Job Description

Job Vacancy: Pediatrician

• Position Status: Full Time
• Location: Ad Dahi District
• Contract Duration: Fixed Term 6 months with a possibility of renewal

Doctors Without Borders / Médecins Sans Frontières (MSF) is an international, humanitarian, non-governmental organisation providing assistance to people in need as a result of natural and man-made disasters, irrespective of race, religion, ideology or politics.

Main Purpose Providing outpatient and/or inpatient pediatric care to patients/beneficiaries in Ad Dahi hospital (ER, ICU, IPD and ITFC) according to adapted and updated medical knowledge, MSF protocols, values and universal hygiene standards to improve the newborn and child/beneficiaries health conditions.

Accountabilities

• Applying medical knowledge and skills to prevention, diagnosis and treatment of children, ensuring integrated newborn and pediatric care through Emergency, OPD, and IPD services in newborns and cases of malnutrition. Prescribing the necessary treatment, respecting MSF protocols.
• Collaborating closely with the different departments of the hospital (e.g. Maternity), knowing and ensuring all updated MSF medical protocols and universal precautions are followed and implemented, reducing bio-hazard risks and improving infection control.
• As an expert in pediatrics, proposing strategy (modification on current newborn and pediatric care management) and implementing them after validation of Operation and Pediatric Advisor.
• Ensuring ongoing newborn and pediatric training (formal and bedside) of the medical/paramedical multidisciplinary team in order to optimize the newborn and pediatric quality of care. Reviewing and discussing selected complicated cases or mistakes and giving technical input.
• Keeping patients and their families informed of the illness and the treatment to follow, checking that they have been understood. Ensuring professional autonomy and confidentiality are respected and a good attitude and proper bedside manner towards the patient and their caregivers and the rest of the medical team.
• Following 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.
• Monitoring the proper functioning of the department, equipment or material and addressing the list of the missing item for newborn and pediatric activities. Providing inputs about the general organization of the different pediatric wards, including the admission, transfer and discharge criteria + referral procedure from Maternity and post-delivery wards.
• Checking and controlling the rational distribution of medicines and equipment under his/her responsibility and taking care of the quality, disinfection and sterilization of the medical material. Assuring general compliance with standing hygiene standards.
• Participating in the introduction/improvement of the collection and analysis of epidemiological newborn and pediatric data, checking its validity and informing the line manager or project coordinator about any problems or complications of the patient’s illness and medical errors. Collecting Clinical cases for further trainings and list a series of comments to improve the current MSF protocols.
• Designing and providing training to staff as required.

MSF Section/Context Specific Accountabilities

• Improving the quality of care in ITFC / IPD / ICU wards (neonates and pediatric cases) according to MSF protocol.
• Proper medical examination conducted for admitted cases on a daily basis: general examination, proper regional examination (inspection, palpation, auscultation, and percussion according to the case).
• Reassess all cases upon admission in the IPD, ICU, ITFC, and isolation areas, and update the management plan in the MD's follow-up.
• Conduct at least one medical round (follow-up) for ITFC, IPD, and isolation cases, and two medical rounds (follow-up) for ICU cases and unstable cases in the IPD/ITFC CMU during each shift.
• Update the families about their patient’s condition daily and regularly. Ensure effective communication with the caretakers, regular updates about condition, prognosis, and involve them in decision-making partnership.
• Knowledge and Adhere of the admission criteria for the ICU, IPD, ITFC, and isolation units, and ensure the MDs respecting those admission criteria.
• Knowledge and adhere to the new referral criteria of the project. Obtain MAM/CTL approval for any referral cases. Accompany critical cases requiring referral to another facility as advised by the MAM/CTL/pediatrician expat.
• Clearly fill the medication chart for each patient in the IPD, ICU, ITFC, and isolation, and update it during each follow-up. Ensure that the nursing team follows the medication chart and administers the prescribed medications.
• Ensure proper completion of all project forms and files in accordance with the MSF medical data policy.
• Ensure that all patient files are filled out accurately, including a comprehensive history, examination findings, Investigations & Imaging requested, and its results documented, management details, planning, final diagnosis, vaccination status, allergies, and any advice and communication conducted with patients and their relatives.
• Notify MAM/CTL immediately of any death cases (in ER, IPD, ICU, Isolation, ITFC) that occur during duty and fill out the MM tool.
• Participate in rational prescription analysis, patient file review, and attend the corresponding meetings for action points.
• Improve the knowledge of breastfeeding practice.
• On-call support to the team during the night shift duty.
• Respecting the IPC measures: 5 moments hand washing, using uniform inside the hospital.
• Rationalize the use of antibiotics as indicated based on MSF protocol and guideline including the type of antibiotics, duration, route, when to change antibiotics and need for adding more antibiotics and when to stop.
• Review and discuss selected complicated cases and give technical input (mortality and morbidity analysis).
• Utilize MSF telemedicine for complicated cases or cases requiring sub-specialty consultation. Discuss the feedback with colleagues.

Requirements

Education:

• Medical Doctor diploma in a recognized university
• Pediatrics qualification preferred

Experience:

• 3 years experience minimum as a Medical Doctor in a pediatric hospital

Languages:

• English and Arabic language essential.

Knowledge:

• Essential computer literacy (word, excel, and internet)
• Updates his / her knowledge before each mission, according to the most up-dated MSF newborn and pediatric protocols

Competencies:

• People Management and Development L2
• Commitment to MSF principles L2
• Behavioral Flexibility L3
• Results and Quality Orientation L3
• Teamwork and Cooperation L3