Aerospace Medicine Physician - US Air Force
MacDill Air Force Base, FL
Place of Performance: The work to be performed under this contract will be at 3250 Zemke Ave Bldg. 1078, MacDill AFB, FL 33621 and/or 9208 King Palm Dr. Tampa FL 33619.
Hours of Performance: The performance hours of the MTF are as follows: 0730-1630, 0800-1700, 0830-1730 or 0900-1800 (supervisor discretion)
Scheduling: The schedule or scheduling process is as follows: Monday – Friday
HCWs shall receive notification two weeks prior to the reassignment to another location with a 40-mile commuting radius of their assigned MTF.
Recognized Holidays: Contract HCWs will not be required to work on federally recognized holidays.
Contractor Travel: Reimbursement will not be provided for travel within a 40-mile radius of the place of performance. HCW travel requirements are as follows: N/A
Relocation Costs: will not pay the Contractor to relocate HCWs.
Orientation: Orientation will be paid at the billable rate.
Computer Skill Competency: Each HCW shall demonstrate competency as required in the contract and as follows: Possess ability to acquire and use basic computer skills to enter patient data and extract patient’s information, from a variety of sources to include Composite Health Care System (CHCS), Armed Forces Health Longitudinal Technology Application (ALTHA), Aeromedical Services Information Management System (ASIMS), Aeromedical Information Management Waiver Tracking System (AIMWTS), and Physical Examination Processing Program (PEPP).
MTF Training: Additional training requirements are as follows:
HCWs shall complete all MTF-specified orientation program(s), initial and annual training requirements, and comply with all MTF policies, procedures, productivity standards and instructions as provided by the MTF. This includes all MTF standard operating procedures including but not limited to, advanced coordination of planned time off for Government approval, attendance at meetings, briefings or commander’s calls, notification of government supervisor due to illness or missed duty days. Government furnished training will be provided for the following: Cyber- Awareness Challenge, HIPAA, AFMS SAPR Face-To-Face per AFI 44-102, Safety Storm, Trusted Care. However, additional commander directed training may be added at no additional cost to the contractor. Contract employees shall accomplish training in accordance with deadlines set forth by MDG commander.
MTF Standards: Specific policies, procedures, and instructions/regulations for HCWs will be required to personally record hours worked in the Defense Medical Human Resources System– internet (DMHRSi) systems required by the MTF.
Physical Capability: All HCWs shall be physically capable of performing for extended periods of time as established in the task order. The nature of this work will, at times, demand the contracted HCW be capable of responding to urgent/emergency medical issues. Physical capability will be determined by the MTF.
Participation in Emergency Preparedness Plans: All HCWs shall participate in emergency preparedness plans (drills and actual emergencies) within the MTF as scheduled by the MTF (typically semiannually). HCWs will be required to provide contact information to the Government supervisor upon commencement of services as part of a recall list in advance of an actual emergency. If an emergency occurs, the Government supervisor will contact the health care worker with shift and reporting instructions. Government Endorsement: The Government may not offer the Contractor or HCW signs of recognition or appreciation for exceptional performance. The Air Force is prohibited from providing awards to individuals or entities in a profit making or commercial relationship (see section 2.8.5, AFI 36-1004). Should HCWs be mentioned in team awards with Government employees, these actions shall not constitute Government acceptance of the Contractor’s performance unless made in writing by the ordering CO. Contractors shall not represent themselves as endorsed by the Government in any manner, including any marketing or promotional materials.
Contractor Identification: All contracted HCWs shall clearly be identified as such at all times, including conversations, mail, email, faxes, and/or other electronic communication whether with Government personnel, other contractor personnel, or with the public when supporting this contract. Likewise, HCWs shall abide by all applicable laws and regulations when using Government equipment and services in the performance of this contract. At a minimum, HCWs shall clearly identify themselves as contractors by (1) wearing badges that clearly and legibly identify themselves as contractors, (2) using the label “Contractor” in e-mail addresses IAW Federal Acquisition Regulation (FAR) 37.114, Special Acquisition Requirements, and (3) including the employing contractor’s name in the letterhead and/or signature block of any written correspondence. HCWs shall wear identifying badges (e.g. MTF-issued identification badge and/or contractor badge) above the waistline during duty hours.
Dress and Appearance: HCWs will maintain good personal hygiene and a well-groomed, professional appearance as outlined in MTF policies. Dress attire will be set by MTF policy. English Language Requirement: All HCWs on this contract shall read, understand, speak and be understood, and write English fluently as determined by the Government supervisor during the competency- based interview process for Government approval (see Section C, 2.4.18 for the Government competency-based interview process).
Occupational Health: The HCW ☒shall ☐shall not be required to obtain documentation of required physical testing or a report of a physical examination.
Tuberculosis Screening: The additional immunization/screening requirements for the risk of exposure to tuberculosis (TB) are as follows:
Tuberculosis. In those areas where there is a higher risk of transmission of tuberculosis, contracted HCWs may be tested frequently as directed by the MTF policy. This test will be provided by the MTF
Competency-Based HCW Interviews: Prior to HCW placement, the Government will contact the HCW to determine if the HCW meets the requirements set in the contract and/or task order.
- Degree/Education: Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.). Possesses a doctor of medicine degree or a doctor of osteopathy degree from an approved school of medicine or osteopathy. Graduate from an accredited medical school in the United States or Canada. This degree must have been accredited by the Council on Medical Education of the American Medical Association; Association of American Medical Colleges; Liaison Committee on Medical Education; Commission on Osteopathic College Accreditation of the American Osteopathic Association, or an accrediting body recognized by the U.S. Department of Education and the Accreditation Council for Graduate Medical Education (ACGME) at the time the degree was obtained (e.g. Royal College of Physicians and Surgeons of Canada (RCPSC), College of Family Physicians of Canada (CFPC). A Doctor of Medicine or equivalent degree from a foreign medical school must provide education and medical knowledge substantially equivalent to accredited schools in the United States. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country, or successful completion of the U.S. Medical Licensing
- Possess current Basic Life Support
- Board eligible or board certified as required in the TO. Certification: Current board certification in Aerospace Medicine is highly recommended. If not board certified in Aerospace Medicine, then must show proof of completion of any medical residency program and must have a minimum of 3 years of U.S. military Flight Surgeon experience.
- Licensure/Registration: Current, full, active, and unrestricted license to practice medicine
- Internship/Residency: Successful completion of an internship and residency program (Corresponding to the specialty required in the TO) which has been approved by the Accreditation Council for Graduate Medical Education or the Committee on Postdoctoral Training of the American Osteopathic Association. Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathy degree, a candidate must have had at least 1 year of supervised experience providing direct service in a clinical setting (i.e., a 1-year internship or the first year of a residency program in a hospital or an institution accredited for such training). For purposes of this requirement, graduate training programs include only those internship, residency, and fellowship programs that are approved by accrediting bodies recognized within the United States or Canada. Descriptions of such programs are described below.
- An internship program involves broadly based clinical practice in which physicians acquire experience in treating a variety of medical problems under supervision (e.g., internal medicine, surgery, general practice, obstetrics gynecology, and pediatrics). Such programs are in hospitals or other institutions accredited for internship training an appropriate accrediting body.
- A residency program involves training in a specialized field of medicine in a hospital or an institution accredited for training in the specialty by an appropriate accrediting body.
- A fellowship program involves advanced training (beyond residency training) in a given medical specialty in either a clinical or research setting in a hospital or an institution accredited in the United States for such training.
Experience: As required to meet clinical competency requirements specified in the Service-specific credentialing instructions. The applicant must have a minimum of 35 hours of direct patient care in the past year. Applicant must have a minimum of 3 years' experience in the last 10 years having served as a privileged flight surgeon at a US Military installation, with experience in: U.S. military medical standards to conduct special operational evaluations, including (but not limited to) PHA for flyers/special duty personnel, initial certification exams for flying/special duty applicants. Aeromedical disposition for flying/special operational duty. Conducting adaptability rating assessment for military special duty applicants. Applying medical, fitness and profiling standards IAW AFIs48-123, 36-2905 and 10-20 including profiling and duty restrictions as Profile Officer). Providing primary care for active duty personnel and their family members
- Perform a full range of physician services in accordance with privileges granted by the MTF.
- Direct, perform, or assist in the instruction of other health care professionals within the scope of the clinical privileges or responsibilities.
- Examine, diagnose, treat or prescribe courses of treatment within the scope of training, experience, and privileges.
- Provide preventive and health maintenance care, including annual physicals, positive health behaviors, and self-care skills through education and counseling.
- Technically proficient in directing and teaching other medical staff, providing educational lectures and participating in the provision of in-service training to clinic staff members. Such direction and interaction will adhere to Government and professional clinical standards and accepted clinical protocols.
- The applicant must be able to locate, interpret and apply current regulations including: AFI 48-123, AFI 36-2905, AFI 10-203, DoD 5210.42R, and AFMAN 13-501.
- The flight medicine physician shall provide health care to beneficiaries assigned to the Flight Medicine Clinic, Occupational Health Clinic, or other civilian Flight Medicine physician positions as defined by the MTF. These tasks include performing primary care and occupational health clinician duties and the associated administrative tasks.
- Care shall include but not be limited to continuing, comprehensive health maintenance and provision of medical care, including preventive medicine, behavioral health, occupational health, and community health.
- The civilian Flight Medicine physician may become the primary care manager (PCM) for a panel of patients. As a PCM, the flight medicine physician will be the primary person responsible for the management of the health and wellness of his/her assigned patients. Duties include:
- Examination of patients, formulation of differential diagnostic plans, ordering of appropriate diagnostic testing.
- Interpretation of examination findings and test results, and implementation of treatment plans.
- Determination of the need for consultation and assisting in medical care and treatment provided at the direction of other specialists.
- Approving/disapproving subspecialty referrals.
- Directing case management activities
- Answering patient telephone consults with the assistance of clinic staff.
- Providing primary and secondary preventive maintenance care.
Order diagnostic tests as applicable as well as request consultation or referral with appropriate physicians, clinics, or other health resources as indicated.
The Chief, Flight Medicine Clinic will assign specific duties/patient care assignments, and other duties deemed necessary. All inpatients will be admitted as per the local MTF instructions.
Diagnose and treat a wide-range of adult acute and chronic diseases and injuries including but not limited to conditions of the:
- Pulmonary System
- Gastrointestinal System
- Musculoskeletal System
- Genitourinary System
- Reproductive System
- Lymphatic System
- Central Nervous System Cardiovascular System Endocrine System
- Psychiatric and Behavioral Health
Perform medical procedures and maintain certification where appropriate to include, but not limited to, the following:
- Basic Life Support
- Secure and maintain an adequate airway, to include endotracheal intubation
- Cardioversion of life threatening arrhythmias
- Simple minor surgical procedures: punch biopsies, excision of skin lesions
- Simple abscess incision and drainage
- Nail trephination
- Sling or swath injuries
- suture simple laceration
- Suture removal
- Nebulizer treatment
- Bladder catheterization
- cultures (throat, wound)
- Remove ocular, nasal and ear foreign bodies
- Clearing of ears by flush technique
- Reduce simple dislocations and fractures, when appropriate
- Bandaging of sprains, minor burns, and minor lacerations
- Perform venous punctures for lab studies and interpret results
- Administer intravenous, intramuscular and subcutaneous medications as appropriate
- Stabilize and evaluate cervical spine injuries as appropriate
- Splint and stabilize traumatic injuries to extremities
Review, interpret, and act upon medical surveillance data relating to the occupational Health program.
Prepare records and reports as required in support of services rendered in accordance with established procedures.
Attend and participate in patient care reports, review meetings, patient care conferences, team conferences, professional staff conferences and other appropriate professional activities only to the extent that such attendance and participation is relative to assigned cases and/or performance of services.
Civilian flight medicine physicians will not fly (as part of their duties), or participate in exercises beyond the scope of medical care specified in their privileges and/or credentials. They will not be utilized as Squadron Medical Element physicians.
Credentialed civilian flight medicine physicians may respond to HAZMAT and in- flight emergencies. After hours coverage will only be provided if requested by local authorities and written into local contract.
Conduct special operational evaluations and determinations, including (but not limited to):
- PHA for flyers/special duty personnel.
- Initial certification exams for flying/special duty applicants (including foreign military personnel attending US military training, initial health screening for foreign military personnel attending US military training).
- Conduct adaptability rating assessment for military special duty applicants
- Make PRP/PSP determinations IAW DoD 5210.42R and AFMAN 10-3902.
- Aeromedical Dispositions: Civilian Flight Medicine providers will be llowed to make aeromedical dispositions ONLY if they meet the Qualifications criteria listed in section 1. Aeromedical dispositions must be specifically listed on the Flight Surgeon's credentials and privileges list, which requires initial review and approval by the MTF's SGP. The term "aeromedical disposition" includes drafting and reviewing aeromedical waivers, approving DNIF/DNIC, and return-to-fly 1042s. Exceptions to this policy require approval from AFMSA/SGPF. Civilian Flight Surgeons will be granted base-level waiver authority only on approval of MAJCOM/SGP.
- Apply medical, fitness and profiling standards IAW AFIs 48-123, 36-2905 and 10-203 (including profiling and duty restrictions as Profile Officer).
Complete deployment health assessments IAW DHA policy
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