Physician - Plastic Surgery

Site of Service: Walter Reed National Military Medical Center, Bethesda, MD

Qualifications

Degree/Education:

• Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.).
• Graduate from an accredited medical school in the United States or Canada, accredited by:
  • Council on Medical Education of the American Medical Association;
  • Association of American Medical Colleges;
  • Liaison Committee on Medical Education;
  • Commission on Osteopathic College Accreditation of the American Osteopathic Association; or
  • An accrediting body recognized by the U.S. Department of Education and the Accreditation Council for Graduate Medical Education (ACGME) at the time the degree was obtained (e.g., Royal College of Physicians and Surgeons of Canada (RCPSC), College of Family Physicians of Canada (CFPC)).
• A Doctor of Medicine or equivalent degree from a foreign medical school must provide education and medical knowledge substantially equivalent to accredited schools in the United States. Evidence of equivalency includes:
  • Permanent certification by the Educational Commission for Foreign Medical Graduates;
  • A fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country; or
  • Successful completion of the U.S. Medical Licensing Examination.

Internship/Residency

• Successful completion of an internship and residency program (corresponding to the specialty required) approved by the Accreditation Council for Graduate Medical Education or the Committee on Postdoctor Training of the American Osteopathic Association.
• At least 1 year of supervised experience providing direct service in a clinical setting (e.g., a 1-year internship or the first year of a residency program in a hospital or institution accredited for such training).
• Graduate training programs include only those internship, residency, and fellowship programs approved by accrediting bodies recognized within the United States or Canada.
• An internship program involves broadly based clinical practice in treating a variety of medical problems under supervision (e.g., internal medicine, surgery, general practice, obstetrics-gynecology, and pediatrics).
• A residency program involves training in a specialized field of medicine in a hospital or institution accredited for training in the specialty by an appropriate accrediting body.
• A fellowship program involves advanced training (beyond residency training) in a given medical specialty in either a clinical or research setting.

Certifications

• Board Eligible or Board Certified in Plastic Surgery by the American Board of Plastic Surgery.
• Current Basic Life Support (BLS) certification through the American Heart Association or American Red Cross.
• Current Advanced Cardiac Life Support (ACLS) certification through the American Heart Association or American Red Cross.

Experience

• Six (6) years of experience within the preceding 8 years in the specialty, inclusive of internship, residency, and fellowship training.
• Experience with process improvement, medical education planning, or clinical, patient simulator environments is a plus.
• Ability to oversee rotating surgery residents, interns, medical students, and physician assistants in their training in the conduct of plastic surgical procedures and operations.

Licensure

• Current Drug Enforcement Agency (DEA) registration for controlled substances.
• Valid unrestricted current license to practice as a Plastic Surgeon in any U.S. state or the District of Columbia.

Additional Requirements

• U.S. citizenship.
• Able to read, write, speak, and understand English well enough to effectively communicate with all patients and other health care providers.
• Physically capable of standing and/or sitting for extended periods and performing all services required under the contract.
• Knowledgeable of equipment and supply terminology sufficient to identify and use necessary equipment and supplies properly and communicate proper use with nurses, medical staff, patients, and family members.
• Skilled in teaching patients proper self-care and motivating patients and family members to continue procedures for promoting rapid healing.
• Knowledgeable and possess skills necessary to provide care appropriate to age-related needs of patients (neonates, infants, children, and adults).
• Competent and capable of performing surgery to treat conditions associated with plastic surgery deformities.
• Demonstrate skills in interviewing, examination, assessment, and management of patients with general medical and surgical health problems.
• Manage seriously ill patients in consultation with or by direct referral to specialty physicians.

Responsibilities

• Perform a full range of physician services in accordance with privileges granted by the MTF.
• Direct, perform, or assist in the instruction of other health care professionals within the scope of clinical privileges or responsibilities.
• Examine, diagnose, treat, or prescribe courses of treatment within the scope of training, experience, and privileges.
• Provide preventive and health maintenance care, including annual physicals, positive health behaviors, and self-care skills through education and counseling.
• Order diagnostic tests and request consultation or referral with appropriate physicians, clinics, or other health resources as indicated.
• Provide educational lectures and participate in in-service training to clinic staff members, adhering to Government and professional clinical standards and accepted clinical protocols.
• Perform as MTF subject matter expert in plastic surgery.
• Perform preoperative assessment of patients encompassing all plastic surgery pathology.
• Perform invasive procedures and operations for correction of plastic surgery deformities due to trauma and congenital or acquired anomalies.
• Maintain professional competency through participation in professional organizations, self-directed journal readings, and attendance at in-service and continuing education programs.
• Complete all forms and reports accurately and promptly.
• Instruct and teach NCR members as necessary.
• Facilitate complex cases involving invasive monitoring and vasoactive infusions.
• Provide patient education on therapy, medications, and procedures.
• Perform other related duties and tasks as assigned (e.g., on-call duties).
• Participate in clinic quality assurance, utilization review, risk management, and peer review activities.
• Attend medical staff meetings as required.
• Prepare and review case histories and obtain data through interviews of patients.
• Examine patients and determine required radiology examinations and clinical laboratory tests.
• Interpret test results and evaluate findings.
• Prescribe specific medication(s), diet, treatment modalities, and oversee nursing personnel in providing appropriate care to the patient.
• Work under the general professional direction of the Chief, Plastic & Reconstructive Service.
• Make recommendations regarding changes in policy or programs as they affect professional services in Plastic and Reconstructive Surgery.
• Make necessary rounds to inpatients as needed.
• Provide consultation services for members of the MTF staff for specialty area training.
• Serve in a teaching capacity to staff members assigned to the MTF and ambulatory clinics.
• Maintain accurate clinical records and receive consultations and laboratory work of specific patients.
• Provide advice and opinions upon request by the Chief, Plastic & Reconstructive Service or the referring physician in support of patient care and treatment.
• Provide immediate evaluation and management of emergent problems as they occur during required work hours.
• Complete medical charting within 72 hours of patient visit in accordance with JC guidelines.
• Assume additional administrative or clinical duties to ensure sustainment of normal clinic operations and compliance with JC standards, including managing daily schedules, reviewing and dispositioning consults, monitoring appointment utilization, conducting mandatory clinical training, and ensuring enforcement of clinic SOPs and standards.
• Ensure compliance with standard of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment facility and JC guidelines.
• Provide care within ethical and legal boundaries.
• Complete orientation and competency verification programs in accordance with unit guidelines.
• Serve and participate in committees, functions, and other meetings as assigned.
• Provide relevant and timely information and assist with decision-making and process improvement.
• Report to the Chief, Plastic & Reconstructive Service and take direction as required in maintaining a safe environment for staff and patients.
• Participate in the orientation, training, and evaluation of newly assigned personnel.
• Participate in customer service initiatives and medical readiness activities designed to enhance health services.
• Perform necessary administrative duties including maintaining statistical records of clinical workload, participating in education programs, and participating in clinical staff quality assurance functions.
• Participate in meetings to review and evaluate care provided to patients, identify opportunities for improvement, and recommend corrective action when problems exist.
• Participate in clinical staff quality assurance functions and clinic Performance Improvement/Risk Management Programs as prescribed by the Commander.
• Attend command orientation for contract provider staff, including initial training requirements (e.g., fire, safety, infection control, family advocacy) and information systems orientation (including Military Health System Genesis (MHSG) and other clinical systems).
• Complete annual renewal of command-directed training requirements including cyber awareness, HIPAA, sexual harassment, infection control, and bloodborne pathogens.
• Provide and document basic health education to patients and families.
• Provide medication instruction to patients, including describing medication side effects.
• Provide patient education and instruction on the use of medical devices and other durable medical equipment.
• Maintain statistical records of workload operations.