Registrar (Internal Medicine)

ORGANISATIONAL RELATIONSHIP

The Registrar (Internal Medicine) will report to the designated Specialist Medical Officer (Internal Medicine) in his/her area of assignment.

NATURE & SCOPE

The Registrar (Internal Medicine) is responsible for diagnosing and administering general medical treatment to patients in a hospital or through extension services at a Clinic or other designated area. This employee would be required to work on a rotational basis in the various sub specialties within the field of Internal Medicine. Work may also include the supervision of lower-level House Officers and duties are performed with considerable independence and reviewed by a professional superior through observations, consultations and analysis of findings and reports.

SPECIFIC ACCOUNTABILITIES

The Registrar (Internal Medicine):

• Consults with senior to ensure that the daily clinical operations are effectively organized, monitored and controlled.
• Performs regular clinical rounds with the house officer to assess patients’ day to day management and care.
• Collaborates and communicates with staff to ensure the best practices in the management of patients under care.
• Supervises the performance of House Officers when on shift and monitor all seriously ill patients within the shortest possible time.
• Prepares reports and relevant documentation when required.
• Ensures that all patients are treated in accordance with the Patient Charter Standards.
• Ensures that all case discharge summaries are promptly written by the House Officer or Medical Intern, and are accurate, relevant and concise, and must be countersigned.
• Keeps the Consultant informed of any difficulties that may arise in the management of any patient and seek such assistance.
• Supervises the clinical competencies of House Officers and Interns and advises the Consultant when required.
• Coaches and initiates knowledge sharing to House Officers and Interns assigned to the unit in collaboration with other Consultants.
• Guides, monitors and recommends to House Officers and Interns, appropriate management practices in patient care.
• Adheres to the professional code of conduct, Medico-legal principles and human resources policies and procedures of the Authority.
• Participates in teaching clinics, rounds and lectures.
• Performs other related work as may be required by the appropriate Authority.

KEY KNOWLEDGE, SKILLS AND ABILITIES

• Knowledge of Public Health Ordinances and of medical jurisprudence.
• Considerable knowledge of the principles and practices of medicine including the diagnosis and treatment of a variety of preventative medicine.
• Considerable knowledge of the principles and practices of preventative medicine.
• Some knowledge of administrative practices and procedures, rules, regulations policies and standards related to medical services.
• Ability to supervise and aid in the development of junior medical staff.
• Ability to examine patients, diagnose disease and to prescribe and administer necessary treatment.
• Ability to gain the co-operation and confidence of patients and to establish and maintain effective working relationships with other employees and the public.

MINIMUM TRAINING AND EXPERIENCE

• Post graduate qualification in the field Internal Medicine and training as evidence by the possession of a medical degree from a recognized school of medicine.
• Specialist registration in the field with the Medical Board of Trinidad and Tobago.
• At least five (5) years’ experience in a specialized field of medicine.
• Registration as a medical practitioner by the Medical Board of Trinidad and Tobago.
• Any equivalent combination of experience and training.

SUPERVISORY RESPONSIBILITIES

• House Officer
• Medical Intern

COMMUNICATION AND WORKING RELATIONSHIP

Internal:

• Specialist Medical Officer
• Medical Director
• Manager-Hospital Administration
• Manager-Para Clinical Services
• Nursing Personnel
• Other Heads of Department

External:

• Public
• University of the West Indies
• Other Regional Health Authorities
• Private Medical Institutions
• General practitioners in the area