Internal Medicine Specialist

WORLD is a non-governmental, non-political, and non-profit development organization that was established by a group of young and energetic people who were highly motivated and committed to contributing their time, skills, and energies to the development and empowerment of socially disadvantaged and vulnerable communities in Afghanistan to address poverty and gender-based discrimination.

WORLD currently works across all 15 provinces of Afghanistan, including Ghor, Nangarhar, Kunar, Laghman, Nuristan, Khost, Paktya, Kunduz, Mazar, Kapisa, and Parwan, particularly in research, health emergencies, Gender-Based Violence, and other public health activities. Our existing donors included UN agencies, embassies, and Government bodies.

WORLD believes that networking, collective efforts, and sharing of knowledge, resources, and information are key to success in addressing developmental issues and challenges. Keeping this critical fact in mind, the organization always seeks to join all such forums and networks that directly align with its mission and objectives. WORLD could also be labeled as an implementing organization that aims to design and implement various developmental projects with the financial and technical support of international donor agencies and the government

WORLD is a non-governmental, non-political, and non-profit development organization that was established by a group of young and energetic people who were highly motivated and committed to contributing their time, skills, and energies to the development and empowerment of socially disadvantaged and vulnerable communities in Afghanistan to address poverty and gender-based discrimination.

WORLD currently works across all 15 provinces of Afghanistan, including Ghor, Nangarhar, Kunar, Laghman, Nuristan, Khost, Paktya, Kunduz, Mazar, Kapisa, and Parwan, particularly in research, health emergencies, Gender-Based Violence, and other public health activities. Our existing donors included UN agencies, embassies, and Government bodies.

WORLD believes that networking, collective efforts, and sharing of knowledge, resources, and information are key to success in addressing developmental issues and challenges. Keeping this critical fact in mind, the organization always seeks to join all such forums and networks that directly align with its mission and objectives. WORLD could also be labeled as an implementing organization that aims to design and implement various developmental projects with the financial and technical support of international donor agencies and the government

1.       Job Purpose

The Internal Medicine Specialist is responsible for providing comprehensive, evidence-based, and patient-centered medical care to adult patients with acute and chronic medical conditions. The specialist will assess, diagnose, treat, and manage complex internal medicine cases, ensure patient safety, supervise clinical care, and contribute to improving the quality of medical services in accordance with national clinical guidelines, hospital protocols, and recognized medical standards.

2. Key Responsibilities

A. Clinical Assessment and Patient Management

• Conduct comprehensive medical assessments, including medical history, physical examinations, and clinical evaluations.
• Diagnose and manage a wide range of adult medical conditions, including cardiovascular, respiratory, gastrointestinal, renal, endocrine, neurological, infectious, and hematological disorders.
• Develop and implement appropriate treatment plans based on clinical findings, diagnostic results, and evidence-based medical practices.
• Manage patients with complex, multiple, and coexisting medical conditions.
• Monitor patients' clinical progress and adjust treatment plans according to their response and medical needs.
• Identify critically ill patients, initiate emergency stabilization, and arrange timely referral or escalation of care when required.
• Provide appropriate inpatient, outpatient, consultation, and follow-up services according to hospital assignments.
• Ensure rational prescribing and the safe use of medicines, including antibiotics, in accordance with approved protocols.

B. Diagnostic and Clinical Decision-Making

• Request, interpret, and evaluate appropriate laboratory investigations, imaging studies, ECGs, and other diagnostic tests.
• Use clinical judgment to establish differential diagnoses and determine appropriate management strategies.
• Recognize complications, warning signs, and conditions requiring specialist consultation or higher-level care.
• Coordinate with other specialists and departments to ensure timely diagnosis and comprehensive treatment.
• Document clinical findings, diagnoses, investigations, prescriptions, and treatment outcomes accurately.

C. Emergency and Critical Care Support

• Assess and manage acute medical emergencies within the specialist's competence and hospital protocols.
• Support the management of conditions such as acute cardiac events, respiratory distress, severe infections, metabolic emergencies, and other life-threatening medical conditions.
• Participate in emergency response, resuscitation, and stabilization in coordination with the emergency and critical care teams.
• Ensure timely referral of patients requiring intensive care or specialized interventions beyond available hospital capacity.

D. Quality of Care and Patient Safety

• Ensure that clinical services comply with hospital policies, medical ethics, infection prevention and control standards, and patient safety procedures.
• Maintain complete, accurate, confidential, and timely patient medical records.
• Promote rational diagnostic testing, appropriate treatment, and effective use of hospital resources.
• Participate in clinical audits, mortality and morbidity reviews, case discussions, and quality improvement initiatives.
• Report medical errors, adverse events, and patient safety incidents through established hospital procedures.
• Ensure informed consent and respectful communication with patients and their families.

E. Coordination and Teamwork

• Work closely with nursing staff, laboratory personnel, pharmacists, radiology staff, emergency teams, and other medical specialists.
• Participate in ward rounds, case conferences, clinical handovers, and multidisciplinary meetings.
• Provide clinical consultations to other departments when requested.
• Coordinate referrals, discharges, and follow-up arrangements to ensure continuity of care.
• Communicate effectively with the Medical Director and relevant hospital departments regarding clinical concerns and service needs.

F. Training and Capacity Building

• Provide clinical guidance and mentorship to junior doctors, medical officers, interns, and other relevant clinical staff.
• Support on-the-job training and knowledge-sharing sessions on common medical conditions, clinical protocols, and emergency management.
• Participate in clinical teaching, case presentations, and professional development activities.
• Promote adherence to standard treatment guidelines and continuous improvement in clinical practice.

G. Reporting and Administrative Responsibilities

• Maintain accurate patient statistics, consultation records, admission records, and clinical reports as required.
• Submit clinical reports and other requested information to the Medical Director or designated supervisor.
• Participate in the development and review of clinical protocols, departmental work plans, and service improvement activities.
• Ensure appropriate use and care of medical equipment and supplies.
• Perform other relevant clinical duties assigned by the supervisor within the scope of professional competence.

Qualifications and Experience

• Education: Medical degree (MD or equivalent) from a recognized medical university, with a mandatory postgraduate specialization in Internal Medicine from a recognized institution. The candidate must also hold valid registration with the Afghanistan Medical Council (AMC) and the Ministry of Public Health (MoPH).
• Valid professional registration and authorization to practice in Afghanistan, as applicable.
• Minimum of 3–5 years of relevant clinical experience in internal medicine after specialization; equivalent experience may be considered according to hospital requirements.
• Demonstrated experience in diagnosing and managing complex adult medical cases in a hospital setting.
• Experience in inpatient care, outpatient consultations, medical emergencies, and multidisciplinary clinical coordination.
• Previous experience in a regional, provincial, or tertiary-level hospital is an advantage.

Code of Conduct

The Internal Medical Specialist shall:

• Adhere to organizational policies and procedures.
• Maintain patient confidentiality at all times.
• Treat all patients with dignity, respect, and impartiality.
• Comply with safeguarding, child protection, and prevention of sexual exploitation and abuse (PSEA) policies.
• Promote equality, diversity, and inclusion.
• Follow occupational health and safety regulations.
• Perform any other duties assigned by the supervisor within the scope of the position.

PESA

PESA is a system or approach designed to improve security management, accountability, and operational efficiency within organizations—particularly NGOs and health or community programs.

Required Skills and Competencies

• Strong clinical assessment, diagnostic reasoning, and decision-making skills.
• Proficiency in managing acute and chronic internal medicine conditions.
• Ability to recognize and respond appropriately to medical emergencies.
• Strong patient communication, counseling, and interpersonal skills.
• Effective teamwork, leadership, and clinical mentoring abilities.
• Excellent medical documentation and reporting skills.
• Commitment to patient confidentiality, professional ethics, and patient-centered care.
• Ability to work under pressure and manage competing clinical priorities.
• Knowledge of infection prevention, patient safety, and evidence-based clinical practices.
• Proficiency in Dari and/or Pashto; working knowledge of English is an advantage.

Key Responsibilities and Principles

·       Patient Safety and Security: Ensure a safe clinical environment for patients, medical staff, and visitors, and comply with hospital safety and security procedures.

·       Accountability: Maintain professional and ethical standards, ensure appropriate use of medical resources, and comply with organizational policies and clinical protocols.

·       Monitoring and Reporting: Monitor patients’ clinical conditions, treatment outcomes, and quality of care; maintain accurate medical records and report clinical incidents as required.

·       Coordination: Coordinate effectively with other medical specialists, nursing staff, hospital management, and relevant departments to ensure continuity of care and effective patient management.

·       Risk Management: Identify and report clinical risks, medical complications, and safety concerns, and take appropriate measures to minimize risks to patients and staff.

·       Safeguarding: Protect patients, particularly children and vulnerable adults, from abuse, neglect, exploitation, discrimination, and other forms of harm.

·       Prevention of Sexual Exploitation and Abuse (PSEA): Comply with the organization's PSEA policy, maintain professional boundaries, and report suspected or actual cases through established reporting channels.

·       Respect and Dignity: Treat all patients with compassion, dignity, impartiality, and respect, regardless of gender, age, disability, ethnicity, or social background.

·       Confidentiality and Data Protection: Maintain the confidentiality of patient information and medical records, sharing information only with authorized individuals when clinically necessary or legally required.

·       Reporting Safeguarding Concerns: Promptly report suspected abuse, neglect, exploitation, or safeguarding risks through the organization's designated reporting mechanisms, while respecting confidentiality and applicable procedures.

Professional Ethics and Accountability

The Internal Medicine Specialist must maintain professional integrity, respect patient rights, protect confidential information, avoid discrimination, and comply with applicable medical regulations, hospital policies, and professional codes of conduct.

The specialist is accountable for clinical decisions and actions within the scope of their professional authorization and must seek consultation or refer patients when necessary.

 Working Conditions

• Working hours: According to the hospital's approved duty roster.
• Work setting: Inpatient wards, outpatient clinics, emergency services, and other assigned clinical areas.
• The position may require participation in on-call duties, emergency coverage, ward rounds, and multidisciplinary meetings.

·       To apply, please send your CV and cover letter, including the vacancy number in the subject line, before the closing date.
Academic certificates are required to be submitted at this time

·       Vacancy Number Requirement: Applicants must clearly mention the Vacancy Number in their applications. Applications that do not include the Vacancy Number will not be considered for shortlisting.

·       Only short-listed candidates will be invited to the written test and interview.

·       Email / Application Form: https://jobs.world.org.af