Resident, Family Medicine PGY 1

Family Health Centers of San Diego•San Diego, CA

11h

About The Position

Since 1970, FHCSD’s mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons. FHCSD is one of the top 10 largest federally qualified health centers in the country, operating more than 90 sites across San Diego County and providing care to more than 227,000 patients each year — 91% of whom are low-income and 29% uninsured. With a team of more than 3,200 dedicated employees, FHCSD takes pride in the diversity of its staff, which reflects the communities it serves. Working at FHCSD offers more than a paycheck and excellent benefits — it offers the opportunity to make a lasting impact on the health and well-being of San Diego’s communities. General Job Description Under the supervision and guidance of the Chief Medical Officer, Family Medicine Residents at the PGY 1 level participate in structured programs to develop skills in the assigned patient care competencies. The resident will learn the specialty of Family Medicine by active participation in patient care and educational activities. The degree of independent decision making will increase commensurate with the level of training and individual competence of the resident. Focus is on community health care, in a primary care clinic setting, treating medically underserved patients.

Requirements

Acceptance in the Family Medicine Residency Program through the National Residency Matching Program.
Current American Heart Association healthcare provider CPR (BLS), or Advanced Cardiac Life Support, Advanced Trauma Life Support, or Advance Resuscitation Training required within 90 days of employment.
Eligibility for selection as a resident must conform to the guidelines of the Accreditation Council for Graduate Medical Education (ACGME) general requirements.
Resident candidates must be graduates of medical schools accredited by the Liaison Committee on Medical Education (LCME), or approved schools of osteopathy, accredited by the American Osteopathic Association (AOA), in the United States, District of Columbia, Puerto Rico, or Canada, or hold a current valid certificate from the Educational Commission for Foreign Medical Graduates (ECFMG), along with a status letter from the Medical Board of California, authorizing the start of postgraduate training in the State of California.
Traveling between sites and other locations is required as an essential function of the job.
Must have a car, a valid California driver’s license, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver’s license within ten days of establishing residency.
Ability to work effectively with patients from diverse social, cultural and economic groups.
Basic computer literacy ability to comply with department needs and expectations (i.e., electronic medical record documentation, obtaining background information and reports on patients, following up on appts, etc.).
Demonstrated ability to access relevant clinical information.
Demonstrated interpersonal and customer service skills.
Demonstrated knowledge of clinic-based ambulatory patient care.
Demonstrated written and verbal communication skills.

Nice To Haves

Bilingual English/Spanish preferred.

Responsibilities

Assist at surgical operations and perform outpatient procedures, with the administration of general anesthesia, regional anesthesia, conscious sedation, and pain management procedures.
Attends all required meetings; actively contributes and participates in meetings. Participation in the annual residency review conference is required.
Completes assigned residency curriculum, including orientation, family medicine, pediatrics, gynecology, and obstetrics.
Continually improves upon communication skills, documentation skills, case presentation skills, interpersonal skills, and listening skills.
Demonstrate the ability to establish effective therapeutic relationships with patients and families.
Communicates with patients and staff, verbally and otherwise, in a manner that exhibits good professional judgment and good listening skills and is appropriate for the professional setting.
Demonstrates the organizational skills required to care for four to ten (4-10) or more outpatient cases per half day (depending on year level of training).
Demonstrate timely, consistent and reliable follow-up on patient care issues, such as laboratory results, patient telephone calls, and other requests.
Input and retrieve computer data through a keyboard and read a computer screen.
Make judgments and decisions regarding complicated, undifferentiated disease presentations, in a timely manner, in emergency, ambulatory, and hospital settings.
Manage multiple patient care duties simultaneously.
Move through the clinical and hospital sites to address routine and emergent patient care needs.
Participate in, and satisfactorily complete, all required rotations, including longitudinal rotations and clinic rotations.
Perform a complete history and perform a physical examination including pelvic exam.
Perform additional Program- and specialty-specific patient care activities as required for completion of the Program for Residents at the applicable GME level. If required, said additional Program and specialty-specific patient care activities are described in the Residency Program Policy Manual.
Perform an electrocardiogram, venipuncture, dressing change, IM & SC injections, intravenous catheter, suture removal and other procedures not requiring specific consent of the patient.
Perform cardiopulmonary resuscitation.
Perform documentation procedures, such as dictation, progress notes and discharge summaries, in a timely manner.
Prepares small group case studies/didactic lectures and participates in medical readiness exercises.
Present well-organized case presentations to other physicians or supervisors and function as a dependable member of the health care delivery team.
Provide health education to patients and obtain consents for procedures in which the Resident will participate.
Provides complete patient care in clinic setting under direct supervision of attending physician. Performs procedures under direct, specific supervision of attending physician. Patient care includes performing thorough history and physical; synthesizing data into a problem list and diagnosis; formulating diagnostic and therapeutic plan with supervision; performing basic clinical procedures; demonstrating caring and respectful behavior.
Read charts and monitors.
Residents at the GME level 1 must be able to take call for the rotational services that require inpatient admission and work stretches of up to sixteen (16) hours.
Specific job functions include: Use sterile techniques and universal precautions Wear protective clothing and respiratory equipment for care of patients with communicable diseases and/or immuno-compromised patients.
Write orders for therapeutic agents on the FHCSD Formulary for patients.
Write orders, including diagnostic procedures or consultations requested by members of the Physician Faculty.