PCH Fellow Physician

POSITION: Fellow Physician Perinatal and Child Health (PCH)

Physicians obligations shall include (but not be limited to) the performance of the following responsibilities:

A. GENERAL STATEMENT OF DUTIES

PHYSICIAN shall work full-time in the PCH Fellowship Program of PCC in the performance of the duties and responsibilities as outlined below. PHYSICIANs employment status will be calculated on the average number of 4-hour sessions worked per week agreed to and documented by PHYSICIAN and the Clinic Medical Director. This will be based on an average of eight (8) 4-hour sessions worked per week for a full-time physician.

B. SPECIFIC STATEMENT OF DUTIES

1. PCH Call

• Participate equally as scheduled; responsible for finding coverage when needed
• Stay in touch, aware of entire service at all times; collaborate with PCH attending
• Do pre-op assignment (hx, diagnosis, attending preferences, etc.)
• Dictate/write op notes, post-op order
• Round daily post-op until discharge, daily note, coordinate with 1 OB or PCH resident
• Post-call procedures; assist with discharge planning; attend rounds if possible
• Participate equally in neo/peds oversight and gynecology surgery
• Participate in post-partum rounding
• Complete 2 obstetrics emergency drills

1. PCH Seminar Wednesdays (8:00 a.m.-1:30 p.m.)

• C-Section/M&M Chart Review
• PCH Didactics
  • Review and present journal articles
  • Fellows to present didactic topics
  • Fellowship faculty to present didactic topics
• C-sections and Case conference: emphasize labor management, operative challenges, high risk patient and neo/peds cases of interest, review fetal heart tracings

1. Care Management (should raise questions for project or best practice guidelines)

• PCH case management at all sites on Wednesdays 1:30 p.m. to 5:00 p.m.

1. PCH Manual guidelines

• If time allows, fellows in conjunction with fellowship directors will work to update the electronic PCH manual.

1. Maternal-Infant Mortality Conference 2^nd Tuesday, 8:00 a.m.

• Rotate monthly to present cases, all to attend
• Dictate summary of all transfers, morbidities, and mortalities
• Review any questions prior to the meeting with the M&M chairperson

1. OB Department Meeting 2^nd Friday, 8:00 a.m.

1. Joint Practice Meeting 1^st Tuesday, 8:00 a.m.

1. Project and Best Practice Guideline

• Best Practice Guideline
  • Solve a PCH problem
  • Present at Faculty Development Seminar
• Project completion (refer to the PCH fellow guide for further details some examples below):
  • Quality improvement
  • Chart review on clinical questions (retrospective study)
  • Literature review with PCH manual update and protocol
  • Educational video residents (procedures); patients

1. Outpatient LDRP Follow-Up

• When on LDRP, review labs/culture results on PCH antepartum/triage patients seen as outpatient and provide appropriate follow-up and documentation

1. Primary Clinics

• Completion of designated number of clinic sessions (including continuity clinic and PCH specialty clinics) as determined by the Site Medical Directors, Fellowship Directors, and CMO.
• Scheduling in collaboration with call schedule and under direction of site director or designee.

1. PCH Fellowship Curriculum

• Fellow must comply with the PCH Fellowship Curriculum, including meeting criteria for advancement described in the PCH Fellowship Curriculum.
• Fellows must present two resident lectures regarding the PCH curriculum during their fellowship year.

12. Procedures

• Fellows must complete the designated number of procedures (surgical, ultrasound, etc) as determined by the fellowship directors.

13. Evaluations

Fellows must have evaluations completed on them (40 clinical evaluations and 20 surgical evaluations total) and have evaluations completed on PCH faculty (40 attending evaluations total) on a quarterly basis throughout their fellow year.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed, as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. They are representative to the knowledge, skills, and abilities that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.