Medical Doctor at Medecins Sans Frontieres

Main Purpose

• Provide outpatient and/or inpatient medical care to patients/beneficiaries according to adapted and updated medical knowledge, MSF protocols, values and universal hygiene standards to improve the patients/beneficiaries health conditions

Main Duties and Responsibilities

• Apply medical knowledge and skills to diagnose and do prevention. Carry out outpatient and inpatient consultations, prescribing the necessary treatment respecting MSF protocols.
• Keep the patient and/or his/her family informed about the illness and provide appropriate explanations about the treatment to follow, checking they have understood.
• Follow up the evolution of the hospitalized/IDP patients, through daily visits, consultations and examinations, prescribing the necessary treatment following MSF protocols, deciding whether they can be discharged or transferred to other departments or health facilities – in collaboration with other doctors- and informing their family about the patient’s evolution.
• Check and control the rational distribution of medicines and equipment under his/her responsibility and take care the quality, disinfection, and sterilization of the medical material. Assure general compliance with standing hygiene standards.
• Participate in the collection of epidemiological data and inform the line manager about any possible medical error/patient safety incident Consult the paediatrician or line manager about the patients who have a complex pathology.
• Ensure ongoing training of the medical/paramedical in multidisciplinary team in order to optimize the quality of care.
• Knows and ensures all MSF medical protocols are followed and implemented, checking universal precautions are followed at all times and reducing bio-hazard risks and improving infection control. Ensures professional confidentiality is respected.

MSF Section / Context-Specific Accountabilities
ITFC A.ER / ICU:

• To examine all new SAM & MAM cases admitted in the ER/ICU and respect the admission criteria and (triage)
• To recognize, intervene and immediately inform the pediatrician/MAM about the malnutrition children in a serious condition requiring emergency interventions.
• To refer to other NGO/Partners non malnourished children with pathologies requiring further management.
• To prescribe routine and basic treatment according to the malnutrition protocols and pediatric guidelines used in the project
• To completely and properly fill the individual card with the medical data.
• To conduct the ward rounds with nurses and nutrition aids as a team.
• To give clear instructions to the nurses on the medical care and specific monitoring of the patient.
• To frequently review patients in the ICU and conduct proper handover as a team to the next team on duty.
• To admit or move to isolation patients with contagious diseases and keep the MAM and NAM informed

Phase I, Transition And Under 6 Months:

• To daily follow the patients in the wards for medical ward round
• To estimate the medical evolution (improvement, deteriorate on etc.)
• To give the medical treatment according to the malnutrition protocol and pediatric guidelines
• To hold properly the patient folder
• To conduct the ward rounds with nurses/midwives and nutrition aids as a team
• To ensure all patients have been vaccinated before discharge.
• To do a quick late-afternoon round to be sure that the patients are stable for the night and the rounds directives are well followed.
• To prepare proper referral note for patients

Antimicrobial Stewardship (AMS) Activities:

• To request for blood culture by filling the request form correctly and completely if the patient meets the set criteria To observe the process of blood sample collection for culture
• To follow up culture results from mini lab, then discuss it with the AMS FP (Focal Person)
• To prescribe clearly the right antibiotics (dose/duration) according to the pathogen-specific guideline after discussion with the AMS FP
• To isolate patients with Multi Drug Resistant Organisms (MDRO)
• To respect all Infection Prevention and Control (IPC) guidelines when consulting a patient

ATFC / Staff Health:

• To daily follow the patients with medical problems according to the nutritional protocol.
• To prescribe basic medical treatment.
• To refer patients that meet hospitalization criteria into the ITFC
• To consult the paediatrician or MAM about the patients who have a complicated medical problem.
• To keep record of staff vaccination and give sensitization sessions in collaboration with MAM/PMR
• Proper follow up of TB patients
• To decide, in collaboration with the nurses, on the discharge of the patients.
• To conduct outpatient consultation for staff and their dependents.
• To refer to secondary or tertiary facility staff/dependents requiring higher treatment in line with the staff health policy

Others:

• Work in collaboration with the nurses and nutritional assistants to ensure quality of medical care
• Work in collaboration with the health promotion and mental health team to be able to provide a holistic model of care to the patients.
• Work as a team member, taking in consideration the non-medical problems the patients have to face (food and care problems etc.)
• Do other duties assign by line manager , which could be day shift duty or night shift day.