Job Description

Responsibilities

3.1 Responsible to develop and implement policies/ procedures/ plans/ SOPs/clinical guidelines/pathways of the
department
3.2 Responsible for implementing a unit specific quality improvement and patient safety program/initiative
3.3 Responsible for identification, selection and monitoring of measures specific to the department or service,
assess data, plan change, and sustain improvements in quality and patient safety
3.4 Responsible to ensure complete and timely training and education of staff on quality improvement process such
as but not limited to, prevention and control of infection, emergency disaster response, fire safety, Hazmat, spill
management, etc.
3.5 Responsible for monitoring and coordination of the quality improvement and patient safety program and
initiatives
3.6 Responsible for monitoring incidents and sentinel events, and taken action and to sustain, to improve safety in
response to events

3.7 Responsible to support culture of safety program and implement, monitor, and take action to improve the
program in the department
3.8 Responsible for carrying out the evaluation/performance appraisal for the staffs in their department
3.9 Performs all administrative functions at the Department level as established by the Medical Management.
3.10 Supports Continuous Quality Improvement. Develops and promotes appropriate standards of care.
3.11 Develops and implements work assignments, on-call assignments, and vacation schedules for Department
staff.
3.12 Supervises and monitors the delivery of health care by department staff. Provides guidance regarding patient
care when indicated. Takes remedial action when appropriate.
3.13 Develops and implements effective Peer Review. Evaluates staff and provides annual and on-going feedback as
appropriate.
3.14 Works closely with other concerned committees in developing policies and procedures to promote quality
health care for Internal Medicine patients.
3.15 Supervises or participates in supervision of intensive care areas when assigned.
3.16 Exercises effective interpersonal skills in dealings with department staff, with associates and with Management.
3.17 Evidences leadership skills in developing in others the willingness and desire to work toward common objectives.
3.18 Maintains confidentiality regarding patient information and regarding administrative matters of a confidential
nature.
3.19 Produces written communications, assessments, proposals, and administrative documents that are timely and
of high quality. Work product is of the quantity required to effectively accomplish duties as head of the
department.
3.20 Evidences dependability in carrying out the commitments and obligations of the position.
3.21 Demonstrates the ability to listen to others in promoting effective communication.
3.22 Develops thorough understanding of policies and procedures of the hospital and demonstrates respect for
them.
3.23 Performs other duties as assigned by the management.
3.24 Comply with all OSH (Occupational safety and health) and infection control policies, standards and procedures
and cooperate with hospital management to comply those requirements
3.25 Work accordance with the documented OSH procedures and instructions, specific responsibilities
3.26 Be familiar with emergency and evacuation procedures

3.27 Notifying OSH Hazards, incidents, Near misses and issues and assistance with the preparation of risk
assessments, incident reports
3.28 Comply with Waste management procedures and policies
3.29 Attend applicable OSH/Infection control training programs, mock drills, and awareness programs
3.30 Use of appropriate personal protective equipment and safety systems
3.31 Ensure as far as reasonably practicable that any workplaces they manage or control are safe and without risks
to health, safety or the environment.
3.32 Ensure implementation of applicable DOH, NMCRH OSHMS and infection control policies and standards
3.33 Designating a Safety facilitator who will be responsible for coordinating OSH activities within the department.
3.34 Regularly discuss OSH issues or matters in departmental/ management meetings
3.35 Ensure provision of OSH information, training, and Supervision
3.36 Implement and monitor effectiveness of risk management program

Qualifications

4.1 Graduation from an approved medical school plus internship.
4.2 At least (5) years of practice as an internist as a licensed specialist.
4.3 Command of oral and written English is required. Knowledge of Arabic language is desirable but not essential.
4.4 Must be highly skilled in the particular field of practice, with mature clinical judgment and ability to provide
professional leadership. He / she must have a thorough knowledge of Medical Department policies and
procedures with particular reference to the obligation to maintain the confidentiality of his work; personality
which inspires confidence and trust in his patients; and adhere to Bylaws, Rules and Regulations of the Medical
Organization.
4.5 Must have DOH License to practice.
4.6 Communication, interpersonal skills as applied to interaction with co-workers, superiors, patients & families.
4.7 3 yr. residency in Internal Medicine culminating in procuring a Post Graduate master’s degree and/or equivalent Fellowships approved by DOH