Job Description
Overview The Hospital Clinical Programme (HCP) not only have depth of knowledge in their respective fields ( Medicine, Surgery and Emergency & Acute Care) but also knowledge across different domains to manage patients with multiple interacting comorbidities and health/social complexities holistically, together with other members of the healthcare team to anchor broad-based care in the wards. Job Responsibilities & Core Competencies Core Competency A – Resuscitation and Management of the Critically Ill Patient You will be responsible for: - Recognising and identifying, in a timely manner, a patient who is deteriorating clinically and in need of urgent intervention - Reliably notifying the specialist-in-charge, in a timely manner, and coordinating a team of healthcare staff to assist in the care of the patient. - Reliably performing a targeted clinical assessment to obtain information necessary for diagnosis and subsequent management. - Ordering initial investigations to further narrow the differential diagnosis and guide management. - Instituting, in a timely manner, appropriate management steps to stabilise the patient. - Reliably leading a team in performing a code based on ACLS principles, if applicable - Initiating transfer of the patient to a higher level of care (i.e. ICU) where appropriate - Updating the patient and/or family throughout the process and involve them in shared decision making for the care plan. Core Competency B – Initial Evaluation & Investigation of Common Presentations in Adult Patients You will be expected to demonstrate the knowledge, clinical skills and technical skills necessary to assess and evaluate common presentations in adult patients: - Fever - Chest pain - Shortness of breath - Abdominal pain - Limb swelling - Dizziness - Falls - Syncope - Neurological deficits - Headache - Altered mental state - Oliguria - Acute gastrointestinal bleeding Core Competency C – Management of Common Clinical Conditions You will be expected to initiate provisional care plans for common clinical conditions: - Sepsis - Stroke - Tachy- and Bradyarrhythmias - Asthma/COPD - Pulmonary embolism, deep venous thrombosis, hypercoagulable state - Acute coronary syndrome - Heart failure - Fluid overload - Poor controlled diabetes - Hypertensive emergency - Shock - Electrolyte abnormalities - Alcohol & drug overdose/intoxication - Head injury - Acute arthritis - Bleeding GIT - Management of pain - Transfusion medicine - End-of-life care Core Competency D – Communication & Professionalism You will be expected to demonstrate knowledge and skills in communication, crisis management, leadership and professionalism in the following areas: - Advanced care planning - Informed consent - Shared decision making - Communication (with patients and other healthcare professionals) - Systems-based practice and transitions of care Requirements - Education, Training and Experience - Medical staff who have completed basic specialist training and is at least Post Graduate Year (PGY) 5 of training for Singaporeans or Permanent Residents (PR) of Singapore - For non-Singaporeans or non-PRs, the medical staff must have at least worked in a Singapore public healthcare institution for 5 years - Professional License - Must be registered with the Singapore Medical Council