Obstetrician Gynaecologist / Gyneco oncologist (Resident and working in Arabian Gulf)

Obstetrician Gynaecologist / Gyneco oncologist - Based in Moissala (Tchad) , Tenenkou (Mali), Aweil (South Sudan) and Jahun (Nigeria)

About us

Doctors Without Borders/ Médecins Sans Frontières (MSF) provides medical assistance to people affected by conflict, epidemics, disasters, or exclusion from healthcare. Our teams are made up of tens of thousands of health professionals, logistic and administrative staff - bound together by our charter. Our actions are guided by medical ethics and the principles of impartiality, independence and neutrality. We are a non-profit, self-governed, member-based organization.

Context

Access to safe surgery and anesthesia in low resource settings remains a significant global health challenge. The greatest need is found among rural and marginalized populations living in low- and middle-income countries where surgery patients are often at higher risk of complications because of underlying, unrecognized medical conditions.

MSF has more than 50 years’ experience of providing surgical care in settings of civil conflict and war, natural disasters, and other humanitarian crises.

Core activities within MSF surgical programs primarily focus on delivering lifesaving and essential surgeries, encompassing trauma, general, orthopedic, and obstetric procedures. These surgical interventions are typically conducted in district-level hospitals, with differing degrees of collaboration with local health authorities, although MSF-managed facilities are also prevalent. Perioperative anesthetic care is an essential component of these services.

A key aspect of MSF's operations involves capacity building in essential surgery and anesthesia care, with a significant emphasis on engaging local healthcare providers.

Responsibilities of MSF Obstetrician Gynaecologist / Gyneco oncologist:

• Provide health care related to gynecology and obstetrics to patients, including prevention, diagnosis and treatment.
• Ensure the implementation of MSF clinical policies, tools, guidelines and protocols related to gynecology and obstetrics in order to minimize clinical risk and to extend best reproductive practices.
• In collaboration with other medical colleagues, carry out the collection of quantitative gynecological data and ensure exhaustive use of management tools in order to improve gynecological results and to share knowledge among other field specialists.
• Plan and supervise the HR associated processes (recruitment, training, performance evaluation, development and internal/external communication) of the gynecological staff in order to ensure both an efficient sizing and the amount of knowledge required, to improve people’s capabilities and their active participation in influencing the targeted population using preventive practices. This will be done in close coordination with the HR department.
• Supervise the maintenance and running of the gynecological equipment and drug consumption, preparing new orders when required and ensuring its rational use as well as that pharmacy stock levels are permanently updated and available. This will be done in cooperation with the pharmacist and logistic staff, the management,

Requirements

Diploma

• medical doctor diploma in obstetrics-gynaecology
• current matriculation in Medical Council/Board
• subspecialist accreditation  in gynaecological oncology (only for the Gynecologist specialist in Gynaecological Oncology position)

Skills

• solid surgical skills (caesareans, hysterectomies, ectopic pregnancies, complicated deliveries, management of high risk pregnancies, etc.)

Availability

• 6 weeks minimum up to 6 to 12 months

Languages

• English & French is required

Skills

• able to work in multicultural and multidisciplinary teams

Terms of employment

• Monthly salary is non-negotiable (EURO 1748)
• All logistics are organized by MSF, including flight tickets, visa administration and shared accommodation (including food & housekeeping).
• Initial preparation before your first assignment.
• Security management is handled by an experienced manager in each project location. Each MSF employee must comply with the security rules in place.
• Detailed briefings.
• Psychosocial assistance.
• Coverage, such as medical care and vaccination package, accident insurance, including repatriation.

*More details on MSF OBGYN and GYNECOLOGICAL ONCOLOGY*

1) The OBSTETRICIAN GYNECOLOGIST is responsible for the general coordination of women's healthcare, with particular emphasis on maternity services. They collaborate with the medical team and supervise the quality of healthcare. They also help to improve the maternity staff's technical performances. They take charge of certain consultations themself and perform technically and clinically complicated interventions, notably surgical.

• participate in discussions on and the definition of project objectives
• provide technical expertise in the obstetrics-gynaecology field: quality of patient reception and consideration of their needs, the smooth organization of the department and the patient flow, quality of obstetric care and adherence to medical protocols within the maternity department in liaison with the midwives
• perform emergency surgical procedures in accordance with MSF protocols,
• supervise team members' work
• take part in training offered to the healthcare staff and provide individual mentorship and support 

2) - GYNECOLOGICAL ONCOLOGY

The management of cancer patients is a new activity for MSF. Two projects started in 2018: prevention and treatment of cervical cancer in Malawi and prevention and treatment of cervical and breast cancer in Mali. These comprehensive and innovative cancer programs develop, in collaboration with the national Ministries of Health, an integrated approach to the diagnosis and management of women's cancers involving vaccination, screening, diagnosis, treatment, surgery, chemo/radiotherapy and palliative care provided by an integrated team of specialists, both expatriate and national.

Cervical cancer

Cervical cancer accounts for 40% of all cancers among women in Malawi and kills an estimated 2,300 a year.  Since the beginning of the program in 2018, we screened more than 20,000 women in Blantyre and Chiradzulu districts and have started building a cervical cancer clinic in Queen Elizabeth hospital, the main university teaching hospital in Malawi. It opened in 2019, with an operating theatre, a 18-bed inpatient ward and a day clinic. Services such as chemotherapy and referral for radiotherapy will be added progressively.

Gynecologists specialized in Cervical Pathology and/or Gynaecological Oncology will be able to collaborate with the medical team and supervise the quality of healthcare in the projects, taking charge of certain consultations themselves and performing basic and complex surgical interventions.

• participate in discussions on and the definition of project objectives
• provide technical expertise in the Onco-gynaecology field: helping to improve the staff's technical performances, improving the quality of care in consideration of patients needs, adherence to medical protocols,
• perform basic and complex surgical procedures in accordance with MSF protocols and international guidelines
• supervise team members' work
• take part in training offered to the healthcare staff and provide individual mentorship and support.

Two different positions are available for Gynecologists in our Oncology Projects:

1.- Gynecologist with Colposcopy and Cervical Pathology experience.

Long term position (6 to 12 months). Will be handling the following tasks/holding the following activities:

• Cervical screening, diagnosis and precancerous lesion treatment: pap smear, VIA screening, colposcopy, biopsy, endocervical curettage, conisation by LEEP, termotherapy
• Use of ultrasound: abdominal and vaginal US for staging
• Chemotherapy: use (including neoadjuvant), follow-up, complications of therapy, oncological emergencies
• Other skills: TOP/STI
• Participation in MDT meeting with the multidisciplinary team for patients’ treatment pathway (chimio, surgery, radiotherapy palliative care)

2.- Gynecologist specialist in Gynaecological Oncology.

Short term mission (4 to 6 weeks rotation). Will be handling the following tasks/holding the following activities:

• Cervical cancer diagnosis, staging and treatment
• Training of complex surgery in low resources environment: Abdominal Radical Hysterectomies, Vaginal hysterectomies, Radical Trachelectomy…
• Post-intervention follow up of patients
• Use of ultrasound: abdominal and vaginal US for staging
• Chemotherapy: use (including neoadjuvant), follow-up, complications of therapy, oncological emergencies
• Participation in MDT meeting with the multidisciplinary team for patients’ treatment pathway (chimio, surgery, radiotherapy palliative care)
• Other skills: TOP/STI