Associate Physician, Inpatient Clinical Care

Article Flag: Mandatory Vaccination Please Note:
As per the current Public Health Orders (Long Term Care/Seniors Assisted Living Provincial Health Order and the Health Sector Order), as of October 26, 2021, all employees working for Providence Health Care must be fully vaccinated against COVID-19. Proof of vaccination status will be required.

Summary:
The Associate Physician (AP) Inpatient Clinical Care serves as a physician extender to provide care to inpatients across the organization, including patients under the Medicine and Surgical Programs. On a day-to-day basis, the AP performs services within the scope of an AP’s clinical duties and responsibilities while under the supervision of an internist, but is accountable to the Lead Physician or documented delegate 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, nursing and allied care providers to care for acute surgical and/or medicine patients including those admitted under general, vascular, plastics, orthopedics and urologic surgery, along with those under the acute internal medicine service and general medicine.

The AP has demonstrated ability to communicate effectively and has excellent interpersonal skills, with the ability to work within a team, and to build relationships with other health professionals and disciplines. 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.

Organization

St Paul’s Hospital is a full-service adult tertiary acute care, teaching and research hospital located in downtown Vancouver. It is home to many world-class medical and surgical programs, including heart and lung services, HIV/AIDS, mental health, emergency, critical care, kidney care, and elder care.

Qualifications / Skills and Education:
Education

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 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.

Must be eligible for registration with the CPSBC in the AP class, under sponsorship by PHC.

Skills and Abilities

Knowledge and skills to diagnose and manage common medical problems in the medical and perioperative patient, e.g. chest pain, dyspnea, hypertension, electrolyte abnormalities, pain control, delirium, etc.

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. Able 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.

ASSESSMENT AND PROBATIONARY PERIOD

During a 12-week probationary period, the AP will undergo assessment and evaluation of their competence to perform the duties in the intended specialty areas under a supervising physician. The evaluation will include assessment of:
Basic clinical skills

Communication skills

The ability and willingness to function as a member of a clinical team

Specialized knowledge and skills applicable to the intended clinical placement

Clinical decision-making and the appropriate use of clinical and diagnostic resources

Clinical documentation

Procedures required to function effectively within the team environment

Physical ability to carry out the duties of the position.

Duties and Responsibilities:
Participates in patient rounds under the supervision of the Attending along with residents and 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.

Performs medical surgical consultations for inpatients and patients referred to the ER under the supervision of the Attending physician or surgeon.

Develops treatment plans in response to