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Hospital Clinician

Salary undisclosed
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OverviewHospital Clinicians (HC) under the AH 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 CompetenciesCore Competency A - Resuscitation and Management of the Critically Ill PatientYou 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 PatientsYou 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 ConditionsYou 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 & ProfessionalismYou 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
OverviewHospital Clinicians (HC) under the AH 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 CompetenciesCore Competency A - Resuscitation and Management of the Critically Ill PatientYou 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 PatientsYou 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 ConditionsYou 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 & ProfessionalismYou 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