Associate Physician (AP), Internal Medicine

Detailed Overview

Supporting the Vision, Values, Purpose and Commitments of Fraser Health including service delivery that is centered around patients / clients / residents and families : Within the context of a client and family centered model of care and, in accordance with the Mission, Vision, Values and strategic directions of Fraser Health, the Associate Physician (AP) - CTU, performs duties within the scope of an Associate Physician clinical duties and responsibilities and serves as a physician extender to provide care to inpatients across the organization. The AP works under the supervision of the Most Responsible Provider (MRP) who is the CTU attending on a day-to-day basis and is accountable to the CTU Medical Director for the overall provision of quality of care and professional development. The AP supports the provision of continuous care in a team-based environment working collaboratively with the MRP, Residents, Fellows, medical students, nursing and allied care providers to care for acute medical patients admitted under the RCH Internal Medicine CTU. Responsibilities Participates in patient rounds under the supervision of the CTU Attending along with other care team members. Assesses the day-to-day care of patients, including writing medical orders, consultations with other services, and responding to changing patient conditions, in consultation with attending staff. Performs and documents admission history and physical examinations, progress notes, discharge summaries, and medication reconciliation as per CPSBC and organizational standards, policies, and guidelines. Develops treatment plans in response to changing patient condition, where appropriate and in consultation with attending staff. Follows through on investigations and consultancy recommendations in discussion with the Attending staff. Communicates with, and responds in a timely manner to calls from, the nursing staff and other care team members. Communicates with patients, family members, other consulting services, and trainees concerning patient care plans, as appropriate. Performs procedures within the scope of their demonstrated competence which may include paracentesis, thoracentesis, arthrocentesis, lumbar puncture & central line insertion. Participates in professional development activities (a minimum of 50 hours per year, 25 hours of which must be accredited training recognized by the Royal College of Physician and Surgeons’ Maintenance of Certification Program for healthcare professionals). Attends clinical rounds, morbidity and mortality rounds, and other educational / research sessions. Participates in quality improvement projects relating to their patient or program. May provide teaching and supervision for trainees when appropriate. Complies with Associate Physician programs CPD reporting requirements. Qualifications Medical degree from a school listed in the World Directory of Medical Schools. Minimum of two years of accredited postgraduate training as a medical or surgical specialist, verified by the CPSBC. Successful completion of Part 1 of the Medical Council of Canada Qualifying Examination (MCCQE) or Steps 1 through 3 of the United States Medical Licensing Examinations (USMLEs). Must meet the CPSBC’s English language proficiency requirements. Eligible for registration with the CPSBC in the Associate Physician class, under sponsorship by Fraser Health Authority. Valid Canadian Citizenship, be a permanent resident or be legally able to live and work in British Columbia. Proficiency in the English Language as established by the CPSBC and eligibility for registration with the CSPSBC in the Associate Physician Class, under sponsorship by Fraser Health. Qualified candidates will hold or achieve BC College of Physician & Surgeons certification during the three-month training and orientation period. COMPETENCIES : Demonstrates the leadership practices of the Fraser Health Leadership Framework of Clear, Caring and Courageous and creates the conditions for people to succeed. Professional / Technical Capabilities Demonstrated knowledge and skills to diagnose and manage common medical problems including common end of life symptoms such as : Pain (With recognition of opioid neuro-toxicities), nausea, shortness of breath, constipation, and management of complex family dynamics and psychosocial concerns impacting patient care. Confidence and experience in recognizing and initiating response to emergency situations such as spinal cord compression, superior vena cava syndrome, and terminal bleed, etc. Ability to recognize medical instability and address initial priorities of patient management as defined by goals of care. Ability to judge situations where discussion and reporting to senior and most responsible physicians is appropriate. Computer and written communication skills including order entry, clinical documentation, and ability to review relevant diagnostic information and health history. Ability and comfort in working in a team-based environment. Ability to carry out professional duties in the face of multiple, competing demands. Physical ability to carry out the duties of the position. Demonstrated ability to communicate effectively and build relationships with other health professionals and disciplines and holds excellent interpersonal skills. Ability to work within a team.