Physician Emergency Medicine

This position is contingent on contract award.This position will support the US Department of Veterans Affairs Critical Staffing Program.  The person in this position will represent International SOS and provide services outlined below: International SOS is looking for an individual who is an experienced Emergency Room Physician to provide immediate medical care to patients facing acute illnesses and injuries, operating in a fast-paced environment such as a trauma center. They are responsible for quickly assessing and stabilizing patients, performing life-saving interventions, and coordinating further treatment with specialists to ensure optimal patient outcomes in critical situations. Key ResponsibilitiesEmploy principles of emergency care for life/limb threats, resuscitation and stabilization, triage, diagnosis, and disposition.  Provide initial evaluation, emergent treatment and management of minor wound care, respiratory illness, gastrointestinal illness, burns, musculoskeletal trauma, dermatological illness, ENT, eye and urological problems.  Provide initial evaluation, emergent treatment and management of minor procedures such as local infiltration anesthesia, incision and drainage, simple laceration repair, nail trephination, electro-coagulation, nasal cautery, gastric lavage, bladder catheterization, peripheral venous line insertion, and spinal immobilization. Provide initial evaluation, emergent treatment and management of abdominal and gastrointestinal disorders (including trauma) of the esophagus, stomach, small bowel and colon rectum and anus, liver and biliary tree and pancreas.  Provide initial evaluation, emergent treatment and management of cardiovascular disorders (including trauma) involving cardiac failure, differential diagnosis of chest pain, cardiac structural disorders, cardiac rhythm and conduction defects, pericardial disorders, disease of peripheral arteries and veins, shock, and cutaneous disorders.  Provide initial evaluation, emergent treatment and management of emergent disorders caused by antigens, organisms and other foreign substances such as reactions of hypersensitivity; reactions from venoms, bites and stings; reactions caused by infectious agents; disorders due to chemical, drug and physical agents; and disorders associated with the environment to include barotraumas, near drowning, electrical injury, hypothermia and radiation injury.  Provide initial evaluation, emergent treatment and management of emergent disorders of the hematopoietic system such as anemia, coagulopathy and management of acute neoplastic disease complication.  Provide initial evaluation, emergent treatment and management of emergent disorders of endocrine, metabolic and nutritional natures relating to acid-base disturbances, adrenal, parathyroid and thyroid disturbances.  Provide initial evaluation, emergent treatment and management of emergent disorders of the head and neck (including trauma) involving the ears, nose, oral cavity, larynx/trachea, face and vestibular system.  Provide initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the eye involving the lids and lachrymal apparatus conjunctiva, cornea, sclera, internal aspects of the globe and orbit.  Provide initial evaluation, emergent treatment, and management of emergent disorders (including trauma) of the musculoskeletal system involving shoulder girdle, upper extremity and hand, lower extremity and foot, thorax, and vertebrae and arthropathies.  Provide initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the nervous system including cerebral edema, coma, cranial nerve disease, cerebro-vascular disease and infection.  Provide initial evaluation, emergent treatment and management of emergent disorders of psychiatric origin including depression, anxiety reactions, suicide and psychosis.  Provide initial evaluation, emergent treatment and management of emergent respiratory disorders including pulmonary, infection, trauma, neoplasia, metabolic and complications of cardiovascular disease.  Provide initial evaluation, emergent treatment and management of emergent renal and urologic disorders including acute/chronic renal failure, infections, obstructive uropathy and hematuria and trauma.  Provide initial evaluation, emergent treatment and management of emergent OB/GYN disorders such as trauma, infection and pregnancy (ectopic and intra-uterine).  Suture minor lacerations.  Major procedures shall be performed in the facility emergency department when safe and appropriate to do so for procedures such as central venous line placement, arterial catheter placement, emergency chest tube or needle thoracostomy to relieve tension pneumothorax, peritoneal lavage, defibrillation and synchronized cardioversion, endotracheal intubation, lumbar puncture, proctoscopy/anoscopy, pericardiocentesis, simple closed fracture and dislocation reduction, arthrocentesis, local/regional anesthesia, moderate and/or deep procedural sedation, pericardiocentesis, temporary pacemaker placement, chest tube thoracostomy and cricothyroidotomy. Provide appropriate stabilization prior to, or in concert with, transfer to a medical facility able to provide the level of care required.  Review all admissions to inpatient hospital care recommended by Advanced Practice Provider (Physician Assistant or Nurse Practitioner). 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. Nurse Practitioners will consult with a physician prior to admission.  Provide consultation with and instruction to referring physicians regarding appropriate indications for procedures so that the most expeditious and clinically appropriate care can be provided.  Initiate appropriate social work referrals for all identified homeless veterans and for patients who do not have primary care providers, but who appear regularly in the ED.  Apply, or directly supervise the application of, orthopedic devices such as splints and braces to stabilize orthopedic injuries.  Follow all established medication policies and procedures. No sample medications shall be provided to patients.  Provide discharge education and follow up instructions that are coordinated with the next care setting for all emergency department patients.  Provide notification of test results for patients receiving care in accordance with VHA Directive 1088, Communicating Test Results to Providers and Patients.  Participate in continuous quality improvement activities and meetings with committee participation as required by the facility Chief of Service, Chief of Staff, or designee. This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above.