Emergency Medicine at Womack Army Medical Center

USGP has an opportunity for a PHYSICAN to provide services to our military service members, their families, and veterans within the EMERGENCY ROOM at FORT LIBERTY, NC.

Benefits:
Competitive Pay starting at $230.00
Flexible schedule
We provide malpractice coverage
1099 position

Qualifications:
Degree/Education: Doctorate of Medicine (MD) or Doctor of Osteopathy (DO).
Certifications in addition to Basic Life Support: An active BLS, ACLS, ALS, and PALS through the American Heart Association
Experience: 3 years of experience as an ER Physician within the last 3 years (Residency training will qualify as experience)
Board Certification: Residency Trained/Board Certified (BP/BC) or Residency Trained/Board Eligible in Emergency Medicine. Non-Residency Trained/Board Certified physicians will be considered, but are not preferred.
Licensure/Registration: Must have a valid State License to practice medicine and a current DEA Certificate or Controlled Drug Substance Number
Must be a U.S. Citizen and able to pass a federal background check
Must be able to work overnights. Full-time availability is preferred but not required

Job Duties:
To include but not limited to:
Contract physicians shall perform the full range of medical services within the scope of Emergency Medicine. These shall be the same duties as those required of any active duty military or federal civil service Emergency Medicine physician or of similar experience and in similar duty assignments. The Department Chief or his/her designee will establish standard minimum provider RVU workload targets. Each contract provider shall meet or exceed the minimum workload standards for the Emergency department as established by the MTF. The expectation is that contract physicians should maintain a productivity level commensurate with their military or general schedule colleagues in similar shifts and patient volumes.
Unless affected by circumstances beyond his or her control, the ED physician is expected to see an average of 2.2 patients per hour, or the patient per hour average of the other collective providers in the Emergency Department, whichever is lesser. The ED physician(s) on duty is expected to remain aware of the number of patients waiting to be seen, of levels of acuity and
of waiting time to be seen. This can be done a combination of ways: update by the charge nurse, review of the chart rack or patient log, and awareness of the patient waiting room status. Failure to meet patient workload requirements will result in written counsel to the individual. Three events shall be grounds for discontinuation of individual contractor scheduling.
While performing under this contract, a contract physician may be the sole provider of medical treatment in the Emergency Department during a scheduled shift. The contract provider shall be fully aware that, other than ancillary and support personnel, he or she shall be fully prepared to provide all of the emergency services required without assistance or supplementation by other MTF physicians Contract physicians performing services under this contract shall have sufficient experience to be able to adequately diagnose and treat diseases/injuries; perform medical procedures/tasks to include, but not limited to the following: diseases and/or injuries related to: Skin, Head, Eyes, Ears, Nose, Nose/Throat, Neck, Cardiovascular System, Pulmonary System, Gastrointestinal System, Lymphatic System, Musculoskeletal System, Genitourinary System, Reproductive System, Psychiatric Disease, Central Nervous System, Endocrine System, and Peripheral Nervous System

Procedures/Tasks include but are not limited to:

- Incision and drainage - Nail trephination - Sling or swath injuries - Bandage - Reduce dislocations and fractures when appropriate - Cardioversion/Defibrillation - Pericardiocentesis - Stabilize and evaluate cervical spine injuries as appropriate - Lumbar puncture - Remove foreign bodies as appropriate - Emergency vaginal deliveries - Venous punctures for lab studies and interpret results - Draw arterial blood gases for evaluation and interpret results - Suture simple lacerations - Remove sutures - Tube thoracostomy - Open thoracotomy - Secure and maintain an adequate airway by such means as oral airways, oral tracheal intubation, nasal/tracheal intubation; use airway adjuncts for difficult intubations - Cricothyrotomy (needle and surgical) - Splint and stabilize traumatic injuries to extremities - Administer intravenous, intramuscular and subcutaneous medications as appropriate - Secure and maintain adequate intravenous access by peripheral and by central routes - Diagnostic peritoneal lavage (DPL) - Bladder catherization - NG/OG tubes - Local anesthesia - Restrain patients - Conscious sedation - Coordinate with accepting facility and other Emergency Centers
- Consult with consultants appropriately - Complete all required paperwork - Obtain an adequate history, physical, assessment and plan in a timely and appropriate manner on each patient and develop treatment plan - Utilize paraprofessional staff as appropriate - Respond to cardiopulmonary arrest as appropriate and arrange appropriate backup from the EMS - Interpret electrocardiograms - Preliminary interpretation of radiographs - Direct medical care through radio communication with an ambulance - Provide discharge instructions - Rapid sequence intubation. Examine all eligible military healthcare system beneficiaries for emergency medical care to render a medical assessment of their condition, take appropriate action.

Provide immediate evaluation and management of emergency patients as they present themselves for care. When treating urgent and non-urgent patients the contract physician shall abide by the service standards established by the hospital Commander or his/her designee regarding expectations for timeliness of care and service.
Provide definitive medical care to reduce the emergency situation and enable the patient to safely continue care as an outpatient with follow-up care as required. Follow-up of abnormal reports is the responsibility of the ordering physician. However, to assure correct medical follow-up for these patients, all abnormal x-ray and lab reports received on patients seen by the contractors physicians shall be reviewed by the lead physician for the respective shift on duty at the time these reports are available for review. Contract physicians shall review laboratory and x-ray reports daily and inform the ordering physician of actions taken.
Provide emergency medical care to both inpatients, if part of code team response, and outpatients, summon appropriate on-call specialists as necessary, and continue medical management until the arrival of the appropriate specialist.
Patients presenting themselves with non-acute conditions will be reassured and treated in priority as established by medical triage.
Provide emergency care to patients in the holding area when necessary.
Prepare appropriate narrative summaries and patient profile changes and document history, physical examinations, and preoperative diagnosis. Maintain documentation of treatment in accordance with established procedures.
As required by MTF, respond to a staff nurses request for assistance to the emergency needs of hospitalized patients, to carry out procedures, and for writing orders, until the patients staff physician arrives.
Dispatch and provide medical control for ambulances in accordance with MTF procedures.
Prescribe medications, as appropriate, in accordance with the privileges and MTF rules and regulations.
Prepare and document appropriate history physical examinations, and diagnosis. Maintain documentation of all treatment provided in accordance with MTF directives and prepare such records and reports as may be required by the policy. Ensure all documentation and reports are legible and complete.
Respond to cardiopulmonary arrest as appropriate.
Make preliminary interpretation of radiographs to include MRIs and CT scans
Advise the department chief of any problems encountered or anticipated in connection with meeting the needs of patients treated.
Refer all requests for patient/hospital information that cannot be handled by the clinic personnel to the Patient Administration Division (PAD). After normal duty hours, requests should be referred to the Administrative Officer of the Day (AOD) or appropriate authorized personnel. Neither the Contractor nor the contract providers shall release medical information without prior coordination with the PAD/AOD.
Adhere to the Center for Disease Control guidelines concerning universal precautions and the MTF Infection Control Program at all times while providing services under this contract.
Perform all duties in such a manner that they meet all JC standards.

At USGP, we are invested in the growth and support of the veterans, and their families, that we serve. In order to provide our best to the community, we are committed to nurturing and evolving our ever-growing diverse network of dedicated professionals and ensuring that our employees are valued for their efforts and able to grow as an individual and achieve their career goals. This is a great opportunity for a team player who is passionate about service and wants to grow their career through the unique knowledge gained by working at a federal facility.

USGP is an Equal Employment Opportunity/M/F/disability/protected veteran status

We look forward to receiving your resume