EMS G6 Fellow

Job Description

Employer: Regions Hospital

Job Title: Resident/ Fellow Physician

Job Code: 4280 (G14290 (G24300 (G34310(G44320 (G54322 (G64323 (G7

Department:

HP Institute Office of Health Professional Education

Date Approved:

June 2017

Date Revised:

April 2024

POSITION SUMMARY STATEMENT:

The primary responsibilities of resident/ fellow trainees are to provide competent compassionate patient care; work effectively as a member of the health care team; and meet the educational goals of his/her specific program.

Professional and Educational Commitments:

Comply with all departmental and institutional policies of note:

Comply with policies procedures and/or guidance when documenting work hours procedures etc.

Comply with policies procedures and/or guidelines related to medical records including completing and signing records in a timely manner.

Comply with policies and procedures regarding moonlighting (see GME8 Moonlighting and your programs policy/procedures).

Promptly respond to pages and/or patient carerelated messages.

Arrive punctually to all educational assignments.

Participate in the evaluation of the program their peers and teaching faculty.

Incorporate feedback and formative evaluation into daily practice.

Participate in educating and providing supervision to less senior residents and medical students when applicable.

Participate in scholarly activities such as quality improvement presentations and/or research activities.

Patient Safety:

*Report patient safety events and near misses in the AWARE system.

If involved in an incident participate in the RCA process if requested.

*Report any lack of adequate supervision to their program director or the DIO (refer to GME5 Supervision of Trainees and their programs supervision policy).

Immediately report any unsafe conditions in patient care.

Wellbeing:

Ensure appropriate selfcare including adequate rest to provide safe patient care.

*Report concerns that another trainee or faculty member may be displaying signs of burnout depression substance abuse suicidal ideation or potential for violence to their program director or the DIO.

Patient Care:

Provide appropriate care to patients in a kind and caring manner and in accordance with their programs supervision policy.

Identify themself as a resident/fellow to their patients.

Deliver care that demonstrates cultural humility.

Responsibilities at the training site:

Actively contribute to a healthy environment at the training site.

Partner with nursing and other care team members.

Comply with site and department transitions of care processes.

* Trainees may report confidentially to the DIO.

MINIMUM QUALIFICATIONS:

• Education Experience or Equivalent Combination:
• Studentswithdefinedgraduationdateand/orgraduatesofmedical schools in the United States and Canada accredited by the Liaison

Committee on Medical Education (LCME) and successful completion of any prerequisite accredited training specified by ACGME Residency exams (or good faith effort to pass) for promotion through subsequent years of fellowship

• Studentswithdefinedgraduationdateand/orgraduatesofcollegesofosteopathic

medicineintheUnited States

accreditedbytheAmericanOsteopathicAssociation(AOA)andsuccessful completion of any prerequisite accredited training specified by ACGME Residency Review Committees.

• Studentswithdefinedgraduationdateand/orgraduatesofmedical schools outside the United States andCanada who meet one of the following qualifications:
  • HaveacurrentlyvalidcertificatefromtheEducationalCommissionfor Foreign Medical Graduates (ECFMG) prior to appointment or
  • Haveafullandunrestrictedlicenseto practicemedicineinaUS licensing jurisdiction in which they are in training and
  • Successfulcompletionofanyprerequisiteaccreditedtrainingspecified by ACGME Residency Review Committees.
• Licensure/ Registration/ Certification:

Resident/FellowphysiciansmustreceiveapassingscoreontheUnited States

MedicalLicensing Examinations

• Knowledge Skills and Abilities:

It is important for resident/fellow physicians to have good decisionmaking and customerserviceskillsastheymust dealwithpatientsonadailybasis addition to being amiable and working well under pressure resident/fellow physicians should be analytical and selfmotivated.

Excellentoralandwrittencommunicationskillsarerequiredaswellasthe ability to work efficiently in should also have strong leadership skills since they may serve as mentors to medical students.

PREFERRED QUALIFICATIONS:

• Education Experience or Equivalent Combination:
• Licensure/ Registration/ Certification:
• Knowledge Skills and Abilities:
  • • Participate in the clinical evaluation and care of patients in a variety of patient care settings with sufficient frequency to achieve the competencies required by their discipline under the direct supervision of the attending may write orders and progress notes in patientchartsalthoughattendingphysiciansretainresponsibilityforthecareofpatients seen by residents/fellows and must review the care of their patients.

ESSENTIAL DUTIES:

• Perform procedures which are specified by each program director. Resident/Fellowmay onlyperformthose proceduresforwhichthe attending physician has the resident/fellow has performed the appropriate number of procedures in a competent fashion the program director will provide notification that the resident is eligible to be certified to perform the procedure without direct supervision.
• Assume progressive responsibility for patient care activities accordingto residents/fellows level of education ability and program director and the attending staff will determinetheresidentslevelofresponsibilityandautonomy.
• Communicateeffectivelywiththeirsupervisingattendingregardingthefindingsof their evaluation physical examination interpretation of diagnostic tests and intended interventions on a continuous basis.
• Participatefullyintheeducationalandscholarlyactivitiesoftheprogramandasrequired assume responsibility for teaching and supervising other residents and students.
• Participateinappropriateinstitutionalcommittees andcouncilswhose actionsaffecttheir education and/or patient care including but not limited to quality assurance and quality improvement activities.
• Developapersonalprogramoflearningto fostercontinuedprofessionalgrowthwith guidance from the teaching staff.
• AbidebyallRegionsHospital policiesandproceduresGME Policies training program _policies and the regulations of any affiliated institution to which the resident/fellow may be assigned.

*Job description rankings/percentages are intended to reflect normal averages over an extended period of time and are subject to daily variances. Quality and efficiency standards should at no time be compromised to meet the average expectations expressed above. Job descriptions are subject to change to accommodate organization or department needs.

ORGANIZATIONAL EXPECTATIONS:

Values

All colleagues are expected to live our values:

Excellence:We strive for the best results and always look for ways to improve.

Compassion:We care and show empathy and respect for each person.

Partnership:We are strongest when we work together and with those we serve.

Integrity:We are open and honest and we keep our commitments.

Additional Expectations:

• Complies with safety instructions observe safe work practices provides input on safety issues and promotes a safe work environment.
• Maintains regular and timely attendance.
• Protects confidentiality.
• Demonstrates participation in and support of the organizations Corporate Integrity Program by participating in compliancerelated education and training and complying with the organizations policies and procedures.
• Timely completion of all mandatory education and organizational requirements (i.e. licensure/certification Employee Health and Wellness requirements annual training etc.

POPULATION SPECIFIC COMPETENCIES:

Departments will need to determine the appropriate competencies in their areas for their specific patient populations documented in the essential duties section.

Examples of items that can be included are:

• Identifies expected outcomes for a plan individualized to the patient or situation specific to the needs of the population served.
• Communicates effectively with patients families and team members.
• Integrates practices that supports patient safety acknowledges variations in populations served.
• Anticipates the needs of the population served as well as the unique characteristics of the communities served.
• Anticipates the needs of the population in providing culturally responsive care and develops an individualized plan for patients and families.

LEADERSHIP RESPONSIBILITY:

Please describe the degree to which the position directs the work of others or coordinates workflow of a clinic department or functional area. If applicable indicate the number of people and the titles for which this position directly and/or indirectly directs the work of others or coordinates workflow.

Critical Job Demands

Section 1:Place an X next to ONE of the terms that best describes the frequency for each of the Critical Demands.

N/A

0

Rare

15 (Up to a 1/2 hour)

Occa

633 1/2 hour to 3 hours)

Freq

3466 3 to 5 hours)

Cont

67100 5 to8 hours)

Section 2:Place an X next to ONE of the terms that best describes the Strength Rating for this job classification whichis expressed by one of five terms: Sedentary Light Medium Heavy and Very Heavy.

Note: During any patient handling task if any caregiver is required to lift more than 35 lbs. of a patients weight assistive transfer devices should be used for the transfer.

• Cut away from body.
• Use proper tool for the job.

Safety knife or safety box cutter

Cut resistant gloves

Other

Working with liquid chemicals acids or caustics (Examples: reprocessing cleaners disinfectants laboratory chemicals).

See MSDS online database for chemical list

Chemicals

Flammables

Toxic Gases

Corrosives

• Use only employer approved products.
• Use appropriate soaking containers with labels.
• Understand hazards of chemicals you use (read MSDS).

Goggles

Chemical face shield

Chemical resistant gloves

Chemical resistant aprons

Lab Coat

Closed toe shoes

Powered Air Purifying Respirator

Other

Heat

Cold Stress Burns Frostbite

• Approach hot surfaces carefully.
• Use only approved liquid nitrogen dewars. Dispense only if trained.

Heat resistant gloves

Cryogenic (cold resistant) gloves

Goggles

Face shield

Other

• Absolutely no text messaging while driving.
• Refrain from cell phone use while driving.

Seat belt

Other

• For wet areas mop excess water regularly.
• Place warning signs.
• Select footwear carefully

Slip resistant shoes

Rubber boots

Other

Chemical

Genetic damage

Tumors

• Receive training
• PPE
• Use of biological cabinet
• Spill procedures
• Waste disposal SOP

Gloves appropriate for chemical

Disposable barrier gown

Goggles

N95/PAPR (spill cleanup)

Ventilation Hood

Other

• Receive laser training.
• Awareness and knowledge to minimize surgical or procedural fires.
• Code Red training
• PPE
• Restricted access

Specialized laser safety glasses

Other

• Warning signage
• PPE
• Waste and spill procedures
• Personal monitoring
• Shielding distance

Lead Aprons

Other

• Restrict access
• Screening
• Signage

• Proper body mechanics
• Get additional help
• Get Ergonomic help from EOHS.

• Training in verbal deescalation techniques.
• Code Green procedure

Gloves (Clean)

Barrier Gown or fluid resistant Lab Coat

Potential for splash of blood/body fluid to face and clothing: examples but not all inclusive: suctioning wound irrigation eye & ear irrigation close contact (within 3 ft. of patient with frequent productive cough sigmoidoscopy cystoscopy colonoscopy.

• Hand hygiene before and after task
• PPE

Facial protection (mask plus goggles OR face shield)

Gloves (Clean)

Barrier Gown if anticipate splash

Activity that requires touching patients nonintact skin or mucous membranes.

• Hand hygiene before and after task
• PPE

Gloves (Clean)

• Hand hygiene before and after task
• PPE
• Use of Spill kits (as needed)

Gloves (Clean)

Barrier Gown if anticipate splash

Facial protection (mask plus goggles OR face shield) if anticipate splash

• Use of sharps safety devices
• Avoid recapping needles
• Proper disposal of sharps at point of care
• For reusable sharp use safe transporting practices
• Use neutral zone for passing sharps
• PPE

Gloves (Clean vs. Sterile depends on the procedure)

Facial protection (mask plus goggles OR face shield) if anticipate splash

• Mask patient
• Place patient in airborne infection isolation room if available
• Limit entry into room
• Keep door closed
• PPE

• PPE
• Biological Safety hoods/cabinetinstrumentation with automated/closed sampling mechanisms

1. Procedures that enter deep tissue or body fluid including but not limited to:

Central IV insertion placing a catheter or injecting material into the spinal canal or subdural space (myelogram lumbar puncture spinal/epidural anesthesia) breast biopsy temporal artery biopsy bone marrow biopsy OB vaginal delivery incision & drainage.

• Hand hygiene before and after procedures
• PPE

Gloves (Sterile)

Barrier Gown

Facial protection (mask plus eye protection or face shield plus mask required during these procedures)

2. a. Procedures that enter

subcutaneous tissue or are located

in the skin structure including but

not limited to:

• Excision of mole lump or bump
• Excision of lipoma or sebaceous cyst vasectomy

• Hand hygiene before and after procedure
• PPE

Facial protection (mask and eye protection required during these procedures if anticipate splash)

Gloves (Sterile)

Barrier Gown if anticipate splash

2. b. Additional Procedures

• Shave biopsy punch biopsy
• Joint injection nerve injection joint aspiration
• Peripheral IV insertion ENT procedures
• Analrectal Biopsy

• Hand hygiene before and after procedure
• PPE

Gloves (Clean)

Barrier Gown if anticipate splash

Facial protection (mask and eye protection required during these procedures if anticipate splash)

3. Handling Lab specimens in a laboratory

• Hand hygiene after removing gloves
• PPE
• Biological Safety hoods/cabinet
• Splash guard
• Instrumentation with automated/closed sampling mechanisms

Lab Coat fluid resistant)

Gloves (Clean)

Facial protection (mask plus eye protection or face shield plus mask required during these procedures)

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