Emergency Medicine Physician

Date Posted
10/02/2018

State
MD

Job Type
Full-Time Regular

 
Job Description

CORE DUTIES:

  • Perform a full range of physician services in accordance with privileges granted by the Military Treatment Facility (MTF).
  • Direct, perform or assist in the instruction of other health care professionals within the scope of the clinical privileges or responsibilities.
  • Examine, diagnose, treat or prescribe courses of treatment within the scope of training, experience, and privileges.
  • Provide preventive and health maintenance care, including annual physicals, positive health behaviors, and self-care skills through education and counseling.
  • Order diagnostic tests as applicable as well as request consultation or referral with appropriate physicians, clinics, or other health resources as indicated.
  • Technically proficient in directing and teaching other medical staff, providing educational lectures and participating in the provision of in-service training to clinic staff members. Such direction and interaction will adhere to Government and professional clinical standards and accepted clinical protocols.

ADDITIONAL DUTIES include but not limited to the following:

  • The Emergency Medicine Physician shall remain on-shift until the relief physician arrives. He/she shall ensure that continuity of care is provided to all patients.
  • The quality of Emergency Medicine Physician service shall meet or exceed reasonable community standards of professional practice for the healthcare concerned as determined by the authority that governs military medical professionals in the same discipline.
  • Be capable of performing the full range of emergency medicine services to include the ability and experience to adequately diagnose and treat diseases and injuries.
  • Be able to adequately perform medical procedures to include, but not limited to, the following:
    • Incision and drainage
    • Nail Trephination
    • Sling or swath of injuries
    • Bandage
    • Reduce dislocations and fractures when appropriate
    • Stabilize and evaluate cervical spine injuries as appropriate
    • Lumbar puncture
    • Pericardiocentesis
    • Removal of foreign bodies as appropriate
    • Deliver newborn/perform emergency vaginal deliveries
    • Perform venous punctures for lab studies and interpret results
    • Draw arterial blood gases for evaluation and interpret results
    • Suture or staple simple and multilayered lacerations
    • Remove sutures, surgical staples
    • Tube Thoracotomy
    • Open thoracotomy
  • Secure and maintain an adequate airway, by such means as:
    • oral airways; oral tracheal intubation; nasal/tracheal intubation; Crico-Thyrotomy (needle and surgical)
  • Splint and stabilize traumatic injuries to extremities
  • Administer intravenous, intramuscular and subcutaneous injections
  • Prescribe and administer medications as appropriate
  • Secure and maintain adequate intravenous access by peripheral and by central routes
  • Diagnostic Peritoneal Lavage (DPL)
  • Bladder Catherization
  • NG/OG tubes
  • Local anesthesia
  • Restraints
  • Procedural sedation
  • Selected screening ultrasound exams
  • Be able to perform the following Tasks:
    • Coordinate with transfer/accepting facility & other Emergency Departments
    • Request consults appropriately
    • Complete all required paperwork
    • Obtain an adequate history, physical, assessment and plan in a timely and appropriate manner on each patient and develop treatment plan
    • Utilize paraprofessional staff as appropriate, including non-physician providers
    • Respond to cardiopulmonary arrest as appropriate
    • Interpret electrocardiograms and laboratory tests
    • Preliminary interpretation of imaging studies to include CAT scans
    • Direct medical care through radio communication with an ambulance
    • Provide discharge instructions
  • Examine patient, render a medical assessment of their condition, and take appropriate action
  • Provide immediate evaluation and management of emergency patients
  • Provide definitive medical care to reduce the emergency medical condition and enable the patient to safely pursue follow-up care as an outpatient as required. Follow-up of abnormal laboratory and/or imaging study, reports is the responsibility of the ordering physician. Review each report in accordance with established MTF procedures
  • Respond to "Code Blue" (cardiac or respiratory arrest) medical emergency alerts within the hospital and provide resuscitation treatment until more specialized treatment arrives. Should resuscitation efforts be unsuccessful, the physician shall pronounce the patient dead and notify the next-of-kin, if the next-of-kin is physically present. Although completion of the death certificate is primarily the responsibility of the patient's primary physician, the Emergency Services physician can complete this document if all the appropriate information is available.
  • Reassure and treat non-acute conditions in priority as established by medical triage
  • Prepare appropriate patient profile changes
  • Prepare and document appropriate history, physical examinations, and preoperative diagnosis.
  • Maintain documentation of all treatment provided in accordance with MTF directives.
  • Dispatch and provide medical control for ambulances in accordance with MTF procedures
  • Accompany emergency services technicians on ambulance runs when indicated by the nature of the emergency and in accordance with MTF leadership guidance and MTF procedures
  • Perform emergency room procedures compatible with the MTF operations capacity, supplies and equipment
  • As workload permits during scheduled duty, attend the Emergency Service's monthly staff meetings and any additional committee meetings as required by the individual MTF. The physician may also attend such meetings scheduled during other than their assigned duty shift
QUALIFICATIONS:
  • Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.).
  • Graduate from an accredited medical school in the United States or Canada. This degree must have been accredited by the Council on Medical Education of the American Medical Association; Association of American Medical Colleges; Liaison Committee on Medical Education; Commission on Osteopathic College Accreditation of the American Osteopathic Association, or an accrediting body recognized by the U.S. Department of Education and the Accreditation Council for Graduate Medical Education (ACGME) at the time the degree was obtained (e.g. Royal College of Physicians and Surgeons of Canada (RCPSC), College of Family Physicians of Canada (CFPC). A Doctor of Medicine or equivalent degree from a foreign medical school must provide education and medical knowledge substantially equivalent to accredited schools in the United States. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country or successful completion of the U.S. Medical Licensing Examination.
  • Current board certification by the American Board of Emergency Medicine.
  • Successful completion of an approved Emergency Medicine (EM) residency acceptable to the USAF Surgeon General and board eligible/certified by the American Board of Emergency Medicine (ABEM) or American Osteopathic Board of Emergency Medicine

EXPERIENCE:

  • At least 2 years of emergency medicine experience within the last 3 years.
  • Physicians shall meet the experience, training, and certification requirements for the appropriate level of emergency medical staff physician in accordance with regulations

LICENSURE:

  • Current, full, active, and unrestricted license to practice medicine in any state in which a license is held.
  • Current with and have completed all continuing education requirements specified by their professional licensure or certification.
  • Must be current with and have completed all continuing education (CME) requirements specified by their professional licensure or certification.
  • Current Basic Life Support (BLS) certification
  • Current Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certification
  • Current Advanced Trauma Life Support (ATLS) certification is not required, however, successful completion of an ATLS course, at some point in the past is required.

Place of Performance: Malcolm Grow MTF's (Joint Base Andrews, MD & Anacostia- Bolling, D.C.)



 
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