Clementine Sifiso Nomalizo Mnkandla-Khumalo

• Contribution to Academic Papers:

1. Pediatric Diabetes Mellitus: The Socioeconomic Impact on Health Outcomes: EC Pediatrics

2. T Regulatory cells as Potential Treatment for Autoimmune Inflammatory Rheumatic and Musculoskeletal Disease: In Press

• Clinically manage patients with acute and chronic medical conditions.
• Giving health education public speaking sessions with different community sectors such as in schools, council, police, various community functions using Microsoft power point
• Diagnose, treat and manage general pediatric, obstetric, gynecological and medical cases
• Working in liaison with various health professionals such as Dentists, Optometrists, Laboratory scientists, physiotherapists, dieticians, doctors in various medical specialties
• Diagnose, treat and monitor patients with HIV
• Perform minor surgical procedures such as suturing, incision and drainage, debridement etc
• Perform venepuncture, administer and monitor intravenous fluid and drugs infusions of patients under observation
• Provide well women's clinic - breast and pelvic examinations, Pap Smear collection and provide Contraceptive care
• Provide well baby care - weight measurements and monitoring
• Providing advice to mothers and caregivers as part of patient education
• Provide pre and post exposure prophylactic care to HIV exposed individuals
• Undertake medical examinations for pre employment, employment and post employment, as well as for food handlers, immigration or tuition purposes
• Offer health education talks to the community, at schools, workplaces and any other possible events or social gathering
• Identify patients requiring specialist or ancillary services and referring them appropriately and timely
• Administration of vaccination to infants and adults as per need, travel vaccines, flu shots etc

• Working under supervision of Medical and Radiation Oncologists
• Consultations with cancer patients from various medical and surgical disciplines from all around Botswana and beyond the borders
• Teaching and educating subordinates in various medical disciplines as well as assessment of their knowledge
• General medical management of these patients
• Assisting patients consent to treatment after clear explanation of various treatment modalities, namely chemotherapy, external beam radiotherapy and brachytherapy, their side effects and possible outcomes
• Assisting in the management of various cancers most of which are HIV related as well as the side effects of anti-cancer treatment
• Monitoring patients on anti-cancer treatment
• Identification and management of oncological emergencies
• Performing difficult venepunctures for intravenous chemotherapy and assisting in various procedures e.g intra-thecal chemotherapy and bone marrow aspirates
• Performed several case presentations in the monthly multidisciplinary discussion meetings with Massachusetts General Hospital Oncology-related staff on-line

• Comprehensive Antenatal care to obstetric patients
• Performing pelvic examinations, Pap Smears, swab collections, breast examinations in female and genital examinations in male patients as needed
• Dispensing of appropriate medication after thorough consultation and investigations
• Identification and prompt referral of patients in need of further investigations and management by a specialist or at a tertiary institution
• HIV pre and post-test counselling, diagnosis, treatment, monitoring and follow-up
• HIV/STI/TB comprehensive case management including educating and counselling, partner/contact evaluation and treatment, referral of TB patients accordingly
• Referral of appropriate patients for further investigations(laboratory and radiological),interpretation of test results followed by prompt action
• Performing minor surgical procedures e.g suturing, incision and drainage etc
• Performing difficult blood draws in adults, children and infants
• Regular attendances of Continuing Medical Education (CMEs) seminars/meetings and participation in on-line CMEs as well

• Managing the 24hr Accident and Emergency Department
• Attending to referred patients from other health facilities
• Identifying patients needing emergency surgery and preparing them for theatre
• Recognizing patients requiring more specialized management and referring them when stable
• Admitting patients to ICU and general wards with appropriate management measures in place
• Carrying out daily ward rounds in all wards
• Regular monitoring of all in-patients, particularly those in ICU
• Preparing patients for elective surgery
• Active involvement in Post-op management
• Follow-up of discharged patients as out-patients
• Clinical/medical examinations of Mine workers and food handlers
• Analysis/interpretation of patient/Client test results and appropriate action
• Performing minor procedures eg I&D, suturing, therapeutic and diagnostic para-and pleurocentesis

• Carrying out Clinical work-attending to both in and out-patients, examining, diagnosing and carrying out appropriate management
• Identifying and referring patients needing tertiary health institute management
• Following-up of patients
• Carrying out administrative work i.e planning, auditing and evaluation of healthcare-related activities in the district
• Holding meetings with subordinate staff, presenting, teaching and educating them on best management and statistical analysis of patient demographics and best management strategies
• Carrying out night and weekend calls, attending to emergencies
• Performing surgical procedures eg I&D, suturing, norplant removals, superficial biopsies
• Attending to relevant management committee meetings at hospital, district and provincial levels
• Supervising National Immunization Programmes at District level
• Working in-liaison with Non-Governmental Organizations at national and international levels
• Carrying out statistical analysis and reporting
• Reporting to the Provincial Medical Director and undertaking any activities as directed
• Piloted Fixed Dose Anti-TB treatment as well as establishment of HIV/AIDS patient management including Antiretroviral Therapy

• Attending daily to out-patients at different City Health Clinics
• Identifying patients requiring referral to tertiary institutions and referring them
• TB/HIV/STD diagnosis, treatment and management
• Presentation of difficult HIV/TB cases with discussions with other stakeholders
• Weekly ward rounds at Thorngrove Infectious Disease Hospital, attending to complicated TB(multi drug-resistant), Antiretroviral Therapy and Viral Hepatitis patients
• Weekly meetings/discussions on complex cases on Anti-TB and ART

• Attending to general medical consultations on out-patient basis
• Identifying patients in need of referral to tertiary institutions
• Laboratory and radiological results interpretation
• Performing minor surgical procedures

• Worked under the supervision of an Obstetrics and Gynecology Consultant
• Took history, did physical examinations, including pelvic examinations, Pap smears and carried out necessary investigations and instituted treatment
• Daily ward rounds in Prenatal, Labour and Postnatal wards
• Performed initial assessment and management of emergencies in casualty
• Preparing patients for and assisting in elective and emergency operations
• Active involvement in deliveries-normal and abnormal
• Performing gynaecological procedures
• Postnatal management including follow-up
• Compiling reports, discussions and acting on statistics in the department to bring about the best maternal care

• Worked under the supervision of Pediatric Consultants
• Daily ward rounds in the Neonatal and Pediatric units
• Initial assessment of paediatric and neonatal emergencies in casualty and labour wards respectively
• Initial diagnosis and management as well as admission of patients to the paediatric wards
• Carrying out procedures including sample collections for investigations
• Review and follow-up of discharged patients
• Running of Paediatric opportunistic infections clinics for initial and subsequent follow-up of patients on Antiretroviral Therapy
• Collecting and reporting paediatric mortality and morbidity statistics, with analysis and discussions on these every week

• Worked under the supervision of a General Surgeon and Specialist Urologist
• Initial assessment and management of patients presenting to outpatients clinics, performing genital examinations and to casualty with general surgical and urological emergencies
• Identification of patients requiring immediate surgery
• Preparing patients for elective and emergency operations
• Daily ward rounds in the surgical wards
• Assisting in various surgical procedures
• Post operative management
• Specimen collection
• Performing short procedures
• Interpretation of laboratory results,X-rays and Ultrasound scan reports

• Worked under the supervision of a Physician Specialist
• Initial assessment and management of patients presenting with medical emergencies in casualty
• Managed the out-patients clinic
• Sample collection-blood draws, diagnostic lumbar punctures, pleuro and para centesis
• Participating in Adult Opportunistic Infections Clinic, diagnosing, counselling and monitoring HIV patients on Antiretroviral Therapy
• Performing short procedures
• Interpretation of radiological and laboratory investigations