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