Senior Registrar – Emergency Medicine Physician at African Medical Centre of Excellence (AMCE) – Abuja

The African Medical Centre of Excellence (AMCE) is recruiting a Senior Registrar – Emergency Medicine Physician in Abuja, Nigeria (postal code 900107). This full-time, on-site, professional-level role is graded GL 4A.

Job objective

Provide high-quality, evidence-based emergency care for patients of all ages presenting with undifferentiated and critical illnesses; lead resuscitation and acute care teams; supervise junior clinicians; coordinate patient flow; and contribute to the operational and clinical excellence of AMCE’s Emergency Department.

Emergency patient management and resuscitation

• Lead the initial assessment, stabilisation and treatment of critically ill or injured patients, including trauma, cardiac arrest, respiratory failure and severe sepsis, using advanced life support protocols.
• Perform and interpret point-of-care ultrasound (POCUS), ECGs and arterial blood gas tests to support immediate clinical decisions.
• Independently carry out emergency procedures including intubation, central and arterial line insertion, chest tube thoracostomy and fracture or dislocation reduction.
• Develop evidence-based, individualised treatment plans for minor injuries as well as complex and multisystem emergencies.
• Ensure timely and safe discharge, inpatient admission or transfer to a higher level of care.

Team leadership, supervision and teaching

• Supervise Medical Officers and nursing staff at the bedside during shifts.
• Lead emergency department operations, delegate duties, coordinate patient flow and support clear communication.
• Deliver case discussions, simulations, lectures and formal or informal training on emergency medicine.
• Oversee accurate and prompt completion of medical records, procedure notes and discharge summaries.
• Mentor junior medical staff, providing feedback and supporting clinical development.

Operational efficiency and patient flow

• Work with the Consultant and Nurse Manager to minimise waiting times and optimise emergency department bed use.
• Implement and monitor triage protocols based on clinical urgency and international standards.
• Coordinate with admitting teams, radiology and laboratory services to expedite investigations and definitive treatment.
• Identify bottlenecks and coordinate with charge nurses and bed-management teams to improve transitions to inpatient wards and other departments.
• Participate in daily safety huddles and operational briefings.

Quality improvement and clinical governance

• Participate in clinical audits, morbidity and mortality reviews, root cause analyses and emergency department quality improvement initiatives.
• Lead or contribute to at least one quality improvement project each year, addressing measures such as door-to-doctor times, door-to-needle times for stroke or emergency pain management.
• Ensure adherence to evidence-based guidelines, infection control, hand hygiene, medication safety and high-alert medication procedures.
• Monitor junior staff compliance with documentation standards, referrals and incident reporting.
• Help develop, review and implement emergency department clinical protocols and care pathways.

Interdisciplinary collaboration and referrals

• Coordinate admissions and consultations with ICU, Cardiology, General Surgery, Paediatrics and other inpatient services.
• Provide clear, prompt and accurate clinical handovers for continuity of care.
• Work with radiology, laboratory and pharmacy teams to prioritise critical investigations and treatment.
• Coordinate with ambulance and pre-hospital services to receive and manage incoming emergency patients.
• Participate in multidisciplinary meetings and complex patient case conferences.

Professional development, research and ethical practice

• Maintain continuing professional development in emergency medicine and current evidence-based practice.
• Contribute to departmental research, data collection, analysis and peer-reviewed publications.
• Maintain current Advanced Cardiac Life Support (ACLS), Advanced Trauma Life Support (ATLS) and Paediatric Advanced Life Support (PALS) certifications or equivalents.
• Uphold patient confidentiality, informed consent, autonomy, ethical practice and cultural respect.
• Model professional integrity, accountability and a safe, respectful clinical environment.

Required qualifications and skills

• Medical degree (MBBS, MD or equivalent) from a recognised institution, with board certification or equivalent in Emergency Medicine.
• Completion of an accredited Emergency Medicine residency programme.
• Strong skills in evaluating, stabilising and treating acute and critical illnesses in all age groups, including trauma, cardiac emergencies, respiratory failure and paediatric emergencies.
• Proficiency in advanced airway procedures (including surgical airway), vascular access, chest tube placement, fracture reduction and POCUS.
• Clear communication, empathy and the ability to collaborate with distressed patients, families and multidisciplinary care teams.
• Proficiency in electronic health records, emergency department information systems and digital health technologies.
• Ability to work independently as shift leader while making time-critical decisions and managing complex patient flow.
• Commitment to evidence-based medicine, professional development, clinical audit, quality improvement and morbidity and mortality review.
• Ability to supervise, mentor and formally assess medical staff, residents and interns, including bedside and simulation-based teaching.
• Current and valid ACLS, ATLS, PALS and Basic Life Support (BLS) certifications.

Must-have skill: Emergency Medicine.