the clinical attachment. It is important that the quarterly assessments are completed within two weeks of finishing a clinical attachment.
At the end of their first year of post graduate work, each year one house officer is expected to have successfully completed four clinical attachments; they must have all assessments, PDP and CPD documentation completed by the date stipulated by their PES, in readiness for the advisory panel performance assessment meeting
The advisory panel will meet to discuss the overall performance of each year one house officer, assess whether they have met the required standard to be registered in a general scope of practise and are therefore ready to proceed to the next stage of training. The advisory panel will hold the responsibility for endorsing the PDP as acceptable for PGY2.
To apply for registration within a general scope of practice the year one house officer must meet the following requirements:
All rotations are allocated randomly if applicants make no specific requests
Waikato DHB feels that this process is fair to all, but we accept that some individuals may get allocated some rotations they do not like. We hope, at worst, to limit your exposure to 'unfavourable' rotations to one attachment only.
View attachment pay category information [PDF, 36 KB].