Description
The primary responsibility of the hospitalist or inpatient physician specialist is to provide
general medical and pediatric care to inpatients and selected outpatients (e.g., when consultation
is requested by an Emergency Department physician to help determine patient=s disposition, when
consultation is requested in Surgical Services or the Post Anesthesia Care Unit by a surgeon or
anesthesia practitioner for an outpatient). Such care includes obtaining a history from patients
and examination, diagnosis, treatment, and overall coordination of care of general medical and
pediatric patients as assigned.
Schedule and Workload
Physician shall generally work 7-day consecutive shifts (primarily day, but may include some
night shifts) to meet operational needs on a rotating 7 on 7 off schedule.
Average of 2-5 new admissions or consults per shift. Average daily census is 15 on MedSurg and
2 in ICU. 90% adults, 10% Pediatric. 85% Medicine, 14% Surgery, 1% Trauma. 25 total beds, 5
ICU beds.
Compensation
Salaried compensation for a full-time Hospitalist is $120.00 - $125.00 per hour ($262,000-
$273,000 annually based on 2,182 hours annually).
If the Physician provides pediatric on-call coverage, the Physician shall be compensated at the
following on-call rates, not at the hospitalist rate: a)$26/hour for on-call coverage on non-holiday
weekdays. b)$38/hour for on-call coverage on Saturdays, Sundays, or AVH-designated holidays
Requirements:
• Board certified in Pediatrics, Family Practice or Internal Medicine is required.
• Active NH or willing to obtain NH medical license in FP, or IM and Peds.
• Successful completion of ACGME-certified residency program in internal medicine or
family practice.Requirements Continued:
• Possess valid DEA or qualify to obtain DEA.
• Minimum of three years of experience as primary care physician, emergency medicine physician,
or hospitalist preferred.
• Prior experience as a hospitalist strongly preferred, including care of medical patients on med/
surg unit and Intensive Care Unit (ICU), familiarity with CAH, collaboration with nursing and
Care Management staff, and education of and communication with patients/families.
• Ideally looking for a provider who is looking for a place to call home for an extended amount of
time (at least 5 years).
Additional Details:
Provides high quality medical treatment and advice to patients as clinically indicated to achieve
clinical and service excellence.
Facilitates appropriate care of patients during and shortly after hospitalization, such as through
telephone or e-mail contact with primary care practitioner (PCP) after hospital discharge.
Stabilizes patients in life-threatening situations and, when appropriate, arranges for emergency
transport to a physician and/or tertiary care center with appropriate clinical skills/resources.
Together with on-duty Emergency Department physician, leads and participates in Acode team@
for adults. Responds to and provides professional services for emergencies for any hospital
patient as requested (similar to a rapid response team function). Provides neonatal resuscitation
services as indicated.
Performs common medical/pediatric procedures, such as, but not limited to, thoracentesis,
paracentesis, lumbar puncture, arterial line placement, central line placement, arthrocentesis and
joint injections, incision and drainage of superficial abscess, endotracheal intubation and
management of mechanical ventilator, and neonatal circumcision.
Performs rounds on hospitalized inpatients on the medical/pediatric service (observation, acute,
SNF, ICF,) and records thorough, useful, and timely progress notes as assigned. Co-manages
inpatients with surgical colleagues when appropriate. Serves as attending physician for surgical
patients with complex medical needs who do not require emergent operative care (with surgeon
serving as consultant).
During periods of high census or patient acuity in the Emergency Department, temporarily
assists with such workload as time permits (hospitalist primary responsibilities come first) in an
effort to improve timeliness of care and patient satisfaction, within the scope of one’s clinical
privileges.
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