SUMMARY:

Responsibilities include the evaluation, diagnosis, and treatment for patients of all ages with any symptom, illness, injury, or condition, provide medical services within the scope of practice of the collaborating physician(s), including routine primary and preventive care of children and adults.

 

ESSENTIAL DUTIES & RESPONSIBILITIES:

Provides primary or specialty medical care with the cognizance or supervision of a physician. Works under general supervision of the Chief, Family Medicine who discusses policies and objectives. There is no direct supervision, and the individual acts independently in areas of demonstrated competency within their designated scope of practice. Will have a physician preceptor identified in writing who will provide consultation, clinical feedback, and general oversight of the PA’s practice. May refer patients to specialty clinics, and assess, stabilize, and determine disposition of patients with emergent conditions. Provides chart review for quality assurance purposes in the area of family medicine if requested on an occasional basis. Attend and participate in patient care reports, patient care conferences, team conferences, professional staff conferences and other appropriate professional activities only to the extent that such attendance and participation is relative to his/her assigned cases and/or performance of services as determined by the supervisor. May become the primary care manager (PCM) for a panel of patients. As a PCM, will be the primary person responsible for the management of the health and wellness of assigned patients.  Duties include:  Examination of patients, formulation differential diagnostic plans, defines and orders required diagnostic testing. Interpretation of examination findings and test results, and implementation of treatment plans. Determines need for consultation and assists in medical care and treatment provided at the direction of other specialists. Approving/disapproving subspecialty referrals. Answering patient telephone consults with the assistance of clinic staff. Providing primary and secondary preventive maintenance care. Plan and initiate proper treatment within defined privileges and the scope of practice of the facility. Identify and report those situations and individual cases which have public health significance and carry out effective control measures. Perform the following blocks:  Digital, Local Infiltration, and Intercostal. Maintain inpatient and outpatient medical records in accordance with MTF procedures.  Maintain regular and punctual attendance. Perform other duties as assigned.

 

SUPERVISORY RESPONSIBILITIES:

Assigned to a 48X3 flight surgeon for professional supervision which means oversight, control, and direction of the services of a physician assistant, and includes but is not limited to: Continuous direct communication either in person or by radio, telephone or other telecommunications between the PA and supervisor. Active and continuing overview of PA’s activities, ensuring supervisor’s directions are implemented and the PA is supported in the performance of his/her duties. Consultation with a physician-preceptor if the PA is seeing a patient for the third time for the same acute medical problem.  This requirement does not include chronic stable diagnoses, which may be seen numerous times under a supervision plan that has been put in place to assist the PA. Personal review of the PA’s services by their supervisor through a face-to-face meeting with the PA at least weekly to ensure quality patient care, at a facility or practice location where the PA or supervisor perform services. Review of charts and records of PAs on a regular basis ensuring quality patient care and written documentation at the facility or practice location where the PA or supervisor perform services. Delineation of a predetermined plan for emergency situations. Designation of alternate/substitute 48X3 FSs in the absence of the supervisor.  The alternate performs the supervision as required above.