Internal Medicine Physician/Hospitalist - Wright-Patterson AFB, OH
Internal Medicine Physician/Hospitalist
Location: 88th Medical Group, Wright Patterson AFB Medical Center, Internal Medicine
Period of Performance: 1 Sept 2019- 31 Aug 2020
Place of Performance: The work to be performed under this contract will be at Internal Medicine Clinic, 88th Medical Group, 4881 Sugar Maple Drive, Wright- Patterson Air Force Base, Ohio 45433-5529. HCWs shall receive notification two weeks prior to the reassignment to another location within a 40-mile commuting radius of their assigned MTF.
Due to the relative unpredictability of the military mission, the occasion of deployed or otherwise occupied service members can disrupt the provision of health care in specialized medical product lines, especially those of one-deep skill sets. When a key staff member is deployed or otherwise occupied for extended periods, the remaining product line FTEs may be left struggling to be gainfully employed. Flexibility is required to temporarily move contracted staff within the Squadron to similar duty responsibilities/locations, within their credentialed scope of practice and the days/times
Hours of Performance: The performance hours of the Internal Medicine Clinic at the MTF are as follows: 0730-1630, Monday thru Friday
Call-Back Hours: N/A
On-Call Hours: N/A
Scheduling: The schedule or scheduling process is as follows:
Member will be given at least two week advanced notice for any schedule modifications of this contract
Planned Closures/Other Non-Duty Days: The MTF will be closed on the following planned closure/other non-duty days:
The Contractors will be notified of any planned closures at the time of award and when each subsequent option year is exercised. If planned closure is unknown at time of award or option exercise, the Contractor will be notified as soon as a planned closure is identified by MTF leadership.
Recording HCW Time: HCWs are required to submit hours worked in the Defense Medical human Resource System Internet (DMHRSi) program. The contractor shall report any absence to the TOKO and COR upon Knowledge of the scheduled or unscheduled absence.
Closures: During a planned closure of the facility due to training, holiday or unplanned closure due to unusual and compelling circumstances (e.g., natural disasters, military emergencies, severe weather), the Contractor will be compensated for the unplanned closure (personal services only)
Mission Essential: The following labor categories are designated as mission essential: N/A
WPAFB OPSEC Requirements: OPSEC requirements are required in an effort to reduce program vulnerability from successful adversary collection and exploitation of critical information. The contractor and contractor employee shall apply OPSEC in the performance of their position description and PWS IAW AFI 10-701 Operations Security.
Contractor Travel: Reimbursement will not be provided for travel within a 40-mile radius of the place of performance.
Relocation Costs: N/A
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: N/A
MTF Training: Additional training requirements are as follows:
MTF Newcomers Orientation and Training Requirements to include, but not limited to: Safety Storm Training, Health Insurance Portability and Accountability Act (HIPAA), Trusted Care Training, Green Dot, Sexual Assault Prevention and Response (SAPR), Suicide Prevention, Computer Based Training from sites including Advanced Distributed Learning Service (ADLS)/MEDLEARN, Joint Knowledge Online (JKO), and Swank Healthcare.
MTF Standards: Specific policies, procedures, and instructions/regulations for the place of performance are as follows:
HCWs will comply with all relevant AFI’s, MDGIs, policy letters and HHQ directives. Additional, job specific requirements are listed in the included Internal Medicine Clinic Daily Operations Instructions (SGOMI 46-01)
Occupational Health: The HCW shall be required to obtain documentation of required physical testing or a report of a physical examination.
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. The Competency-Based HCW interview may be waived if the Government concludes it is not required to determine if the HCW meets the requirements set in the contract and/or task order.
Minimum Requirements: Internal Medicine / Hospitalist Qualifications
- Degree/Education: Provide copies of MD/DO diplomas, certificate(s) of internship/residency training, and fellowship (if applicable) from accredited university
If applicable, graduate of foreign medical schools must submit a copy: Education Commission for Foreign Medical Graduates Certificate (ECFMG) or fifth Pathway Certificate. NOTE: Contractor shall provide original PSV of the ECFMG.
- Shall provide copy of National Provider Identifier (NPI) documentation.
- BLS and ACLS: HCWs shall maintain current certification in Basic Life Support (BLS) for Healthcare Providers in accordance with Medical Group policy using published national guidelines for BLS (currently Red Cross BLS is in use), which includes both learning and psychomotor skills portions. Certification is not available at the MTF’s Education and Training section.
- Provide copy of current certificate of Advanced Cardiac Life Support (ACLS).
- Experience: Shall have practiced as a Physician – Internal Medicine / Hospitalist for at least 24 of the past 36 months.
- Board Certification: Current board certification by the American Board of Internal Medicine or the American Osteopathic Board of Internal Medicine
- Licensure/Registration: Current, active, unrestricted license to practice Medicine
Duties: The duties for the HCW are as follows:
- Facilitate patient access to medical care by recommending appropriate referrals to other healthcare providers in accordance with MTF policies and regulations.
- Provide services for patient as scheduled by the government.
- Care shall include but not be limited to routine general internal medicine care, to include care for acute and chronic patient conditions.
- The provider will be assigned a panel of 800 adult patients of above-average complexity. If the provider chooses to participate in Graduate Medical Education s/he may serve as preceptor for PGY1, PGY 2 and PGY3 Internal medicine residents seeing outpatient clinic. If the HCW is included in the outpatient preceptor schedule, the empanelment will be set at 650.
- Outpatient duties include but are not limited to managing ambulatory patient care, to include approving/disapproving subspecialty referrals, performing outpatient ambulatory procedures including but not limited to arthrocentesis and cardiac stress testing, answering patient telephone consults with the assistance of clinic staff, refilling prescriptions, providing primary and secondary preventative maintenance care, and providing periodic direct and indirect supervision of residents providing outpatient care.
- Precepting duties involve supervising up to four PGY1, PGY2 or PGY3 IM residents as they see their own outpatient clinics. While precepting, the provider may perform other administrative duties but should not engage in other direct patient care and should remain available to assist in the care of patients being seen by supervised residents. The provider will be responsible for providing direct supervision for PGY1 residents and at minimum indirect supervision for PGY2 and PGY3 residents, and will be responsible for co-signing resident.
- documentation in a timely manner.
- Candidates should have sufficient experience to be able to adequately diagnose and treat diseases and injuries typical to high acuity and geriatric patients, to include (but not limited to) the following:
- Cardiovascular diseases: Congestive heart failure, hypertension, arrhythmias, acute myocardial infarction, pulmonary embolism
- Respiratory diseases: Asthma, chronic obstructive pulmonary disease, bronchitis, and sequelae of pulmonary thromboembolism
- Gastrointestinal diseases: Peptic ulcer disease, gastritis, pancreatitis, cirrhosis, alcoholic liver disease
- Endocrinology: Diabetes mellitus, thyroid disease, adrenal insufficiency, other endocrinopathies
- Rheumatology: Sarcoidosis, degenerative joint disease, gout, rheumatoid arthritis
- Renal: acute and chronic renal insufficiency, urinary tract infections, electrolyte abnormalities
- Infectious diseases: Infectious diarrhea, bacterial infections, infections of immunocompromised patients, tuberculosis, influenza
- Neurology: Epilepsy, cerebrovascular disease, dementia
- Candidates should have sufficient experience to be able to adequately perform the following medical procedures, to include but not limited to:
- Electrocardiogram (ECG) interpretation
- Initial review of plain film radiographs
- Prepare all records and reports as may be required and supportive services rendered and as required by the MTF.
- Take part in clinic quality assurance programs, including Peer Review, as required to meet the standards of the Joint Commission on Accreditation of Healthcare Organizations.
- Voluntary/optional participation in educational activities involving the internal medicine residents; these activities may include giving lectures to residents, supervising residents in clinic, and mentoring residents.
Clinical Competency: Each HCW requesting clinical privileges shall be required to demonstrate clinical competency within the past two years in the required clinical discipline as specified in this PWS. All internal medicine providers undergo peer evaluations in Focused (initial and responsive) and Ongoing (routine) Provider Peer Reviews throughout their employment at WPAFB.
Security Investigative Requirements: The Contractor shall ensure HCWs comply with the following security requirements not already identified in the contract PWS:
HCWs shall be subject to the following additional security investigative processes, to include appointments with Security Managers:
HCWs shall be subject to the following security processes for fingerprints: Fingerprinting is scheduled for the HCW once the member completes e-QIP submission. The Security Manager releases e-QIP to the base-level Security Information Protection Office and the base-level Security Information Protection Office to schedule the fingerprinting.
Schedule Management for Personal Services: The work schedule for Physician – Internal Medicine 0730-1630 hours M-F with one hour unbillable lunch.
Overage Hours: Physician – Internal Medicine, 200 billable overtime hours per each contract period of performance year.
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