2026 Intensive Care Transition Year Fellow 1

Requisition No: 4175
- Executive Division: Operations
- Division: Emergency Medicine and Intensive Care Services
- Program: Intensive Care
- Department: ICU Medical
- Enterprise Agreement: Doctors in Training (Victorian Public Health Secto
- Job Function: Medical
- Project:
**ICU Transition Year Fellow**
- Location: Sunshine
- Employment Type: Full-Time
- Salary: Classification HM25 - HM30

**About the role**

The CICM approved ICU Transition Year (TY) Fellow position at Western Health is a clinical position somewhere between registrar and consultant, with the aim of the year to gradually enable the doctor to transition from mostly supervised clinical practice (as a registrar) to mínimally supervised clinical practice (as in a junior consultant role). In addition, rostered Clinical Support Time actively supports the TY Fellow to become involved in the diverse non-clinical portfolios of the Intensive Care Department.

**Local Work Environment**:
The role is based at Sunshine Hospital ICU which is a 25-minute drive from the CBD. Sunshine Hospital is a very busy metropolitan hospital, with 600 hospital beds, including medical, surgical, psychiatric, obstetric & paediatric patients. Sunshine ICU is one of two ICUs within Western Health (WH), with the other 14 bed ICU located at Footscray Hospital. The new 1.5 billion-dollar Footscray Hospital is currently in the final stages of construction and is planned to open in late 2025.

Sunshine Hospital ICU is a 13-bed mixed medical, surgical & obstetric adult ICU, admitting approximately 1100 patients per year (funded to 12 ICU equivalents). By comparison to other metropolitan ICUs, patients admitted to Sunshine ICU are relatively young, with very high severity of illness scores. We are proud to have an established Cardiogenic Shock Service and can offer Mechanical Cardiac Support in the form of Impella due to our established Impella Programme. Additionally, the Joan Kirner Women’s and Children’s centre (co-located with Sunshine Hospital) opened in 2019 and has allows us to manage critically unwell and complex obstetric, paediatric, and neonatal patients on site. While Sunshine ICU does admit obstetric patients it does not admit paediatric patients. ICU medical staff are not required to attend paediatric MET calls or Code Blues.

The ICU consultant group at Western Health work across both Footscray & Sunshine sites, are all FCICM qualified, and have a variety of subspecialty interests and expertise (e.g. education, mechanical cardiac supports & echocardiography, sustainability, research, mentoring, welfare, organ donation, health informatics, bioethics).

**Clinical Role of the TY Fellow**:
The Transition Year Fellow will be rostered to Sunshine Hospital ICU for 12 months and will report directly to the on-call Intensivist for all clinical matters. The Transition Year Fellow has an individual roster line, with a combination of day, evening, night and on call shifts. The exact shift proportions may vary to ensure the clinical needs of the unit are met. There will be 3 monthly feedback provided to the TY fellow (including the required CICM ITERs), with more frequent feedback by the CICM SOTs or ICU Director as necessary.

The Supervisors of Training and Director of Intensive Care are responsible for determining what level of clinical autonomy is recommended for an individual TY Fellow over time. The degree of clinical autonomy will also be discussed at the ICU consultant group’s regular review of junior medical staff performance. It is anticipated the level of direct clinical supervision provided by the supervising Intensivist will vary over time, and will allow for independent unit management, ward round, and first on call opportunities in preparation for junior consultant role.

**Key responsibilities**:
**Clinical TY Fellow daily workflow**:

- Receive handover; lead the morning or afternoon multidisciplinary ICU ward round and determine the clinical management of the ICU patients (in accordance with relevant WH policies & guidelines, best evidence and consultation with other health care professionals as needed)
- Supervise and guide the junior medical staff in the performance of their routine duties (e.g. ensure appropriate ward round notes are made, timely care is provided, teach and supervise the performance of relevant procedures, review results and investigations)
- Modify management and treatment of patients (as necessary) initiated by junior staff to provide the highest quality of care
- Ensure continuity of care for all patients via appropriate handover procedure in the unit, including training of the junior medical staff in these procedures
- Attend Code Blues as needed, attend MET calls (if requested by the ICU liaison nurse or the parent unit medical team) and review & manage referrals as needed.
- Manage workflow in the ICU, e.g. bed state/ admissions/ discharges/ ward or ED referrals/ intrahospital transports of ICU patients and liaise with the nursing s