Medical Doctor at Medecins Sans Frontieres

Main Duties and Responsibilities

• Apply medical knowledge and skills to diagnosis and 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 on 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 – 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 of the quality, disinfection, and sterilization of the medical material. Assure general compliance with standing hygiène standards.
• Participate in the collection and analysis of epidemiological data, checking its validity and informing the line manager or project coordinator about any problem or complication of the patient’s illness, or medical error and monitors the proper functioning of the department, equipment or material.
• Ensure bedside training of the paramedical team in order to optimize the quality of care.
• To work in collaboration with the nurses to ensure medical care of quality
• To work as a team member, taking into consideration the non-medical problems the patients have to face (food and care problems etc.)
• To respect medical ethics and confidentiality

MSF Section / Context Specific Accountabilities
On admission: ER/ICU:

• To perform well the admission criteria triage criteria
• To examine all new cases admitted in the ITFCs.
• To carry out basic medical examinations.
• To recognize, call and/or immediately inform the MAM/ Pediatrician and MD Senior about the children in a serious condition requiring emergency interventions.
• To refer to MOH/Partners non malnourished children with complicated cases requiring further management.
• To check the patient’s hydration status and to prescribe rehydration treatment if necessary.
• To prescribe routine and basic treatment according to MSF protocols used in respecting the drug dosage based on the weight of the patients.
• To Complete and properly fill the individual card with the medical data.
• To give clear instructions to the nurses on the medical care and specific monitoring of the patient.
• To do a quick handover round to be sure that the patients are ok for the next shift, the directives are done.
• To attend medical and mortality review meetings

Monitoring of the patients:
In phase 1:

• Daily follow up of patients in Phase 1 To give the medical treatment according to the protocols.
• To estimate the medical evolution (improvement, deterioration etc.) and daily follow up of the patients to detect complications and refer either in ICU/ ICU Stepdown or Externally. To report to MAM/Paediatrician/ MD Senior the patients who are not gaining weight or who have complicated medical problem.
• To manage properly the patient folder
• To decide, in collaboration with the nurse, on the transfer of the patient(s) to phase 2.
• To do a quick handover round to be sure that the patients are OK for the next shift, the directives are done.
• To monitor feeding of patients in collaboration with other team members.
• To prescribe basic medical treatment.

In phase 2:

• To decide, in collaboration with the nurses, on the discharge of the patients.
• To ensure all patients above 6 months are vaccinated upon discharge.

Minimum Required Skills and Qualifications

• Education: Bachelor of Medicine and Surgery (MBBS) essential. Required license to practice
• Experience: Minimum 2 years experience as a Medical Doctor or in clinical.
• Previous experience in Nutrition/HIV/TB program, General Pediatric ward would be an asset.
• Languages: English essential. Local language (Hausa, Fulani) is desirable.
• Knowledge: Essential computer literacy (word/excel)

Competencies:

• People management, Teamwork and Cooperation, Behavioural Flexibility, Commitment to MSF Principles, result oriented, Teamwork