Hospital Clinician*

Overview Hospital 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 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