Job description

About NHRMC
NHRMC, established in 1967 in Wilmington, NC, is recognized as a preeminent healthcare organization focused on leading our community to outstanding health. We have an 855 bed network of hospitals and multi-specialty physician group practices with more than 200 physicians. With a network of primary, specialty, neighborhood clinics and regional medical centers; you will find our culture is the very definition of best in practice. Join us and find out how many ways NHRMC offers you the chance to focus on what really matters - our patients and community.
About the Job
Location: New Hanover Regional Medical Center
Department: GME - OB/GYN
Full Time Equivalent: FTE: 1.000000
Work Type: 64 to 80 Hours Pay Period
Work Schedule: STD HRS - Standard-Exe or Office w flex
Exempt from Overtime: Exempt: Yes
What You'll Do

Summary:
The position of resident or fellow physician entails provision of patient care matching with the individual physician's level of advancement and competence. Residency is the phase of formal medical education beginning at graduation from medical school and ending after the educational requirements for the medical specialty certifying board has been completed. A resident physician's responsibilities include patient care activities within the scope of their clinical privileges commensurate with the level of training, attendance at clinical rounds and seminars, timely completion of medical records, and other responsibilities as assigned or as required of all members of the medical staff.

Responsibilities:
1. Under the supervision of attending physicians, general responsibilities of the resident physician may include: • Initial and ongoing assessment of patient's medical, physical, and psychosocial status. • Perform history and physical. • Develop assessment and treatment plan. • Perform rounds. • Record progress notes. • Order tests, examinations, medications, and therapies. • Arrange for discharge and after care. • Write / dictate admission notes, progress notes, procedure notes, and discharge summaries. • Provide patient education and counseling covering health status, test results, disease processes, and discharge planning. • Perform procedures. • Assist in surgery. The objective of medicine under the watchful eye of attending faculty clinicians and includes: • participation in safe, effective and compassionate patient care • developing an understanding of ethical, socioeconomic and medical-legal issues that affect graduate medical education, and how to apply cost containment measures in the provision of patient care; • participation in the educational activities of the training program, and as appropriate, assumption of responsibility for teaching and supervising other residents and students, and participation in institutional orientation and education programs and other activities involving the clinical staff; • participation in institutional committees and councils to which the house staff physician is appointed or invited; and • performance of these duties in accordance with the established practices, procedures and policies of the institution, and those of its programs, clinical departments and other institutions to which the house staff physician is assigned; including, among others, state licensure requirements for physicians in training. The House Staff Handbook defines and delineates GME policies and residents are required to know and understand these policies and procedures. Resident physicians are given progressive responsibility for the care of the patient. The determination of a resident physician's ability to provide care to patients without a supervisor present or act in a teaching capacity are based on formative evaluations and summative evaluations of the resident physician's clinical experience, judgment, knowledge, and technical skill. These evaluations follow institutional guidelines and align resident physician learning in relation to the general competencies of medical knowledge, patient care, practice-based learning, interpersonal and effective communication, professionalism, and systems-based practice. Ultimately, it is the decision of the staff practitioner with direct responsibility of the resident as to which activities the resident will be allowed to perform within the context of the assigned levels of responsibility. The overriding consideration must be the safe and effective care of the patient that is the responsibility of the staff practitioner. Both formal examinations and performance ratings by the faculty are utilized, and the resident physician is personally apprised of his or her strengths and weaknesses at appropriate intervals at least twice annually. Completion by the program director of an annual summative review is an important part of this evaluation process. The Residency Program Director has the responsibility to determine and to document in writing, that the resident physician possesses the skills necessary to practice at the level commensurate with their training. General Supervision General supervision is provided by appropriately privileged teaching staff. This supervision is direct, indirect or provided as oversight. All resident care is supervised and the attending physician is ultimately responsible for care of the patient. The proximity and timing of supervision, as well as the specific tasks delegated to the resident physician depend on a number of factors, including: • the level of training (i.e., year in residency) of the resident • the skill and experience of the resident with the particular care situation • the familiarity of the supervising physician with the resident's abilities • the acuity of the situation and the degree of risk to the patient 2. Demonstrates standard of performance (ownership, teamwork communication, compassion) that support patient satisfaction and principles of service excellence 3. Performs other duties as assigned.

Position Requirements

Credentials: Essential:

• Medical Doctor
• Resident Training License

Education:
Other information:
1. Education: Applicants must meet one of the following qualifications to be eligible for appointment to ACGME-accredited or AOA-accredited residency and fellowship programs at NHRMC: • Graduates of medical schools in the United States and Canada accredited by the Liaison Committee on Medical Education (LCME) and successful completion of any pre-requisite accredited training specified by ACGME Residency Review Committees. Some programs require successful passage of board exams (or good faith effort to pass) for promotion through subsequent years of fellowship. • Graduates of colleges of osteopathic medicine in the United States accredited by the American Osteopathic Association (AOA) and successful completion of any pre-requisite accredited training specified by ACGME Residency Review Committees. • Graduates of medical schools outside the United States and Canada who meet one of the following qualifications: o Have a currently valid certificate from the Educational Commission for Foreign Medical Graduates prior to appointment, or o Have a full and unrestricted license to practice medicine in a US licensing jurisdiction in which they are in training, and o Successful completion of any pre-requisite accredited training specified by ACGME Residency Review Committees. • Graduates of medical schools outside the United States who have completed a Fifth Pathway program* provided by an LCME-accredited medical school and successful completion of any pre-requisite accredited training. 2. Licensure / Certifications: * The resident physician must be in possession of a North Carolina Training or unrestricted license, NPI number, a valid DEA number and current BLS certificate plus other advanced competencies as deemed necessary for their level of training, (ACLS, ATLS, PALS, etc.) to become involved in direct patient care. 3. Experience: The resident physician is both a learner and a provider of medical care. The resident physician is involved in caring for patients under the supervision of more experienced physicians. As their training progresses, resident physicians are expected to gain competence and require less supervision, progressing from on-site and contemporaneous supervision to more indirect and periodic supervision.

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