Peadiatric Anaesthetist

This role requires complete and autonomous management of critical patients in emergency situations and the provision of anaesthetic care perioperatively and in Intensive Care. 

BACKGROUND AND ORGANISATION OF WORK 

The Paediatric Anaesthetist is responsible for the clinical management of the Intensive Care Unit. 

He/She will work as part of a team of international specialists – experts or in training – organising and carrying out the training of the local medical and health care staff in his/her area of responsibility, in collaboration with the international surgeons and the Medical Coordinator of the project. On occasion, a resident physician will be present to support clinical activity or research. The Paediatric Anaesthetist is responsible to the Medical Coordinator, who is in charge of the management and organisation of the project. 

The main areas of work are: 

• OPERATING THEATRES: 3 Paediatric Surgery Rooms (emergency or in election) according to the admission criteria 
• PAEDIATRIC INTENSIVE CARE UNIT: 6 beds 
• WARDS: 66 beds of which 16 of sub-ICU 

The Paediatric Anaesthetist is on-call 24/7, with days off decided according to clinical requirements. He/she will be involved in the care of all critical patients in the Emergency Department, hospital emergencies, and any patients requiring anaesthetic assistance during diagnostic or therapeutic clinical procedures (e.g. CT scan, E-FAST…). In carrying out these activities, the specialist works alongside and supervises the national anaesthetic technicians and personally manages the most complex cases. 

DUTIES AND REPONSIBILITIES 

All EMERGENCY international personnel is expected to know and follow the hospital admissions criteria, guidelines, protocols, and the diagnosis and treatment standards in use in the Centre, and to ensure the correct compilation of clinical records and statistics in both computer and paper formats. 

The main duties and responsibilities of the international Anaesthetist are: 

• management of anaesthetic procedures in the pre-operative, intra-operative and post-operative phases, and in cases where anaesthetic assistance is required for diagnostic procedures;
  
• management of surgical and medical patients in Intensive Care;
• management of hospital emergencies (Emergency Department, Intensive Care, ward); 
• safety checks and supervision of the maintenance of the ventilators, monitors, infusion pumps and any other technological equipment used in anaesthesia; 
• assistance in clinical research and record keeping as required by the scientific programmes of the specialist sector of the Medical Division of EMERGENCY. 

Clinical activity and decisions regarding patient treatment must always be discussed and shared with the Medical Coordinator, national and international medical and surgical colleagues, and the national and international nursing personnel. 

MANAGEMENT AND TRAINING OF LOCAL PERSONNEL 

Clinical activities and patient care are always carried out alongside and in collaboration with local personnel, who thus benefit from training in the field. There is also provision for more specific teaching activities, managed by the international specialists, in accordance with the clinical protocols in use and as agreed with the Medical Coordinator. 

CASELOAD AND EQUIPMENT 

The technological level of the equipment present in the Centres is suited to the clinical and managerial protocols in use, and the level of professional autonomy of the national staff, with the aim of achieving – and sustaining – high standards of care. Diagnostic equipment, basic laboratory tests, technical and auxiliary services are always available. 

CENTRE OF EXCELLENCE IN PEDIATRIC SURGERY – UGANDA 

In April 2021, the Centre of Excellence in Paediatric Surgery in Entebbe, Uganda was opened. 

The Centre offers free treatment of excellence in Paediatric Surgery; it is a reference point for Ugandan patients and children with surgical needs (up to 15 years of age) from all over Africa. Entebbe Hospital is the second structure of ANME (African Network of Medical Excellence), the “Health Network of Excellence in Africa” created in 2009 to develop free healthcare systems of excellence in the continent. 

The Centre of Excellence in Paediatric Surgery puts into practice our healthcare model based on the principles of Equality, Quality and Social Responsibility (EQS). As confirmed by World Health Organization data, Uganda is still a long way from achieving the Millennium Goals on reducing child mortality. 

40% of Uganda’s population is under 15 years old, but there are only 3 Paediatric Surgeons in the country for a population of 45 million. Infant mortality under 5 years of age is 55 children per 1,000 living at birth and 30% of deaths of patients over 5 years of age are due to lack of surgical treatment. 

The hospital has 72 beds, 3 operating theatres, a 6-bed paediatric intensive care unit and all the diagnostic and auxiliary services necessary for its operation, such as laboratory, blood bank, pharmacy, canteen, laundry. 

In the start-up phase, the admission criteria are as follows: 

• General Paediatric Surgery; 
• Paediatric Urology; 
• The following are excluded in this first phase: Neonatal Surgery, Emergency and Trauma Surgery, Oncological Surgery and Specialist Paediatric Surgery. 

GUIDELINES, PROTOCOLS AND EQUIPMENT 

Further information on the guidelines, protocols and clinical services relevant to the post along with details of the instruments and equipment available will be provided at interview and during the period of preparation for the mission.
The general requirements and conditions apply to all the international staff. 

SPECIFIC REQUIREMENTS 

• Medical Degree, and current professional registration on the medical register of your Country of residence; 
• specialisation in Anaesthesia and Intensive Care with at least 5 years’ relevant professional experience; 
• experience in managing general and local anaesthetic techniques in paediatric patients; 
• experience in managing emergency situations. 

For this role, EMERGENCY is also seeking resident physicians. 

REQUIRED AVAILABILITY 

6 months overseas stay including a period of leave to be taken at the end of the mission in agreement with the coordinator. Shorter missions may only be considered for specific needs as defined by the organisation. 

HOW TO APPLY

For further information and inquiries (not for applications): fo.recruiting@emergency.it. To apply, please complete the on-line application form: applications sent to this e-mail account will not be considered.

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