Full-Time Physician Assistant/Nurse Practitioner
Job Description
DESCRIPTION OF SERVICES:
Contract Physician Assistants shall perform the same clinical duties as those required of any military or government civil service physicians of similar experience assigned to the same unit at the HRP. The quality of service shall meet or exceed reasonable standards of professional practice as determined by the same authority that governs physician services in the same discipline. Contract Physician Assistants shall perform within the scope of clinical privileges granted by the Health Readiness Platform (HRP) and the overall demand for Department of Operational and Deployment Medicine (DODM) services. Productivity is expected to be comparable to that of other providers with the same scope of practice. Workload will be scheduled by the HRP. Caseload includes scheduled and unscheduled requirements for care. Any cancellation of patient schedules requires approval of Chief of the Department of Operational and Deployment Medicine or designated government representative.
DESCRIPTION OF WORK:
The candidate shall…
• Have sufficient training/experience to be able to perform the required duties which include, but not limited to the following:
• Be responsible for maintenance of the highest standards of professional care in the treatment of patients and in the teaching and training of residents and technicians. Prepare and document appropriate history, physical examinations and diagnosis. Maintain documentation of all treatment provided in accordance with hospital directives and prepare such records and reports as may be required by the contract. Ensure all documentation and reports are legible.
• Be responsible for a full range of diagnostic examinations, the development of treatment plans when indicated and delivery of treatment within the personnel and equipment capabilities of the Health Readiness Platform. Exercises full responsibility for professional diagnosis and technical decisions. Request and interpret laboratory tests, procedures and consultation as considered appropriate. Follow-up of abnormal reports is the responsibility of the ordering health care provider. All abnormal x-ray and lab reports received on patients seen by the contract health care provider shall be reviewed. Each report shall be reviewed within one week of its receipt or sooner based on clinical presentation.
• Participate in the examination, evaluation, and disposition of patients in the outpatient clinic.
• Participate in inpatient clinical and teaching rounds.
• Examine, diagnose, and treat or prescribe course of treatment for patients having disorders, malformations, diseases, and/or injuries.
• Provide special knowledge, skills, and professional capability in Family Practice and clinical care practice management.
• Coordinate with other departments of the medical facility staff to provide complete care to patients.
• Provide and document medical advice to patients by telephone as appropriate and in accordance with HRP protocols.
• Provide clinical direction to supporting government personnel assigned to their area during the performance of clinical procedures.
• Provide consultation services for members of the hospital staff for purposes of specialty area training.
• Consult with Officer in Charge (OIC) and/or colleagues, which are normally available, regarding problems either professional or administrative.
• Be responsible for the provision of mandated medical surveillance and preventive services.
• Be responsible for the quality and the timeliness of treatment records and reports required to document procedures performed and care provided.
• Participate in local clinical education programs and in clinical staff quality improvement functions as prescribed by Chief, Department of Operational and Deployment Medicine (DODM).
• Attend periodic meetings of Department of Operational and Deployment Medicine (DODM) staff to review and evaluate the care and treatment provided to patients.
• Comply with the HRP quality control program and the standing operating procedures of the HRP.
• Participate in clinical and quality review processes as determined by hospital policy.
• Comply with the HRP quality control program and the standing operating procedures of the HRP.
• Other duties shall consist of, but not limited to their training and experience to adequately diagnose and treat acute diseases and injuries to include but not limited to:
— Skin Pulmonary System
— Head Gastrointestinal System
— Eyes Musculoskeletal System
— Ears, Nose & Throat Genitourinary System
— Behavior Health Reproductive System
— Psycho-social Lymphatic System
— Neck Central Nervous System
— Cardiovascular System Endocrine System
• Become familiar with the hospital formulary and prescribe pharmaceuticals according to the drugs listed.
• Generate and maintain proper medical records on beneficiaries to whom treatment is provided IAW AR 40-66, Medical Records. All records generated in the performance of this contract remain the property of the government.
• Follow the established operating procedures of the HRP were services are being provided. Comply with the HRP quality control program and the standing operating procedures of the HRP.
• Provide preceptorship of residents and students who may be scheduled for call with delegation of duties and responsibilities only as appropriate for the type of resident (e.g., FP vs Peds) and level of training (intern vs resident) of the resident. Note: individual skills and abilities will occasionally have to be taken into consideration.
DESCRIPTION OF EDUCATION AND EXPERIENCE REQUIRED:
• Licensure and Certification Requirements: Must possess a minimum of a Baccalaureate Degree from an accredited university within respective profession. Must also possess current Board Certification by the National Commission of Certification of Physician Assistants (NCCPA). Applicable diploma and proof of membership in the NCCPA is required. Must have and maintain a current, active, valid, unrestricted license in one of the 50 states in the U.S., the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.
• Must have or obtain a current, valid Drug Enforcement Administration (DEA) registration number prior to performing the contract services. Any change to the DEA requirements to obtain a valid DEA registration number is applicable when the incumbent’s existing DEA registration expires. Notwithstanding AR 40-68, Paragraph 4-8a (or AFI 44-119, Paragraphs 4.2.1 and 4.2.5), personal services contractors must have and maintain a current, active, valid, unrestricted state license to practice medicine in one of the 50 states in the United States, or the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands, as required to obtain or renew a DEA registration number under the then-effective DEA rules.
• Must be able to obtain and maintain privileges at Carl R Darnall Army Medical Center (CRDAMC) through approval of the Credentials Committee.
• Must have successfully completed a formal and valid general Physician Assistant training program that is accredited by the Accreditation Review Commission on Education for the Physician Assistant (or previously recognized accrediting body) and acceptable to the DA.
• Experience: Have a minimum of one year of experience within the last three years routinely practicing as a Physician Assistant (PA). One year of experience for a PA will be in the form of ambulatory or hospital based service.
• Life support training: Must have and maintain current certification in Basic Cardiac Life Support (BCLS) certification during the contract period of performance. Certifications must be obtained through an American Heart Association approved training program.
• Health Care Professionals trained in foreign countries are eligible to practice in the AMEDD in their respective disciplines if the appropriate requirements are met. (The term, “international” replaces the previously used term, “foreign.”
• Must be able to complete and maintain a National Agency and Local Check (NACLC) background investigation.
• All contract Health Care Professionals shall be able to read, write, and speak English well enough to effectively communicate with patients and other HCPs.
• Contract Health Care Professionals shall be required to meet Continuing Medical Education (CME) requirements of 100 hours of CME every 2 years in order to maintain current NCCPA certification. The government will not reimburse for these costs.
• The candidate 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 candidate shall be able to type and have had experience using computers, but will not be required to type a certain amount of words per minute. The government will provide computer training on the hospital computer systems. Failure to learn the computer systems within a reasonable time period shall be grounds for immediate removal of the provider.
• Must possess the competencies to enter/retrieve medical information in various government database systems.
• The candidate shall complete any mandatory annual medical/government required training.
• Must accurately enter actual work hours into the Defense Medical Human Resources System Intranet (DMHRSi) every other week on the date specified by the COR or designated Government representative.
