Level   9

Reports to (Hierarchical)

Medical Activity Manager / Project Medical Referent

Reports to (Functional)

Medical Activity Manager / Project Medical Referent / Medical Coordinator

Job Family

Medical and Paramedical

Main Purpose

In close collaboration with medical staff in the emergency, intensive wards and operation theatre, organizing and carrying out orthopaedic surgery activities, ensuring pre- and post-operative surgical care, in accordance with MSF procedures, protocols, and universal hygiene standards in order to improve patients’ health conditions


  • Strictly following and applying the treatment of the orthopaedic patients, according to MSF protocols and guidelines in orthopaedic surgery set by the project and by the MSF referents. Applying the principles of war surgery in treating war wounded (internal fixation in closed fractures only). Ensuring that the overall management decision for each orthopaedic patient is known by all - including local staff - doctors and nurses
  • Undertaking pre-operative consultations, evaluating the surgical risks with the anaesthetist and/or other medical staff involved, and obtaining the patient's consent to operate.
  • Performing orthopaedic surgical interventions on MSF patients in accordance with MSF admission criteria, protocols, and standards.
  • Performing daily pre op and post op rounds, assessing the orthopaedic patient needs and managing problems accordingly. Ensuring proper follow up of patients in the OPD and following up all post op complications and referring accordingly to the hospital managers/technical referent on how to best manage these complications following MSF protocols, standards and procedures
  • Performing traction, splinting and casting of majority of closed fractures, and external fixation on open or pelvic fractures only
  • Supervising the proper follow up of the OT register, the register for internal fixations and the register for surgical infections. Filling in all the related documentation (the technique of operation after every operation and the patient order sheets)
  • Following up with the nurses that medicines and other orders are being fulfilled. Using the supplied MSF materials and equipment in orthopaedics aptly for each patient and avoiding requests for non-standard materials not available in the country nor within MSF projects. Responsible for the radiologic equipment used in orthopaedics and supervising that others do the same
  • Planning, evaluating, and supervising 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.
  • Supporting other medical teams/wards when needed


Essential Orthopaedic surgeon diploma


  • Previous experience as orthopaedic surgeon required, previous experience in trauma and/or war surgery preferred
  • Desirable working experience in MSF or other NGO’s in developing countries
  • Experience in surgical conditions with limited resources is an asset

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

This job doesn't have technical skills.

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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