Medicine Support Physician
2 days ago
The Department of Medicine at Nova Scotia Health Authority has an exciting opportunity for a locum Medicine Support Physician to join our team. As a key member of our department, you will play a vital role in supporting access and flow through our emergency services.
This is a great opportunity for an individual with either internal medicine or hospitalist experience to contribute to our team's mission of delivering high-quality patient care, conducting research, and providing education and training to healthcare professionals.
ResponsibilitiesAs a locum Medicine Support Physician, your key responsibilities will include:
- Reviewing the whiteboard in the write-up room each morning to note which patients are consulted to or admitted under the DoM Support Physician from the night before and are awaiting bed availability.
- Receiving and completing consults appropriate for hospitalist level care from the ED physician, or the Triage Internist when patients do not meet MTU/IMCU criteria.
- Admitting patients in the ED who are suitable for the Hospitalist Medical Service (HMS) while awaiting assignment to an HMS line.
- Consulting other services to request taking over care if a patient is identified to be better suited under another service.
- Rounding on and actively managing ED admitted (in person or by phone as required) HMS appropriate patients and determining what investigations, treatments, consultations may need to be started while awaiting admission to the floor.
- Discharging patients who no longer require admission and ensuring a discharge summary is dictated or filled out on eSummary via clinical portal for each discharge.
- Requesting transfer of care under the HMS as HMS beds become available.
- Handing over to overnight, IM ED team hours.
In times of low regular expected activity, you may be required to assist the MTU-ED team in rounding on patients admitted to the MTU who remain in the ED or participate in the DoM surge protocol for DoM appropriate patients in collaboration with the triage internist and DoM consult services.
Documentation/Team CommunicationTo ensure the responsibility of each team member is clear, the whiteboard in the write-up room should be used as a tool to clearly designate the MRP for each patient. Contact information for the DoM Internist/Hospitalist in ED should be updated and clearly indicated on the whiteboard. Admitted patients' facesheets should be under appropriate MRPs and cut codes to allow nursing to know who to call during the day. Inpatient charts will be color identifiable depending on service (DoM SP, MTUA/B, IMCU).
PaymentIndividuals can invoice the DoM monthly for the shifts they have participated in.
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