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ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION

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TITLE: Pulmonologist - Pulmonary/Critical Care

REPORTS TO POSITION: St. Charles Chief Clinical Officer or Designee

DEPARTMENT: SCMG Pulmonary Medicine Clinic

DATE LAST REVIEWED: February 8, 2024

OUR VISION: Creating America's healthiest community, together.

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY: The St. Charles Pulmonary Medicine clinic deals with the causes, diagnosis, prevention, and treatment of diseases affecting the lungs. The clinic sees patients impacted by many conditions, including ARDS (acute respiratory distress syndrome), asthma, COPD (chronic obstructive pulmonary disease), cystic fibrosis, pulmonary hypertension, lung cancer and various other conditions. St. Charles Bend operates a 24-bed multi-disciplinary care unit as part of level II trauma hospital with 24/7 trauma coverage and full-time neurosurgical and cardiac surgical coverage. The prospective candidate should be comfortable providing care for these patients. The Bend ICU is staffed 24/7 with a board-certified critical care physician from St Charles Medical Group and Bend Memorial Clinic. Every patient in the ICU has a physician in charge of their care, and highly specialized physicians consult on a patient's condition. St Charles Health System follows Lean Principles to improve and sustain quality care.

POSITION OVERVIEW:

Outpatient: Physician provides consultation and treatment to patients in the outpatient Pulmonary Clinic, and the inpatient setting. In this role, the physician will provide feedback and patient education to the patients and their families and demonstrate excellence in all facets of patient care and meet or exceed compliance standards. Diagnose and treat conditions of the respiratory system, including the lungs, bronchial tubes and chest areas affected by conditions of the airways. Physician will perform bronchoscopy, EBUS and thoracentesis procedures and interpret PFT and cardiopulmonary exercise testing.

Critical Care: Physician exercises independent judgement in selection and performance of critical care evaluations for patients. Physician works in accordance with methods and practices of the medical profession and established administrative policies as an expert in the field of critical care medicine. The quality of the professional work is evaluated using quality management, performance improvement, and patient safety principles, policies, and regulations as mandated by the Joint Commission and St Charles Health System.

Work schedule: This position is split between pulmonary and critical care. Clinic Manager will coordinate all schedules with Pulmonary Site Lead and ICU Medical Director.

Critical Care: Day shift is 7am - 6pm and Night shift is 6pm - 7am. The number of day vs night shifts the physician will cover the ICU is at the discretion of the ICU Director.

Outpatient: Pulmonary clinic is Monday through Friday. Shifts in the clinic will generally be four days scheduled as a blend of hospital rounding, procedures and scheduled clinic visits.

Call expectation: Physician is expected to participate in the clinic call rotation which is shared equally by all physicians aligned with the hospital call duties. Physician is also expected to participate in the inpatient hospital pulmonary call rotation which is shared equally by all pulmonary physicians in the community with hospital privileges.

ESSENTIAL FUNCTIONS AND DUTIES: (May perform additional duties of similar complexity within SCHS as required or assigned)

Clinical Expectations: Physician will perform bronchoscopy, EBUS and thoracentesis procedures and interpret PFT and nocturnal oximetry. Serves as a board-certified physician in critical care medicine responsible for the examination, diagnosis, and treatment of patients in intensive care unit. Manages and consults in the intensive care unit on a wide array of medical and surgical critically ill patient problems, including (but not limited to) all types of shock, serious and life-threatening respiratory and vital organ disorders, and failure(s), metabolic and drug related toxic syndromes, and infections. This management and consultative activity include diagnosis and treatment of these problems in a timely, safe, evidence-based, and effective manner.

Practice and role model excellence in the pulmonary care domains of diagnosis, aligning treatment goals to patient values, definitive treatment, supportive care treatment, follow-up care, promote good health and prevent illness.
Performs comprehensive histories and physical exams and identifies normal and abnormal findings, including physical, cognitive, and psychosocial status.
Performs advanced procedures consistent with privileges and competency validation, including but not limited to: lumbar puncture, chest tubes, thoracentesis, paracentesis, arterial lines, central lines.
Orders and interprets laboratory and diagnostic tests.
Develops pharmaceutical and non-pharmaceutical treatment plans. Monitors effectiveness of plan of care.
Educates patients and families on injuries and treatment plans. Performs procedures as trained and appropriately credentialed.
Collaborates and/or consults with physicians and other health care providers as appropriate. Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors.
Manages therapeutic regimen as outlined by established protocols for patients with acute illnesses.
Reassesses and modifies plan as necessary to achieve medical and health goals.
Documents reassessment and response to treatment to determine effectiveness of plan of care. Performs routine bedside or clinical procedures.
Performs noninvasive and invasive diagnostic and supportive procedures such as airway management and intubation, mechanical ventilation, central venous access, hemodynamic and vital organ monitoring, and supportive organ failure procedures.
Provides counseling and teaching, related to the management and prevention of disease, for patients and family members.
Serves as liaison with discharge planners or with other agencies providing post-hospital care; accurately completes patient discharge instructions and/or discharge summaries.
Provides emergency care, as required, according to basic life support and advances cardiac life support protocols.
Responsible for diagnosing and treating conditions of the respiratory system, including the lungs, bronchial tubes and chest areas affected by conditions of the airways.
Provide treatment to referred patients for treatment of problems or disorders that they may be having with their respiratory tract. This can include problems with breathing, airway problems and problems with the lungs.
Practice and role model excellence in the pulmonary care domains of diagnosis, aligning treatment goals to patient values, definitive treatment, supportive care treatment, follow-up care, promote good health and prevent illness.
Practice of medicine within the scope of license, training, and credentialing. Cooperate with other SCHS physicians and caregivers to insure optimal patient care.
Collaborate with other members of the pulmonary care interdisciplinary team and referring providers to ensure a world-class patient experience.
Bronchoscopies for diagnostic purposes and includes endobronchial ultrasound.
Thoracentesis
Pulmonary function test interpretation
Inpatient pulmonary consultations
Calculates dosages and administers medications accurately in accordance with SCHS policies and procedures for medication administration.
Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient and accurate, and courteous.
Keep medical knowledge and skills current through regular CME activity. Must attest to having obtained 60 hours of Category 1 continuing medical education (CME) relevant to the practitioner's current medical practice over the prior two-year period of work.
Keep all licenses and appropriate certifications current and unrestricted.
Maintain active privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.
Increase understanding and collaboration throughout the medical community regarding provider's chosen specialty.
Participate in SCMG physicians' meetings and assist in policy formation for SCMG and Physician's practice.
Provide a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way.
This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications (appropriate touch, eye contact, etc.).
Complies with all applicable laws, regulations, policies, and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.

Administrative Expectations: Documents within the Electronic Medical Record (EMR) and completes other necessary documents. Document all patient care in the proper form and in a timely manner in compliance with hospital policies and regulatory agencies. Be familiar with the SCMG organization structure, communications systems and billing process, completing billing and coding documentation within time assigned by SCMG administration.
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