Supervisory Physician

1 month ago

Tacoma, United States Defense Health Agency (DHA) Full time
Overview

Supervisory Physician (Gerneral 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

As a board-certified General Surgeon, provides the full range of diagnostic and therapeutic procedures for patients with surgical conditions requiring the services of a General Surgeon. Participates in training of surgical residents and contributes to clinical and basic research. Position serves as the Deputy for the Chief, Department of Surgery with limited responsibilities.

MAJOR DUTIES

1. As Deputy of the Department of Surgery, shares limited responsibilities of the department in performing the following duties and in supporting supervision of the employees supervised by the Chief. Establishes Department policy and ensures the highest standards of professional practice and ethics are maintained, in accordance with DoD, DA, MEDCOM and MAMC policies and regulations, Federal law, JCAHO guidelines and the Surgeon General. Make recommendations to the DCCS for improvement of medical services within the Department. Makes decisions on work problems presented by subordinate staff. Manages and directs the Department's quality assurance, utilization review, risk management, and peer review activities. Attend medical staff meetings as required. Participate on required boards, councils and committees as outlined in MAMC regulations. Incumbent ensures that the highest standards of professional practice and ethics are maintained; that established operating policies are adhered to; staff personnel receive the necessary professional training; and that all required reports are prepared and submitted in a timely manner. Incumbent sets long and short term goals for the Department, planning for changes to programs and determining staffing needs. Provide a broad range of medical diagnosis, treatment, counseling, services and referrals to specialty clinics. Attends various meetings and serves as a committee participant when required. Travels to other facilities to provide surgical coverage when not capable of being provided by military officers. Serves as Advanced Trauma Life Support (ATLS) coordinator for Madigan Army Medical Center. Maintains proficiency as a Course director and performs as such and teaches courses within MAMC and within the AMEDD as required.

2. Examines, establishes diagnoses, and performs surgery where appropriate for patients with surgical conditions. Assesses and plans therapy for patients in the clinic setting. Provides preoperative diagnostic evaluation, care, and coordination of scheduling for patients requiring operative intervention. Performs major surgical operations to include (but not limited to) (a) Endoscopy - Therapeutic broncohoscopy of secretions, choledochoscopy, diagnostic sigmoidoscopy and colonoscopy, (including biopsy), diagnostic esophagogastroscopy ( including biopsy), laparoscopy, operative and diagnostic. (b) Head and Neck - Biopsy, partial or complete resection of lesions of the thyroid,parathyroid, salivary glands, face, scalp, external ear, soft tissues of the face and neck, and lymph node dissection. (c) Chest - Open and closed cardiac massage, pleural abrasion, closed tube thoracostomy, excision, partial or total mastectomies, radical node dissection of neck, axilla, or groin, (d) Abdomen - Repair of hernias, operations on the gastrointestinal tract, biliary tract, pancreas, spleen, liver, adrenals, rectum and anus, kidney, urethra, bladder, uterus, tubes and ovaries and extgernal genitalia. (e) Extremities - Operations on nerves, ganglia, muscles, tendons and management of simple fractures. (f) Intensive Care Management - Placement and interpretation of arterial, central venous and pulmonary artery lines and management of fluid and electrolyte problems including hyperalimentation. (g) Diagnostic procedures - Introduction of radiological contrast materials in conjunction with operative procedures or assessment of trauma (h) Use of mechanical, electrocautery for the excision, coagulation, vaporation and/or repair of tissue. Utilizes advance laproscopic techniques. Identifies patients who may achieve medical benefit from surgical intervention. Schedules surgery and clinic follow-up utilizing automated systems. Provides follow-up for patients who have undergone surgery at MAMC or elsewhere, and provides assessment and counseling for patients who develop a problem related to a surgery. Assures high quality follow-up for post-surgical patients. 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). Serves as the principal Department of Surgery interface with the Department of Anesthesia and Operative Service. Coordinates, prepares and finalizes Surgical Schedules for all the Services within the Department of Surgery. Discusses with various Surgical Services the scheduling priorities and serves as the final arbiter for any conflicts between Surgical Services.

3. Plans and revises work schedules and assignments to assure an even flow and distribution of work, the expeditious handling of priorities, that schedules and deadlines are met and to meet changes in workload. Assigns responsibilities to subordinates, reviews the work and provides guidance and assistance on technical and administrative matters. Orients new subordinates, determines training needs and assures necessary on and off the job training needs are filled. Prepares requests for filling vacancies and selects subordinates. Prepares performance appraisals. Prepares requests and recommendations for promotion, reassignment, outstanding performance, etc. Approves and disapproves leave; charges employees AWOL; investigates and controls abnormal use of sick leave. Holds corrective interviews with subordinates, recommends disciplinary action as deemed necessary; provides input to CPAC for official letters of reprimand; initiates suspension/removal actions; disapproves periodic step increases. Receives employee complaints and formal grievances, resolving those that can be resolved at the first supervisory level. Prepares workload and production reports as necessary and other reports as required. Reviews and interprets regulatory criteria and changes thereto; prepares local supplements and SOPs. Keeps employees informed of management goals and objectives and higher, level supervisors informed of employee concerns. Request audits of jobs when duties change; reviews and signs job descriptions; participates in position management and classification surveys. Participates in review and improvement of work methods, organizational features and the structuring of positions to eliminate unnecessary ones and achieve optimum content in those remaining. Implements specific and general provisions of government-wide and installation personnel, EEO and other programs; obtains technical information from responsible subject matter specialists.

Performs other duties as assigned.

Qualifications

Must be a US Citizen

Must be board eligible/board certified.

• 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.

For a GP-15, applicants must have 5 years of graduate training in the specialty of the position to be filled or equivalent experience and training.

Also, the incumbent will be part of a neurology residency training program and will take part in teaching residents, staffing the resident outpatient clinic and inpatient consult service (staffing inpatient consult service is two weeks at a time and done 3-4 time per year. It is only during those two week periods that they pull call … and this is at-home call).

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