Moonlighter Physician

Axle•Bethesda, MD

18h•Onsite

About The Position

Axle is seeking a Moonlighter Physician to provide physician care coverage for patients under the National Heart, Lung, and Blood Institute (NHLBI) inpatient services at the National Institutes of Health (NIH) in Bethesda, Maryland. The role involves admission and on-call care, clinical assessment and treatment, monitoring patients participating in research protocols and clinical trials, and coordinating care with attending physicians, fellows, nursing staff, and other members of the clinical team. The physician will document care and research-related findings, maintain medical records, interpret diagnostic studies, and communicate clinical updates during coverage and at sign-out. The position also includes research-related responsibilities such as immunological research, evaluating diagnostic methods and tools, preparing updates and reports, and contributing to presentations and publications. The description notes that duties may extend beyond the listed responsibilities as needed.

Requirements

Ph.D. or MD; board certification is required.
Obtain a Maryland medical license within 90 days of hire.
Thorough understanding of the complexity of medical research in humans.
Strong oral and written communication skills.
Demonstrated professional health care expertise, initiative, and independent judgment.

Responsibilities

Communicate with the responsible attending physician or designated fellow about patient questions, concerns, and major events during on-call coverage.
Provide admission and on-call care for NHLBI inpatients, including writing admission notes for stable patients and admitting acutely ill patients to the NHLBI wards.
Assume responsibility for patients’ care during the hours covered by the service and provide coverage for the post-call resident’s patients in coordination with inpatient and fellowship staff.
Document interventions and clinically relevant discussions in patient medical records, and communicate them to the relevant clinical care team at the end of coverage.
Distinguish normal from abnormal findings and determine when further evaluation or collaboration is needed.
Assess acute and non-acute clinical problems, toxicities, patient needs, and problem areas; plan appropriate therapeutic measures and revise care plans as appropriate.
Diagnose and monitor common acute or stable chronic health problems, injuries, and illnesses.
Conduct health care assessments, obtain health and family medical histories, perform physical examinations, and enter clinical data and medical chart notes.
Maintain and complete medical records, place medication and test orders, retrieve information from electronic medical systems, and document diagnostic tests and studies.
Monitor and evaluate health effects related to new and ongoing protocol studies and provide medical evaluation and longitudinal follow-up for clinical trial participants.
Document and monitor or grade side effects related to study interventions, including drugs and psychological behaviors.
Conduct and evaluate diagnostic tests, balance risks and benefits, establish treatment plans, and conduct immunological therapies.
Design and perform original immunological research; evaluate and implement processes, methodologies, and tools for complex immunological testing and research.
Research emerging trends and methods in cellular immunology, immune cell function, and cellular and antibody-based immunological techniques.
Maintain accurate research logs and records, and enter research activities and findings in internal databases and repositories.
Meet with lab members to present updates and provide routine activity updates, status updates, and outcome briefings to coordinators, attending physicians, medical staff, researchers, and program executives as needed.
Prepare reports, presentations, and briefings on experimental findings; review and edit materials produced by other researchers for internal or external distribution.
Provide subject matter expertise to senior scientists and program executives, and consult with cross-functional stakeholders to inform research strategies.
Communicate clearly with nursing staff and explain the plan of care and discharge needs to the incoming on-call resident and the patient’s assigned case manager at sign-out.
Participate in clinical rounds and conferences.
Work as a member of a multidisciplinary clinical team to provide comprehensive care in a research environment.
Provide updates, including weekly statements of work, as required.