Resident doctors - Resident Medical Officers
To ensure all first year house officers are well prepared to carry out a variety of procedures at Waikato Hospital, our house officers must attend a free three-day orientation course before starting work at the hospital. This course is run by the RMO Services Unit with facilitators coming from a variety of specialty areas.
Clinical learning stations include:
First year house officer teaching programmeAll first year house officers have 2 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 field. These sessions are informal and usually case based.
Topics are wide-ranging with an emphasis on a practical approach to caring for patients.
Following is an example of the topics presented to our house surgeons:
House officer runs
Allocation of first year runsThere are currently 20 x 4 3-month runs accredited by the Medical Council of New Zealand for use for first year training. Some of these are A runs that have to be equally shared amongst the candidates. This leaves about 50% available for allocation. We are open to suggestion as to how to do this in the interest of the whole group but cannot be pressured by individuals if this is detrimental to opportunities of others.
The following are the priority ratings for allocation:
All runs are allocated randomly if applicants make no specific requests
To ensure all new doctors are well prepared to carry out a variety of procedures at the hospital, all doctors are inducted through a functional orientation programme on their first day. Time is spent with recruitment personnel, the RMO unit, the new service manager, communications plus other related departments as necessary.
A formal Waikato District Health Board Orientation Programme (half a day) is run monthly and other formal training such as fire training and CPR courses are scheduled throughout the runs.
The RMO Services Unit can provide an orientation booklet, which contains details on such things as:
Second year and SHO teaching sessionsAs with registrars, there is a wide range of training and teaching sessions available for second year house officers and SHOs. Senior doctors who are experts in their field present a variety of clinical topics at these sessions. Topics are wide-ranging with an emphasis on practical approach to caring for patients, as wells as professional development topics.
Following is an example of the topics presented:
Second year house officers and senior house officer runs
Obstetrics and Gynaecology
Paediatrics (including paediatric reliever and paediatric surgery)
The range of training across specialities includes:
Ward based experienceThe mainstay of clinical practice and learning for RMOs at Waikato District Health Board is the ward work. Waikato District Health Board has a wide range of both common and extremely rare and specialised patient groups. house officers are well supported by specialist registrars and their consultants who are usually freely available and approachable.
The support for RMOs on the ward also includes a highly experienced and motivated nursing staff, including out of hours support from clinical nurse advisers who will advise nursing staff on particular clinical issues. In all wards there are protocols and guidelines on patient management and procedures to assist in decision making.
The educational content of the ward work is based on the "apprenticeship model" in which students learn from the house surgeons and senior house officers who in turn learn from the registrars who learn primarily from their consultants. This apprenticeship model is deeply ingrained in the culture of the organisation in the hope of broadening the clinical experience of our resident doctors, maximising their clinical confidence and competence and allowing a safe practising environment for both the patients and doctors.