Specialty Internal Medicine

Subspecialty General Internal Medicine

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 accordance with the Mission, Vision, Values and strategic directions of Fraser Health the Associate Physician (AP), Internal Medicine, 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, including patients under the internal medicine. The AP works under the supervision of the Most Responsible Provider (MRP)/Attending on a day-to-day basis and is accountable to the respective Physician Program Director or documented delegate 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, nursing and allied care providers to care for internal medicine patients including those admitted under any other requesting service.

Th AP participates in patient rounds under the supervision of the Attending along with residents and other care team members; 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; performs and documents admission history and physical examinations, progress notes, discharge summaries, and medication reconciliation as per CPSBC and organizational standards, policies, and guidelines; develops treatment plans in response to changing patient condition, where appropriate and in consultation with Attending staff.

The AP also follows through on investigations and in consultation with the Attending staff.

Communicates with, and responds in a timely manner to calls from, the nursing staff and other care team members; communicates with patients, family members, other consulting services, and trainees concerning patient care plans, as appropriate; performs procedures within the scope of their demonstrated competence which may include: central lines, thoracentesis, paracentesis, and chest tubes. 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.

Additionally, the AP 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); attends clinical rounds, morbidity and mortality rounds, and other educational/research sessions; participates in quality improvement projects relating to their patient or program.

The AP may provide teaching and supervision for trainees, and complies with Associate Physician programs CPD reporting requirements.

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