Surgeon

Working overseas as an expat with (MSF) means that you will go on missions to work in projects in any of the 70 countries where MSF works. Each missions you go to will require a certain period of commitment (6 to 12 months). Being an expat also means that you will need the flexibility to adjust to unfamiliar food, living quarters, pace of life, and languages. Projects may be located in the most remote places in the world, often in harsh environments with limited resources and amenities. This can mean rudimentary medical equipment and supplies, bland food (cabbage, beans, and lentils), interesting housemates (snakes, bats, scorpions) and few leisure outlets (jogging on the landing strip).  Nevertheless, MSF ensures adequate accommodation, appropriate water and sanitation standards, access to the Internet wherever possible, and even clean laundry.  Regardless of where you go, it will be a very different lifestyle. Working in an unfamiliar culture inevitably involves challenges in communication and perceptions. Being aware that people may not act or think like you, accepting this, and being able to adapt your own behaviors if required, is of utmost importance when working in the field. A special camaraderie emerges amongst members of a project team who come from different countries, backgrounds and experience. This creates a shared sense of purpose, sparking ingenuity and resourcefulness in getting things done, and a lot of spontaneous fun.    http://www.msf.org/en/country/belgium   Identification Name: Surgeon Report to: Project Coordinator/ Activity Manager/ Hospital director depending on the project’s organization Report to functional: Activity manager (if any) / Project Medical Referent-MTL-MFP / Medical Coordinator Area: Medical              Main purpose: Organize and carry out surgery activities, ensure pre and post-operative surgical care, in accordance with MSF policies, protocols and universal hygiene standards and in close collaboration with medical staff in the emergency, intensive wards and operation theatre in order to improve patients’ health conditions.   Accountabilities:                                Coordinates the implementation of MSF clinical policies, tools, guidelines and protocols ( antibiotic prophylaxis, post-operative pain management, thrombo-prophylaxis, caesarean section, blood transfusion, etc) and recommendations (standard hygiene and sterilization rules, prevention to HIV, TB, Syphilis and Hep B exposure) in order to minimize clinical risks. Undertake pre-operative consultations, evaluating the surgical risks with the anaesthetist and/or other medical staff involved, and obtaining the patient’s signed consent to operate. Carry out emergency and programmed surgical intervention following MSF protocols and policies including swab counts, ensuring appropriate use of surgical equipment and proper OT registry entry/documentation of all OT intervention. Carry out post-operative clinical care and ward rounds collaborating with the anesthetist, the Operating Theatre Nurse and ward staff or other Unit Managers to ensure compliance with MSF protocols and rational use of medicines. Attend OPD, emergency room when required. In collaboration with the anaesthetist, carry-out the collection and analysis of quantitative surgical- anaesthesia data, using post-operative observation sheets, routine data collected, patient files, operating department register, patient file, etc to monitor quality. Monthly revue data and analyze clinical trends and comment on adverse events / poor clinical outcome. Support organizing the operating program and with OT staff monitor use of material and equipment and advise on instrument needs and coordinates patient referral., Put in place the emergency disaster response plan of the hospital along with the anesthetist and the medical doctor and /or the responsible nurse and run role hospital practical rehearsals, in order to ensure the continuity of the services under any circumstance Knows and helps implement the accidental blood exposure policy. Plan, evaluate, and supervise the training of the staff (emergency and the out-patient teams) in order to ensure the amount of knowledge required and to improve people diagnosing, triage, and early detection capabilities. Supports other medical teams/wards when needed (i.e. midwifes and obstetric teams in the maternity ward, etc.)   Requirements: Education: Essential, diploma in surgical Work license.     Other requirements: Ability to live and work as a team Management capacity Ability to manage stress Flexibility Availability : MSF requires a minimum of a 2 years commitment     Experience: Minimum 2 year experience in Surgical. Desirable experience with MSF or other NGO’s in developing countries.   Languages: Arabic, English and/or French.