Role summary
Provides specialised geriatric care within the ICC physical clinic on a part-time, in-person basis, addressing the unique medical, functional, cognitive, and psychosocial needs of the geriatric population. Evaluates, diagnoses, and manages a wide range of acute and chronic medical conditions, including patients with multiple comorbidities, polypharmacy, frailty, dementia, and other age-related health concerns. Delivers evidence-based, patient-centred care during scheduled part-time in-clinic sessions, ensuring continuity of care, medication optimisation, preventive care, and chronic disease management for patients seen face-to-face. Coordinates closely with the full-time clinical and administrative teams to maintain continuity of care between sessions, applying population health and value-based care principles to improve clinical outcomes, optimise healthcare resources, and deliver safe, efficient, and high-quality care for the aging population.
Responsibilities
- Deliver comprehensive, in-person geriatric care during scheduled part-time clinic sessions at the ICC physical clinic, including assessment, diagnosis, treatment, and follow-up of acute and chronic medical conditions.
- Conduct comprehensive clinical evaluations, including history taking, physical examination, medication review, and geriatric assessment during each in-clinic visit.
- Develop and implement individualised, evidence-based management plans, including medication optimisation, preventive care, lifestyle interventions, and referrals when indicated.
- Manage complex geriatric conditions, including multimorbidity, frailty, cognitive impairment, and polypharmacy, ensuring continuity and coordination of care with the full-time clinical team between sessions.
- Collaborate with multidisciplinary healthcare teams, caregivers, and community services to deliver integrated, patient-centred care within the scope of part-time attendance.
- Maintain accurate and timely clinical documentation in the EHR to support seamless handover and continuity of care with colleagues managing the patient outside of scheduled sessions.
- Promote healthy aging through preventive care, chronic disease management, and population health and value-based care principles, within the available part-time clinic hours.
- Communicate effectively with patients, families, and caregivers, providing clear guidance on diagnoses, treatment plans, and follow-up care to support informed decision-making.
- Ensure compliance with clinical, ethical, and regulatory standards while maintaining accurate, timely, and complete medical documentation for all in-clinic encounters.
- Maintain current knowledge of evidence-based geriatric practice and in-clinic regulations through continuous professional development.
- Contribute to clinical governance by participating in quality improvement initiatives, clinical audits, and regulatory compliance programmes, to the extent feasible within part-time hours.
- Maintain and continuously enhance clinical knowledge in geriatric medicine and in-person best practices.
- Participate in relevant conferences, workshops, and continuing medical education (CME) activities to remain current with evidence-based practices in geriatric medicine.
- Integrate the latest clinical evidence into practice to continuously improve the quality, safety, and effectiveness of patient care delivered during part-time sessions.
- Maintain accurate, complete, and timely clinical documentation in the electronic health record (EHR) in compliance with organisational policies and applicable data privacy regulations.
- Demonstrate proficiency in the clinic's EHR system to ensure efficient, high-quality, and well-documented in-person consultations.
- Participate in ongoing training and adopt system enhancements and best practices, collaborating with relevant support teams to optimise performance and user experience.
- Uphold the highest standards of patient safety by delivering safe, evidence-based care and adhering to established clinical safety protocols during all in-person patient interactions.
- Identify, report, and escalate patient safety risks, incidents, and quality concerns in accordance with organisational policies.
- Counsel patients and caregivers on diagnoses, treatment plans, medication use, potential adverse effects, and follow-up care to support informed decision-making and medication safety.
- Deliver compassionate, patient-centred consultations through effective communication, comprehensive clinical assessment, empathy, and shared decision-making.
- Monitor patient feedback and contribute to quality improvement initiatives that strengthen patient safety, clinical outcomes, and service excellence.
- Collaborate effectively with multidisciplinary teams to deliver coordinated, patient-centred care and optimise clinical outcomes, ensuring continuity between part-time in-clinic sessions and full-time coverage.
- Provide clinical expertise and recommendations to support evidence-based decision-making and integrated care planning.
- Facilitate clear and timely communication among healthcare professionals to ensure continuity and quality of care.
- Mentor and support junior physicians and healthcare professionals through clinical guidance and knowledge sharing during scheduled clinic time.