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The Palliative Care program helps coordinate complex care for patients with serious, life-threatening illnesses through the efforts of its interdisciplinary team comprised of two physicians, two advance practice providers, two nurses, three social workers and spiritual adviser. The team seeks to provide patient and family centered care to improve the quality of life of patients navigating serious illness by managing complex symptom needs, coordinating care and exploring goals of care across a variety of settings.
The physician must be BC/BE in Palliative and Hospice medicine and will join a mature team to provide both inpatient and outpatient care for patients and families. The inpatient consult service provides care to a wide range of patients including those in the Burn unit, medical and surgical ICUs as well as medical/surgical wards. Additionally, the physician will provide care on an outpatient basis through multiple co-management clinics with Oncology as well as primary Palliative Care clinics. After hours and weekend call coverage will be shared amongst all providers.
The Palliative Care physician will supervise and train a wide range of learners including medical students, residents, fellows and other interdisciplinary learners in both inpatient and outpatient settings. Additional opportunities include participation in research, scholarly activities, and the Eskenazi Ethics Committee.
The Palliative Care physician must be self-directed, flexible and committed to the team concept; demonstrate effective teamwork, initiative and willingness to learn; be open to new experiences; and accepts and respects diversity without judgment.
Clinical Responsibilities
- Perform in a manner to create and sustain a positive work culture with cross-department collaboration and in alignment with Eskenazi Health and Eskenazi Medical Group initiatives.
- Provide assessment, diagnostic determination, ongoing clinical management, necessary referral for consultation, care planning, therapeutic orders, transfer authorization, risk assessment, and determination as appropriate for discharge or transfer of patients, both directly and via supervision of trainees.
- Collaboration, communication and coordination with all physicians and healthcare personnel caring for hospitalized patients.
- Actively engage in multi-disciplinary care planning with physicians, advance practice providers, nurses, social workers, spiritual advisor
- Perform bedside rounds on all patients (either with team members or independently) in pursuit of interventions that improve the quality of life of patients and families. The physician will provide attending notes on all assigned patients.
- Perform review of resident notes for format, relevance, and accuracy with correction as needed, including completeness of dates, times, and legible signatures, ensuring timely completion of all professional records and documentation in compliance with local, state, and federal regulatory, licensure and accreditation requirements.
- Complete all medical record documentation and billing submissions within one business day of service.
- Provide prompt, effective, and efficient cross-cover of learners to allow them to attend scheduled educational sessions as well as role-modeling of handoffs to attending physicians coming on-service.
- Provide direct contact and consultation with patient's family members, friends, advocates, and relevant others to ensure effective communication of patient status and care plans and to encourage and support a patient-centered and family-friendly style within the hospital environment.
- Provide rotational coverage through on-call weekend rotation for inpatient and new consults.
- Maintains patient and family confidentiality.
- Maintains protected health information in accordance with HIPAA privacy guidelines and regulations.
- Will be in compliance with Eskenazi Health, Eskenazi Medical Group, Indiana University School of Medicine, and other bylaws and compliance.
Academic Responsibilities
- Offer clear behavioral expectations for each supervised trainee at rotation start.
- Provide evaluation of trainees with explicit formative feedback on knowledge, skills, attitude and overall performance at least once before leaving the rotation.
- Provide supervisory/teaching rounds involving the medical team with emphasis on clinical reasoning and plan of care (diagnostic, therapeutic, and transitional).
- Foster self-directed learning by all trainees and sharing new knowledge with the team.
- Contribute evidence-based presentations for noon conferences, ideally interactive, regularly.
- Attend and actively participate in rounds regularly.
- Conduct interviews of prospective resident candidates and potential faculty candidates.
- Serve as a professional role-model for trainees in interactions with peers, patients, families, and other members of the health care team.
- MD/DO with Medical Staff privileges at Eskenazi Health
- Have an updated and active Medical license to practice in the state of Indiana
- Have an updated and active DEA number
- Must have completed a residency in Internal Medicine, Family Medicine, or equivalent training program and be BE/BC or equivalent
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