To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The primary function of the Physician working for the Hospitalist Service is to provide comprehensive care to medicine inpatients in collaboration with Physician Assistants (PA) and Nurse Practitioners (NP), Associate Director(s), Director and Senior Manager of the Hospitalist Service.
Responsibilities: 1. Clinical Practice: 1.1. At the instruction of the Associate Director(s) and Director or his/her designee, provides care of medicine inpatients assigned to the Hospitalist Service, ensuring safe, high quality, patient-centered and efficient care. 1.2. Identifies healthcare needs and assesses the status of medicine inpatients and coordinates post-discharge follow-up care. 1.3. For new inpatients, obtains comprehensive health histories and performs complete physical examinations. The Physician ensures that admission orders for appropriate laboratory and diagnostic imaging tests are entered, as well as orders for therapy. 1.4. Rounds daily on assigned patients and has the primary responsibility for developing the patient's plan of care. Discusses plan of care with responsible PAs/NPs. Regularly communicates with PAs/NPs to obtain patient status information and test results. Communicates any changes in the plan of care to the responsible PA/NP. 1.5. Is available to PAs/NPs throughout the day to provide back-up Attending physician coverage for all patients assigned to the Hospitalist Service, including cardiology, oncology, MICU overflow and private patients. 1.6. Identifies self to assigned patients and their families as the Hospitalist Service Physician responsible for their care. Explains Hospitalist Service/team model to patients and their families and provide patients with picture cards and/or business cards for each initial visit. 1.7. Identifies self as Attending Physician in Epic for each patient assigned. 1.8. Performs necessary invasive diagnostic and therapeutic procedures, as credentialed by Yale-New Haven Hospital Office of Physician Services, or supervises PAs/NPs or PA/NP students doing the same. 1.9. Directly supervises medical students, residents and interns during rotations on resident teams, including the supervision of procedures. 1.10. Serves as a liaison to patients and their families. 1.11. Regularly communicates patient treatment plans to patients. 1.12. Serves as the attending on the Medicine Consult Service. 1.13. Regularly communicates patient treatment plans to patients' primary care physicians in the community. Alerts primary care physicians upon patient admission, and communicates with them regularly through discharge. 1.14. Responsible for all aspects of patient care, including clinical documentation, order entry, test approval, obtaining consultations and following up on test results. Documentation should be daily, timely and clearly express assessment and plan of care. Communicates with consultants, nursing and other ancillary staff as appropriate. May be assisted by PA/NP in these responsibilities. 1.15. Educates patients and families about transition needs. Completes patient discharge summaries at patient discharge and may assist PA/NP with other discharge paperwork, including the W-10 and prescriptions. Signs all discharge summaries in a timely manner to prevent suspension from the Yale-New Haven Hospital medical staff. 1.16. Shares the responsibility of carrying the admission pager and performing admissions, as well as carrying the Rapid Response Team (RRT) pager and staffing the Rapid Response Team as appropriate for campus requirements. 1.17. Promotes the dissemination of the newest clinical evidence in literature to improve patient care. 1.18. Offers assistance to other team members. 1.19. Communicates important information about patients for to nighttime physicians via daily updated written sign out in Epic, with verbal sign out opportunity as appropriate. 1.20. Serves as supervising and collaborating physician for PAs and NPs, respectively. Meets with mid-levels to review notes and completes paperwork at the annual chart/delineation review required by Physician Services. 1.21. Takes steps to maximize individual and team patient satisfaction. 2. Education 2.1. Identifies information needs of team members, patients and families. Regularly provides related teaching and education to unit nurses and PAs/NPs, including students from the Yale University School of Medicine Physician Associate Program. May also teach medical students, internal medicine residents, dental residents and observers. 2.2. Acts as a clinical resource for residents and fellows, and as a role model/preceptor for PAs/NPs. Maximizes opportunities in the clinical setting for informal education of staff, patients, and families. 2.3. Assists in orientation of new PAs/NPs and Physicians working for the Hospitalist Service. 2.4. Actively researches information on Hospitalist Service patient medical conditions and shares information with other team members and students. 2.5. Participates in Hospitalist Service educational conferences and attends Grand Rounds, as time permits. 2.6. Participates in a level of continuing medical education (CME) activity annually that meets all medical staff reappointment criteria and improves the quality of care provided by the Service. 3. Quality Improvement/Customer Satisfaction 3.1. Participates in team-based quality improvement and patient/customer satisfaction initiatives. 3.2. Responds to patient complaints and reports patient satisfaction concerns to Patient Relations Department and Associate Director(s), Senior Manager or Director so that appropriate action may be taken before patient discharge. 3.3. Ensures medical record documentation meets YNHH, State and Federal guidelines, clearly documenting patient diagnosis and medical information required for legal and billing purposes. Co-signs all PA/NP medical record notes. 4. Patient Safety 4.1. Practices medicine in a manner to maximize patient safety. 4.2. Immediately reports any concerns about patient safety in RL solutions or to Associate Director and/or Director as appropriate. 4.3. Follows all Yale-New Haven Hospital patient safety policies and procedures for healthcare providers. 4.4. As a healthcare provider, is responsible for reporting adverse or potential adverse events related to patient care. 5. Operations 5.1. Follows all NEMG and YNHH policies and procedures. 5.2. Responds to pages in a timely manner until night shift assumes responsibility and notifies administrative staff if pager is lost, stolen, or malfunctioning. 5.3. Completes all mandatory training requirements related to HIPAA, Emergency Management, patient safety, or as assigned. 5.4. Ensures the required licensure and certifications are kept up to date and that NEMG always has copies of current licenses and certificates. 5.5. Attends all team meetings, as required. 5.6. Bills for all inpatient services daily. 5.7. Dresses and acts professionally at all times. 5.8. Work hour responsibilities: Monday-Friday during the regular workday. Reports to work by 8:00 a.m. (7:00 a.m if RRT or holding the coverage pager) and expected to work and/or provide coverage until 5:30 p.m. each day. Hours may vary as needed dependent on patient volume and acuity. 5.9. Weekend and Holiday requirements are based on FTE status. Reports to work by 8:00 a.m. (7:00 a.m. if holding the coverage pager /doing RRT) and provide coverage until 6:00 p.m.. Hours may vary as needed dependent on patient volume and acuity.
M.D. degree, full residency training and Board eligibility/certification in internal medicine mandatory. Must have attending medical staff privileges at Yale-New Haven Hospital,.
Two (2) years caring for medicine inpatients with teaching responsibilities/experience preferred.
Hold a valid Connecticut medical license, Connecticut Controlled Substance Registration and Federal Drug Enforcement Agency (DEA) Certification.
Excellent clinical, interpersonal and organizational skills. Ability to work independently.
Accountable to conduct accurate and appropriate evaluation, care, and coordination of care of medicine inpatients.
Evaluates, manages, and coordinates care of medicine inpatients as part of the Physician-PA/NP team. Works with Associate Director(s), Director and/or Senior Manager on special projects as assigned.
MMR is required. Varivax (chicken pox vaccine) or evidence of prior chicken pox is required. Hepatitis B (or signed declination) is required for those with potential exposure to blood/body fluids.
Tdap and influenza vaccination are strongly encouraged.
Works weekends.Reports to work by 8:00 a.m. (7:00 a.m. if making the List) and expected to work until at least 1:00 p.m. on weekend days. Hours may vary as needed dependent on patient volume and acuity.