Hospital Clinician*

OverviewHospital Clinicians (HC) 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) 4 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