ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                                 SCMG Physician - Non-Invasive Cardiologist (or General Cardiologist)

REPORTS TO POSITION:                SCMG Clinical Division Director, Heart and Lung

DEPARTMENT:                                 St. Charles Heart & Lung Specialists

DATE LAST REVIEWED:                 October 13th, 2021

OUR VISION:                Creating America's healthiest community, together

OUR MISSION:             In the spirit of love and compassion, better health, better care, better value

OUR VALUES:              Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY: St. Charles Heart & Lung Specialists-Non-Invasive Cardiology is part of the St. Charles Heart & Lung Specialists clinic, other subspecialties within the practice include Interventional Cardiology, Electrophysiology, Cardiothoracic Surgery and Structural Heart.  Non-invasive Cardiology provides outpatient Cardiology services throughout Central Oregon and inpatient hospital care at the St. Charles Bend campus.

POSITION OVERVIEW: Non-Invasive Cardiologist is responsible for providing Cardiology services in the inpatient and outpatient setting.  This includes evaluation & management services, interpretation of cardiac diagnostic studies and performing transesophageal echocardiogram and cardioversion procedures.   Noninvasive Cardiology will work in collaboration with other medical specialties to assess and manages patients following established standards and practices.

Work schedule: Full time Physician shall complete 47 weeks of clinical work per year, reducing according to the St. Charles Medical group tenured clinic provider policy.  Duties include a blend of hospital rounding, scheduled clinic visits, performing and interpreting cardiac diagnostic studies.  This includes clinical documentation and all other necessary duties. 

• Hospital Service week:  Monday-Friday of assigned rotation followed by weekend hospital call, frequency based on the total FTE. Weekday hospital rotation split equally between all Non-Invasive Cardiologists in the group.
• Clinic week: 4 days per week.  Each provider has a consistent day off each clinic week.  Each week consists of a combination of:
  • Bend outpatient clinic: clinic hours between 8am - 5:00 pm, with a minimum of 12 appointment slots daily. 
  • Outreach outpatient clinic:  Outreach clinic performed at the agreed upon interval based on clinical need in assigned outreach area.  Outreach clinic start adjusted depending on distance from Bend campus.      
  • On call support physician: on site Bend clinic location 8am - 5pm.  Responsible for emergent patient needs in the Heart & Lung center including but not limited to Cardiac Rehab, Echo, and Stress testing.  Responsible for hospital and unassigned echo, stress, and other cardiac diagnostic interpretation, ED triage, urgent outpatient visits and additional consultative support to the inpatient Cardiology service. 

Call expectation:  Physician will participate in the non-invasive Cardiology call rotation, which is shared equally by all physicians in the Non-Invasive Cardiology group based on FTE allocation.  This shift requirement will adjust based on changes to the FTE structure within the group.

• Night Non-invasive Cardiology call: 5pm - 7am Monday-Friday as assigned, approximately 2-3 nights/per month.
• Weekend Non-invasive Cardiology call:  24 hour service coverage for each day of assigned weekend.  Includes hospital rounding, admissions, and discharges.  Split equally between Non-Invasive physicians.   

Work location: Physician's inpatient work location is St. Charles Bend Hospital with clinic in the Bend Heart & Lung Center and agreed upon Heart & Lung Specialist outreach clinic. 

ESSENTIAL FUNCTIONS AND DUTIES: (May perform additional duties of similar complexity within SCHS as required or assigned)

Clinical Expectations:

• Examines, diagnoses, and provides a broad scope of treatments for cardiac disease processes
• Performs interpretation of echocardiograms, stress testing, electrocardiograms and cardiac monitors according to the established cardiac diagnostic reading standard.
• Performs patient examinations, obtains and records pertinent medical history, subjective, and objective findings. 
• Orders and interprets appropriate laboratory, imaging, and other diagnostic procedures. 
• Utilize appropriate risk calculators as a part of assessment for patients and is familiar with new studies, emerging technology and medications beneficial to the patients being treated.
• Interprets and integrates data to determine diagnosis, and therapeutic plan.
• Administers and prescribes medications in compliance with state law and practice guidelines. 
• Orders and performs appropriate medical procedures in accordance with State law and practice guidelines.
• Instructs patient and family regarding medications and treatments.
• Educates patients regarding health, illness prevention, and healing.  Recommends community resources to meet patient and family needs.
• Maintains and reviews patient records, charts, and other pertinent information, documenting clearly and concisely.
• Triages patient telephone calls, providing consultation as needed.
• Communicates effectively with colleagues, patients, physicians, and administration.
• Maintains quality of clinical practice by selecting appropriate avenues for professional growth.
• May perform additional duties of similar complexity within the organization, as required or assigned.         

Administrative Expectations:  

• Document all patient care within the Electronic Medical Record (EMR) and complete all necessary tasks in compliance with health system policies and regulatory agencies to ensure timely and accurate billing. 
• Be familiar with the SCHS organization structure.
• Participate in SCMG physicians meetings and assist in policy formation for SCMG and Physician's practice.
• Keep medical knowledge and skills current through regular CME activity.  Must attest to having adequate (CME) to meet maintenance of board certification and compliance with MSO rules and continuing privileges without restriction.
• Keep all licenses and appropriate certifications current and unrestricted.
• Maintain active privileges at St. Charles Health System hospitals sufficient to permit performance of job duties.

Behavioral Expectations:  

• Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
• Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. 
• Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient and accurate, and courteous.
• Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors.
• Provide a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way.  This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications (appropriate touch, eye contact, etc.).
• Complies with all applicable laws, regulations, policies and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.

EDUCATION

Required: 

• Graduation from an accredited medical school.
• Successful completion of an accredited residency program in Cardiology.
• Successful completion of additional educational programs necessary to enable Physician to acquire and maintain privileges to perform the range of services contemplated. This includes board eligibility/certification in the specialty being practiced.

LICENSURE/CERTIFICATION/REGISTRATION

Required:

• Oregon license as MD/DO
• Board certified or eligible in Cardiology to be board certified or qualified to sit for the boards in primary area of practice at the Hospital.  Those applicants who are not board certified at the time of application but who have completed their residency or fellowship training are required to become board certified within seven years of residency or fellowship training.
• Current ACLS certification required.
• Valid driver's license and the ability to meet SCHS driving requirements.
• Maintain unrestricted DEA number.       
• Maintain unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.

EXPERIENCE

Required:

• Experienced in hospital and outpatient practice environments providing care in Cardiology.     

PERSONAL PROTECTIVE EQUIPMENT

• Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

GENERAL

• Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS. 
• Strong team working and collaborative skills.
• Ability to multi-task and work independently. 
• Attention to detail.
• Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
• Intermediate to advanced proficiency with Electronic Medical Record systems.
• Intermediate in Microsoft applications (Word, Excel).

PHYSICAL REQUIREMENTS:

• Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
• Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
• Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
• Rarely (10%):  Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.
• Never (0%):  Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
• Exposure to Elemental Factors
• Never (0%):  Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
• Blood-Borne Pathogen (BBP) Exposure Category
• No Risk for Exposure to BBP

Schedule Weekly Hours:

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