As Field Doctor:

•           Carry out outpatient and inpatient consultations, prescribing the necessary treatment respecting MSF protocols. Apply medical knowledge and skills to diagnose and prevention.

•           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 – 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 analysis of epidemiological data, checking its validity and informing the line manager or project coordinator about any problem or complication of the patients’ illness, medical error and monitors functioning of the department, equipment or material.

•           Ensure ongoing training of the medical/paramedical 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 always followed and reducing bio-hazard risks and improving infection control. Ensures professional confidentiality is respected.

 

As Senior Field doctor:

•           Performs as clinical consultant for other medical doctors, providing bed-side hands-on training when appropriate.

•           Functional supervision of the medical doctors in the hospital or outpatient department in her or his speciality area providing clinical support. She/he supervises also other technical areas in the absence of corresponding specialists or Hospital Clinical Lead

•           Supervision of the implementation of medical protocols, procedures and standards used in her/his specialty area, and other areas in the absence of corresponding specialists or Hospital Clinical Lead, ensuring that MSF clinical standards are adhered to at all time

•           Liaises with technical referents where necessary to ensure delivery of patient care.

•           Lead ward rounds and organize clinical sessions.

•           Provide technical coordination and inputs under MAM/PMR lead for:   

    o Referrals of patients following agreed referral protocols in the absence of hospital Clinical Lead position   

    o Acts as technical Focal Point in the Project for eHealth, telemedicine, radiology/POCUS, electronic diagnosis algorithms and       Clinical Operational Research initiatives when appropriate.

•           Works in close collaboration with Senior Nurse and/or Nurse Supervisor

Quality of care: these tasks are to be performed in the absence of a Hospital Clinical Lead and according to the field needs and activities ongoing. The Senior Field Doctor will be in the best position to perform those, but they could be shared with other team members upon request:

•           Performs as Quality-of-Care Focal Point in the project and in conjunction with the MAM, NAM and Nurse Lead ensures the development and implementation of clinical quality improvement plans.

•           Oversees the implementation of the medical incident reporting policy and follow up of all medical incidents.

•           Collaborates and supports the ATB focal point in the rational use of antibiotics and taking this role of focal point when pertinent.

•           In close collaboration with medical and nursing managers, supports the implementation, monitoring and analysis of QoC indicators in the project.

•           Leads regular clinical review meetings to ensure quality assurance and continuous learning in place and/or (in Hospital set ups) is core member or chairperson of the in-hospital mortality committee.

•           In close collaboration with the laboratory manager and/or lab supervisor, supports the coordination between laboratory and imagery activities and clinical care provision.

Leadership and training:

•           Support MAM/PMR in identifying training needs for all medical staff in core competences required for their area of practice in particular the ability to identify and escalate the management of acutely unwell and deteriorating patients.

•           Provides on the job supportive training including spot checks and skills demonstration in her/his speciality area.

Monitoring and evaluation:

•           Upon request from MAM/PMR, supports that patients’ records, and clinic registers are completed according to MSF requirements.

•           Upon request from MAM/PMR, support in the use of established reporting formats for data collection, analysis, and report on daily & weekly activities to MAM or Hospital Clinical Lead as required and follow notifiable disease protocols.

•           Supports the MAM/PMR or Hospital Clinical Lead in doing the HMIS data analysis of different areas.

Other:

•           Support that all consultations with patients are in patient centered a dignified and appropriate manner in keeping with the Quality-of-Care standards and principles set out by MSF

•           Act as focal point for patient and caregivers’ complaints and concerns and escalate as per MSF Patient Charter and Behaviour and Abuse escalation Policy. This task could be either done by MAM or Hospital Clinical Lead when available.

In close collaboration with MAM/PMR, support that systems in place to maintain patient confidentiality

 

 

MSF Section/Context Specific Accountabilities

Strong leadership

•           Must be able to make informed decisions.

•           Ease of communication (Strength of proposal, active listening, and ability to work in transversality)

•           Must know how to analyze their environment (strengths and weaknesses of technical and human resources) and be able to make strategic operational proposals in the medium/long term. Must be able to account for the gaps between the expected skills and the driving forces.

•           Must be able to plan the actions to be implemented with a multi-year vision considering the specific context of the country, taking into account innovations and risk management.

•           Organization and time management – Prioritizes tasks, meets deadlines.

•           Emotional Intelligence – Understands emotions, builds a positive team culture.

•           Coaching & Development – Supports team growth, provides learning opportunities.

•           Adaptability and resilience – Manage change well, good stress management.