FT. Sam Houston
The contract HCP shall have received Occupational Safety and Health Administration (OSHA) required training for the position in which they will perform, and that training currency is maintained. Documentation of such training shall be provided to the Contracting Officer’s Representative (COR
The Internal Medicine Physician (Hospitalist) shall:
4.1. Work under the general direction of Department of Surgery Chief.
4.2. Performing medical examinations, evaluations, assessments, diagnosis, and treatment to eligible beneficiaries, civilian trauma patients and civilian emergencies that are hospitalized or seen in the outpatient setting. In addition, the provider may be asked to perform or edit discharge summaries, orders, and medication reconciliation and will be expected to respond to trauma team physician or nursing requests concerning his or her patients.
4.3 Meeting all BAMC/DOD requirements for timelines and completion of documentation.
4.4. Applying sound personal judgment and initiative in evaluating individual cases, adapting or extending guidelines to the peculiarities of each case.
4.5. Developing and implementing appropriate plans of action either in coordinating or providing health care services.
4.6. Providing definitive medical care to each patient as appropriate to the diagnosed condition, to include review of results of all ancillary diagnostic tests ordered for the patient.
4.7. Attending and treating patients in priority as established by medical triage or assigned by the given clinic.
4.8. Providing necessary emergency care and stabilization to patients presenting themselves to the assigned clinic or ER for medical care.
4.9. Preparing and documenting appropriate patient history, physical examinations, and pre-operative diagnosis. The HCP shall maintain documentation of all treatment provided in accordance with hospital directives and prepare such records and reports as may be required by the contract, and ensure all documentation and reports are legible.
4.10. Consulting with other hospital staff specialties as appropriate to determine referral priorities of patients whose conditions are diagnosed as beyond the capabilities of the healthcare provider, thoroughly documenting the patient's condition, history and reason for referral.
4.12. Providing professional advice and guidance as requested to clinic personnel and hospital ward personnel with regard to professional management of patients. Provide clinical consultation as requested.
4.13. Responding to mass casualty situation in accordance with hospital procedures.
4.14. The HCP shall adhere to the Centers for Disease Control guidelines and hospital Infection Control Program concerning universal precautions at all times while providing services under contract.
4.15. THe HCP shall be capable of performing a full range medical services to include the ability and experience to adequately diagnose and treat urgent/acute disease and injuries including but not limited to:
Skin
Head
Eyes
Ears
Nose
Throat/Mouth
Neck
Reproductive System
Genitourinary System
Musculoskeletal System
Gastrointestinal System
Pulmonary System
Lymphatic System
Central Nervous System
Cardiovascular System
Endocrine System
Psychiatric Disease
4.16. The HCP shall be capable of performing a full range of general medical services to include the ability and experience to adequately diagnose and treat urgent/acute disease and injuries including but not limited to:
Skin
Head
Eyes
Ears
Nose
Throat/Mouth
Neck
Reproductive System
Genitourinary System
Musculoskeletal System
Gastrointestinal System
Pulmonary System
The HCP shall manage respirators/mechanical ventilators in coordination with data obtained during cardiac catheterization, including arterial blood gases, and have sufficient experience to be able to adequately perform medical procedures to include, but not limited to, the following:
Resting electrocardiogram interpretation
Suture simple laceration
Suture removal
Nebulizer treatment
Urine catheterization
Venipuncture
Cultures (throat, wound)
Secure and maintain an adequate airway — ACLS standard
Current ACLS guidelines and procedures
Current ATLS guidelines and procedures
Bandaging of sprains, minor burns, and minor lacerations
Perform venous punctures for lab studies and interpret results
Draw arterial blood gases for evaluation and interpret results
Administer intravenous, intramuscular and subcutaneous medications as appropriate
4.18. Contract physicians shall become familiar with the hospital formulary. Contract physicians authorized to prescribe pharmaceuticals shall do so according to the availability of drugs listed therein. The pharmacy service will provide instructions to all prescribing practitioners on substitutability of generic drugs for prescribed medication. The contract physician shall use only prescription forms DA 1289, which have been stamped, "To be filled only at Brooke Army Medical Center." The prescriptions shall be valid only at Brooke Army Medical Center pharmacies and only for eligible beneficiaries of the military health care system. Follow the procedures of the hospital when prescribing drugs.
4.19. Maintain proper medical records on beneficiaries to whom treatment is provided in accordance with Army Regulation 40-66, Medical Record & Quality Assurance Administration. Medical records completed by the contractor's physicians shall be subject to review by the Department of Surgery Chief, and the hospital medical records review committee. The contract physician(s) shall be notified of deficiencies in their entries into the medical records and shall be instructed to correct the deficiencies. All records generated in the performance of the contract will remain the property of and subject to exclusive control of the government.
4.20. Verifying the content and correctness of all prepared and transcribed reports by affixing his/her own signature and stamp to all copies of the document and validating its contents.
4.21. Attending and participating in patient care reports, all local patient care conferences, team conferences, professional staff conferences and other appropriate professional activities as required by the Department of Surgery Chief.
US Citizenship required.
Internal Notes:
3.0 HOURS OF PERFORMANCE.
3.1. Contractor will work the following schedule:
3.1.2. The HCP shall work on average 40 hours per week or an approximate average of 150 to 170 hours per month. . The place and hours of performance shall be determined by the Department of Surgery Chief. Shifts may be 8, 10, or 12 hour and may include weekdays, weekends, nights, and federal holidays. The HCP may work a minimum of 1840 hrs and maximum of 2000 hrs for each contract period.
There shall be no overtime or on-call associated with this position.
7-3 shift mostly, no P Call as the in house MDs will handle,. Weekend coverage is usually every 3rd and its rounds only.
The Department of Surgery has 10 Surgical Outpatient Clinics (Cardiothoracic, General Surgery, Bariatric, Plastic Surgery, Vascular, Neurosurgery, ENT, Ophthalmology, Urology, and LV 1 Trauma) There will be a mix of seeing patients in the Outpatient setting and also rounding on the wards, after surgery.