Specialist Primary Care Physician II-Emergency Medicine

ORGANISATIONAL RELATIONSHIP

The Specialist Primary Care Physician II -Emergency Medicine will report to the County Medical Officer of Health/Head of Department (Accident & Emergency). 

NATURE & SCOPE

The Specialist Primary Care Physician II - Emergency Medicine is responsible for facilitating the effectiveness of clinical primary care services in the entire region and also administratively to an assigned cluster. He/She assists the County Medical Officer of Health in Health System Management, manages and supervises a multi-disciplinary team of health care and ancillary staff and ensures implementation of clinical, medico-legal, educational and health promotional activities. 

SPECIFIC ACCOUNTABILITIES

The Specialist Primary Care Physician II - Emergency Medicine:

• Ensures the effective delivery of quality health care by managing all health care activities in emergency medicine, reducing the burden on secondary care through early disease detection, treatment, and prevention.
• Provides comprehensive care for patients with illnesses or injuries requiring immediate medical attention.
• Initiates investigations and interventions to diagnose and/or treat patients in the acute phase, including initial resuscitation and stabilization, coordinating care with other specialists, and determining hospital admission or outpatient monitoring needs.
• Provides care and advice on the prevention, diagnosis, and management of acute and urgent illnesses and injuries for patients of all ages with undifferentiated physical and behavioral disorders.
• Provides acute care and advice on internal medical and surgical conditions.
• Prescribes or administers medication, therapy, and other medical care for emergency patients.
• Supervises a clinical team in a primary care setting responsible for emergency patient care.
• Periodically reviews and assesses healthcare services in collaboration with the County Medical Officer of Health and other department heads to ensure community health needs are met.
• Ensures effective performance management among staff in the Clusters.
• Provides advice to junior physicians and patients on the diagnosis and treatment of emergency cases.
• Performs clinical work, including medical examinations, diagnosis, prognoses, case records, and medical reports.
• Undertakes medico-legal duties as required, with specialist advice if necessary.
• Provides administrative leadership for the Clusters.
• Participates in budget and business plan preparation as needed.
• Ensures organizational systems and structures allow for effective resource utilization and improved patient and customer satisfaction.
• Participates in national and international workshops impacting healthcare delivery in the region.
• Attends continued education programs to stay updated on trends in emergency medicine.
• Prepares monthly or annual reports on activities.
• Attends internal and external meetings.
• Performs other related duties as required by the appropriate authority.

KEY KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledge of the principles and practices of medicine, including disease and injury diagnosis.
• Knowledge of advanced procedural skills, including surgical procedures, trauma resuscitation, advanced cardiac life support, and advanced airway management.
• Ability to resuscitate patients and provide critical care, anesthesia, suture complex lacerations, perform minor orthopedic surgery, manage cardiology, neurology, obstetrics, gynecology, ENT, cardiothoracic cases, and interpret x-rays and ultrasounds.
• Knowledge of principles and practices of preventive medicine.
• Knowledge of Public Health Ordinance and medical jurisprudence.
• Strong management skills and ability to work in teams.
• Ability to gain patient confidence and cooperation, and establish effective working relationships with employees and the public.

MINIMUM TRAINING AND EXPERIENCE

• Doctor of Medicine (D.M.) in Emergency Medicine, recognized by the Medical Board of Trinidad and Tobago or equivalent.
• Medical degree from a recognized school of medicine.
• Specialist registration in Emergency Medicine with the Medical Board of Trinidad and Tobago.
• Minimum of seven (7) years’ experience in Emergency Medicine.
• Registration as a medical practitioner by the Medical Board of Trinidad and Tobago.
• Experience in Primary Health Care.

SUPERVISORY RESPONSIBILITIES

• Registrar
• House Officer
• Emergency Medical Technician

COMMUNICATION AND WORKING RELATIONSHIPS

Internal:

• County Medical Officer of Health
• Medical Director
• Head of Department (Accident & Emergency)
• Members of the Accident & Emergency Departments
• Other Heads of Departments

External:

• Medical Specialists in other Regional Health Authorities
• Medical Specialists in private sector organizations
• Ministry of Health
• Medical Board of Trinidad and Tobago
• University of the West Indies
• Clients and Family Members