Role and Facility Information

Within the context of a client and family centered model of care and in accordance with the Mission, Vision, Values and the strategic directions of Fraser Health Authority, the Associate Physician (AP),Thoracic Surgery, will perform duties within the scope of an Associate Physician clinical duties, responsibilities, and serves as a physician extender to provide care to inpatients at SMH under the Thoracic Service/Program. The AP works under the supervision of the Most Responsible Provider (MRP) who is the thoracic Attending on a day-to-day basis and is accountable to the respective AP program lead(s) 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, Fellows, medical students, nursing and allied care providers to care for acute medical patients admitted under Thoracic Surgery.

DUTIES AND RESPONSIBILITIES

1. Participates in patient rounds under the supervision of the Thoracic Attending along with other care team members.

2. 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 the attending staff.

3. Performs and documents admission history and physical examinations, progress notes, discharge summaries, and medication reconciliation as per CPSBC and organizational standards, policies and guidelines.

4. Develops treatment plans in response to changing patient condition, where appropriate and in consultation with the Attending staff.

5. Follows through on investigations and in consultation with the Attending staff.

6. Communicates with and responds in a timely manner to calls from the nursing staff and other care team members.

7. Communicates with patients, family members, other consulting services, and trainees concerning patient care plans as appropriate.

8. Performs the procedures within the scope of their demonstrated competence. The AP will not proceed until full training/competence is established and the appropriate sign-off by the Supervising Physician, Division/Department head or delegate is completed. Procedures may include: insertion of peripheral intravenous lines, initiation of intravenous medication (appropriate for the thoracic ward), debridement of wounds, vacuum-assisted closure (VAC) dressings, assessment of surgical wounds, removal of surgical drains/clips, insertion and removal of chest tubes, feeding tube management including re-insertion, general Thoracic surgical wound care, surgical assisting for thoracic cases, and any other thoracic routine duties on the wards.

9. Participates in professional development activities (a minimum of 50 hours per year, 25 hours of which must be accredited training recognized by the Royal College of Physician and Surgeons’ Maintenance of Certification Program for healthcare professionals).

10. Complies with the continuing professional development reporting requirements.

11. Attends clinical rounds, morbidity and mortality rounds, and other educational and research sessions.

12. Participates in Quality Improvement projects relating to their patient or program.

13. May provide basic teaching and basic supervision for trainees when appropriate.

QUALIFICATIONS / SKILLS AND ABILITIES

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.

Eligible for registration with the CPSBC in the Associate Physician class, under sponsorship by Fraser Health Authority.

Valid Canadian Citizenship, be a permanent resident or be legally able to live and work in British Columbia.

Qualified candidates will hold or achieve BC College of Physician & Surgeons certification during the three-month training and orientation period.

COMPETENCIES

Demonstrates the leadership practices of the Fraser Health Leadership Framework of Clear, Caring and Courageous and creates the conditions for people to succeed.

PROFESSIONAL/TECHNICAL CAPABILITIES

- Demonstrates knowledge and skills to diagnose and manage common medical problems, such as: pneumothorax, pleural effusion, hiatal hernia, gastro-esophageal reflux disease, lung cancer, esophageal cancer, gastric cancer, mediastinal tumors, and rib fractures.

- Confidence and experience in recognizing and initiating response to emergency situations, such as: post-operative bleeding, pneumothorax, sepsis, shock, and arrhythmias.

- Ability to recognize medical instability and address initial priorities of thoracic surgical inpatients.

- Ability to judge situations where discussion and reporting to senior and most responsible physicians is appropriate.

- 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.

- Physical ability to carry out the duties of the position.

- Demonstrates ability to communicate effectively and build relationships with other health professionals and disciplines.

- Excellent interpersonal skills and ability to work within a team.

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