Medical Officer (Emergency)

Tohono O'odham Nation Healthcare•Sells, AZ

12d•Onsite

About The Position

The Medical Officer provides diagnostic, preventative, and therapeutic services in emergency departments and outpatient and inpatient settings. The physician provides direct and indirect specialized care to children, adolescents, and adults, performs administrative duties, and participates in continuing education. As a senior staff physician, the incumbent primarily diagnoses and treats emergency cases and also provides care to some inpatients. The role is based in the Emergency Department at Tohono O'odham Nation Sells Hospital in Sells, Arizona, and may require temporary relocation to other TONHC facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. The physician works under the general supervision of the Clinical Director, who provides administrative oversight, and exercises considerable independence in patient care. The position provides comprehensive care across a range of clinical situations, including prevention, health maintenance, diagnosis, treatment, and follow-up. Duties may include cross-coverage for outpatient and inpatient facilities, care in community locations within the TONHC service area, minor surgery, and delivery of infants when urgent or emergency circumstances require it. The physician coordinates patient information and care with other providers and health systems and contributes to TONHC's quality improvement efforts and interdisciplinary services. Applicants must meet the stated medical education, internship, experience, and unrestricted medical licensure requirements. Background and fingerprint checks are required upon recommendation for hire. A valid driver's license and Tohono O'odham language fluency may be required depending on the department's needs.

Requirements

Doctor of Medicine or Doctor of Osteopathy from a U.S. or Canadian medical school approved by a recognized accrediting body in the year of graduation; alternatively, a degree from a non-U.S./Canadian medical school with substantially equivalent education and medical knowledge, demonstrated by permanent ECFMG certification or a Fifth Pathway Certificate.
Completion of an approved internship.
One to two years of professional experience beyond internship training, equivalent progressive experience in breadth and intensity, or completion of three to four years of residency training.
Permanent, complete, and unrestricted license to practice medicine in a U.S. state, the District of Columbia, the Commonwealth of Puerto Rico, or a U.S. territory; must be maintained.
Knowledge of applicable federal, state, and tribal laws, regulations, and requirements.
Knowledge of legal regulations and confidentiality requirements, including the Privacy Act of 1974 and HIPAA.
Knowledge of economic, educational, health, and social challenges faced by Native Americans in rural and urban settings.
Respectful and compassionate intercultural communication skills and superior customer service skills.
Ability to practice in a manner respectful of Tohono O'odham culture, customs, and traditions.
Ability to provide effective, comprehensive health care across a full range of clinical scenarios.
Ability to develop new approaches when established techniques, practices, or treatment regimens have not been effective.
Ability to work independently with wide latitude to determine and pursue courses of treatment.
Ability to travel within and outside the boundaries of the Tohono O'odham Nation as needed.
Ability to cope adaptively in stressful situations and exercise independent judgment.
Effective verbal and written communication skills.
Ability to establish and maintain positive, effective working relationships with employees and the general public.
Completion of criminal background and National FBI fingerprint checks, including a 39-month driving record, upon recommendation for hire.
May be required to possess and maintain a valid driver's license, with no DUIs or major traffic citations within the previous three years.
If required to operate program vehicles, must meet the Tohono O'odham Nation tribal employer's insurance requirements for a driver's permit.
Depending on department needs, may be required to demonstrate fluency in both Tohono O'odham and English.

Responsibilities

Provide preventative, acute, and emergency care to pediatric through geriatric patients, primarily in the Emergency Department, with cross-coverage for outpatient and inpatient facilities as needed.
Interview and examine patients, review medical histories, and request or perform diagnostic tests and examinations.
Make preliminary diagnoses, including recognition of rare or difficult-to-identify symptoms or signs.
Direct, prescribe, or provide complete treatment regimens, and arrange specialized care or referrals as necessary.
Record observations in clinical records and prepare appropriate medical records containing pertinent clinical data.
Manage medical cases that do not require referral and provide total patient care, including prevention, health maintenance, early diagnosis, treatment, and follow-up.
Provide medical care and public health services, when required, to eligible individuals in homes, schools, clinics, job sites, and other community locations within the TONHC service area.
Assess symptoms and the patient's underlying disease and treatment plan; review medications, diet, therapy, and adherence; and develop, modify, and assess treatment plans.
Instruct and counsel patients and their families.
Perform minor surgery and assist other physicians with minor surgery.
Deliver infants when urgent or emergent circumstances necessitate it and provide or arrange postpartum care.
Coordinate and integrate patient information into TONHC health care information systems.
Disseminate clinical reports and correspondence concerning patients to physicians, hospitals, individuals, and facilities.
Work with allied health professionals to provide effective interdisciplinary care and treatment.
Participate in a comprehensive Quality Improvement Program that meets The Joint Commission accreditation standards.
Ensure clinical care follows standards of practice, guidelines, and department policies and procedures.
Communicate effectively with patients and families facing medical, psychosocial, and cultural complexity.
Perform other job-related duties and contribute to a team effort.