Junior Consultant Internal Medicine - Nephrologist at The African Medical Centre of Excellence (AMCE)

Job Purpose

• The Junior Consultant in Internal Medicine with subspecialty training in Nephrology will provide advanced clinical care to patients with complex renal disorders under the supervision of senior consultants. This role involves managing both general internal medicine cases and specialized nephrology conditions, performing subspecialty procedures, contributing to multidisciplinary care, and participating in the education and training of junior doctors at the African Medical Centre of Excellence.

Key Accountabilities/Responsibilities

Comprehensive Primary Care Services

• Provide holistic, continuous primary care for patients presenting with acute illnesses, chronic conditions, and undifferentiated symptoms.
• Diagnose and manage a wide range of medical conditions across all age groups and both genders.
• Perform minor surgical procedures including wound suturing, abscess drainage, skin biopsies, joint aspirations, and cryotherapy.
• Deliver preventive care services including immunizations, health screening, and lifestyle modification counseling.

Specialized Clinical Care

• Provide comprehensive consultation, diagnosis, and management for patients with renal disorders (acute kidney injury, chronic kidney disease, glomerulonephritis, hypertension, electrolyte disorders, dialysis management).
• Manage patients with complex, multi-system conditions requiring both general internal medicine and subspecialty expertise.
• Develop and implement individualized treatment plans based on current evidence-based guidelines.
• Provide continuity of care for patients with chronic renal conditions in outpatient and inpatient settings.

General Internal Medicine Services

• Attend general internal medicine admissions, consultations, and emergency cases as part of the medical team roster.
• Participate in medical ward rounds, acute medical take, and on-call rotations.
• Manage patients with undifferentiated medical conditions and multi-morbidity.
• Provide peri-operative medical consultation and co-management for surgical patients.

Procedural Competencies

• Insert temporary hemodialysis catheters (non-tunnelled/tunnelled).
• Perform and interpret native and transplant renal biopsies.
• Manage acute and chronic dialysis prescriptions (hemodialysis, peritoneal dialysis).
• Conduct peritoneal dialysis catheter insertion and management.

Multidisciplinary Collaboration

• Work closely with other specialists including cardiologists, urologists, transplant surgeons, dietitians, and diabetes educators.
• Participate in renal transplant workup, coordination, and post-transplant care (Nephrology).
• Contribute to multidisciplinary team meetings, case conferences, and joint specialty clinics.

Clinical Supervision & Teaching

• Supervise and mentor senior registrars, medical officers, house officers, and medical students.
• Lead bedside teaching, case presentations, and clinical skills training sessions.
• Participate in departmental academic activities including journal clubs, morbidity/mortality meetings, and grand rounds.

Quality Improvement & Clinical Governance

• Participate in clinical audits, service evaluations, and quality improvement projects within the department.
• Implement evidence-based protocols and clinical guidelines for renal care.
• Contribute to the development of standard operating procedures (SOPs) and care pathways.
• Ensure compliance with hospital policies, patient safety standards, and regulatory requirements.

Research & Academic Contribution

• Engage in clinical research projects related to nephrology.
• Assist in data collection, analysis, and manuscript preparation for peer-reviewed publications.
• Present research findings at departmental meetings, conferences, and scientific forums.
• Maintain a portfolio of continuous professional development and scholarly activities.

Patient Education & Advocacy

• Provide comprehensive patient and family education on disease management, treatment options, and lifestyle modifications.
• Empower patients with chronic renal conditions to participate actively in self-care.
• Advocate for patient access to essential medications, technologies, and supportive services.
• Support shared decision-making and culturally sensitive care.

Qualifications

• Medical Degree (MBBS/MBChB or equivalent) from a recognized institution.
• Possession of a valid medical license to practice.
• Completion of Part II Fellowship in Internal Medicine from the West African College of Physicians (WACP), National Postgraduate Medical College of Nigeria (NPMCN), or equivalent international Board.
• Subspecialty training or recognized qualification in Nephrology is highly desirable.

Experience

• Minimum of 3–5 years of postgraduate clinical experience with substantial training and experience in Nephrology.
• Demonstrated competence in managing both general medical emergencies and specialized renal conditions.
• Proficiency in relevant subspecialty procedures as outlined above.
• Experience in teaching and supervising junior medical staff.
• Strong clinical reasoning, diagnostic acumen, and decision-making abilities.
• Excellent communication, interpersonal, and multidisciplinary teamwork skills.
• Commitment to evidence-based practice, patient-centered care, and continuous professional development.