Gastroenterologist

OverviewThe Pharo Foundation (“the Foundation”) is a pioneering, mission-driven organization working to build a vibrant, productive, and self-reliant Africa. Founded and fully funded by Pharo Management, an emerging markets hedge fund, the Foundation represents a new model of philanthro capitalism: a private endowment using its own capital to design, fund, and operate development programmes with private-sector discipline and long-term commitment.Over the next decade, the Foundation’s ambition is to deliver lasting impact across three interdependent missions:

1. Empowering the next generation through affordable, high-quality education.
2. Solving water scarcity by building and operating sustainable water infrastructure.
3. Driving economic productivity by unlocking jobs, investment, and innovation through both non-profit and for-profit ventures.

Pharo Ventures, which is the Foundation’s for profit- arm, is building commercially sustainable businesses across East Africa to create thousands of jobs and generate inclusive economic growth. We complement the development work above by running for-profit ventures with our current interest being in agri-business and healthcare sectors.Pharo HealthPharo Health is establishing a portfolio of companies under the Pharo Ventures Group, to drive its healthcare strategy across the region. We intend to transform the healthcare landscape in the Horn of Africa region by providing access to a network of premium diagnostic centers. Pharo Health Somaliland will be a portfolio company of Pharo Ventures Group.The first healthcare venture in the portfolio is currently being established in Addis Ababa, Ethiopia. Building on this foundation, the organisation is now launching a flagship diagnostic and healthcare services business in Somaliland, with ambitions to expand nationally and across the wider region.The Somaliland business will operate as part of a growing regional healthcare network, benefiting from cross-border collaboration, shared expertise, and operational synergies.Position SummaryWe are seeking a highly skilled Gastroenterologist (Internal Medicine Sub-Specialist) to provide expert diagnosis, treatment, and management of gastrointestinal and hepatobiliary conditions within a modern diagnostic and healthcare facility in Hargeisa.The role involves delivering high-quality clinical consultations, managing both acute and chronic digestive disorders, and performing diagnostic and therapeutic endoscopic procedures. The Gastroenterologist will also contribute to clinical quality, multidisciplinary collaboration, and the development of gastroenterology services within the facility.Position Title:            Gastroenterologist (Internal Medicine Sub-Specialist)Reports To:                  General ManagerLocation:                        Hargeisa, Somaliland2. Key ResponsibilitiesA. Specialized Clinical Care and Diagnosis

• Conduct comprehensive patient assessments, including meticulous medical history taking, physical examinations, and specialized diagnostic evaluations.
• Diagnose and manage a broad spectrum of gastrointestinal and hepatobiliary conditions, such as Peptic Ulcer Disease (PUD), Inflammatory Bowel Disease (IBD), Cirrhosis, Hepatitis, and GI malignancies.
• Expertly interpret laboratory data, advanced imaging (Ultrasound, CT, MRI), and specialized functional GI tests.
• Provide specialized care in both outpatient consultant clinics and inpatient hospital wards for acute and chronic GI disorders.

B. Endoscopic and Diagnostic Procedures

• Perform high-quality diagnostic and therapeutic endoscopic procedures, including Upper GI Endoscopy (EGD) and Colonoscopy.
• Identify, biopsy, and manage gastrointestinal lesions, polyps, ulcers, and tumors.
• Execute therapeutic interventions such as polypectomy, endoscopic hemostasis (for GI bleeds), and stricture dilation where clinically indicated.
• Oversee patient sedation, informed consent processes, and comprehensive post-procedure recovery and monitoring.

C. Treatment Planning and Case Management

• Develop individualized, evidence-based management plans for patients with complex GI and liver pathologies.
• Coordinate long-term care for chronic conditions, including the management of advanced liver disease and autoimmune GI disorders.
• Provide specialized nutritional counseling and lifestyle modification guidance tailored to specific digestive health needs.

D. Emergency and Critical Care Management

• Act as the primary specialist for GI emergencies, including acute Upper/Lower GI bleeding, acute pancreatitis, bowel obstruction, and acute hepatic failure.
• Provide urgent endoscopic interventions to stabilize patients in emergency settings.
• Collaborate closely with the Emergency Department and Intensive Care Unit (ICU) for the management of critically ill hepatology patients.

E. Multidisciplinary Collaboration and Referral

• Work alongside surgeons, oncologists, radiologists, and nutritionists to provide integrated, holistic care.
• Participate in multidisciplinary team (MDT) meetings and tumor boards for the management of GI cancers.
• Facilitate referrals for advanced surgical interventions or tertiary specialized care when necessary.

F. Supervision, Mentorship, and Training

• Supervise and mentor General Practitioners, medical residents, interns, and specialized nursing staff.
• Lead clinical teaching rounds and facilitate case discussions to promote the transfer of specialized knowledge.
• Promote adherence to best practices and continuous professional development within the clinical team.

G. Clinical Governance and Quality Improvement

• Ensure facility-wide adherence to international clinical guidelines (e.g., WGO, BSG, or ASGE standards).
• Lead clinical audits and participate in Morbidity and Mortality (M&M) reviews.
• Contribute to the development of institutional protocols for infection prevention in endoscopy and GI procedural safety.

H. Documentation and Research

• Maintain accurate, timely, and detailed medical records, ensuring all procedural findings and follow-up plans are clearly documented.
• Engage in clinical research, case reporting, and staying abreast of the latest advancements in hepatology and gastroenterology.

Education:

• Doctor of Medicine (MD) or equivalent degree in Internal Medicine from a recognized institution.
• Sub-specialty Fellowship training or Board Certification in Gastroenterology and Hepatology (Mandatory).

Licensure:

• Valid and active medical license to practice as a Specialist.
• Registration with the National Medical Council and the relevant Specialist Registry.

Experience:

• Required: Minimum of 5–10 years of experience in internal medicine, with a significant focus on gastroenterology.
• Procedural Expertise: Demonstrated proficiency and high volume of EGD and Colonoscopy procedures.
• Setting: Extensive experience in hospital-based care (inpatient, outpatient, and emergency/procedural settings) is essential.

Core Competencies:

• Procedural Skill: Excellent manual dexterity and precision for endoscopic interventions.
• Diagnostic Acumen: Ability to interpret complex hepatobiliary and GI data.
• Leadership: Experience in managing clinical teams and procedural units.
• Empathy: Strong interpersonal skills for managing patients with chronic, life-altering conditions.