MD01400

MÉDICO

Nivel   9



Responsabilidad Jerárquica

Gestor de actividades médicas (si lo hay) / Coordinador de terreno

Responsabilidad Funciónal

Gestor de actividades médicas (si lo hay) / Referente médico de proyecto (si hay) / Coordinador médico

Área Profesional

Médica


Objetivo Principal

Proporcionar cuidados médicos ambulatorios y hospitalarios a pacientes/beneficiarios de acuerdo con conocimientos médicos adaptados y actualizados, protocolos de MSF, valores y estándares universales de higiene para mejorar las condiciones de salud de pacientes y beneficiarios.


Responsabilidades

  • Aplicar los conocimientos y habilidades médicas para el diagnóstico y la prevención. Llevar a cabo consultas ambulatorias y hospitalarias, prescribiendo el tratamiento necesario respetando los protocolos de MSF.
  • Mantener al paciente y a su familia informados sobre la enfermedad y dar explicaciones apropiadas sobre el tratamiento a seguir, verificando que lo han entendido.
  • Hacer seguimiento de la evolución de pacientes hospitalizados/IDP a través de visitas diarias, consultas y exámenes. Prescribir el tratamiento necesario siguiendo los protocolos de MSF, decidiendo en colaboración con otros doctores si los pacientes deben ser dados de alta o trasladados a otros departamentos, e informando a sus familiares sobre la evolución del paciente.
  • Verificar y controlar bajo su responsabilidad la distribución racional de medicinas y del equipo, y cuidar de la calidad, desinfección y esterilización del material médico. Asegurarse del cumplimiento de los estándares de higiene.
  • Participar en la recogida y análisis de datos epistemológicos, verificando la validez e informando al encargado o coordinador de terreno sobre cualquier problema o complicación en la enfermedad del paciente, o error médico. Controla el funcionamiento apropiado del departamento, equipo o material.
  • Asegurarse de la formación continuada del equipo multidisciplinar médico/paramédico para optimizar la calidad del cuidado.
  • Conoce y se asegura de que se siguen implementando todos los protocolos médicos de MSF, verificando que las precauciones universales se siguen en todo momento, reduciendo riesgos de peligro biológico y mejorando el control de la infección. Asegura que se respeta la confidencialidad profesional.
  • Gestiona el equipo bajo su responsabilidad de acuerdo con las políticas y procedimientos de RR.HH. de MSF, supervisando su desempeño, organizando y planificando turnos y rotaciones, y participando directamente en emergencias o llamadas si es necesario.

Formación

Diploma en medicina. Deseable diploma en medicina tropical (la medicina tropical es imprescindible para OCB y OCBA)


Experiencia

Deseable experiencia laboral con MSF y otras ONG en países en vías de desarrollo. Experiencia en medicina tropical o experiencia pos-registro en salud pública, obs y ginecología, pediatría, A&E, enfermedades infecciosas, VIH/SIDA/ETS, TB, medicina general o cirugía menor.


Language Level Description

B2  Independent User

Vantage or upper intermediate

  • Can understand the main ideas of complex text on both concrete and abstract topics, including technical discussions in his/her field of specialisation.
  • Can interact with a degree of fluency and spontaneity that makes regular interaction with native speakers quite possible without strain for either party.
  • Can produce clear, detailed text on a wide range of subjects and explain a viewpoint on a topical issue giving the advantages and disadvantages of various options.


Technical Skills



Data management

Autonomous

Able to provide routine data analysis

Person / material hygiene

Autonomous

Able to supervise use of PPE in a service or department

Infection control

Master

Understanding of bio-hazard risk (secure waste disposal)

Appropriation of MSF Infection control protocols and proceduresL3 Understanding of bio-hazard risk (secure waste disposal)

Appropriation of MSF Infection control protocols and procedures

Patient handling

Autonomous

Capacity to compensate patient disability (moving, feeding, toileting)

Pharmacy

Master

Able to issue accurate drug prescriptions

Stock

Under Supervision

Able to manage ward/OT material stock (inventory, refilling)

Able to evaluate equipment status (availability, functioning)

L1  able to manage ward/OT material stock (inventory, refilling)

Able to evaluate equipment status (availability, functioning)

Nutrition

Expert

Knowledge of malnutrition management principles

Able to perform admission of malnourished children in the program (check-up at admission, prescription)

Clinical competence

Expert +

Able to follow a correct medical consultation process (anamnesis, clinical exams, differential diagnostic, possible additional exams, diagnosis and prescription)

Capacity to perform a diagnosis without full technical support (limited or no access to 2nd level exams)

Able to perform clinical triage and admission according to MSF criteria

Able to write a comprehensive report of activities

Anesthesia

Under Supervision

Able to perform basic local anesthesia 

Knowledge of anesthetic drugs for local anesthesia

Epidemiology

Under Supervision

Knowledge of medical epidemiology principles (mortality, morbidity, evolution of out brakes)

Lab

Autonomous

Able to use rapid diagnostic tests (malaria, syphilis, hemoglobin, glucose, etc)

Bio Med

Autonomous

Capacity to provide basic periodic maintenance of biomedical device

SRH

Master

Capacity to manage an eutocic delivery: (labor identification and follow-up, delivery and postpartum activities)

Able to perform a first neonatal checkup 

Able to conduct a neonatal reanimation 

Able to recognize complication during pregnancy period, delivery and post-partum

HIV

Autonomous

Capacity to manage complex cases and second-line prescriptions

Knowledge of MSF HIV protocols, procedures and therapeutic choices

Emergency

Autonomous

Knowledge of MSF emergency protocols, procedures and therapeutic choices

PHC

Under Supervision

Knowledge of local pathologies and of their treatment by the local traditional medicine

Capacity to foresee and plan preventive activities (vaccination, pre-natal screening, family planning)

Capacity to assess a health center (infrastructure, equipment, hygiene, quality of care) and to propose improvements

Hospital

Under Supervision

NURSE Knowledge of technical support services (sterilization, laundry, kitchen) in terms of organization, processes and standard service level.

Capacity to assess the functioning of a service (infrastructure, equipment, hygiene, resources) and to propose improvements

Familiar with the notion of flow (patient, visitor, material, food, etc.) and ability to detect bottlenecks

MD Able to ensure a correct hospitalization process follow-up (ward round, case history management, presentation and discussion of complex cases)


Transversal Competencies



Commitment to MSF’s Principles

Demonstrates loyalty, awareness and respect for MSF’s values

  • Expresses his/her interest by talking/asking/giving informed opinions about MSF’s activities.
  • Expresses he/she wants to work with MSF because of its principles and mission.
  • Overtly expresses his/her satisfaction at belonging to MSF and defends MSF’s social mission.
  • Refers to beneficiaries* when speaking about his/her own work.
  • Always transmits a positive image of MSF in front of both colleagues and external people.
  • Translates the principles of MSF into actions.

Behavioural Flexibility

Adapts behaviour to the needs of the situation

  • Accepts decisions which are not completely in line with his/her personal opinions.
  • Is flexible in applying and adapting procedures.
  • Adapts his/her behaviour to the characteristics of the interlocutor and/or situation.
  • Learns from problems and difficulties, becoming more competent at resolving similar situations in the future.
  • Looks for adaptable solutions in order to achieve objectives.
  • Reassesses priorities when circumstances change, focusing on objectives. 

Stress Management

Understands other people’ s stress

  • Has an understanding attitude towards other people’s mistakes and shortcomings.
  • Gives calm and polite answers and repeats them patiently if necessary.
  • Uses techniques or plans activities to manage his/her own stress.
  • Responds and acts constructively in conflictive situations. 

Results and Quality Orientation

Works towards objectives, preserving established standards

  • Perseveres until the objectives of the job and the team have been met.
  • Complies with the procedures, processes and rules set by MSF.
  • Is aware that the purpose of his/her job is to meet the specified objectives.
  • Is autonomous.
  • Mobilizes resources.
  • Analyses problems and constraints. 

Teamwork and Cooperation

Shares information and coordinates with team and/or others

  • Shares significant information in a timely manner and actively seeks the opinion of team members or others through empathetic communication.
  • Allows others to question work/input if this leads to improvement.
  • Coordinates with other team members to ensure that common objectives are achieved.
  • Shows interest in and empathy with team members. 


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