Job Openings at EHA Clinics

Purpose of this Position 

• The Locum Medical Doctor will work in collaboration with IPA and ThinKMD project staff to perform a range of functions including but not limited to; initial history taking, clinical assessments, diagnosis, treatment, and evaluation of care. S/he must demonstrate critical thinking in the clinical decision-making process, especially in assessing and diagnosing patients, leading to the delivery of safe care for all patients.
• The successful candidate will work collaboratively with the healthcare team and the Management Team to meet the needs of the patients, supporting the delivery of policy and procedures.
• The Medical Doctor will also review and act appropriately on blood results and referrals/correspondence regarding patients. In addition, S/he will be expected to occasionally carry out some home visits to patients if and when required. The Medical Doctor will report to the Chief Medical Officer and Project Manager.

Job Responsibilities 

To perform this role successfully, the Medical Doctor will perform the following responsibilities in relation to all clinics which will include but are not limited to:

Clinical Tasks

• Participate in all treatment and preventative healthcare services as delegated and agreed upon by the supervising Program Supervisors/Manager(s).
• Provide direct clinical care to patients using established clinical guidelines.
• Interview patients, take medical histories, perform physical examinations, analyse, diagnose and explain medical problems during surgery consultations and home visits.
• Consult, recommend and explain appropriate diagnostic tests and treatment.
• Request and interpret the results of laboratory investigations when necessary.
• Perform specialised diagnostic physical exams and treatment procedures.
• Instruct and educate patients in preventative health care.
• Conduct telephone consultations which may involve discussing results and implications of laboratory investigations with patients as well as dealing appropriately with routine and emergency complaints.
• Order laboratory tests as required and agreed under supervising Medical Director.
• Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes.
• Contribute to clinical development by developing a special interest and to help establish appropriate systems to manage common chronic medical conditions, ensuring compliance with approved standard treatment guidelines.
• Participate fully in the clinicians’ duty rota including the provision of home visits when appropriate.
• Formulate diagnosis and treatment plans, in consultation with or referring to Supervising doctor(s) as appropriate.
• Give clinical instructions to the Nursing staff and other clinical care teams as required.
• Communicate when necessary with colleagues in Clinical care and hospital specialists in order to discuss or refer specific patients, plan and coordinate activities or exchange information in order to improve the quality of patient care.
• Deal regularly with community hospitals, consultants and other health care providers, insurance companies and other community organisations to refer/consult on specific cases, participate in community service and education projects and activities and the like.

Administrative / Training

• Assist in clinical instruction and supervision of medical and nursing staff as well as other interns/student doctors that may periodically be attached to the clinics, including the educational development and mentoring of these individuals.
• Support clinical research and efforts within the REACH program leading to the publication of papers.
• Attend regular educational meetings organised by the program in order to update clinical knowledge, practice policy and guidelines and disseminate other useful information relevant to the provision of adequate healthcare for patients in order to discuss in a bid to learn from recent significant events relating to clinical practice occurring within the clinics.
• Regularly reflect on own practice (and keep a record of learning encounters) in order to identify learning needs and encourage self-directed lifelong learning and continued professional development.
• Send and receive written information on behalf of the clinic regarding matters of insurance and other issues relating to the physical and social welfare of patients.

Professional Development 

The REACH Program requires all staff to keep their knowledge and skills up to date

• S/he is expected to continue to learn throughout their career at The REACH Program through continuing professional development (CPD). The professional body relating to specialist areas will have information on the type of CPD to be carried out and how much should be completed each year.

Key Areas of Note

• Ensure continuing education, training and development is undertaken to meet clinical governance guidelines for Continuing Professional Development and a Personal Development Plan.
• Keep up to date with relevant medical research, technology, and evidence-based medical practice by attending continuing education courses and professional meetings, reading journals, etc.
• Perform a variety of research and analysis tasks associated with the improvement of clinical care, medical diagnosis, and treatment where appropriate.

Requirements

The requirements listed below are the knowledge, skill, and/or ability required to successfully perform this job:

• Degree In Medicine - Minimum qualification of Bachelor of Medicine and Bachelor of Surgery in any Global, National or State recognized University and conforming to the guidelines as set out by the Medical and Dental Association of Nigeria.
• At least 2+ years post-foundation program of general training
• Compulsory completion of NYSC or exception certificate.
• Up-to-date registration and license from the MDCN
• Post-Graduate Medical and Dental qualification, Certification by WACP or equivalent body or Specialist training in a chosen area of medicine are added advantages.

Key Skills and Attributes

• Computer literacy
• Excellent Communication
• Working Under Pressure
• Humane, Empathetic and Supportive Bedside Manner
• Leadership and Teamwork
• Problem solving and Initiative
• Time Management and Organization
• Attention to Detail

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Core Responsibilities 

ThinkMD Research 

• Observe and document provider-patient interactions according to study protocol.
• Assess Hawthorne effects and spot problems with data recording
• Collect data (structured and unstructured) using appropriate tools. 

Prevention and Control of Communicable and Non-Communicable Diseases 

• Educate the community on early detection and prevention of communicable diseases (malaria, tuberculosis, HIV/AIDS, and NTDs) 
• Register chronic care patients into the empanelment program,follow up and update the doctor.
• Perform disease surveillance and follow up of cases 
• Educate the community on healthy lifestyle and early detection of diseases 
• Screening (including point of care testing and procedures) and referral of clients requiring further investigation and management  
• Follow up cases and promote community-based rehabilitation  
• Provide first aid service and refer client requiring further care 

Family and Reproductive health Services

• Provide basic nutrition information/education to the client 
• Provide antenatal examination and information for a pregnant woman
• Be able to take vaginal delivery 
• Be able to perform episiotomy
• Perform immediate neonatal care and post-partum care/support
• Conduct home visit and refer a pregnant woman with risk factors 
• Provide services for lactating mothers on infant care, nutrition and exclusive breastfeeding
• Implement family and community practices that promote child survival, growth and development activities (Exclusive breastfeeding, complementary feeding, Micronutrients, hygiene, immunization, use of bed nets for malaria prevention, psychosocial development, homecare of illness, home treatment for infections, care-seeking, compliance with advice and ANC)  
• Assess and manage common childhood illness and refer child requiring further care (childhood diarrhea, malaria, and ARI) 
• Educate the community on family planning options/methods and provide family planning service 
• Promote adolescent and youth RH services 

Hygiene and Environmental Sanitation

• Promote and provide environmental and personal hygiene education 
• Establish and demonstrate community-appropriate sanitation technologies 
• Provide education on environmental health services (excreta disposal, solid and liquid waste disposal, water supply safety measures, food hygiene and safety measures, healthy home environment, control of insects and rodents, personal hygiene).

Health Promotion, Education and Communication 

• Provide health promotion and education services 
• Perform advocacy for identified health issues 
• Promote community mobilization on the identified health issues 
• Participate in health campaigns 
• Distribute IEC materials and paste the same in and around strategic locations within assigned clusters.
• Act as the community entry point for all EHA clinics staff and other individuals visiting the community on account of EHA Clinics.
• Organize special events in collaboration with other CHEWs, CHNs, and CHP doctors to increase visibility and update of all mentioned services
• Be responsible for updates on the security situation and cultural norms or any community event that may pose a challenge to EHA Clinics activities and schedule in the community.
• Act as an agent for Community-Based-Distribution of all approved ethical health products
• Continuous training  for CHEWs,CHNs at EHA Clinics 

Community Health Service Management 

• Plan, coordinate and lead the Community Health Program at the grassroots level in collaboration with the community, partners, and other voluntary health 
• Strengthen the implementation of the referral system 
• Ensure proper and safe use of ICT devices that are available for registration and service provision  
• Request medicines and supplies in a timely manner, collecting them, registering in accordance with official guidelines  
• Manage supplies and equipment 
• Attending monthly outreaches organized by either the program or partner 

First Aid 

• Assess, identify client’s condition and provide first aid service  
• Refer client requiring further care 

Vital Statistics, Data Management, and Reporting

• Collect vital events and surveillance data 
• Document activities using reporting tools provided by EHA Clinics
• Document findings that will guide in the development of community-specific strategies for an implementation plan for EHA Clinics community health activities
• Document and share success stories and best practices from communities of intervention
• Providing community healthcare services to a minimum of 40 patients weekly 
• Document genuine data from patients seen

Performance

• Meet up with set key performance indices for your role

Qualifications & Training

• Certificate of training as a community health worker (CHEW)
• Valid Practicing license  

Key Skills and Attributes: 

• Must come from the assigned community and must be able to communicate proficiently in appropriate language of the assigned cluster
• Basic Computer literacy
• Good communication skills (verbal and written)
• Working Under Pressure
• Humane, Empathetic and Supportive Bedside Manner
• High level of patience and tolerance in dealing with community people 
• Problem solving and Initiative