Surgeon - Locum at Medecins Sans Frontieres (MSF)

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. The selected candidate will be reporting to the Medical Activity Manager 

Accountabilities

• Coordinates the implementation of MSF clinical policies, tools, guidelines and protocols ( antibiotic prophylaxis, post-operative pain management, thrombo-prophylaxis, cesarean 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 anesthetist 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 anesthetist, carry-out the collection and analysis of quantitative surgical anesthesia 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.) 

MSF project-specific accountabilities

• Screening /prioritization of the patients on the general surgical line list for the selected type of surgeries ( Hydrocelectomy, Hemorrhoidectomy , Excision of lipoma and Herniotomy ) with the support of referral team
• Organization of the operating theatre list with the support of the operation theatre team
• Conducting pre-operative assessment of the patient waiting for the surgery along with the anesthesia team
• Management of the pre and post-operative care with the support of the nursing team
• Ensuring proper documentation , aseptic methods and safety measures ( surgical checklists during the entire intra-operative phase
• Conducting first follow-up care visits with the support of the referral team

Requirements 

• Education:
  • Essential Medical Doctor (MD) with general surgical experience with evidence .
  • A masters or postgraduate diploma in surgery is an advantage.
• Experience: Mandatory surgical experience of more than 1 year. Experience of surgery in low low-resource setting can be an advantage. Desirable experience with MSF or other NGOs in developing countries.
• Languages: English is mandatory. Local working language would be an asset (Kiswahili, Somali )
• Knowledge: Computer literacy is essential.

Competencies

• People Management.
• Commitment.
• Flexibility.
• Results.
• Teamwork

Deadline for Application: 27th Sept 2023