Hospital Clinician*

Overview Hospital 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