Emergency Medicine Physician

POSITION SUMMARY

The ER Physician provides emergency care on a regular and recurring basis to patients in the E.R. including major trauma such as fractures of multiple extremities, stab wounds, open wounds of the chest and abdomen, partial evisceration, concussion, head trauma subdural hematoma, etc. Emergency cases also include suicide attempts and cardiac arrests. Provides care to non-emergent and urgent patients. Manages patients through the continuum of hospital care; orders treatments, tests, and consults with specialty physicians and primary care physician where appropriate.

NECESSARY QUALIFICATIONS

Education

• MD/DO from an accredited school of medicine
• Completion of a three (3) year or four (4) year accredited residency program in Emergency Medicine
• Board Eligible or Board Certified in Emergency Medicine by American Board of Emergency Medicine (ABEM) or American Osteopathic Board of Emergency Medicine (AOBEM).

License/Certification

• Must possess and maintain a current and unrestricted license to practice as a physician in any state within the United States, District of Columbia or the Commonwealth of Puerto Rico.
• Must have successfully completed the following courses at least one time:
  • Basic Life Support (BLS) from the American Heart Association
  • Advanced Cardiac Life Support (ACLS) from the American Heart Association
  • Pediatric Advanced Life Support (PALS) from the American Heart Association
  • Advanced Trauma Life Support (ATLS) from the American College of Surgeons

Credentialing

Additional credentialing/privileging qualifications required for membership to the Medical Staff

Other Skills and Abilities

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:

• Positive working relationships with others
• Possession of high ethical standards and no history of complaints from co-workers or patients
• Reliable and dependable; reports to work as scheduled without excessive absences.
• Must possess excellent communication and interpersonal skills to optimize the care of our inpatients.
• Excellent clinical skills and judgment
• Must possess excellent communication and interpersonal skills to optimize the care of our patients.
• Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job.
• Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job.
• Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job.
• Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC.

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical

Must have ability of prolonged walking and maintaining balance, ability to frequently stand, bend, kneel, crouch, maintain balance, reach, and occasionally sit, drive, and climb. Frequent ability to lift, push, and pull up to 34lbs is required, must also be able to occasionally lift, push, and pull over 100lbs as needed. Sensory requirements for position include prolonged ability of far, near, color vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages, and telephone use. Must have both hand manipulation of continuous simple and firm grasping, fine manipulation and frequent use of keyboards.

Mental

Must be able to perform evenings, nights, and weekends on a regular basis and handle the stresses of rural medicine with critically ill patients; must have high degree of judgment and leadership in coordinating emergency services. Must have ability to cope with high level of stress, make decisions under high pressure, concentrate, handle a high degree of flexibility handle multiple priorities in stressful situation, work alone, demonstrate high degree of patience, adapt to shift work, work in areas that are close and crowded, and frequently cope with anger/fear/hostility of others in a calm way, as well as occasionally managing altercations. Must accept a flexible schedule to meet unit needs.

Environmental

May be exposed to infectious diseases for a prolonged amount of time, frequent exposure to loud noises, and occasional exposure to chemical agents, and hazardous or moving equipment.

ESSENTIAL FUNCTIONS

• Primary assignments include providing comprehensive and continuing health and medical care services for patients.
• The health care provided requires the recognition of diseases and injuries, which require referral including those which are difficult to discover or identify.
• Assignments also include providing consultation to others in the same or other specialties.
• Provides expertise and consultation in emergency medicine to other physicians and staff as required.
• Assists in assuring that the requirements of JCAHO and EMTALA regulations are met.
• Actively promote and participate in community education concerning the Emergency Medical Services system.
• Handwriting must be legible and must be willing to use an Electronic Health Record.
• Prepare appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care; dictate discharge summaries and correspondence concerning patients under his/her care to physicians, hospitals and other individuals and facilities.
• Refer patients to appropriate contracted medical or other government facilities, providing full clinical information for care and diagnostic procedures that cannot be adequately provided here. Coordinate and integrate information obtained into the ongoing health care program at TCRHCC and assure the provision of timely follow-up care as required.
• Work closely with allied health professionals (i.e., Community Health Nurse, Social Workers, Case Managers, Health Educator, etc.) to utilize and coordinate the services of other health care professionals in the management of the patient’s medical, psychological and social problems.
• Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
• Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
• Responsible for electronic health records data entry pertinent to patient service role.
• Performs other duties as assigned.

Navajo Preference in Employment

In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affluent Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.