Hospitalist - VAMC, Biloxi, MS – Long-Term Contract

Location: 400 Veterans Avenue Biloxi, MS 39531-2410

7a-7p and 7p-7a (12 hour shifts)

• Starts Approx: 10/1/21-9/30/22 with (4) 1 year options to extend
• Board Certified or Board Eligible Internal Medicine Hospitalists
• BLS, ACLS, DEA
• Airway Management (OORAM) qualified for intubations. Physicians will familiarize themselves with and strive to follow the Emergent/Urgent Airway Management Algorithm for patients requiring emergent airway management outside of the OR environment.

Scope of Care: Contractor’s physician (s) (as appropriate and within scope of practice/privileging) shall be responsible for providing Hospitalist care, including, but not limited to:

Evaluation, Treatment and Management: Contractor’s physicians shall admit and coordinate all aspects of care for hospitalized medical patients including: Admission, including history and physical examinations. Appropriate placement within the Hospital. Evaluation and treatment, including the ordering and interpretation of diagnostic studies, including laboratory, diagnostic imaging, and electrocardiographic examinations, and the administration of medications normally considered part of the practice of hospitalist medicine. Discussion of end of life preferences/advanced care planning. Consultations with sub-specialists. Timely and proactive discharge planning. Coordination of care with primary care physician. Discharge including ensuring appropriate follow-up is arranged. This may include perioperative care but generally excludes preoperative assessments of patients for determination of fitness for surgery. Contractor’s physicians shall provide care to patients in critical/acute care settings in conformance with VA policies. Contractor’s physicians shall assess, stabilize, and determine the disposition of inpatients with emergent conditions consistent with medical staff policy regarding emergency and consultative call services. This includes running code teams and rapid response teams.

The core privileges in this specialty include the procedures on the procedures list (below) and such other procedures that are extensions of the same techniques and skills. This is not intended to be an all-encompassing procedures list. It defines the types of activities/procedures/privileges that the majority of practitioners in this specialty perform at the VA and inherent activities/procedures/privileges requiring similar skill sets and techniques. Integumentary Procedures. Abscess incision and drainage. Wound debridement. Insertion of sutures; simple, mattress, and subcuticular Wound closure. Skin biopsy; shave, punch, and excisional. Excision of dermal lesions, e.g., papilloma, nevus, or cyst Cryotherapy of skin lesions. Electrocautery of skin lesions. Skin scraping for fungus determination. Use of Wood’s lamp. Release subungual hematoma. Drainage acute paronychia. Partial toenail removal. Wedge excision for ingrown toenail. Removal of foreign body, e.g., fish hook, splinter, or glass Pare skin callus. Local Anesthetic Procedures. Infiltration of local anesthetic Digital block in finger or toe. Eye Procedures. Instillation of fluorescein. Slit lamp examination. Removal of corneal or conjunctival foreign body. Application of eye patch. Ear Procedures. Removal of cerumen. Removal of foreign body. Nose Procedures. Removal of foreign body. Cautery for anterior epistaxis. Anterior nasal packing. Cardiothoracic Procedures. Removal of chest tube. Thoracentesis. Gastrointestinal Procedures. Nasogastric tube insertion. Reinsertion of gastric tube. Fecal occult blood testing. Anoscopy/proctoscopy. Incise and drain thrombosed external hemorrhoid. Paracentesis. Genitourinary and Women’s Health Procedures. Placement of transurethral catheter. Reestablishment of suprapubic catheter. Cryotherapy or chemical therapy genital warts. Aspirate breast cyst. Pap smear. Musculoskeletal Procedures. Splinting of injured extremities. Application of sling—upper extremity. Reduction of dislocated finger. Reduce dislocated radial head (pulled elbow). Reduce dislocated shoulder. Application of forearm cast. Application of ulnar gutter splint. Application of below-knee cast. Aspiration and injection of joints except ankle and hip Injection of lateral epicondyle (tennis elbow). Aspiration and injection of bursae, e.g., patellar, subacromial. Resuscitation Procedures. All ACLS procedures. Removal of lines and tubes. Other. Lumbar Puncture.

Inpatient Admissions: Contractor’s physician (s) shall review all admissions to inpatient hospital care recommended by Mid-level (Physician Assistant or Nurse Practitioner) provider. Every admission to inpatient care shall have a person-to-person hand-off/hand-over from the admitting Provider to a responsible member of the admitting team.

Consultation and Referral Responsibilities: Contractor’s physician (s) shall provide consultation with and instruction to referring physicians regarding appropriate indications for procedures so that the most expeditious and clinically appropriate work-up can be done. Contractor’s physician (s) shall determine the appropriate course of treatment and communicate in person or by phone with the referring clinicians. Contractor’s physician (s) shall initiate appropriate social work referrals for all identified homeless veterans and for patients who do not have primary care providers.

Medications: Contractor’s physician (s) shall follow all established medication policies and procedures. No sample medications shall be provided to patients. Discharge education: Contractor’s physician (s) shall provide discharge education and follow up instructions that are coordinated with the next care setting for all Hospitalist patients.