Urologist

This role requires complete and autonomous management of urological procedures and shared clinical responsibility in post-operative care.

The Surgical and Medical Centre in Anabah opened in 1999 as a centre for the treatment of war injuries, and in 2003 the admissions criteria were extended to include Emergency Medicine and Maternity.
The emergency and elective surgical interventions most frequently carried out are for urological (kidney stones) and gastrointestinal disturbances (cholecystitis) and hernias.
In certain periods or for specific clinical needs, the general surgeon may be required to supervise surgical activity in the department of Obstetrics and Gynaecology.

Over the years, the Surgical Center has become a full-fledged general hospital: war surgery has been almost totally replaced by general surgery, trauma, internal medicine and pediatrics. Today, our hospital in the Panshir Valley is a point of reference for the population of a very large area inhabited by about 250,000 people.

Alongside the hospitals in Lashkar-Gah and Kabul, Anabah hospital is a training centre for post-graduates studying surgery, paediatrics and gynaecology. They have been officially recognised as such by the Afghan Ministry of Health.

BACKGROUND AND ORGANISATION OF WORK

The Urologist 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 General and Orthopaedic Surgeons and supervising the local colleagues. On occasion, a resident physician will be present to support clinical activity or research. The international Urologist 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: 2-3 operating theatres for General Surgery (Emergency and Elective) and Orthopaedic Trauma Surgery;
• WARDS: 3-4 wards comprising a maximum of 100 beds.

The Urologist is usually present in the hospital from 08 to 16, but is on-call 24/7 in case of emergency (including possible Mass Casualties). Daily activity includes ward round, work in the Emergency Department and Operating Theatres. The team is completed by local and international Operating Theatre specialists – anaesthetist, anaesthetic technicians, theatre nurses.
The Urologist organises the rota of the local staff in his/her area of responsibility, guaranteeing staff coverage 24/7.

DUTIES AND REPONSIBILITIES

All EMERGENCY international personnel are 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 Urologist are:

• management of general urological procedures;
• participation in the post-operative care and clinical management of surgical patients;
• mentoring of resident physicians (where present);
• assisting 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 caseload varies according to the project and the admissions criteria of the hospital: Emergency Surgery and Elective Surgery. 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.

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 Urology with at least 5 years’ relevant professional experience;
    • special expertise in operative treatment of uro-lithiasis, nephrolithotomy, pyelolithotomy, ureterolithotomy and cystolithotomy
    • expertise in operative treatment of benign prostate hypertrophy, transvesical resection of prostate, nefrostomy for hydronephrosis, varicocelectomy, orchidopexy, hydrocele, cystoscopy and other minor procedures

  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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