Job Title:  Specialist (Medical Oncology)

Job Summary

• Provide high-level clinical expertise in managing patients referred to Palliative Care across inpatient, outpatient, and community settings.
• Lead the development and provision of specialist palliative services, ensuring a person-centered approach and seamless continuity between hospital and home.
• Champion clinical governance, service development, and the training of medical personnel.
• Shape departmental policies to ensure operational efficiency and continuous service improvement.

Principles Duties and Responsibilities

• Clinical Case Management
  • Lead multidisciplinary teams (MDT) to provide comprehensive care for both oncology and non-oncology palliative cases.
  • Regularly evaluate and adjust management plans in response to changes in patient condition.
  • Offer thorough education regarding disease progression and treatment options to patients and their families.
  • Independently initiate and execute evidence-based palliative treatment plans.

• Patient Referrals & Ward Management
  • Oversee transitions of care between specialists and support services to ensure ongoing needs are met.
  • Perform regular clinical assessments and ensure meticulous documentation of changes in patient status.
  •  Collaborate with nursing teams to ensure prescribed palliative treatments are correctly implemented.

• Palliative Patient Assessment
  • Perform detailed consultations for new patients, ensuring thorough histories and diagnostic reviews are completed.
  • Maintain accurate medical records, documenting all clinical findings and treatment plans promptly.
  • Ensure timely access to diagnostic tests to facilitate rapid initiation of symptom management.

• Enhanced Community Care Responsibilities
  • 24/7 Home Support Integration: Lead the provision of indirect care by supporting community-based healthcare professionals to ensure seamless continuity of care between the hospital and the home.
  • Mobile Symptom Management: Oversee the transition of care between hospital specialists and community support services, ensuring patients' ongoing symptom management needs are met without requiring hospital admission.
  • GP & Primary Care Collaboration: Provide advice and support extended team of GPs and community nurses, providing expert guidance on complex palliative cases in the community.
  • Caregiver Empowerment: Provide thorough education to family members regarding disease progression and home-based management strategies to prevent caregiver burnout and social readmissions.
  • Strategic Alignment (BRUMAP): Operationalize palliative component in Brunei Darussalam National Multisectoral Action Plan for the Prevention and Control of Noncommunicable Diseases (BRUMAP) to shift the focus of clinical practice toward home-centric care excellence.

Professional Requirements

• A minimum of seven (7) to ten (10) years of full-time clinical training and working experience post registration in a government or other private health facilities is essential.

Educational Requirements

• Possess a Primary Medical Degree, MBBS or equivalent. 
• Postgraduate training and qualification in Paliative Care is required.
• Professional Fellowship (e.g., FRS or equivalent) with specialized training in Palliative Care.

Specialised Skills/Knowledge/Attribute Requirement

• Clinical Expertise: In-depth knowledge of palliative protocols, including complex symptom management and end-of-life care.
• Holistic Approach: Proficiency in addressing physical, psychological, social, and spiritual needs while facilitating family involvement.
• Ethics & Autonomy: Strong understanding of ethical considerations, informed consent, and patient autonomy in palliative settings.
• MDT Leadership: Ability to effectively coordinate with nursing, medical, and allied health professionals in complex cases.

Closing Date

3rd June 2026