Urgent Care Physician Core Duties:
- Perform a full range of physician services in accordance with privileges granted by the 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 are as follows:
- Shall remain on-shift until the relief physician arrives or close of business.
- Provider will be expected to work up to 24-hour shifts at a time or any hours less than 24 as situation dictates.
- Providers will complete all notes within 72 business hours.
- Consults with other specialty practitioners for consultative opinions and continuation of care.
- Triages, assesses, and re-assesses patients throughout patient visits.
- Documents medical assessments, observations, and treatments accurately in accordance with MTF policy.
- Responsible for the proper delegation of duties, teaching, and clinical supervision of subordinate personnel.
- Performs duties as Code Team Member when on duty in the clinic.
- Provides appropriate patient/significant other teaching and education.
- Evaluates the effectiveness and level of patient/significant other understanding of teaching provided.
- Obtains necessary information on patients seen in the Emergency/UCC Department, such as medical records, x-ray films and reports, and pathology slides and reports.
- Assists the MTF's graduate medical education programs, when required.
NOTE: Supervision, as used in this PD, means clinically-related supervision only and does not include inherently governmental supervisory duties, including, but not limited to, personnel and employment-related activities, i.e., timecards or leave approval. Medical consultant to base “911” system and patient transfers. This includes reviewing and signing AF522 “Patient Care Report” to ensure EMS standards of care are met. Also, feedback to the paramedics/EMTs following ambulance runs. Meets all training required by the Military Treatment Facility (MTF). Conducts monthly Peer Reviews per MTF requirements. Follows MTF-specific guidelines and protocols. Evaluates and treats MTF patients that require weekend and/or after-hour follow-up (rabies vaccines, wound checks, etc)
- Degree: Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.).
- Education: 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.
- Certification: Board eligible or board certified as required in the TO.
- Internship/Residency: Successful completion of an internship and residency program
(corresponding to the specialty required in the TO) which has been approved by the Accreditation Council for Graduate Medical Education or the Committee on Postdoctoral Training of the American Osteopathic Association. Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathy degree, a candidate must have had at least 1 year of supervised experience providing direct service in a clinical setting (i.e., a 1-year internship or the first year of a residency program in a hospital or an institution accredited for such training). For purposes of this requirement, graduate training programs include only those internship, residency, and fellowship programs that are approved by accrediting bodies recognized within the United States or Canada. Descriptions of such programs are described below.
o An internship program involves broadly based clinical practice in which physicians acquire experience in treating a variety of medical problems under supervision (e.g., internal medicine, surgery, general practice, obstetrics-gynecology, and pediatrics). Such programs are in hospitals or other institutions accredited for internship training an appropriate accrediting body.
- A residency program involves training in a specialized field of medicine in a hospital or an institution accredited for training in the specialty by an appropriate accrediting body.
- A fellowship program involves advanced training (beyond residency training) in a given medical specialty in either a clinical or research setting in a hospital or an institution accredited in the United States for such training.
- The Physician must have three (3) years of post-training experience within the last four (4) years. Residency.
- The Physician must have completed one of the following residency programs: An Emergency Medicine residency acceptable to the USAF Surgeon General and board eligible or board certified in emergency medicine or has a minimum of 5 years full-time experience working in an emergency department and/or urgent care center and able to treat full age spectrum. (Residency exception approved by AFSG Emergency Medicine Consultant, 20 June 06) A Family Practice or Family Medicine residency acceptable to the USAF Surgeon General. A combined Pediatrics and Internal Medical Medicine residency acceptable to the USAF Surgeon General. Residency Exception. By approval of the AFSG Emergency Consultant, physicians with a minimum of 5 years full-time experience working in an emergency department and able to treat full age spectrum are considered qualified to work in an Urgent Care Center
- Emergency Medicine Residency-trained physicians: Board eligible or board certification by the American Board of Emergency Medicine (ABEM) or American Osteopathic Board of Emergency Medicine (AOBEM) is required. Family Practice or Family Medicine Residency-Trained Physicians: Current board certification by the American Board of Family Practice (MD) or the American Osteopathic Board of Family Practice (DO) is required. Combined Pediatrics and Internal Medicine Residency-Trained Physicians: Board certification in this specialty is required.
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- Current, full, active, and unrestricted license to practice medicine as required