Anesthesiologist - Pain Management

Date Posted
3/06/2019

City
Washington

State
DC

Job Type
Full-Time Regular

 
Job Description

Position Title: Pain Management Anesthesiologist

Location: Bethesda, MD

Duties/Responsibilities include but not limited to the following:

  • Serves as an authoritative source of information in the areas of anesthesia care for clinic staff; refers patients for consultation to other HCPs when appropriate; instruct and monitor physician assistants in the areas of anesthesia care.
  • Able to provide clinical recommendations to Anesthesia residents, interns, medical students and SRNAs in the conduct of general and regional anesthetics.
  • There are two types of duties for an Anesthesiologist and they are Personal and Medical Direction. Both are outlined as follows:
    • Personal — Pre-anesthetic evaluation of the patient.
    • Personal — Plans and implements anesthesia plan.
    • Personal — Provide induction of post-anesthesia care.
    • Personal — Perform duties as directed by the Chief, Anesthesia and Operative Service.
    • Medical Direction — Pre-anesthetic evaluation of the patient.
    • Medical Direction — Prescription of the anesthesia plan.
    • Medical Direction — Personal participation in the most demanding procedures in this plan, especially those of induction and emergence.
    • Medical Direction — Following the course of anesthesia administration at frequent intervals.
    • Medical Direction — remaining physically available for the immediate diagnosis and treatment of emergencies.
    • Medical Direction - providing indicated post anesthesia care.
  • Prepare patients and if necessary, equipment for procedures.
  • Performance of invasive procedures.
  • Maintains professional competency involving clinical skills and knowledge through participation in professional organizations, self-directed journal readings, and attendance at in-service and continuing education programs.
  • Complete all forms and reports accurately and promptly when appropriate.
  • Instruct and teach the DoD members as necessary.
  • Provide patient education on therapy, medications, and procedures when necessary.

Other Duties/Responsibilities include but not limited to the following:

  • The HCP shall perform a full range of Anesthesiologist services for medical staff, support personnel, inpatients and outpatients in support of the Anesthesia Services using Government furnished facilities, equipment, and supplies within the assigned unit of the The HCP’s productivity is expected to be comparable with that of other Anesthesiologists assigned to the same facility and authorized the same scope of practice.
  • The HCP shall provide training as applicable to supporting Government (i.e. hospital corpsmen, Licensed Practicing Nurses, Registered Nurses, resident, medical students, interns etc.) assigned to the HCP during the performance of clinical procedures. The HCP shall perform limited administrative duties which include maintaining statistical records of the HCP clinical workload, participating in education programs, and participating in clinical staff quality assurance functions and Process Action Teams, as prescribed by the Commanding Officer.
  • Participate in meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems Should a meeting occur outside of the HCP’s regular working hours, the HCP shall be required to read and initial the minutes of the meeting.
  • Participate in the provision of monthly in-service training to non-health care-practitioner members of the clinical and administrative staff on subjects germane to the HCP’s specialty.
  • Participate in the provision of in-service training to staff members of the clinic and administrative staff on subjects germane to medical care and attend annual renewal of the following Annual Training Requirements provided by WRNMMC: family advocacy, disaster training, infection control, Sexual Harassment and Blood borne Pathogens.
  • Participate in the implementation of the Family Advocacy Program as Participation shall include, but not be limited to, appropriate medical examination, documentation and reporting.
  • Attend Composite Health care System (CHCS)/Armed Forces Health Longitudinal Technology (AHLTA) training provided by the Government for a minimum of four (4) hours, and up to a maximum of 40 hours.
  • Attend all annual training classes required by this command.
  • Perform administrative duties that include maintaining statistical records of your workload, operate and manipulate automated systems such as Composite Health Care System (CHCS), participating in education programs, and participating in clinical staff quality assurance functions and Process Action Teams, as prescribed by the Commanding Officer.
  • Possess and maintain current certification in American Heart Association Basic Life Support (BLS) for Health care Providers; American Heart Association Health care Provider course; American Red Cross CPR (Cardio Pulmonary Resuscitation) for the Professional Rescuer; or an equivalent MTF course. HCPs, not currently in possession of current certification, must acquire certification prior to initiating contract performance. Web based classes do not meet these standards. A copy of the BLS instruction may be obtained from the World Wide Web at: http://www.med.navy.mil/directives/ExternalDirectives/1500.15E%20CH-1.pdf . Renewal of BLS may be done via on-site, WRNMMC classes at the discretion of the Chief of anesthesia when it is deemed to be in the best interests of WRNMMC to do so.
  • Comply with the standards of the Joint Commission, applicable provisions of law and the rules and regulations of any and all Governmental authorities pertaining to licensure and regulation of health care personnel and medical treatment facilities, the regulations and standards of medical practice of the MTF and the bylaws of the hospital's medical staff. Adhere to and comply with all DoD and local Clinic instructions and notices that may be in effect during the term of the contract.
  • Comply with the HIPAA (Health Insurance Portability and Accountability Act) privacy and security policies of the treatment facility. Providers shall obtain/maintain a National Provider Identifier (NPI) in accordance with DOD and MTF policy/instruction.
  • The HCP shall participate in executing the Emergency Preparedness Plan (drills and actual emergencies) as scheduled by the MTF (typically semiannually). A MTF personnel re-call list with personal contact information for all military, civil service and contract employees is required to prepare in advance for an actual emergency. The HCP shall provide personal contact information to the designated supervisor upon commencement of services.
  • Should an emergency occur, the HCP shall be contacted with shift information and for accountability purposes.
  • Perform a full range of Anesthesiologist services on-site using Government-furnished supplies, facilities and Productivity is expected to be comparable with that of other contracted individuals performing similar services.
  • Give two grand round lectures via a power point presentation annually. In addition, chapter reviews and case conferences will be The HCP shall share responsibility for preparing residents for their boards and producing a strong academically and clinical sound anesthesiologist. Technically direct, perform, or assist in the instruction of, other health care professionals in accordance with clinical privileges.
  • Prescribe and dispense medications as delineated by the Pharmacy and Therapeutics Committee.
  • Promote preventive and health maintenance care, including annual physicals, positive health behaviors, and self- care skills through education and counseling.
  • Demonstrate awareness and sensitivity to patient/significant others' rights, as identified within the institution.
  • Demonstrate awareness of legal issues in all aspects of patient care and unit function and strive to manage situations in a reduced risk manner.
  • Participate in peer review and performance improvement activities.
  • Demonstrate appropriate delegation of tasks and duties in the direction and coordination of CONTRACTED health care team members, CONTRACTED patient care, and CONTRACTED clinic activities.
  • Maintain an awareness of responsibility and accountability for own professional practice.
  • Participate in continuing education to meet own professional Participate in the provision of in- service training to clinic staff members, including daily resident teaching conferences.
  • Medical services provided shall include, but are not limited to, the following listed Anesthesiology Procedures:
    • Provide comprehensive medical management of patients to be rendered unconscious or insensitive to pain and emotional stress during surgical, obstetrical, dental and certain medical procedures, including preoperative, intraoperative, and postoperative examination, consultation, management, monitoring, evaluation, and treatment;
    • Management of fluid, electrolyte, and metabolic parameters
    • Resuscitation of patients of all ages
    • Management of malignant hyperthermia
    • Manipulation of cardiovascular parameters
    • Diagnostic and therapeutic management of acute and chronic pain
    • Manipulation of body temperature
    • Intravenous conscious sedation
    • Sedation and analgesia
    • Management of hypovolemia from any cause
    • Management of unconscious patients
    • Routine Obstetrical anesthesia with perioperative consultation
    • Local and regional anesthesia with and without sedation, including topical and infiltration, minor and major nerve blocks, intravenous blocks, spinal, epidural, and major plexus blocks. Use advanced regional anesthesia techniques including ultrasound to place blocks and peripheral nerve catheters for both anesthesia and pain management.
    • General anesthesia, including invasive monitoring, respiratory therapy including long term ventilatory support, airway management including cricothyroidotomy.
    • Multidisciplinary direction of pain management

QUALIFICATIONS:

  • Shall be Board Certified in Anesthesiology by the American Board of Anesthesiology.
  • Must have completed an Accredited Council for Graduate Medical Education (ACGME) recognized pain medicine fellowship program (minimum length of 12 months) and passed the Pain Medicine Subspecialty Boards) within two years of completing fellowship.
  • A minimum of five years experience in pain medicine is Recent experience in working with severely injured trauma patients with co-existing traumatic brain injury, traumatic brain injury, and co-morbid substance abuse disorders is required. Recent experience in teaching pain management best practices to primary care providers is required.
  • Possess a current license to practice as an anesthesiologist in any state or the District of Columbia at all times.
  • The license must grant the provider the ability to use diagnostic pharmaceutical agents (DPAs) and therapeutic pharmaceutical agents (TPAs).
  • Shall have a minimum of five years post-graduate experience in interventional pain management
  • Shall have current Basic Life Support (BLS) certification from the American Heart Association.
  • Advanced Cardiac Life Support (ACLS) or other advanced certification does not supersede BLS certification
  • Have experience in an academic environment teaching residents and fellows, both in classroom and operating room setting
  • Serve as a staff physician in pain management clinic. Responsible for diagnosing and treating chronic pain Treatment includes medical management, and diagnostic and therapeutic interventional therapies.
  • Facility with complex cases involving invasive monitoring and vasoactive infusions
  • Research experience in chronic pain management
  • Proven ability to interact collegially with colleagues, trainees, and ancillary personnel
  • Experience with Process Improvement, Medical education planning, or Clinical Patient Simulator environments a plus
  • The Anesthesiologist-Pain Management shall meet the following qualifications, duties, and requirements specified by this contractual instrument.

Other Qualifications:

  • Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other HCP's
  • Shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members
  • Shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing
  • Shall be knowledgeable and possess skills necessary to provide care appropriate to any age-related needs of the patients. The Contract Anesthesiologist shall demonstrate knowledge of the principles of growth and development appropriate to the appropriate patient population served: Infants, Children, Adolescent, Adults, and Geriatric (>65).
  • Assess, coordinate, facilitate, deliver and evaluate care for infant to geriatric patients using the nursing process
  • Possess knowledge of a wide range of medical disorders/conditions, diagnostic studies and treatments related to prevention, and detection of illnesses in adults, is desirable
  • The contracted Anesthesiologist shall be knowledgeable in professional care theories, principles, practices, and procedures to perform nursing assignments of moderate difficulty and experience in assessing adult and geriatric patients, as appropriate.
  • Possess knowledge of computer operations and proficiency in the use of basic word processing, data entry and automated medical records, CHCS/AHLTA/Essentris/Innovian. Mandatory use of medical database for keeping records, ordering of ancillary procedures, ordering of medications, writing doctor’s orders, schedule follow-up visits and performing other required patient functions. The government will provide training to contract employees.
  • All contractor HCPs must have experience in an academic medical center teaching residents and medical students, both in classroom and operating room setting.
  • All contractor HCPs must have experience in a facility with complex cases involving invasive monitoring and vasoactive infusions. All HCPs must have been providing this care at least 20% of the time in the last two years. As a member of the WRNMMC Anesthesia Department, the ability to provide perioperative care to both critically injured and a critically ill ASA-4 and ASA- 5 patient is a requirement.
  • All contractor HCPs must have experience with process Improvement, Medical education planning, or Clinical Patient Simulator environments a plus.
  • All contractor HCPs must be able to oversee other contractor (not government employees) Anesthesia residents, interns, medical students and SRNAs in the conduct of general and regional anesthetics.
  • Be a U.S. citizen.

Work Hours:

WRNMMC provides services 365 days a year, 24 hours a day. The Contractor shall be required to work their designated schedule. The schedule may include nights, weekends, and holidays. Scheduling is always based on the needs of WRNMMC, and must be coordinated through the government scheduling officer.



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