Consultant Pulmonologist

Responsibilities

• Provide comprehensive assessment, diagnosis, treatment, and long-term management of patients with acute and chronic respiratory diseases.

• Demonstrate specialised expertise in the diagnosis, classification, treatment, and follow-up of patients with pulmonary hypertension (PH).

• Evaluate and manage patients with pulmonary arterial hypertension (PAH), including idiopathic, heritable, and associated forms of the disease.

• Assess and manage pulmonary hypertension associated with connective tissue diseases, congenital heart disease, portal hypertension, and other relevant medical conditions.

• Evaluate patients with pulmonary hypertension associated with left heart disease, chronic lung disease, and hypoxia, coordinating management of underlying conditions.

• Identify patients with suspected chronic thromboembolic pulmonary hypertension (CTEPH) and coordinate appropriate diagnostic evaluation and specialist referral.

• Apply current clinical classification systems and evidence-based guidelines to differentiate pulmonary hypertension subtypes.

• Conduct comprehensive clinical assessments, including evaluation of dyspnoea, exercise intolerance, syncope, peripheral oedema, and signs of right ventricular dysfunction.

• Interpret relevant diagnostic investigations, including echocardiography, pulmonary function tests, diffusion capacity (DLCO), CT pulmonary angiography, ventilation-perfusion (V/Q) scans, and cardiac MRI.

• Demonstrate strong understanding of right heart catheterisation (RHC) and interpretation of invasive haemodynamic measurements.

• Coordinate right heart catheterisation with appropriately trained specialists to confirm pulmonary hypertension and guide treatment decisions.

• Interpret haemodynamic parameters, including mean pulmonary arterial pressure, pulmonary arterial wedge pressure, cardiac output, and pulmonary vascular resistance.

• Perform or coordinate appropriate vasoreactivity testing for selected patients with pulmonary arterial hypertension in specialised settings.

• Conduct comprehensive risk stratification using clinical findings, functional class, exercise capacity, biomarkers, imaging, and haemodynamic assessments.

• Develop individualised treatment plans for pulmonary hypertension based on disease classification, severity, risk profile, comorbidities, and current clinical guidelines.

• Prescribe and monitor pulmonary arterial hypertension-specific therapies, including endothelin receptor antagonists, phosphodiesterase type 5 inhibitors, prostacyclin pathway therapies, and other approved treatments where clinically indicated.

• Assess patients requiring combination therapy or escalation to advanced pulmonary hypertension treatments.

• Monitor treatment response, medication-related adverse effects, functional improvement, and long-term clinical outcomes.

• Evaluate and manage patients with right ventricular dysfunction and right heart failure associated with pulmonary hypertension.

• Recognise and manage clinical deterioration and pulmonary hypertension-related emergencies, coordinating intensive care support when necessary.

• Assess patients with suspected CTEPH for referral to specialised centres offering pulmonary endarterectomy or balloon pulmonary angioplasty.

• Coordinate multidisciplinary management of pulmonary hypertension associated with interstitial lung disease, COPD, and other chronic respiratory conditions.

• Diagnose and manage common and complex pulmonary disorders, including asthma, COPD, bronchiectasis, pneumonia, and other respiratory diseases.

• Evaluate and manage interstitial lung diseases, including idiopathic pulmonary fibrosis and connective tissue disease-associated lung involvement.

• Perform and interpret pulmonary function tests, including spirometry, lung volumes, and diffusion capacity measurements.

• Evaluate patients with unexplained breathlessness and differentiate pulmonary vascular disease from cardiac, airway, parenchymal, and other causes.

• Diagnose and manage respiratory failure, including appropriate oxygen therapy and non-invasive respiratory support.

• Assess patients requiring long-term oxygen therapy, pulmonary rehabilitation, and other supportive respiratory treatments.

• Perform diagnostic flexible bronchoscopy and relevant respiratory procedures where trained and credentialed.

• Interpret chest radiographs, high-resolution CT scans, and other thoracic imaging studies in collaboration with radiologists.

• Provide specialist outpatient consultations and inpatient management for patients with pulmonary hypertension and other complex respiratory conditions.

• Coordinate regular follow-up and disease monitoring for patients receiving long-term pulmonary hypertension therapies.

• Participate in multidisciplinary pulmonary hypertension meetings involving pulmonologists, cardiologists, radiologists, rheumatologists, and other specialists.

• Collaborate with cardiology teams in evaluating right ventricular function, haemodynamic abnormalities, and associated cardiovascular conditions.

• Coordinate referral to specialised pulmonary hypertension centres for advanced therapies, complex interventions, or lung transplantation assessment when indicated.

• Provide comprehensive counselling regarding disease progression, medication adherence, exercise recommendations, pregnancy-related risks, and long-term management.

• Educate patients and families regarding warning signs of clinical deterioration and the importance of regular specialist follow-up.

• Ensure accurate clinical documentation, pulmonary hypertension classification, haemodynamic findings, treatment plans, and follow-up assessments.

• Maintain compliance with hospital policies, respiratory care protocols, medication safety requirements, and patient safety standards.

• Participate in pulmonary hypertension clinical audits, treatment outcome monitoring, research activities, and quality improvement initiatives.

• Contribute to the development and implementation of pulmonary hypertension clinical pathways, specialised respiratory services, and multidisciplinary care programmes.

• Provide clinical supervision, teaching, and mentoring to junior physicians, pulmonology trainees, and multidisciplinary healthcare professionals.

• Stay updated with advances in pulmonary hypertension, pulmonary vascular medicine, respiratory diagnostics, targeted therapies, and evidence-based pulmonary care.

Qualifications

• Recognised specialist qualification in Pulmonology, Respiratory Medicine, or an equivalent recognised medical specialty.

• Recognised Tier 1 specialist qualification, such as American Board certification, Canadian Royal College certification, UK CCT/CCST, or an equivalent recognised qualification.

• Completion of recognised specialist training in Internal Medicine, followed by advanced fellowship training or recognised subspecialty certification in Pulmonology / Respiratory Medicine.

• Minimum 5 years of post-specialisation experience, with substantial clinical experience in managing complex respiratory diseases.

• Demonstrated clinical experience in diagnosing and managing Pulmonary Hypertension, particularly Pulmonary Arterial Hypertension (PAH).

• Proven experience in pulmonary hypertension assessment, disease classification, risk stratification, and long-term treatment monitoring.

• Strong knowledge of pulmonary hypertension-specific therapies, including appropriate treatment selection, combination therapy, and monitoring of adverse effects.

• Experience interpreting right heart catheterisation findings and pulmonary haemodynamic measurements.

• Comprehensive understanding of pulmonary hypertension associated with chronic lung disease, connective tissue disorders, left heart disease, and chronic thromboembolic disease.

• Experience managing patients with right ventricular dysfunction and pulmonary hypertension-related complications.

• Strong clinical experience in managing asthma, COPD, interstitial lung disease, bronchiectasis, and other complex pulmonary conditions.

• Demonstrated expertise in pulmonary function testing, respiratory imaging interpretation, and advanced respiratory diagnostics.

• Experience working within a multidisciplinary pulmonary hypertension programme or specialised pulmonary vascular service is highly desirable.

• Familiarity with CTEPH diagnostic pathways and referral criteria for pulmonary endarterectomy or balloon pulmonary angioplasty.

• Experience in diagnostic bronchoscopy and other respiratory procedures is advantageous where relevant to the facility.

• Strong understanding of advanced pulmonary therapies, oxygen therapy, pulmonary rehabilitation, and respiratory support strategies.

• Experience working in a tertiary hospital, specialised respiratory centre, pulmonary hypertension clinic, or multidisciplinary healthcare facility.

• Familiarity with international pulmonary hypertension guidelines, respiratory medicine protocols, and evidence-based clinical practice.

• Proven ability to manage complex pulmonary vascular cases and collaborate effectively with cardiology and multidisciplinary specialist teams.

• Eligibility for Consultant-level licensing with DHA, DOH, or MOHAP, as applicable to the position.

Required Skills

• Strong clinical expertise in pulmonology and the management of acute and chronic respiratory disorders.

• Advanced knowledge and practical experience in Pulmonary Hypertension and Pulmonary Arterial Hypertension management.

• Comprehensive understanding of pulmonary hypertension classification, haemodynamic assessment, and risk stratification.

• Proficiency in interpreting echocardiography reports, right heart catheterisation findings, pulmonary function tests, and pulmonary vascular imaging.

• Strong knowledge of pulmonary arterial hypertension-specific medications, combination therapy, and treatment monitoring.

• Ability to recognise and manage right ventricular dysfunction, right heart failure, and pulmonary hypertension-related clinical deterioration.

• Expertise in evaluating unexplained dyspnoea and differentiating pulmonary vascular disease from other cardiopulmonary conditions.

• Strong understanding of CTEPH assessment, multidisciplinary treatment pathways, and specialist referral indications.

• Advanced knowledge of COPD, asthma, interstitial lung disease, bronchiectasis, and respiratory failure.

• Proficiency in respiratory diagnostic investigations and interpretation of thoracic imaging.

• Strong diagnostic, analytical, and clinical decision-making skills in complex pulmonary cases.

• Excellent communication, leadership, and multidisciplinary collaboration skills.

• Ability to provide comprehensive patient counselling and coordinate long-term care for chronic pulmonary vascular diseases.

• Commitment to patient safety, evidence-based respiratory medicine, and continuous professional development.

• Ability to support pulmonary hypertension service development, clinical education, research, and quality improvement initiatives.

Compensation

An attractive tax-free package will be offered based on the candidate's qualifications, clinical expertise, pulmonary hypertension experience, respiratory medicine background, professional experience, and the requirements of the healthcare facility.