Page 3008 - Week 08 - Wednesday, 15 August 2018

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(viii) the lack of collaboration and communication within the department;

(ix) the stress caused to consultants and trainees over rostering arrangements and staff leave management resulting in a “great risk” to the department and patients;

(x) teaching sessions not being held while one of the Directors of Training had been on extended leave, resulting in “great concern” to patient safety;

(xi) TCH not being part of a training network, trainees not rotating to any private or rural sites, past attempts to establish networks having been unsuccessful, and the confusion over whether TCH was required to be part of a network;

(xii) the department not implementing system-focussed rotations due to confusion regarding their necessity, and how trainees and consultants could be rostered to facilitate this;

(xiii) no formal teaching program being aligned to the curriculum for trainees, with teaching sessions often cancelled if the relevant consultant is not available;

(xiv) a lack of formal teaching sessions on patient safety and report writing;

(xv) a change to trainee recruitment processes, which required existing trainees to apply and interview for their positions in competition with new applicants, causing significant confusion and stress for trainees because of a lack of clear information coming from the department and hospital management;

(xvi) a person in a non-clinical role chairing the interviewing panel, which was in breach of the College’s trainee selection guidelines;

(xvii) the lack of a formal orientation program or manual for new trainees;

(xviii) the lack of formal, structured and documented support for trainees in difficulty, as required under the College’s Trainees in Difficulty Policy; and

(xix) imaging equipment being out-of-date, with no details of a replacement program provided to the assessors;

(d) a meeting held on 13 February 2017 between radiology registrars and the Chief Medical Officer, during which registrars raised concerns over:

(i) the lack of a registered nurse being on duty overnight when medical imaging is undertaken resulting in exposure of risks to patient safety;

(ii) possible delays in imaging reports, including critical reports, due to workload pressures and the lack of overnight nursing support;

(iii) registrar rotations with other hospitals and across disciplines, noting that “registrars are of the understanding the Medical Imaging Management have declined offers for these rotations, without explanation”;

(iv) the lack of a clinical director; and

(v) consultants frequently not being rostered on, resulting in the lack of an escalation point, and working unsupervised;

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