Medical Physician Specialist
6 days ago
The Department of Medicine has an exciting opportunity for a Medical 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.
Responsibilities- Review 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.
- Receive and complete consults appropriate for hospitalist-level care from the ED physician, or the Triage Internist when patients do not meet MTU/IMCU criteria.
- Admit patients in the ED who are suitable for the Hospitalist Medical Service (HMS) while awaiting assignment to an HMS line. Admit under MED.
- If a patient is identified to be better suited under another service, consult that service to request taking over care. If the patient is accepted for admission under another service, they can be removed from the DoM supporting physician roster.
- Round on and actively manage ED-admitted (in-person or by phone as required -hrs weekdays) HMS-appropriate patients and determine what investigations, treatments, consultations may need to be started while awaiting admission to the floor.
- Discharge patients who no longer require admission. Liaise with other specialties when follow-up is required beyond primary care provider. Ensure a discharge summary is dictated or filled out on eSummary via clinical portal for each discharge.
- Request transfer of care under the HMS as HMS beds become available by speaking to the accepting physician who has room on their census (this information will be provided by patient flow manager).
- Hand-over to overnight, IM ED team hours.
In times of low regular expected activity:
- When less than 5 consults/admissions by noon, assist the MTU-ED team in rounding on patients admitted to the MTU who remain in the ED.
- When MTU-ED team has reached census cap (15 ward patients beyond the 42 patient census of the MTU), participate in the DoM surge protocol for DoM-appropriate patients in collaboration with the triage internist and DoM consult services.
- To 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).
Individuals can invoice the DoM monthly for the shifts they have participated in.
Expected Hours- Monday to Friday daytime hours.
- This is a weekday shift depending on pressures of the day. Average day: 9 hours. Estimated daily rate is $300-$400 per day.
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