Specialist / Clinical Associate - Obstetrics & Gynecology

• At least 3 years

• Bachelor of Medicine and Bachelor of Surgery(MBBS)
• Diploma in Gynecology and Obstetrics (DGO)
• Doctor of Medicine (MD)
• Master of Surgery (MS)
• Fellowship of the College of Physicians and Surgeons (FCPS)

• MBBS from a recognized medical college.

• At least 3 years

• Age At least 18 years

• Recognized postgraduate qualification in Obstetrics & Gynaecology, such as MD, MS, FCPS,DGO or an equivalent qualification, in accordance with the hospital's approved designation matrix.
• For candidates holding a postgraduate diploma (DGO), at least 3 years’ experience is required to meet the hospital's approved designation requirements.
• For the position of Clinical Associate, an MBBS degree with at least 5 years of experience in the relevant field is required to meet the approved designation matrix.
• Valid registration with the Bangladesh Medical and Dental Council (BMDC).
• Relevant clinical experience in obstetric and gynaecological patient management.
• Demonstrated clinical competency, professional integrity and commitment to patient safety.
• Appointment is subject to verification of qualifications, professional credentials and approval of applicable clinical privileges.

Job Context:

To provide safe, effective, evidence-based and patient-centred obstetric and gynaecological care in accordance with the hospital's clinical protocols, professional standards and approved clinical privileges. The Specialist will be responsible for assessing and managing patients, supporting inpatient and outpatient services, participating in obstetric and gynaecological emergencies, and contributing to clinical governance, patient safety and continuous quality improvement.

Key Duties and Responsibilities:

Clinical Assessment and Patient Management

• Conduct comprehensive clinical assessments, obtain relevant medical histories, perform examinations and establish appropriate diagnoses.
• Develop and implement evidence-based treatment plans for patients presenting with obstetric and gynaecological conditions.
• Provide inpatient reviews and appropriate follow-up care.
• Assess and manage routine and high-risk pregnancies within the scope of approved clinical privileges.
• Monitor maternal and fetal wellbeing and identify potential complications requiring timely intervention.
• Assess and manage common gynaecological conditions, including menstrual disorders, pelvic pain, reproductive tract infections and other relevant presentations.
• Interpret relevant laboratory and imaging findings and incorporate them into clinical decision-making.
• Provide appropriate counselling to patients and families regarding diagnosis, treatment options, potential risks, benefits and follow-up requirements.

Obstetric and Maternity Care

• Participate in antenatal, intrapartum and postnatal care according to departmental requirements and the approved duty roster.
• Assess patients presenting in labour and monitor maternal and fetal wellbeing.
• Recognize and initiate appropriate management of obstetric emergencies, including postpartum haemorrhage, hypertensive emergencies in pregnancy, eclampsia, obstructed labour and other acute complications.
• Ensure timely escalation of high-risk cases and obstetric emergencies to the responsible senior consultant and relevant clinical teams.
• Coordinate care with anaesthesia, neonatology, critical care and other relevant departments when required.
• Ensure appropriate maternal monitoring, postpartum assessment, discharge planning and follow-up.

Gynaecological Care and Procedures

• Assess and manage acute and chronic gynaecological conditions within approved clinical privileges.
• Evaluate patients presenting with abnormal uterine bleeding, pelvic pain, menstrual disorders, suspected pelvic infections and other gynaecological complaints.
• Assist in the assessment and initial management of gynaecological emergencies, including suspected ectopic pregnancy and acute pelvic conditions.
• Participate in operative obstetric and gynaecological procedures as authorized under the hospital's clinical privileging framework.
• Ensure appropriate pre-procedure assessment, informed consent, postoperative monitoring and follow-up.

Emergency Management and Clinical Escalation

• Respond promptly to obstetric and gynaecological emergencies as assigned.
• Recognize signs of clinical deterioration and initiate appropriate immediate management within the scope of competency and approved privileges.
• Ensure timely referral and escalation to senior consultants, anaesthesia, ICU, neonatology or other specialties when indicated.
• Maintain effective communication and clinical handover during emergencies and changes in patient care.
• Participate in emergency response activities and departmental on-call duties according to the approved roster.

Clinical Documentation and Communication

• Maintain complete, accurate and timely clinical records, including patient history, examination findings, diagnoses, treatment plans and progress notes.
• Ensure appropriate documentation of informed consent, procedure notes, clinical handovers and discharge summaries.
• Communicate clinical findings, treatment plans and significant changes in patient condition to the responsible consultant and multidisciplinary team.
• Maintain confidentiality and comply with hospital policies governing medical records and patient information.
• Document adverse events, complications and other clinical incidents through the hospital's approved reporting system.

Patient Safety and Quality Improvement

• Comply with hospital policies, clinical protocols, infection prevention measures and patient identification procedures.
• Adhere to applicable safe surgery protocols, including pre-procedure verification, sign-in, time-out and sign-out.
• Promote evidence-based clinical practice and appropriate utilization of diagnostic investigations and therapeutic interventions.
• Participate in clinical audits, morbidity and mortality reviews, departmental meetings and quality-improvement initiatives.
• Report adverse events, near misses and patient safety concerns promptly.
• Maintain professional standards of patient dignity, privacy, informed consent and respectful communication.
• Contribute to improving patient experience, clinical outcomes and service delivery.

Multidisciplinary Coordination and Professional Development

• Coordinate with nursing, anaesthesia, neonatology, emergency, ICU, laboratory, radiology and other relevant departments to ensure continuity of care.
• Participate in departmental meetings, case discussions, clinical reviews and academic activities.
• Maintain professional competence through continuing medical education and relevant clinical training.
• Participate in credentialing, clinical privilege renewal, performance appraisal and other clinical governance processes as required.
• Support the development and implementation of departmental clinical protocols and standard operating procedures.

Key Performance Indicators (KPIs)

• Performance will be assessed in accordance with the hospital's approved appraisal framework and applicable departmental indicators.
• Compliance with approved clinical privileges and hospital policies.
• Quality, accuracy and completeness of clinical documentation.
• Timeliness of patient assessment, treatment, referral and escalation.
• Compliance with patient safety and infection prevention protocols.
• Participation in clinical audits, morbidity and mortality reviews, and quality-improvement activities.
• Patient satisfaction and feedback.
• Compliance with clinical handover and discharge documentation requirements.
• Participation in continuing medical education and departmental meetings.
• Appropriate utilization of diagnostic investigations and hospital resources.
• Compliance with assigned duty rosters and departmental responsibilities.

Scope of Authority

• The Specialist shall perform clinical duties in accordance with the approved job description, demonstrated competency and formally granted clinical privileges.
• Patients requiring care beyond the Specialist's competency or authorized privileges must be escalated promptly to the designated consultant.
• All clinical decisions and interventions must comply with hospital policies, approved clinical protocols and applicable professional standards.

Key Working Relationships

• Head of Department / Senior Consultants, Obstetrics & Gynaecology
• Director of Medical Services and Medical Services Department
• Obstetrics & Gynaecology medical and nursing teams
• Anaesthesia Department
• Neonatology and Pediatrics Department
• Emergency Department and Intensive Care Unit
• Laboratory and Radiology Departments
• Quality Assurance and other relevant hospital departments

Accountability

The Specialist is accountable for delivering safe, effective and appropriate clinical care within the scope of approved privileges, maintaining professional standards, ensuring accurate clinical documentation and complying with the policies and procedures of Evercare Hospital Chattogram.