2 Job Positions at Partners In Health/Inshuti Mu Buzima (PIH): (Deadline 15 August 2023)

Job Title:

Anesthesiologist

Department:

Clinical

Reports to:

District Programs Director

Location:

Butaro Level 2 Teaching Hospital (BL2TH), Burera District

Positions reporting to:

N/A

Organizational Profile

1

In 2005, PIH and its Rwandan sister organization, Inshuti Mu Buzima (IMB), began working in partnership with the government of Rwanda to address the HIV/AIDS epidemic afflicting the population and to comprehensively strengthen the public health system in rural, underserved districts in Rwanda. Today, PIH supports delivery of comprehensive integrated non-communicable disease (NCD) services in three rural districts of Rwanda, including cancer care. Cancer care is predominantly based at the flagship Butaro Cancer Center of Excellence (BCCOE), which was inaugurated in June 2012 and has since provided care to over 9000 patients, with services ranging from cancer prevention, diagnosis, and treatment.

2

Summary role: The Anesthesiologist will be the technical lead for the assignment and support the design, implementation, and coordination of the anesthesiology specific, Surgical and critical (especially in ER, ICU, HDU) care support at BL2TH. He/she will ensure standardized systematic  anesthesiology and surgical support provided with recommended quality control and compliance to care protocols. He/she will participate in teaching of Medical students, mentorship of colleagues, Clinical research and QI related activities. Work Hours: 8hrs/day and 40hrs a week. 

JOB DETAILS:

Responsibilities and Duties

• Conduct Pre & post-operative anesthesia evaluation of patients
• Work with surgical team to schedule and provide quality surgical and anesthesiology care
• Maintains closely and amicably with colleagues in ICU/HDU/Surgery/Theatre units
• Ensure good data collection and management practices pre, intra, and post-operatively.
• Support treatment of peri-operative anesthesia complications including but not limited to induction, emergence general/block anesthesia administration and effective critical care
• Accurately manages fluid resuscitation in the pediatric patient.
• Oversee all anesthesia care, support in surgical/anesthesia consultations and consent
• Oversee planning and management of Anesthesia materials/supplies/equipment/ meds
• Reviews pre-operative patient records (lab work, history and physical, vital sign chart, fluid status and medication), conduct pre-operative anesthesia patient evaluations
• Ensure proper use, pristine working conditions and planned maintenance of anesthesia machines, oxygen supply systems. Life care supports and all anesthesia care related equipment, systems, materials, supplies and medications.
• Maintains confidentiality of patient records, practice patient privacy and ethical conduct
• Assesses and implements pain management in the post-operative recovery period
• Serve as an advocate for the patient’s welfare
• Oversight management of critically ill patients in the ICU/HDU/ER Units.
• Support anesthesia related Trainings (CPDs, seminars etc) and mentorship of colleagues
• Support staff and student with anesthesia related clinical and didactic trainings
• Effectively mentor staff in anesthesia, advanced life support & pain management care
• Ensure competent safe anesthesia practice in accordance with professional standards
• Work with Nurse/Medical Doctor Team for relevant training/CME for quality critical care
• Oversee safe and accountable narcotic supply and use
• Supervise Anesthesia providing personnel (anesthesia Technicians, students etc)
• Acts as an anesthesia consultant to anesthesia providers
• Evaluates all anesthesia providers, anesthesia technician, anesthesia students at 6 months of employment, every 1 year thereafter and as indicated
• Ensure elaboration of anesthesia related Occupation Health and Safety including ensuring that all safety for staff workers, or customer and that they follow & comply with H&S policies, processes & applying them to their own work activities, including using/wearing Personal Protective Equipment as required
• Participating in activities directed at preventing harm & promoting well-being in the workplace Identifying, reporting & self-managing hazards where appropriate
• Other duties as assigned by Supervisor.

MINIMUM EDUCATION & EXPERIENCE REQUIREMENTS

Essential

• Specialist anesthesiologist with a Masters in Medicine in Anesthesiology or its equivalent from a recognized institution with at least 5 years of experience in the provision of critical care to patients in ICU and operating room;
• Familiarity with the health care system in Rwanda, especially the hospital settings;
• Experience in conducting and leading clinical assessments/studies in anesthesia;
• Familiarity with national guidelines for the management of critically ill patients;
• Experience in developing technical reports and manuscripts;
• Ability to develop and deliver both oral and written presentations in English;
• Ability to communicate and interact competently and professionally at all levels within a broad, complex assessment/ research environment;
• Ability to lead and provide technical advice, guidance, and support to professional staff in the area of anesthesia;
• Ability to train and supervise staff, organize work schedules and prioritization
• Excellent written and oral communication skills in English and Kinyarwanda;
• Computer literacy and ability to use Word, Excel, and PowerPoint;
• Ability to work independently and to take initiative and able to work with diverse team
• Excellent interpersonal skills and a highly professional attitude.
• Have compassion for vulnerable patient care and advocacy for them
• Comfortable working in resource limited settings
• Persuaded and practicing the principles of equity
• Be highly organized and able to manage a heavy patient load
• Have strong management, communication, mentoring, and teaching and leadership skills.
• Ability to work and live in rural settings.
• Ability to live PIH/IMB values: Ubumuntu-Compassion, Ubupfura-Integrity, Ubunyangamugayo-Honesty, Ubwubahane-Mutual respect, Ubumwe-Solidarity, Agaciro-Dignity, Kugira ishyaka-Determination.
• At Partners In Health, we are committed to ensuring that those who benefit from our work- including our patients, families and community members – as well as our staff are treated with dignity and respect and protected from sexual exploitation, abuse and sexual harassment. By submitting an application, the job applicant confirms their understanding of these recruitment procedures.

Job Title:

Medical oncologist

Department:

Clinical, Oncology Program

Reports to:    

District Programs Director

Location:

BL2TH, Burera District

Positions reporting to:

N/A

Organizational Profile

In 2005, PIH and its Rwandan sister organization, Inshuti Mu Buzima (IMB), began working in partnership with the government of Rwanda to address the HIV/AIDS epidemic afflicting the population and to comprehensively strengthen the public health system in rural, underserved districts in Rwanda. Today, PIH supports delivery of comprehensive integrated non-communicable disease (NCD) services in three rural districts of Rwanda, including cancer care. Cancer care is predominantly based at the flagship Butaro Cancer Center of Excellence (BCCOE), which was inaugurated in June 2012 and has since provided care to over 9000 patients, with services ranging from cancer prevention, diagnosis, and treatment.

Summary role: Serves as clinical team member offering Cancer Clinical care expertise for patients at Butaro Level 2 Teaching Hospital (BL2TH). Will play a key role in programmatic implementation of Butaro Cancer Center of Excellence including training of medical, nursing and paramedical students, mentorship of Medical providers, advocate for access to medicines and consumables, drive proper documentation or clinical data and support implementing of QI and Research initiatives. Work Hours: 8hrs per day and 40hrs a week.

JOB DETAILS:

Responsibilities and Duties

CLINICAL & TEACHING/MENTORING

1. With input from Boston-based cancer expert team: 

• Provide direct clinical care, for hospitalized and outpatient adult oncology patients including rounding at least 4 days a week in the Cancer ward, leading patients care and percepting general physicians and medical students.
• Provide input to other general physicians on the management of patients with cancer or who are suspected to have cancer managed in other wards and clinics.
• Act as lead accepting physician for adult cancer patients referred to BL2TH
• Provide CME/CPD training and bedside mentoring to general physicians, medical students, nurses at BL2TH.
• Participate in national oncology training programs as time allows.
• Participate in Radiotherapy case reviews for referral
• Drive ongoing Program and Clinical Care capacity building and documentation.

ADMIN & PROGRAMMATIC 

1.      Facilitate quality improvement and assist with general administration:

• Work collaboratively with other oncologists and the hospital Director of clinic services, Chief of Nursing, Head of Pharmacy, and Head of Lab to ensure proper and harmonized delivery of cancer care services at BCCOE.
• Support towards Oncology patient care logistical needs that arise.
• pport case decision making and keep track of transfers of cancer patients to other facilities including for radiotherapy to Rwanda Military Hospital
• Support active implementation of PIH-IMB oncology strategic plans/priorities especially in ensuring standardized high quality cancer, QI, better drug formulary

2.  Support the oncology nurse educators and oncology instructor:

   a. Supervise the chart audit process to improve care.

   b. Ensure proper documentation and completeness of patient data.

   c. Work with oncology nurse educators and oncology instructors to ensure safety of chemotherapy and continuous professional education of nurses.

3.  Support the health informatics team:

   a.  Participate in use of Electronic Medical Records (EMR) inpatient point care.

   b.  Lead the review of oncology EMR forms and completeness of patient data.

   c.  Participate in data quality assessment meetings.

   d. Contribute to the efforts to reduce lost to follow up among oncology patients.

PROFESSIONAL DEVELOPMENT:

   a. Receive mentorship from international cancer expert team and Oncology Program Officer

   b. Receive Clinical care mentorship and leadership support

   c. Participate in oncology QI and research activities

   d. Attend National and international cancer-related meetings for CME

   e. Other duties as assigned by Supervisor.

MINIMUM EDUCATION & EXPERIENCE REQUIREMENTS

Essential

• Medical Degree and specialization in medical/clinical oncology and/or demonstrated experience in cancer care.
• At least 3 years of clinical experience in cancer care.
• Highly motivated to engage in advancement of cancer care in Rwanda
• Understands and upholds principles of equity in health care
• Knowledge of and alignment with national cancer care priorities in Rwanda.
• Highly organized, able to juggle and keep track of multiple clinical tasks, simultaneously.
• Strong management, communication, mentoring, teaching and leadership skills.
• Works well with large international community and other partners in cancer care
• Ability to work and live in rural settings.
• Ability to live PIH/IMB values: Ubumuntu-Compassion, Ubupfura-Integrity, Ubunyangamugayo-Honesty, Ubwubahane-Mutual respect, Ubumwe-Solidarity, Agaciro-Dignity, Kugira ishyaka-Determination.

At Partners In Health, we are committed to ensuring that beneficiaries of our work- including our patients, families and community members – as well as our staff are treated with dignity and respect and protected from sexual exploitation, abuse and sexual harassment. By submitting an application, the job applicant confirms their understanding of these recruitment procedures.