Registrar - Internal Medicine

Job Description

The Registrar is responsible for the diagnosis and treatment of in and out patients under the Specialist Medical Officers charge. Work involves contributing to and executing management care plans for patients in the unit.

The Registrar is also responsible for the day to day management and control of the wards, in-patients, out-patients and specialty clinics in consultation with his/her senior, to ensure that these are efficiently organized and controlled.  

The Authority reserves the right to the assign the officer to any Facility under its management. 

Key and Critical Responsibilities

• Performs regular clinical rounds with his junior colleagues to assess patient day to day management and care.
• Collaborates and communicates with the senior nursing staff to ensure the best nursing practices in the management of patients under care.
• Supervises performance of junior officers when on call, to see all seriously ill patients with the shortest possible time, and supervises at least one clinical round during each twelve-hour session.
• Advices and recommends the intelligent and cost effective use of the Laboratory and Radiological services, their contributions to diagnosis and management and their inherent reliability. Ascertains that Laboratory, Radiological, etc forms are adequately annotated to assist the Laboratory/Radiology personnel in providing an optimal service.
• Supervises the use of drugs and their efficacy and duration in patient care and ensures prevention of their abuse.
• Ensures proper communication to all patients under his/her charge as to the nature of their illness and the outlook in treatment of their well being so that they understand the full extent of their recovery or disability as may be the case.
• Ensures that all patients are treated in accordance with the Patient Charter Standards.
• Ascertains that all case discharge summaries are promptly written, are accurate, relevant and concise and must be countersigned by him/her.
• Keeps the Specialist Medical Officer informed of any difficulty that may arise in the management of any patient and seek his/her assistance.
• Acts on behalf of the Specialist Medical Officer of his/her firm for request for consultations from other units, either in the advent of an emergency or if so requested by his/her Specialist Medical Officer and discuss with him/her all such consultations.
• Supervises and assesses the clinical competence of Interns and House Officers and discusses this with the Specialist Medical Officer in charge.
• Monitors and checks the accuracy of histories and physical examination findings of the junior colleagues, and reviews the standards of note keeping by his/her juniors.
• Teaches and expands the knowledge and education of their junior colleagues and medical students in collaboration with the Specialist Medical Officer who may be assigned to their firm/unit, and assists the Specialist Medical Officer with the research projects.
• Ensures that officers who are supervised by him/her adhere to the professional code of conduct and human resources policies and procedures of the Authority.
• Attends and participates in teaching clinics, rounds and lectures.
• Accepts other responsibilities that the Specialist Medical Officer may request from time to time.
• Guides, monitors and recommends to Interns and House Officers, appropriate management practices in patient care.
• Ability to perform duties according to assigned rosters or plans that can be formulated in times of authorized service exigencies.
• Ability to use the relevant computer applications related to job functions.
• Performs related duties as assigned.

Key Competencies

• Registration as a medical practitioner by the Medical Board of Trinidad and Tobago.
• Maintains his/her annual renewal with the Medical Board.
• Possession of a recognized Post Graduate Degree or Diploma in the appropriate discipline e.g. MRCP(UK), American Board of Internal Medicine certification, DM(UWI)
• At least four (4) years experience after qualification from an approved Medical School and considerable post-registration experience/training in the area of specialization.