Physician (General Surgery)

1 month ago

Tacoma, United States Defense Health Agency Full time
Overview

Physician (General Surgery)

Joint Base Lewis-McChord, WA

Joint Base Lewis-McChord, its affiliated clinics and dental clinic are located at Fort Lewis, Washington, near the city of Tacoma. Madigan AMC is one of only three designated Level Two trauma centers within the U.S. Medical Command.

Tacoma is a progressive city of 200,000 nestled between Seattle and the state capital of Olympia. The region offers the attractions of larger metropolitan areas, with a hometown feel. World-class museums, hotels and theaters draw thousands to downtown Tacoma while the shores of the Puget Sound and Mount Rainier inspire outdoor enthusiasts. The Broadway Center for the Performing Arts, Chihuly Bridge of Glass, Emerald Downs Racetrack, Emerald Queen Casino, Fort Nisqually Living History Museum, Lakewold Gardens, and the Mount Rainier Scenic Railroad represent a small sampling of the region's varied entertainment options. The city offers excellent schools, universities, parks, festivals and regional shopping centers.

Tacoma-Pierce County Chamber of Commerce
Madigan Army Medical Center
Joint Base Lewis McChord

Responsibilities

MAJOR DUTIES:
As a board certified General Surgeon, provides the full range of diagnostic and therapeutic procedures for women with selected benign breast complaints, breast cancer, and morbid obesity. Participates in training of surgical residents, and contributes to clinical and basic research.

1. Serves as Administrative Chief, Madigan Interdisciplinary Breast Diagnostic Clinic. Provides technical supervision of nursing and physician practitioners evaluating patients in these areas. Develops efficient clinical pathways for patients requiring referral for surgical breast management. Assures high quality follow-up for patients in need of ongoing breast reassessment.

2. Examines, establishes diagnoses, and performs surgery where appropriate for women with breast conditions such as those with a newly discovered breast mass; periodic examinations of women with high risk factors for future breast cancer, including (a) prior mastectomy or breast-sparing surgery for breast cancer; (b) prior biopsy diagnosis of lobular neoplasia or lobular carcinoma-in-situ; (c) prior biopsy diagnosis of atypical ductal hyperplasia; (d) history of breast cancer in a first-order relative. Assesses and plans therapy for women with newly identified indeterminate or suspicious mammograms and follow-up for women with recent stereotactic breast biopsy, whether benign or malignant. Provides preoperative diagnostic evaluation, care, and coordination of scheduling for patients requiring operative intervention for breast disease. Performs major surgical operations related to breast cancer, to include (but not limited to) (a) modified radical mastectomy; (b) partial mastectomy (Illumpectomy") with or without axillary dissection; (c) reconstructive surgery following mastectomy (assists Plastic Surgery in reconstructive aspects of breast surgery); (d) insertion of long-term venous access catheters for chemotherapy in patients with breast malignancy. Provides counseling for short and long-term follow-up for patients with newly treated breast cancer, and coordinates adjuvant therapy with the Radiation Therapy and Oncology sections at MAMC.

3. Serves as Administrative Chief, Madigan Bariatric Clinic. Provides supervision of physician practitioners evaluating patients in these areas. Develops efficient clinical pathways for management of patients with morbid obesity. Develops pathways to assure high quality follow-up, for weight-control surgery patients.

4. Provides initial assessment, counseling, and evaluation for surgical options for patients with morbid obesity (obesity which poses a present or threatened impact on the patient's overall medical health. Usually defined as weight in excess of 100 pounds over ideal body weight, although in some circumstances less severe obesity may still qualify as "morbid obesity". Identifies patients who may achieve medical benefit from surgical intervention. Provides follow-up for patients who have undergone surgical weight control, at MAMC or elsewhere, and provides assessment and counseling for patients who develop a problem related to a prior bariatric procedure. Assures high quality follow-up for post-surgical bariatric patients. Performs surgery for patients with morbid obesity, both as primary procedures for patients with no prior history of weight-control surgery, and as revisional surgery for patients with complications (whether acute or chronic) of prior weight-control surgery. These weight-control procedures include, but are not limited to (a) gastric restrictive surgery, such as vertical gastroplasty; (b) gastric bypass surgery, such as roux-en-y gastric bypass, whether resectional or non-resectional; (c) total or near-total gastrectomy for those situations where the effects of prior bariatric surgery make restoration of a normal gastric reservoir impractical; (d) reversal of jejunoileal bypass surgery, with or without conversion to gastric bypass or vertical gastroplasty; (e) reversal of vertical gastroplasty or non-resectional gastric bypass; (f) incidental cholecystectomy and incidental appendectomy related to bariatric procedures.

5. Provides night and weekend staff coverage for the General Surgery Service, in rotation with other staff surgeons. Provides the usual gamut of staff duties in connection with call, to include actual performance of surgery and direct/indirect supervision of housestaff performed night/weekend surgery, as well as hospital rounds in connection with these patients. Fills in as needed to provide staff surgical coverage in elective or emergency General Surgery cases performed in normal duty hours when required by non-availability of other surgical staff, or to maintain operative skills in common surgical procedures in General Surgery (such as hernias, laparoscopic chole-cystectomy, colon resection, thyroid surgery).

Performs other duties as assigned.

Qualifications

• Degree: Doctor of Medicine or Doctor of Osteopathy from a school in the United States or Canada approved by a recognized accrediting body in the year of the applicants graduation. [A Doctor of Medicine or equivalent degree from a foreign medical school that provided education and medical knowledge substantially equivalent to accredited schools in the United States may be demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates (ECFMG) (or a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country).

• Graduate Training: Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathy degree, a candidate must have had at least 1 year of supervised experience providing direct service in a clinical setting, i.e., a 1-year internship or the first year of a residency program in an institution accredited for such training.

• Licensure/Certification: Candidates must have a permanent, full, and unrestricted license to practice medicine in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

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