Medical Officer (General Practice)

Tohono O'odham Nation Healthcare•San Simon, AZ
•Onsite

About The Position

A physician provides diagnosis, care, and treatment for inpatients, ambulatory care patients, and emergency patients across a full range of clinical scenarios. The physician also provides specialized services for children, adolescents, and adults and performs administrative duties, including continuing education. The position may be based at Tohono O'odham Nation Sells Hospital or another TONHC health center. It may require temporary relocation to Sells Hospital, Santa Rosa Health Center, San Simon Health Center, or San Xavier Health Center. The incumbent works under the general supervision of the Clinical Director, who provides administrative oversight, and exercises considerable independence in patient care. Care may be provided in homes, schools, clinics, job sites, and other community locations within the TONHC service area. The physician provides comprehensive patient care, including prevention, health maintenance, diagnosis, treatment, follow-up, emergency care, minor surgery, and—when urgent or emergent circumstances require—delivery of infants and postpartum care. The incumbent coordinates clinical information and records, collaborates with allied health professionals, and participates in the Quality Improvement Program. Professional practice must respect Tohono O'odham culture, customs, and traditions.

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 substantially equivalent degree from a non-U.S./Canadian medical school, demonstrated by permanent ECFMG certification or a Fifth Pathway Certificate.
  • Completion of an approved internship.
  • Permanent, complete, and unrestricted license to practice medicine in a U.S. state, the District of Columbia, Puerto Rico, or a U.S. territory, to be maintained.
  • One to two years of professional experience beyond formal internship training, equivalent progressive experience in breadth and intensity, or completion of three to four years of residency training.
  • Knowledge of applicable federal, state, and tribal laws, regulations, and requirements.
  • Knowledge of confidentiality laws and 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 practical, comprehensive health care across a full range of clinical scenarios and develop new approaches when established practices are ineffective.
  • Ability to work independently with latitude to determine and pursue patient treatment.
  • Ability to travel within and outside the Tohono O'odham Nation as necessary.
  • Ability to cope adaptively in stressful situations, communicate effectively verbally and in writing, exercise independent judgment, and maintain positive working relationships.
  • Upon recommendation for hire, pass a criminal background check and National FBI fingerprint check; a 39-month driving record is also required.
  • May need to possess and maintain a valid driver's license, with no DUIs or major traffic citations within the preceding three years.
  • If required to operate program vehicles, meet the Nation's insurance requirements for a driver's permit.
  • Depending on department needs, demonstrate fluency in both Tohono O'odham and English as a condition of employment.

Responsibilities

  • Provide care primarily in ambulatory clinic and inpatient settings, and consultation in the Emergency Department as needed.
  • Interview and examine patients; review medical histories; and request and perform diagnostic tests and examinations.
  • Make preliminary diagnoses, including recognition of rare or difficult-to-identify symptoms or signs.
  • Direct, prescribe, or provide treatment, or arrange specialized care or referrals as needed.
  • Document observations and care in clinical records.
  • Provide emergency care as appropriate and manage medical cases that do not require referral.
  • Provide comprehensive patient care, including prevention, health maintenance, early diagnosis, treatment, and follow-up.
  • Provide care and public health services to eligible individuals in homes, schools, clinics, job sites, and other community locations within the TONHC service area.
  • Review medications, diet, therapy, adherence, and other observations to develop, modify, and assess treatment plans.
  • Instruct and consult with patients and their families.
  • Perform minor surgery and assist other physicians with minor surgery.
  • Deliver infants when required by urgent or emergent circumstances and provide or arrange postpartum care.
  • Coordinate and integrate information into TONHC health care information systems.
  • Prepare appropriate medical records and organize pertinent clinical data for comprehensive care.
  • Disseminate clinical reports and correspondence to physicians, hospitals, and other individuals and facilities.
  • Collaborate 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 in medically, psychosocially, and culturally complex situations.
  • Perform other job-related duties and contribute to a team effort.
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