MEDICAL DOCTOR (back up pool)

WHAT IS MSF?

Médecins Sans Frontières/أطباء بلا حدود (MSF) is an international, independent, medical humanitarian organization that delivers emergency aid to people in 70 countries who are affected by armed conflict, epidemics, natural disasters and exclusion from healthcare. MSF offers assistance to people based on need, irrespective of race, religion, gender or political affiliation and our actions are guided by medical ethics and the principles of neutrality and impartiality.

We offer basic healthcare, perform surgery, fight epidemics, rehabilitate and run hospitals and clinics, carry out vaccination campaigns, operate nutrition centers, and provide mental healthcare. Our activities include the treatment of injuries and disease, maternal care and the provision of humanitarian aid. Where necessary, we set up sanitation systems, supply safe drinking water, and distribute relief to assist survival.

A FEW WORDS ABOUT THE PROJECT

The project started in Sept. 2013 in Shatila, where MSF currently manages an outpatient center for chronic non-communicable diseases (NCDs), vaccination services with transversely integrated mental health services and health promotion, and referrals for patients who require services beyond the scope of MSF activities. Additionally, MSF opened a women’s health center with sexual and reproductive health care.
During 2018, low risk deliveries were relocated from Shatila to Rafik Hariri University Hospital compound, where MSF runs a Birth Centre. MSF took this as an opportunity to work together with external partners as catalyst for change around midwifery model of care and demedicalization of deliveries. The antenatal care services remain in the camps, to serve the most vulnerable women.
In Bourj el Barajneh camp, besides the above-mentioned activities, MSF provides in addition home-based care for those patients who are housebound or bedridden often due to an advanced NCD disease.

MSF BIRTH CENTER (BC)

The MSF Birth Center is unique in Lebanon, in its objective to develop a midwife led model of care. The midwives are responsible for all of the deliveries and are only required to consult the obstetrician in case of complications. The model focuses on low risk pregnancies. There is an assessment room for all patients being followed in ANC, including the higher risk cases and they may attend at any time to be assessed. The most important role of the obstetrician is to manage any complicated cases either in BC or prior to referral to another hospital, and to be active in teaching, coaching and empowering of the midwives and nurses to help develop the midwife led model of care.

Responsibilities:

MSF is looking for Medical Doctor to provide outpatient and/or inpatient medical care to patients/beneficiaries according to adapted and updated medical knowledge, MSF protocols, values and universal hygiene standards to improve the pa-tients/beneficiaries health conditions.

Accountabilities:

• Apply medical knowledge and skills to diagnosis and prevention. Carry out outpatient and inpatient consultations, prescribing the necessary treatment respecting MSF protocols.
• Keep the patient and/or his/her family informed about the illness and provide appropriate explanations about the treatment to follow, checking they have understood.
• Check and control the rational distribution of medicines and equipment under his/her responsibility and take care the quality, disinfection and sterilization of the medical material. Assure general compliance with standing hygiene standards.
• Participate in the collection and analysis of epidemiological data, checking its validity and informing the line manager or project coordinator about any problem or complication of the patients illness, medical error and monitors the proper functioning of the department, equipment or material.
• Ensure ongoing training of the medical/paramedical multidisciplinary team in order to optimize the quality of care.
• Knows and ensures all MSF medical protocols are followed and implemented, checking universal precautions are followed at all times and reducing bio-hazard risks and improving infection control. Ensures professional confidentiality is respected.

Specific Accountabilities:

Daily Consultation

• Daily OPD consultations for all patients including children below 18 years suffering from non-communicable diseases, including Type1 diabetes. The objective is to provide quality treatment and ensure the best , appropriate medical care available in this context.

Patient centered care

• Provide essential health information in the centers. The service should encourage patients and care takers/family members involvement in clinicvisitsand the decision making process.By being patient focussed we aim to considerthe patients’s individual needs and motivations rather than just medical daignosis.

Referral cases

• Based on clinical diagnosis identify patients in need of secondary health care and ensure timely referral to the governmental health structures and other actors in the area through proper communication with the referral team.
• Engage in the transfer process of eligible patients to the other PHCs supported by pre-identified NGOs

Management of daily work

• Ensure that patients files are are completed appropriately and legibly with good documentation of clinical findings,vital signs, monitoring, investigations, referrals and treatments.
• Ensure rational prescribing , utilising the prescription guidelines and MSF protocols
• Refer and liaise closely with the multi-disciplinary team (SW, PSEC,HP, Psychologist) to address patient needs and partcipate actively in the MDT meetings
• Follow the MSF protocols and guidelines ,whilts also keeping up to date with other relevant guidelines which might influence your management of patients
• Ensure accurate  and timely data collection  and engage in audits and file analysis

Communication

• Ensure good communication with the line manager and team aiding to the effective management of the patients and collaborative working environement
• Ensure prompt recognition and involvement of line manager  for patients wiith severe complications needing urgent management
• Ensure patient confidentiality and respect towards all patients

Surveillance

• Develop a good understanding of the health needs of the population and promptly report any concerns  and management suggestions to the line manager

Hygiene

• Follow the Universal Precautions (sepsis and hygiene) and the waste management procedure(sharps waste, contaminated waste)

Training/meetings       

• Actively engage in trainings  and meetings conducted or arranged by MSF

Additional tasks

• On request perform any other additional duties given by the immediate supervisor in order to allow the organization to function optimally

This poition involves rotation in our NCD clinic in Shatila camp and our low mobility NCD clinic in Bourj al Barjne camp.

 Mobile phones are not permitted during patient consultations.

Qualifications:

Education

Essential: -MD diploma

-MoPH’s license to practice in Lebanon as  General practitioner

-Certificate of registration at the Lebanese Order of Physicians (as a GP) 
 
Desirable: Continued Medical Education (CME) credits for the last year from the LOP (desirable not essential) 

Experience:

2 year experience minimum as a Medical Doctor or in clinical work (can be within medical training).

Desirable in tropical medicine, or post-registration experience in Public Health obs and gynae, pediatrics, A, infectious diseases, HIV/AIDS/STDs, TB, Mental health, general practice, general medicine or minor surgery.

Experience in MSF or other NGO’s is desirable

Computer Skills : Essential computer literacy (word, excel)

Languages: Good level of communication in English, and Arabic

Soft Skills: People Management, Commitment, Flexibility, Results & Teamwork