Associate Physician, Neurosurgery

Salary range

Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations. The Fraser Health region is home to 32 First Nations communities and six Métis Chartered communities. Our team of 43,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Learn more .

We are seeking committed and driven Permanent Full Time Associate Physicians to support the provision of continuous care in a team-based environment working collaboratively with the MRP, NP’s, nursing and allied care providers to care for acute surgical patients admitted under neurosurgery.

In this role, under the supervision of the Most Responsible Provider (MRP) you will serve as a physician extender to provide care to inpatients across the organization and performs duties within the scope of an Associate Physician clinical duties and responsibilities.

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Fraser Health values diversity in the work force and strives to maintain an environment of Respect, Caring & Trust. Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable and culturally safe manner.

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 accurdance with the Mission, Vision, Values and strategic directions Fraser Health, the Associate Physician (AP), Neurosurgery, 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) on a day-to-day basis and is accountable to the Local Division Head of Neurosurgery or documented delegate (ie., other attending neurosurgeons) 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, NP’s, nursing and allied care providers to care for acute surgical patients admitted under neurosurgery.

The AP has demonstrated ability to communicate effectively and build relationships with other health professionals and disciplines and holds excellent interpersonal skills and ability to work within a team. The AP also has demonstrated ability to document in accordance with the College of Physicians and Surgeons of British Columbia (CPSBC) and organizational standards, policies, and guidelines.

1. Participates in patient rounds under the supervision of the Attending along with other care team members.
2. 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.
3. Performs and documents admission history and physical examinations, progress notes, discharge summaries, and medication reconciliation as per CPSBC and organizational standards, policies, and guidelines.
4. Develops treatment plans in response to changing patient conditions, where appropriate and in consultation with attending staff.
5. Follows through on investigations and in consultation with the Attending staff.
6. Communicates with, and responds in a timely manner to calls from, the nursing staff and other care team members.
7. Communicates with patients, family members, other consulting services, and trainees concerning patient care plans, as appropriate.
8. Performs procedures within the scope of their demonstrated competence which may include:

• Insertion of peripheral intravenous lines
• Initiation of intravenous medication (appropriate for the neurosurgery unit)
• Removal of cranial access lines (this includes subdural evacuation port system -SEPS, external ventricular drains, surgical drains
• Resuturing/suture augmentation of surgical incisions for spinal fluid leakage
• Access/aspiration of ventriculoperitoneal shunts/reservoirs, calibration of programmable ventriculoperitoneal shunts
  Any other duties which are routine care of the Neurosurgery Division on the wards. In any and all of the above, the AP will not proceed until full training and competence has been established with sign-off by the Division/Department Head or their delegate.

9. 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).

10. Attends clinical rounds, UBC journal club, morbidity and mortality rounds, and other educational/research sessions.

11. Participates in quality improvement projects relating to their patient or program.

12. May provide teaching and supervision for trainees.

13. Complies with Associate Physician programs CPD reporting requirements.

Medical degree from a school listed in the World Directory of Medical Schools.

Minimum of two (2) years of accredited postgraduate training as a medical or surgical specialist, verified by the College of Physicians and Surgeons of BC (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).

Valid Canadian Citizenship, be a permanent resident or be legally able to live and work in British Columbia.

Eligible for registration with the CPSBC in the Associate Physician class, under sponsorship by Fraser Health Authority (FHA).

Proficiency in the English language as established by the CPSBC English language proficiency requirements.

Qualified candidates will hold or achieve Advanced Cardiac Life Support (ACLS) certification during the three-month training and orientation period.

Demonstrates the leadership practices of the Fraser Health Leadership Framework of Clear, Caring and Courageous and creates the conditions for people to succeed.

• Knowledge and skill to diagnose and manage common medical problems in the medical patient.
• Confidence and experience in recognizing and initiating response to emergency situations such as shock, acute coronary syndrome, stroke, etc.
• Ability to recognize medical instability and address initial priorities of resuscitation. Ability to judge situations where discussion and reporting to senior and most responsible physicians is appropriate.
• Excellent English communication, including with patients, families and other health care professionals.
• 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.