Hospital Clinician*

Job ID:  5860
Job Function:  Medical
Institution:  Alexandra Hospital



Hospital Clinicians (HC) under the AH Hospital Clinical Programme (HCP) not only have depth of knowledge in their respective fields (Medicine, Surgery and Emergency & Acute Care) but also knowledge across different domains to manage patients with multiple interacting comorbidities and health/social complexities holistically, together with other members of the healthcare team to anchor broad-based care in the wards.


Job Responsibilities & Core Competencies


Core Competency A – Resuscitation and Management of the Critically Ill Patient


You will be responsible for:

  • Recognising and identifying, in a timely manner, a patient who is deteriorating clinically and in need of urgent intervention
  • Reliably notifying the specialist-in-charge, in a timely manner, and coordinating a team of healthcare staff to assist in the care of the patient.
  • Reliably performing a targeted clinical assessment to obtain information necessary for diagnosis and subsequent management.
  • Ordering initial investigations to further narrow the differential diagnosis and guide management.
  • Instituting, in a timely manner, appropriate management steps to stabilise the patient.
  • Reliably leading a team in performing a code based on ACLS principles, if applicable
  • Initiating transfer of the patient to a higher level of care (i.e. ICU) where appropriate
  • Updating the patient and/or family throughout the process and involve them in shared decision making for the care plan.


Core Competency B – Initial Evaluation & Investigation of Common Presentations in Adult Patients


You will be expected to demonstrate the knowledge, clinical skills and technical skills necessary to assess and evaluate common presentations in adult patients:

  • Fever
  • Chest pain
  • Shortness of breath
  • Abdominal pain
  • Limb swelling
  • Dizziness
  • Falls
  • Syncope
  • Neurological deficits
  • Headache
  • Altered mental state
  • Oliguria
  • Acute gastrointestinal bleeding


Core Competency C – Management of Common Clinical Conditions


You will be expected to initiate provisional care plans for common clinical conditions:

  • Sepsis
  • Stroke
  • Tachy- and Bradyarrhythmias
  • Asthma/COPD
  • Pulmonary embolism, deep venous thrombosis, hypercoagulable state
  • Acute coronary syndrome
  • Heart failure
  • Fluid overload
  • Poor controlled diabetes
  • Hypertensive emergency
  • Shock
  • Electrolyte abnormalities
  • Alcohol & drug overdose/intoxication
  • Head injury
  • Acute arthritis
  • Bleeding GIT
  • Management of pain
  • Transfusion medicine
  • End-of-life care


Core Competency D – Communication & Professionalism


You will be expected to demonstrate knowledge and skills in communication, crisis management, leadership and professionalism in the following areas:

  • Advanced care planning
  • Informed consent
  • Shared decision making
  • Communication (with patients and other healthcare professionals)
  • Systems-based practice and transitions of care




  • Education, Training and Experience
  • Medical staff who have completed basic specialist training and is at least Post Graduate Year (PGY) 5 of training for Singaporeans or Permanent Residents (PR) of Singapore
  • For non-Singaporeans or non-PRs, the medical staff must have at least worked in a Singapore public healthcare institution for 5 years
  • Professional License
  • Must be registered with the Singapore Medical Council