Role and Facility Information

Supporting the Vision, Values, Purpose and Commitments of Fraser Health including service delivery that is centered around patients/clients/residents and families:

Within the context of a client and family centered model of care and, in accurdance with the Mission, Vision, Values and strategic directions Fraser Health, the Associate Physician (AP), Neurosurgery, performs duties within the scope of an Associate Physician clinical duties and responsibilities and serves as a physician extender to provide care to inpatients across the organization.

The AP works under the supervision of the Most Responsible Provider (MRP) on a day-to-day basis and is accountable to the Local Division Head of Neurosurgery or documented delegate (ie., other attending neurosurgeons) 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, NP’s, nursing and allied care providers to care for acute surgical patients admitted under neurosurgery.

The AP has demonstrated ability to communicate effectively and build relationships with other health professionals and disciplines and holds excellent interpersonal skills and ability to work within a team. The AP also has demonstrated ability to document in accordance with the College of Physicians and Surgeons of British Columbia (CPSBC) and organizational standards, policies, and guidelines.

Duties and Responsibilities

1.Participates in patient rounds under the supervision of the 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 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 conditions, where appropriate and in consultation with 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 procedures within the scope of their demonstrated competence which may include: 

-Insertion of peripheral intravenous lines

-Initiation of intravenous medication (appropriate for the neurosurgery unit)

-Removal of cranial access lines (this includes subdural evacuation port system -SEPS, external ventricular drains, surgical drains.

-Resuturing/suture augmentation of surgical incisions for spinal fluid leakage

-Access/aspiration of ventriculoperitoneal shunts/reservoirs, calibration of programmable ventriculoperitoneal shunts

-Any other duties which are routine care of the Neurosurgery Division on the wards. In any and all of the above, the AP will not proceed until full training and competence has been established with sign-off by the Division/Department Head or their delegate.

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. Attends clinical rounds, UBC journal club, morbidity and mortality rounds, and other educational/research sessions.

11. Participates in quality improvement projects relating to their patient or program.

12. May provide teaching and supervision for trainees.

13. Complies with Associate Physician programs CPD reporting requirements.

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