Pulmonary/Critical Care Physician

Employer
St. Charles Health System
Location
Bend, Oregon
Closing date
Apr 15, 2023

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Specialty
Pulmonary Disease
Hours
Full Time
Position Type
Permanent
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Outpatient: Physician provides consultation and treatment to patients in the outpatient Pulmonary Clinic, and the inpatient setting. In this role, the physician will provide feedback and patient education to the patients and their families and demonstrate excellence in all facets of patient care and meet or exceed compliance standards. Diagnose and treat conditions of the respiratory system, including the lungs, bronchial tubes and chest areas affected by conditions of the airways. Physician will perform bronchoscopy, EBUS and thoracentesis procedures and interpret PFT and cardiopulmonary exercise testing

Critical Care: Physician exercises independent judgement in selection and performance of critical care evaluations for patients. Physician works in accordance with methods and practices of the medical profession and established administrative policies as an expert in the field of critical care medicine.

Work schedule: This position is split between pulmonary and critical care and may be flexed as needed with physician consent. Clinic Manager will coordinate all schedules with Pulmonary Site Lead and ICU Medical Director.

Critical Care: Day shift is 7am 6pm and Night shift is 6pm 7am. The number of day vs night shifts the physician will cover the ICU is at the discretion of the ICU Director. Equitable effort will be made with all physicians to share day and night shifts. A 1.0 FTE equals 156 shifts.

Critical Care Call expectation: Physician is expected to participate in the ICU backup/on call rotation which is shared equally by all physicians. Physician is expected to be available in the case of an emergency and/or surge in the ICU unit.

Outpatient: Pulmonary clinic is Monday through Friday. Shifts in the clinic will generally be four 10-hour days scheduled as a blend of hospital rounding, procedures and scheduled clinic visits. The clinic schedule is dependent of the ICU schedule and clinic days may be closed to keep physician within the desired FTE.

Pulmonary Call expectation: Physician is expected to participate in the clinic call rotation which is shared equally by all providers in the pulmonary clinic. Physician is also expected to participate in the inpatient hospital pulmonary call rotation which is shared equally by all pulmonary physicians in the community with hospital privileges.

Clinical Expectations: Physician will perform bronchoscopy, EBUS and thoracentesis procedures and interpret PFT, nocturnal oximetry and cardiopulmonary exercise testing. Serves as a board-certified physician in critical care medicine responsible for the examination, diagnosis, and treatment of patients in intensive care unit. Manages and consults in the intensive care unit on a wide array of medical and surgical critically ill patient problems, including (but not limited to) all types of shock, serious and life-threatening respiratory and vital organ disorders and failure(s), metabolic and drug related toxic syndromes, and infections.

Behavioral Expectations: Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver. Participates in creating intentional relationships, and put a high level of focus on attitudes and behaviors that enhance the care experience.

  • Practice and role model excellence in the pulmonary care domains of diagnosis, aligning treatment goals to patient values, definitive treatment, supportive care treatment, follow-up care, promote good health and prevent illness.
  • Performs comprehensive histories and physical exams and identifies normal and abnormal findings, including physical, cognitive and psychosocial status.
  • Performs advanced procedures consistent with privileges and competency validation, including but not limited to: lumbar puncture, chest tubes, thoracentesis, paracentesis, arterial lines, central lines..
  • Performs procedures as trained and appropriately credentialed.
  • Collaborates and/or consults with physicians and other health care providers as appropriate.
  • Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors.
  • Performs noninvasive and invasive diagnostic and supportive procedures such as airway management and intubation, mechanical ventilation, central venous access, hemodynamic and vital organ monitoring, and supportive organ failure procedures.
  • Provides counseling and teaching, related to the management and prevention of disease, for patients and family members.
  • Serves as liaison with discharge planners or with other agencies providing post-hospital care; accurately completes patient discharge instructions and/or discharge summaries.
  • Provides emergency care, as required, according to basic life support and advances cardiac life support protocols.
  • Responsible for diagnose and treating conditions of the respiratory system, including the lungs, bronchial tubes and chest areas affected by conditions of the airways.
  • Practice of medicine within the scope of license, training and credentialing. Cooperate with other SCHS physicians and caregivers to insure optimal patient care.
  • Collaborate with other members of the pulmonary care interdisciplinary team and referring providers to ensure a world-class patient experience.
  • Outpatient bronchoscopies for diagnostic purposes and includes endobronchial ultrasound.
  • Inpatient pulmonary consultations
  • Inpatient bronchoscopies for the inpatient for diagnostic purposes
  • Outpatient thoracentesis
  • Pulmonary function test interpretation including cardiopulmonary stress testing
  • Calculates dosages and administers medications accurately in accordance with SCHS policies and procedures for medication administration.
  • Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient and accurate, and courteous.
EDUCATION - Required:
  • Graduation from an accredited medical school.
  • Successful completion of an accredited residency program in pulmonary medicine and critical care

LICENSURE/CERTIFICATION/REGISTRATION - Required:

  • Oregon license as MD/DO
  • Board certified or eligible in Pulmonary Medicine and Critical Care. To be board certified or qualified to sit for the boards in primary area of practice at the Hospital. Those applicants who are not board certified at the time of application but who have completed their residency or fellowship training are required to become board certified within seven years of residency or fellowship training.
  • Valid driver s license and the ability to meet SCHS driving requirements.
  • Maintain unrestricted DEA number.
  • Maintain unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
  • Current BLS and ACLS certification required.

EXPERIENCE

Required: >2 years experience in hospital and outpatient practice environments providing care in Pulmonary and Critical Care Medicine

Preferred:

  • Five years active practice in Pulmonary and Critical Care Medicine

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