No Visa's. BC/BE Hospitalist is needed to join a hospital employed group.
Position:
- The hospitalist program is owned by the hospital
- The hospitalist leader has been with the program since 2007 and has practiced hospital medicine for over twelve years
- Hospital encourages hospitalists to get involved in the non-clinical, administrative work of the hospital.
- There are currently six full-time hospitalists and two hospitalist PAs on staff. There are also part-time and per diem physicians who account for two more physician FTEs. Five hospitalists have been part of the program for over two years. One hospitalist joined the practice during the past year.
- The program covers the hospital on-site, 24/7. Full-time hospitalists cover the night shifts.
- The current schedule format: Two of the six full-time physicians work 7on/7off from 7am-5pm. The other four work 2 weeks of days (7am–5pm, Mon-Fri) followed by 1 week of nights (11pm-7am, Mon-Fri) followed by one week off in a recurring 4-week pattern, plus an average one weekend during that rotation (variably days or nights). The part-timers and per diems fill in predominantly on evenings and weekends.
- The current daily schedule: weekdays, 3 full-time physicians and a PA cover from 7am–5pm, one part-time or per diem physician covers from 5pm–11pm and one full-time physician covers from11pm–7am. Weekends: 2 physicians (full-time, part-time or per diem) and one PA cover from 7am-7pm (Sat/Sun) and one physician covers 7pm-7am (Fri/Sat).
- Currently, the four full-time physicians not working a block schedule cover the nights. Each works approximately 7 nights per month.
- Morning and evening hand-offs are generally accomplished via secure EMR emails. Complex cases are signed out verbally.
- Short-term physician absences are covered through internal schedule changes. Longer-term absences are covered with the help of locum tenens physicians and via internal schedule changes.
- Internal moonlighting opportunities are currently available.
- Time off is part of the regular work schedule: either 7on/7off or one out of every 4 weeks completely off. There is no other vacation time. Longer vacations are arranged by swapping shifts with colleagues.
- A daytime hospitalist generally rounds on 10-15 patients and does approximately 1-2 admissions during each shift.
- The evening and overnight physicians generally see 2-3 new admissions per shift while covering the inpatient service.
- There are no intensivists in the ICU, so hospitalists need to be proficient in critical care and ventilator management. These skills need not be fully developed on Day One. There is ample opportunity to review and/or renew these skills if a new physician feels uncertain of his/her ICU abilities. All ICU beds are remotely monitored by critical care providers in a “virtual” ICU arrangement (VISICU).
- Hospitalists co-manage surgical patients when requested by the surgeons.
- Though hospitalists are not expected to perform procedures, opportunity exists to perform most procedures generally done by internists.
- Hospitalists have no outpatient responsibilities.
- Hospitalists meet twice a month as a group. These morning meetings last ~1hr with the agenda typically set by the medical director with input from other hospitalists. Discussion generally focuses on issues facing the service.
- Hospitalists meet with other disciplines on an as needed basis.
- Hospitalists are represented on most hospital committees, especially those involved in making vital organizational decisions.
- Hospitalists communicate with their patients’ PCPs at discharge via telephone, faxed discharge instructions and electronically through the EMR.
- Hospitalists have congenial working relationships with medical sub-specialists. Cardiology does most of their own admissions but most other medicine specialists act as consultants with the patients on the hospitalist service.
- Relationships with surgical specialists are congenial.
- ED physicians and Hospitalists also enjoy a good working relationship. The majority of hospitalist service admissions come through the busy ED.
Financial:
- Hospitalists are paid an annual salary and have the opportunity to earn a bonus.
- There is the potential to earn a $10,000 annual bonus based on individual performance with respect to core measures and other quality indicators.
- 401K Plan
- Malpractice Insurance: Hospital paid, occurrence-based policy with Maine Medical Mutual, -Health Insurance/Dental Insurance: Various plans are available, requiring differing levels of contribution based upon coverage chosen.
- Life Insurance: Hospital paid plan matching annual salary with options to purchase additional coverage at a discount.
- Disability Insurance: Provided by the hospital with options to purchase additional coverage.
- Sick Time: No earned time accrued for salaried individuals outside of scheduled time off.
- CME and relocation allowance provided.
- Hospitalists code their own encounters manually.
Facility:
- The hospital is a non-teaching, not-for-profit, private hospital
- The current CEO has served the hospital for over fifteen years
- All commonly consulted medical subspecialties are available 24/7.
- There are no Cardiac surgeons, neurosurgeons and vascular surgeons
- Psychiatry Consults are readily available
- The ICU is open. There are no intensivists on staff
- CPOE is in place
- An active case management department assists with discharge planning.
Location:
- A suburban setting about thirty minutes from Portland, ME
- Ninety minutes from Boston, MA
- A coastal community with a population of 22,000
- It’s beautiful beaches and the ready availability of the ocean draws many summer tourists to the area
- In the winter, it’s only one hour from the mountains and some of the best skiing in New England For more info, go to http://spotonrecruiting.com/search/showjob/id/1794
