POSITION: GLOBAL MEDICAL CONTRACTOR (PEADIATRICIAN). 

AIDS Healthcare Foundation (AHF) is an International Non-Governmental Organization that was founded in 1987 and has been at the forefront of the HIV response, currently supporting HIV/AIDS programs in 45 countries including Rwanda.

AHF’s mission is to provide cutting edge medicine and advocacy, regardless of ability to pay and core values are to be Patient-Centered, Value Employees, Respect for Diversity, Nimble, and Fight for What’s Right

AHF Rwanda is looking for very competent Pediatrician to fill up the position of Global Medical Contractor (i.e.: Pediatrician Specialist) at AHF Country Office in Kigali.

1.       COMPETENCE OF SPECIALIST

AHF Rwanda seeks to engage experienced pediatrician who have had a minimum of 7 years as a specialist 5 of which have been spent performing in an HIV care and treatment facility of setting.

2.      SCOPE OF WORK OF THE SPECIALIST

The medical specialists while undertaking this mentorship role are expected to visit each of the participating clinical team at least once a week for a minimum of 5 (Five) hours. During this time at the facility, the specialists will interact with site clinical team in various ways including one-on-one or group sessions. Additionally, the specialist will arrange complementary sessions and for the remote sites via on-line meeting platform (MS Teams and/or zoom), on phone and via email. Below is a list of activities that the specialist mentor is to perform while at the site: –

• Conduct an initial assessment of mentees capabilities as well as learning needs.
• Provide onsite (one-on-one or group) case management and “bedside training” on how to handle selected cases.
• Assist individuals and clinic teams with management of “difficult and complex cases”, review and interpretation of laboratory results.
• Support clinics to set-up special clinic days for clients in reference to the respective scope of work ie Pediatric clinic days and Advanced HIV case management clinic days for clients with Complications, NCDs, treatment failure as well as Advanced HIV Disease
• Support and guide on implementation of National clinical guidelines such as DTG optimization, Index and Assisted partner notification and testing, Switching and substitution of ARV regimens, adverse events monitoring and documentation among others, Initiation and monitoring of TB preventive therapy (TPT), classification and deployment of clients in DSDM Models of care.
• Schedule and implement online clinical case sessions and studies for facilities that are in remote locations.
• Encourage and demonstrate use of clinic data for purposes of quality improvement.
• Reviews clinic systems and processes affecting service delivery and patient care, and where necessary advice on required changes that will make these more efficient.
• Provide on-site training and continuing medical education to staff based on identified needs or upcoming changes in service delivery.
• Lead the respective clinical teams in conducting clinical care outcome audits such as mortality, viral load failure and lost-to-follow-up for a selected cohorts/ group of clients.
• Guide and support clinicians on-site on how to read and make use of research findings (start-up and maintain a journal club)
• Guide individuals and on-site teams on how to use and fill out HIV Clinical patient monitoring tools and use available clinical data/ information and undertake simple implementation/ operation research and writing of scientific literature eg case reports, abstracts and journal articles
• Contribute to performance management and review of mentees.
• Prepare and submit mentee evaluations and progress reports as required.

3.      KEY RESPONSIBILITIES OF THE SPECIALIST 

The specialist responsibilities will include.

• Working with the clinical team to set-up a site support schedule/ program
• Providing own transport to and from the supported site or reimbursement of costs
• Provide schedule for Online training or CME sessions.
• Provide proof of attendance at onsite or remote clinical mentorship sessions
• Provide resource links e.g., books, journal articles and other publications.
• Communicating with the site and AHF Rwanda contact person where changes in program are anticipated and proposing a recovery time.
• Having communication capability such as phone, video conferencing enabled laptop computer/ email facilities (facilitation) to effectively communicate with the site and mentees.

4.      KEY DELIVERABLES OF THE SPECIALIST

• A concept note of how the task at hand will be approached including methodology, tools and mentee evaluation.
• A baseline evaluation or needs assessment report of the mentees (Particularly for additional sites).
• This should be accompanied by a tailored support plan for each site – The plan should clearly Demonstrate which sessions are in-person and remote/ on-line.
  • A monthly clinic visit schedule – including time for one-on-one and group sessions
  • A continuing medical education/ Audit/ chart review/ data abstraction schedule
  • A health worker support schedule via on-line conferencing forum, phone or email
• A quarterly report of activities conducted including case summary, areas supported/ addressed as well as notes on mentee progress. The report should in addition highlight areas that AHF Rwanda has to work on in order to improve specialist productivity as well as contributions towards clinic setting or individuals that will enhance mentee learning as available

5.      KEY RESPONSIBILITIES OF MANAGEMENT OF AHF RWANDA.

• Provide a list of sites and individuals that will be supported using physical visits and / or on-line platforms
• Working contract spelling out the terms of engagement for each party
• Introduce the specialist/specialist to the site team
• Ensure that there is a viable number of motivated mentees
• Provide the required medical and logistical supplies within clinic setting to ensure optimal training and mentorship program
• Provide reimbursement for personal expenses incurred during the training mentorship eg airtime/ data and transportation
• Timely pay for the services of the specialist

6.      KEY RESPONSIBILITIES OF STAFF AT THE SUPPORTED AHF RWANDA SITES (MENTEES).

• Compile individual and perceived group knowledge and skills gaps where support will be required from the specialist.
• Provide the specialist with a suitable schedule when his/ her time will be maximally utilized.
• Write up and schedule clients that are to be jointly reviewed with the specialist.
• Submit a list of topics and subject areas that they would like the specialist to address.

7.      TIMELINES

• This scope of work will be implemented for a period of 12 months renewable after evaluation.
• The specialist will be required to devote a minimum of 8 hours a week to the program.

8.      PAYMENT METHODS

Payment will be made monthly via bank transfer to the specialist’s account. This will be after submitting a payment request and other duly signed documents namely.

• Copy of contract
• Duly signed duty roster
• Duly signed performance/productivity report
• Duly signed mentee log for each clinic visit.