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Emergency Medicine Physician
Ref No.: 17-00058
Category: Physicians
Location: Waynesville, Missouri
Start Date: 04/17/2017
MD/DO - Emergency Medicine Physician
"Where Home Happens” - Small town community life

The Community - Waynesville, MO
Waynesville history encompasses the Trail of Tears, the Civil War, Route 66 and the building of Fort Leonard Wood. We offer a great outdoors, affordable housing and award winning schools. If you're looking for a place with friendly people, you have found a home. Waynesville, now a city of over 4,000 residents, was established in 1833. It was named for the famous Revolutionary War hero, General "Mad Anthony " Wayne. It is the oldest town in Pulaski County. Waynesville is rich in history and abounding in folklore. Most of the native population in this area came by wagon train from Tennessee, Kentucky, Virginia, North and South Carolina, and some from even further south.

Fort Leonard Wood
Fort Leonard Wood is a United States Army installation located in the Missouri Ozarks. The main gate is located on the southern boundary of St. Robert. The post was created in December 1940 and named in honor of General Leonard Wood (former Chief of Staff) in January 1941. Originally intended to train infantry troops, in 1941 it became an engineer training post with the creation of the Engineer Replacement Training Center. During World War II Italian and German POWs were interned at the fort. In 1984, as part of the Base Realignment and Closure process, most of the U.S. Army Engineer School's operations were consolidated at Fort Leonard Wood. Before that, officer training was conducted at Fort Belvoir Virginia.

REQUIREMENTS
  • The Emergency Services Physician service shall meet or exceed reasonable community standards of professional practice for the health care concerned as determined by the authority that governs military medical professionals in the same discipline.
  • Be capable of performing the full range of emergency medicine services to include the ability and experience to adequately diagnose and treat diseases and injuries.
  • Be able to adequately perform medical procedures to include, but not limited to, the following:
    • Incision and drainage; Nail Trephination; Sling or swath of injuries; Bandage; Reduce dislocations and fractures when appropriate; Stabilize and evaluate cervical spine injuries as appropriate; Lumbar puncture; Pericardiocentesis; Removal of foreign bodies as appropriate; Deliver newborn/perform emergency vaginal deliveries; Perform venous punctures for lab studies and interpret results; Draw arterial blood gases for evaluation and interpret results; Suture or staple simple and multilayered lacerations; Remove sutures, surgical staples; Tube thoracostomy; Open thoracotomy; Secure and maintain an adequate airway, by such means as: oral airways or oral tracheal intubation or nasal/tracheal intubation or crico-thyrotomy (needle and surgical); Splint and stabilize traumatic injuries to extremities; Administer intravenous, intramuscular and subcutaneous injections; Prescribe and administer medications as appropriate; Secure and maintain adequate intravenous access by peripheral and by central routes; Diagnostic Peritoneal Lavage (DPL); Bladder catherization; NG/OG tubes; Local anesthesia; Restraints; Procedural sedation; Selected screening ultrasound exams.
  • Be able to perform tasks to include, but not limited to, the following:
    • Coordinate with transfer/accepting facility & other Emergency Departments; Request consults appropriately; Complete all required paperwork; Obtain an adequate history, physical, assessment and plan in a timely and appropriate manner on each patient and develop treatment plan; Utilize paraprofessional staff as appropriate, including non-physician providers; Respond to cardiopulmonary arrest as appropriate; Interpret electrocardiograms and laboratory tests; Preliminary interpretation of imaging studies to include CAT scans; Direct medical care through radio communication with an ambulance; Provide discharge instructions.
  • Examine patient, render a medical assessment of their condition, and take appropriate action.
  • Provide immediate evaluation and management of emergency patients.
  • Provide definitive medical care to reduce the emergency medical condition and enable the patient to safely pursue follow-up care as an outpatient as required. Follow-up of abnormal laboratory and/or imaging study, reports is the responsibility of the ordering physician. Review each report in accordance with established MTF procedures.
  • Respond to "Code Blue " (cardiac or respiratory arrest) medical emergency alerts within the hospital and provide resuscitation treatment until more specialized treatment arrives. Should resuscitation efforts be unsuccessful, the physician shall pronounce the patient dead and notify the next-of-kin, if the next-of-kin is physically present. Although completion of the death certificate is primarily the responsibility of the patient's primary physician, the Emergency Services physician can complete this document if all the appropriate information is available.
  • Reassure and treat non-acute conditions in priority as established by medical triage.
  • Prepare appropriate patient profile changes.
  • Prepare and document appropriate history, physical examinations, and preoperative diagnosis. Maintain documentation of all treatment provided in accordance with MTF directives.
  • Dispatch and provide medical control for ambulances in accordance with MTF procedures.
  • Accompany emergency services technicians on ambulance runs when indicated by the nature of the emergency and in accordance with MTF leadership guidance and MTF procedures.
  • Perform emergency room procedures compatible with the MTF operations capacity, supplies and equipment.
  • As workload permits during scheduled duty, attend the Emergency Service's monthly staff meetings and any additional committee meetings as required by the individual MTF. The physician may also attend such meetings scheduled during other than their assigned duty shift.
Qualifications
  • Must have graduated from an accredited educational and medical college or university.
  • GLWACH's emergency room is identified as a level III and the ER physicians shall meet the experience, training and certification requirements for a JC level III emergency room. The providers can initially qualify by meeting any one of the following three standards:
    1. The ER physician shall be residency trained in emergency medicine and board certified in emergency medicine by the American Board of Emergency Medicine.
    2. The ER physician shall be residency trained in emergency medicine, board eligible in Emergency Medicine, have 2,000 hours of ER experience after residency and not be out of residency for more than two years. If the ER physician is out of residency for more than two years and still board eligible in emergency medicine, the provider is considered unqualified for this contract.
    3. The ER physician shall be residency trained and board certified in Pediatrics, Family Practice or Internal Medicine while working more than 20 hours per week for the past 12 consecutive months in a similar or higher level III emergency care institution after board certification.
  • Must have a minimum of two years' experience as a practicing provider in the last three years. Residency time counts as practicing experience. Time spent in an administrative capacity as a claims reviewer, medical school instructor, medical director, internet physician, etc. does not qualify as practicing time.
  • Must be a M.D. or D.O. and be capable of treating patients of all ages.
  • Must possess and maintain a valid, unrestricted license to practice medicine in one of the 50 United States, District of Columbia, Commonwealth of Puerto Rico, Guam or U.S. Virgin Islands.
  • For providers who qualify via 1.2.1.c they shall have and maintain, at all times and at provider's expense, current certification in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) Certificate and Pediatric Advanced Life Support (PALS) Certificate by way of an American Heart Association training program. For providers who qualify via 1.2.1.a. and b. they shall only be required to possess and maintain BLS at all times at provider's expense.
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