Supervising Physician

MLK Community Healthcare•Los Angeles, CA
•Onsite

About The Position

The Street Medicine Physician provides high-quality, comprehensive medical care to people experiencing homelessness and housing instability throughout South Los Angeles. The physician practices independently within their clinical privileges and works with a multidisciplinary team in nontraditional community settings, including streets, encampments, shelters, interim housing, supportive housing, and other locations where patients live or receive services. Care includes managing acute and chronic conditions, preventive and harm-reduction services, appropriate testing and procedures, and coordination of specialty and hospital-based care. A significant part of the role is supervising and educating Internal Medicine residents during Street Medicine rotations. The supervising attending provides clinical oversight appropriate to residents’ experience and competency, reviews assessments and treatment plans, completes required documentation and attestations, and offers structured teaching and feedback. The physician also provides guidance in person and is available by phone when needed, and participates in relevant didactic lectures and research. This is a grant-funded, per diem position scheduled one day per week from 8:00 a.m. to 3:30 p.m.; days may vary. The position is updated annually through June 30, 2031.

Requirements

  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school.
  • Successful completion of an ACGME-accredited residency in Internal Medicine, Family Medicine, or another specialty appropriate to the clinical responsibilities.
  • Board certification or board eligibility in Internal Medicine, Family Medicine, or another appropriate specialty.
  • Current, unrestricted California Physician and Surgeon License.
  • Current DEA registration without restrictions appropriate to the position.
  • National Provider Identifier (NPI).
  • Must meet all organizational medical staff credentialing and privileging requirements.
  • Enrolled in Medi-Cal.
  • Must obtain MLKCH medical staff privileges and payor enrollment.
  • Ability to lead a team.

Responsibilities

  • Provide independent, comprehensive medical care to patients experiencing homelessness and housing instability in South Los Angeles.
  • Conduct clinical care in street and community-based environments, including encampments, shelters, interim and supportive housing, mobile settings, and other locations where patients reside or receive services.
  • Obtain medical histories, perform physical examinations, develop differential diagnoses, and establish evidence-based treatment plans.
  • Diagnose and manage acute and chronic medical conditions, including hypertension, diabetes, cardiovascular and pulmonary disease, infectious diseases, skin conditions, wounds, and musculoskeletal conditions.
  • Provide preventive healthcare, vaccinations, screening, health education, harm-reduction interventions, and counseling.
  • Evaluate and manage wounds and skin and soft-tissue infections, and perform appropriate procedures consistent with clinical privileges.
  • Order, perform, and interpret laboratory studies, point-of-care tests, diagnostic imaging, and other diagnostic procedures.
  • Prescribe, administer, dispense, and manage medications in accordance with applicable laws, organizational policies, clinical privileges, and Street Medicine protocols.
  • Ensure appropriate medication reconciliation, storage, tracking, and dispensing practices within the Street Medicine program.
  • Identify patients who need a higher level of care and facilitate transfers to emergency departments, hospitals, specialty services, or other healthcare settings.
  • Coordinate transitions of care after emergency department visits, hospitalizations, and specialty consultations.
  • Develop patient-centered care plans that account for medical and behavioral health conditions, substance use, housing instability, transportation limitations, health literacy, and other social determinants of health.
  • Collaborate with clinical staff, outreach personnel, social services, behavioral health professionals, housing personnel, community organizations, and other partners.
  • Build therapeutic relationships through trauma-informed, culturally responsive, and nonjudgmental care.
  • Serve as the supervising attending physician for Internal Medicine residents assigned to Street Medicine rotations.
  • Provide direct field supervision appropriate to each resident’s training level, competency, and demonstrated ability.
  • Review resident assessments, differential diagnoses, diagnostic evaluations, treatment plans, prescriptions, procedures, referrals, and disposition decisions.
  • Personally evaluate patients when clinically indicated and provide attending oversight for complex, unstable, or high-risk patients.
  • Review resident documentation and complete attending attestations and other required documentation accurately and on time.
  • Teach residents about clinical medicine, health disparities, homelessness, social determinants of health, trauma-informed care, harm reduction, healthcare access, and Street Medicine.
  • Provide residents with timely, constructive feedback and complete resident evaluations; communicate significant performance, professionalism, patient-safety, or educational concerns to appropriate leadership.
  • Collaborate with Internal Medicine residency leadership to develop and improve the Street Medicine educational experience and curriculum.
  • Model compassionate care, professionalism, advocacy, interdisciplinary collaboration, and service to vulnerable populations.
  • Participate in Street Medicine-related didactic lectures and research.
  • Provide resident guidance in person and be available by phone when necessary.
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