Medecins Sans Frontieres Looking for Specialized Medical Doctor at Ranchi Patna, BR

1. Clinically evaluate and stabilise in-coming patients prior or during admission

2. In in-coming and admitted patients, recognize and decide admission or further referral of patients depending on

clinical condition and prognosis

3. Conduct periodic clinical rounds and advise treatment / interventions according to MSF protocols

4. Manage advanced HIV and opportunistic infections with a particular focus on disseminated tuberculosis and

other common OIs, support decisions on ART switches based on Indian/WHO Guidelines.

5. Manage severe acute malnutrition, comorbidities and common adverse events, including drug induced liver

injury, seizures, and others.

6. Provide and supervise other clinical interventions (Vital signs, IV lines, catheters, fluids, biological sampling etc.)

within the scope of the inpatient unit and MSF protocols

7. Advise and contribute to standard operating procedures related to clinical care

8. Resuscitate and / or guide resuscitation of patients if indicated

9. Advise project medical management on medical supply needs for facility

10. Capacity building for the ward team, including MSF Medical Doctors and Nurses, in the management of

inpatients with advanced HIV

11. Support and training including bedside training the management of advanced HIV inpatient management:

12. High Dependency/ICU level care not including use of vasopressors and non-invasive ventilation, intubation or

renal replacement therapy

13. Support management of paediatric advanced HIV admissions of all ages including with severe acute

malnutrition.

14. Support the ongoing development of the unit as a hub for good antimicrobial practice, management of

antimicrobial resistance, palliative care and effective infection control

15. Continue to advocate for a reduction in HIV-associated stigma among local staff and including supporting field

coordinator interactions with local external actors

16. Ensure all approved unit-specific or MSF medical protocols are followed and implemented; develop a new SOP

or protocol for any medical condition as and when needed

17. Ensuring universal precautions are followed at all times and reducing bio-hazard risks and improving infection

control

18. Ensure professional confidentiality is respected

19. Work closely with other members of medical team staff (Nurses for triage and patient flow, Counselors, Health

Promoter, Lab Technicians and Medical Data Processing Officer) to ensure quality medical care.

20. Refer patients to appropriate facilities (imagery, TBDC, tertiary Hospital in Patna) for further investigations and

treatment or special care based on indications set by DWBI Protocols; and follow up the evolution of referred

cases by networking/collaborating with partner doctors.

21. Ensure proper and careful use and check quality of biomedical equipment following the user manual and

protocols and alert supervisor in case of malfunctioning.

22. Participate in clinical as well as medical team meetings and tele medicine meetings

Other Responsibilities and tasks

• Support team members to recognize patients requiring palliative care and identifying patients who are dying

and require end of life care

• Provide appropriate palliative care for pain and symptom management in all patients and those on end of life

care

• Work together with focal point to coordinate multidisciplinary team working (including MHPSS), palliative care

data collection and reporting

• Organize training for the ARTCs staff to build their capacity in order to improve the quality of care

• Assist medical management team and to identify ART failure cases and switching to 2nd or 3rd line or Enhanced

Adherence Counselling and FU VL,

• Maintains a flexible approach and responds to the needs of the project even outside of this job description.

• To assist in the assessment of humanitarian needs and emergency interventions arising in the region and if

needed, showing flexibility, adaptability and commitment.

• To respect MSF internal regulations, the contract and the present job description.

REQUIREMENTS

Education • Essential: DNB (Diplomat of National Board of Examinations) in Medicine / internal

medicine / infectious diseases with full & valid registration from Medical council of

India or state medical councils

• Desirable: MD (Doctor if Medicine) in Medicine / internal medicine / infectious

diseases, with full & valid registration from Medical council of India or state medical

councils.

Experience • Essential: Minimum 4 years of work experience including specialization residency

(DNB or MD) of which 2 years in a in-patient facility treating advanced HIV, TB

and/or MDRTB;

• Desirable: Experience in treatment of visceral Leishmaniasis and conduct of tissue

aspirates techniques for diagnosis

Languages • Advanced skills in English. Spoken Hindi is desirable

Knowledge • Essential computer literacy (word, excel)

Competencies

• People Management L2

• Commitment L2

• Flexibility L3

• Results L3

• Teamwork L3