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Hospital Clinician*
2 weeks ago
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
Shortness of breath
Abdominal pain
Limb swelling
Falls
Syncope
Headache
Altered mental state
Oliguria
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
Poorly controlled diabetes
Shock
Electrolyte abnormalities
Alcohol & drug overdose/intoxication
Head injury
Acute arthritis
Bleeding GIT
Management of pain
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
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 are 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.
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