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Job Title: Staff Physician- Primary Care
Job Code: PHY PC
Department: Primary Care
Division: Medical
Salary Level: Professional 4
Reports To: Medical Director of Primary Care / Clinical Director
Last Revised: 2022
Primary Function
Provides direct care/services to pediatric, adolescent, adult and geriatric patients. Responsible for providing the full range of care to patients by examining, diagnosing, and treating patients and their families in Family Medicine, Internal Medicine, and Emergency Medicine. The purpose of the work is to treat a wide range of medical problems, which affect the health, and well-being of patient and families served.
Job Description
- Refers only the very difficult cases to a specialist.
- Provides urgent, preventive, chronic, and progressive care.
- Instructs patients on specific treatment as well as in general preventive care.
- Admits patients to Cherokee Hospital as needed.
- Refers patients to contract hospitals for medical care and surgery not provided at Cherokee Indian Hospital.
- Obtains admitting privileges at local community hospital as requested by the Hospital Authority.
- Provides care, as needed, when scheduled for call and for emergency situations.
- The Cherokee Hospital provides 24 hours, 7 day per week service to the Cherokee community.
- Participates in night and weekend coverage as scheduled.
- Functions as Team Leader in multidisciplinary health care setting.
- Works collaboratively with other health care professionals to improve systems of patient care.
- Participates in Service Unit meetings to develop new, and modify existing, medical policies and procedures relative to patient care with the objective of improving the quality of patient care.
- Participates in community activities and community health planning as necessary.
- Assists communities in planning community health services projects as needed.
- Maintains patient records in the problem oriented medical record format utilizing the patient care component of the resource and patient management systems.
- Promptly completes forms directly related to patient care, which must be completed by a physician. This includes inpatient, outpatient, and emergency room records.
- Completes hospital discharge summaries within allotted time frames.
- Provides appropriate documentation to substantiate third party billing efforts.
- Follows service unit procedures for third party billing.
- Abides by facility compliance plan.
- Observes and abides by the bylaws of the Service Unit and the rules and regulations of the medical staff of the Service Unit.
- Maintains professional certification through participation in appropriate programs of continuing medical education.
- The Cherokee Hospital provides 24 hours seven day per week services. Some evening, night, and weekend work is required.
- May be necessary to work when Administrative Leave is granted if patient care is compromised.
- Performs other related duties as assigned.
Education/Experience
- Successful completion of 4-year college program, 4-years medical school and 3-4 year approved residency program in Family Medicine, Internal Medicine, or Emergency Medicine.
- Must have ACLS and PALS certification.
- Will be proficient within 6 months.
- Will obtain ATLS certification within 6 months if working in the Emergency Room.
Job Knowledge
- Professional knowledge of a wide range of concepts, principles, and practices in the field of Family Practice, Internal Medicine, or Emergency Medicine and the skill to apply this knowledge to difficult work assignments.
- Knowledge of the culture and medical health profile of the patient population.
- Professional knowledge of wide range of health principles, practices and processes including physical and mental health diagnosis, establishment of care goals, development and implementation of the care program and evaluation of the results.
- Ability to collect, organize, record an communicate in a concise method, data pertinent or primary health assessments including detailed family and medical history, physical examinations and selected laboratory tests.
- Ability to interpret special screening and developmental tests.
- Skills in making appropriate diagnoses, choosing, initiating and modifying current therapies.
- Ability to provide preventive service to healthy individuals including guidance in nutrition, common illnesses, child growth and development and ability to teach individuals and families.
- Skill in working with groups for example guiding families in the development of general problem solving ability regarding health problems, assisting with training health workers, and health counseling.
- Skill in making diagnoses and in choosing, initiating and modifying selected therapies; and ability to provide emergency treatment as appropriate such as in cardiac arrest, shock or hemorrhage.
- Must be specialty board certified or eligible. Must become board certified within one year of accepting position.
- Must have a current license to practice medicine.
- Must obtain North Carolina medical license within 6 months of entry on duty at the Cherokee Hospital.
- Valid driver’s license is required.
Complexity of Duties
The work consists of broad processes and functions in Family Medicine, Internal Medicine, or Emergency Medicine involving diagnosis and treatment of patients with an extremely wide variety of physical and emotional problems. The work is characterized by its intensity of effort and involves both episodic and preventive care carried on concurrently in inpatient, outpatient, and emergency room settings. The work is often difficult to perform because of fear and skepticism by patients, undefined problems presenting in advanced stages and often-conflicting data. The work requires continued efforts to establish programs and to resolve chronic medical problems among the population served. The work my require originating new techniques and concepts.
Supervision Received
The Medical Director of Primary Care provides administrative directions with assignments in terms of broadly defined missions and functions. The medical officer has responsibility for planning and carrying out the work independently. Results of the work are considered as technically authoritative. Work is reviewed through a peer process for quality of services provided. The medical officer keeps the supervisor informed on controversial matters or far-reaching implications.
Responsibility for Accuracy
A high degree of accuracy is required in the proper care of patients. Undetected errors could have minimal to life threatening results. Work is reviewed retrospectively through quality audits.
Guidelines include IHS manuals, Cherokee Hospital policies and procedures, medical journals and textbooks, and Cherokee Service Unit Medical Staff bylaws, rules, and regulations. Guidelines are broadly stated. Professional judgment must be exercised to determine the proper course to be taken in the care of patients. In nearly all
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Medical insurance
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401(k)
Pension plan
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