The PRIMARY HEALTH CARE PHYSICIAN shall perform essentially the same services as those required by any government service PHYSICIANS of similar experience and in similar duty assignments. Therefore, while specific tasks are outlined as listed below, responsibilities include but are not necessarily inclusive of tasks in which the PHYSICIAN shall provide.

All services shall be performed in accordance with established principles, practices, and ethics of the medical, and specialty professions/organizations. The standards of performance for all PHYSICIAN provided by contractor shall reflect the degree of care, skill, and learning expected of a reasonably prudent Emergency Medicine Physician.  The PHYSICIAN shall be board eligible or board certified in their respective training. The Physician must maintain a current unrestricted license to practice in any state or territory of the United States, the Commonwealth of Puerto Rico or the District of Columbia. The Physician must have and maintain current certification in Basic Cardiac Life Support (BCLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS).

Required Qualification:

• Shall have a minimum of one year experience within the last three years working as a Family Practice, Internal Medicine, or Emergency Medicine Physician or have just graduated from one of the noted acceptable residency programs.
• The Family Practice PHYSICIAN(s) must have successfully completed an accredited residency in a Family Medicine training program.
• The Internal Medicine PHYSICIAN(s) must have successfully completed an accredited residency in an Internal Medicine training program.
• The Emergency Medicine PHYSICIAN(s) must have successfully completed an accredited residency in an Emergency Medicine training program.
• Shall hold a Doctor of Medicine (M.D.) degree from an accredited college approved by the Council on Medical Education and Hospitals of the AMA or Doctor of Osteopathy (D.O.) degree from a college accredited by the American Osteopathic Association.
• Shall possess and maintain all current regulatory requirements for certification and/or licenses to practice medicine and a current Drug Enforcement Administration (DEA) Registration Certificate in accordance with the laws of the state where the services are being provided.
• The PHYSICIAN shall be a U.S. Citizen.

Job Responsibilities: The PHYSICIAN will see patients either in the Acute Care Clinic (ACC) and/or in a primary care setting.  The PHYSICIAN will see walk-in patients and/or have scheduled appointments available to see acute and primary care patients. The duties include but are not limited to the following:

• Shall have sufficient experience to be able to perform tasks and medical procedures which may include, but are not limited to, the following:
• Incision and drainage Cultures (throat, wound)
• Nail trephination Secure and maintain an adequate airway
• Sling or swath injuries Remove foreign bodies, as appropriate
• Suture simple laceration Clearing of ears by “flush” technique
• Suture removal Cryotherapy
• Nebulizer treatment Urine catheterization
• Venipuncture
• Bandaging of sprains, minor burns, and minor lacerations
• Perform venous punctures for lab studies and interpret results
• Splint and stabilize traumatic injuries to extremities
• Complete all required paperwork
• Obtain adequate history, physical assessment, and develop a plan in a timely and appropriate manner on each patient and develop a treatment plan
• Utilize paraprofessional staff, as appropriate

Contract PHYSICIAN(s) shall have sufficient experience to be able to perform tasks and medical procedures which may include, but are not limited to, the following:

• Incision and drainage Cultures (throat, wound)
• Nail trephination Secure and maintain an adequate airway
• Sling or swath injuries Remove foreign bodies, as appropriate
• Suture simple laceration Clearing of ears by “flush” technique
• Suture removal Cryotherapy
• Nebulizer treatment Urine catheterization
• Venipuncture
• 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
• Splint and stabilize traumatic injuries to extremities
• Complete all required paperwork
• Obtain adequate history, physical assessment, and develop a plan in a timely and appropriate manner on each patient
• and develop a treatment plan
• Utilize paraprofessional staff, as appropriate
• Respond to cardiopulmonary arrest, as appropriate

Contract PHYSICIAN(s) shall have sufficient experience to be able to adequately diagnose and treat diseases and injuries to include, but not limited to, the following:

• Upper and Lower Respiratory Infections
• Ear, Eye, Nasal, and Lung Infections
• Skin Disorders and Infections
• Minor Heart Disorders
• Minor Allergic Reactions
• Simple Hay Fever
• Asthma
• Eczema
• Must become familiar with the MTF formulary and prescribe pharmaceuticals according to the availability of drugs listed therein.
• Ensure that the highest standards of professional practice and ethics are maintained; that established operating policies are adhered to, and that medical records are properly safeguarded and maintained.
• Attend and participate in patient care reports, 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 her/her assigned cases and/or performance of contract services as determined by the Chief, Primary Care (PC).
• Prepare and maintain proper medical records IAW AR 40-66, Medical Records and Quality Assurance
• All records generated in the performance of this contract remain the property of the government.
• Providers shall participate in the quality control activities of the department.
• At the discretion of the MTF, the PHYSICIAN shall spend one hour, once a quarter, reviewing a percentage of another provider’s charts. The Chief, PC will randomly pull the charts and assign them to the contract Physician for review and provide the provider with a checklist for each chart. The checklist will contain such areas as legibility, documentation, results of labs, x-rays, etc. The PHYSICIAN shall return the checklist to the Chief, PC citing any deficiencies found. The Chief, PC will recommend any corrective action(s) deemed necessary.

All contract providers shall abide by the Military Treatment Facilities (MTF), policies, rules, and Army Regulations. All contract providers shall maintain and support the standards necessary to meet Joint Commission (JC) and CMS (Centers for Medicare and Medicaid Services) certification

 Staffing and Scheduling:

The Military Treatment Facility (MTF) provides services 355 days a year, which excludes federal holidays (subject to change). The Acute Care Clinic hours of operation are 1200-2000 Monday through Friday and 0800-1600 Saturday and Sunday.  PHYSICIAN(s) may be allowed time, not to exceed 60 minutes for an unpaid lunch. Lunch is not included in shift hours.  The PHYSICIAN(s) shall be prepared to be the sole provider of medical treatment in the Acute Care Clinic (ACC) and shall remain in the ACC or immediately available to the ACC throughout the shift. Overtime is not authorized.