JOB DESCRIPTION: OBSTETRICIAN & GYNECOLOGIST/ SENIOR MEDICAL OFFICER-OBGY:

Major Job Description:

Obstetrics roles and responsibilities:

• Assessing, diagnosing and treating patients with available primary and reproductive health clinical capacity.
• Initiating a high-risk clinic: Should be able to efficiently start a robust weekly high-risk clinic for all pregnant mothers with complications such as PET, BOH, polyhydramnios, malpresentations among others. This should include efficient review and follow up.
• Collect, record, and maintain patient information, such as medical histories, reports, and examination results.
• Overall, lead the hospital obstetrics and gynecology department, provide senior review and advise and work well with other departments of the hospital like surgery, pediatrics and internal medicine.
• Provide professional medical care of the highest quality and in accordance with national and international laws and standards related to obstetrics and gynecology.
• Monitor the maternal conditions and progress and reevaluate treatments as necessary.
• Conduct daily ward rounds in the maternity and gynecological ward routinely as necessary while providing proper documentation of patient progress.
• Attend to all obstetrical emergencies in the hospital efficiently and timely. Such emergencies such include and not limited to severe eclampsia, severe obstetric hemorrhage, ruptured uterus, coagulopathy disorders like DIC among others.
• Where applicable, should be able to perform obstetric ultrasound for mothers needing further review, or refer promptly if patient needs more diagnostic evaluation.
• In consultation with the anesthesiologist, properly examine and review all patients who are due for surgery, and re assure the relatives through clear communication.
• Efficiently perform obstetric surgeries both elective and emergency. This shall include and not limited to C-sections, cervical/ uterine repair, colporrhaphy, cervical cerclage, hysterectomy, among others.
• Review patients after surgery together with the anesthesiologist.
• Promptly diagnose and manage mothers referred with obstetric fistulas, through early screening and immediate corrective surgery.
• Clinical mentoring and training of midwives, nurses and doctors on aspects of obstetrics and gynecology, to improve on their skills and knowledge. This can include organizing weekly CMEs (continuous medical education) for the staff.
• Take part and assist in conducting the delivery of high-risk pregnant mother with the support of midwives.
• Attend to sexual assault survivors on a timely basis
• Lead in maternal and newborn mortality audits to improve quality of care for patients and share monthly reports with Save the Children.
• Take lead in quality care improvement initiative in obstetrics and gynecology in the hospital by participating in the quality of care assessments, incident reporting mechanism and other quality assurance activities.

Gynecological roles and responsibilities:

• Provide quality gynecologicalconsultation and care including to include early pregnancy care, family planning counselling and syndromic management to STIs (Sexually Transmitted Infections).
• Perform routine well-women clinic reproductive health examinationssuch as pap smears, pelvic, and breast exams.
• Review clients with high risk gynecological conditions such as patients with leiomyomas, history of BOH among others and provide prompt advice.
• Perform gynecological surgeries like cervical cerclage, myomectomy in case of uterine fibroids, ectopic pregnancy repair surgery among others.
• Where applicable, should provide couple counselling on infertility and refer for further evaluation.
• Order and analyze necessary tests, screenings, biopsies, scans, etc. to effectively diagnose a problem.

Required Experience & Competencies:

• Good knowledge and skills in Obstetrics and gynecology.
• Must be a team player, flexible and culturally sensitive
• Ready to work in difficult environmental conditions
• Must demonstrate leadership skills
• Must demonstrate great clinical mentorship skills.

Required Qualification:

• Bachelor of Medicine and Surgery from a recognized institution (MBChB/MBBS), with Master of Medicine (M.Med) in Obstetrics and gynecology. Alternatively, a senior medical officer with extensive experience (7 years and above) in the field of obstetrics and gynecology would be considered.
• Great experience in managing EMONC signal functions and working in CEMONC project.
• Registered with relevant Somalia health governing body.
• Minimum 7 yrs. of working experience in a busy hospital setting especially on Obstetrics and gynecological emergencies.