Market Research for On-Call Pediatric Surgeon.docx

Market Research for 1 FTE ON-CALL Pediatric Surgeon

SPECIFIC TASKS

Position Qualification Statement:

All contract Health Care Providers (HCPs) provided by the Contractor shall meet the qualifications for that specialty and perform essentially the same functions, within the scope of acceptable for their technical professional discipline and standard, as those required by DoW or government service technical professionals of similar experience and in similar duty assignments. Contract employee practices/productivity will be compared to that of other Contract employees assigned to the same medical center.

The Government has the right to test the contract employee the first day of the contract and any time during contract performance to determine whether the contract employee can perform all contract-required skills. If the contract employee cannot perform all those skills, the Government activity may request that the contract employee be replaced with a contract employee that can perform all the contract-required skills.

Basic Services: The contractor shall provide personnel necessary to perform on-call Pediatric Surgeon support to the WRNMMC Division of Pediatric Surgery, Bethesda, MD as defined in this Performance Work Statement except for those items specified as government furnished property and services. The contractor shall meet the standards in this contract.

Specific Tasks:

Labor Catergory: On Call Pediatric Surgeon:

Contractor Qualifications: The Contractor personnel must meet or exceed the following qualification criteria:

· Degree/Education/Certification:

1. Physician will have successfully completed an Undergraduate Program, Medical School (M.D.or D.O.), Internship, and Residency Program

2. Eligible surgeons should be Board Certified/Board Eligible in Pediatric Surgery by the American Board of Surgery and current Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) if required by the client

· Experience:

1. Minimum of one (1) year experience within preceding three (3) years in the specialty.

· Licensure:

1. Valid unrestricted medical license in at least one (1) state, territory or commonwealth of the U.S. and will at a minimum be Board Eligible

Other Qualifications

1. Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers.

2. Shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members.

3. Shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing.

4. Shall be knowledgeable and possess skills necessary to provide care appropriate to any age-related needs of the patients. The Contract HCP shall demonstrate knowledge of the principles of growth and development appropriate to the appropriate patient population served: Infants, Children, and Adolescent.

5. Shall be a U.S citizen.

6. Shall have documentation of current Drug Enforcement Agency number.

7. The Contract HCP shall demonstrate skills in interviewing, examination, assessment, and management of patients with general medical and surgical health problems. Seriously ill patients shall be managed in consultation with or by direct referral to specialty physicians.

8. The health care provider serving in this position must reside within a 65-mile radius of WRNMMC.

Specific Duties/Tasks The Contractor Shall Perform:

The Contract On-Call Pediatric Surgeon shall perform full range of medical services to diagnose, treat, and manage patients care as required, and in strict compliance with standing orders and protocols set forth by the MTF to include, but not limited to, the following: a. The Contract HCP shall perform the following procedures, as required, and in strict compliance with standing orders and protocols set forth by the MTF to include, but will not necessarily be limited to the following:

1. The pediatrician surgeon shall be capable of performing the full range of general pediatric surgical services.

1. Prepare and review case histories and obtain data through interviews of patients.

1. Examine patients and determine required x-ray examinations, and clinical laboratory tests. Medical care shall be provided to all beneficiaries authorized care in AR 40-3.

1. Interpret tests results and evaluate findings.

1. Prescribe specific medication(s), diet, treatment modalities and oversee nursing personnel in providing appropriate care to the patient.

1. Work under the general professional direction of the Chief Pediatric Surgical Services.

1. Be prepared to make recommendations regarding changes on policy or programs as they affect professional services in the specialized area of Pediatric Medicine.

1. Make necessary rounds to inpatients, as needed.

1. Provide consultation services for members of the MTF staff for purposes of specialty area training. As required, the contracted HCP will serve in a teaching capacity to staff members assigned to the MTF and ambulatory clinics.

1. The Contracted HCP is responsible for maintaining accurate clinical records and receiving consultations and laboratory work of specific patients.

1. Provide advice and opinions upon request by the Chief, Pediatric Surgery or the referring physician in support of patient care and treatment.

1. Provide a Statement on Evaluation of Fitness IAW AR-40-501 and provide timely completion of Medical Evaluation Board (MEB) dictation and paperwork.

1. The Contract HCP shall be responsible for providing medical care during the required work hours, including routine call, as designated by the medical treatment facility (MTF), and shall provide immediate evaluation and management of emergent problems as they occur. Contractor shall complete medical charting within 72 hours of patient visit IAW JC guidelines.

1. The Contract HCP shall assume additional administrative or clinical duties as requested or needed to ensure sustainment of normal clinic operations and ensure compliance with JC standards, to include, but not limited to, managing daily schedules, reviewing and disposition consults, monitoring appointment utilization and patient access to care, conducting mandatory clinical training, monitoring clinic supplies and equipment, ensuring enforcement of clinic SOPs and standards, conducting monthly peer review and attend staff meetings.

Schedule and Duty Hours: Staffing and scheduling Applicable to Pediatric Surgeon - Surgery Department

1. ON-CALL. The estimated total number of on-call shifts is five (5) 24-hour periods per month or as deemed necessary by MTF Medical Chief. The Government will prepare specific schedules at least four weeks in advance. However, unforeseen circumstances (IAW paragraph b. below) may not allow for advanced scheduling, and the HCP shall provide coverage not to exceed 55 days per year; provided a bilateral modification is agreed to by both parties increasing the number of days. When on duty, the HCP shall provide pediatric surgeon on-call coverage. The HCP shall function as the primary attending for all MTF pediatric surgery in-patients. The HCPs shall manage and care for these patients and provide oversight to the pediatric surgery patients. The HCP shall also be the primary Pediatric Surgeon to the pediatric floor, Emergency Department, Neonatal Intensive Care Unit (NICU), and Pediatric Intensive Care Unit (PICU). When on duty, on-call coverage services are required 24-hours per day until the government-designated representative is present to take over the service. Coverage hours for services begin at 0700 and end at 0700 the next morning. For weekend coverage, the HCP shall make verbal contact on patient status with the government-designated representative by 0600 Monday morning. THE GOVERNMENT WILL ONLY PAY FOR DAYS WHEN COVERAGE IS PROVIDED.

2. When on duty, the HCP shall be available to provide pediatric surgeon services on an on-call/call back basis, answering telephone questions and reporting to the MTF. When Government personnel have planned absences or are subject to mobilization and deployment, the HCP shall be available to provide on-call coverage with prior notice and agreement of schedules. When on duty, the HCP shall be available via Government-provided telephone or pager. Upon receipt of the Government's initial page during on-call, the HCP shall reply telephonically within fifteen (15) minutes and shall report to the MTF within forty-five (45) minutes of notification. Depending on the nature of the on-call request, the HCP may or may not be required to report to the MTF. The MTF estimates that the HCP will respond, on average, of up to 8-14 calls per month during on-call, and the total number of actual call back occurrences (return to the MTF) is appropriately one (1) to five (5) times per month. However, on-call services are variable and depend on the current level of pediatric surgeon staff and their availability to share on-call services.

3. First line supervision is by the Division Head or his/her relief as appropriate. Middle Management is by the Department Head for the unit or his/her relief and executive management is by the DCN or his/her relief.