Memphis
Job DescriptionHealthcare Staffing Professionals has an immediate need for Primary Care Physicians (PCP) to work in a state-of-the-art medical treatment facility in Memphis, TN. The Contractor shall provide American Board of Radiology (ABR) certified physicians in the area of Radiation Oncology and contract physicians shall maintain certification throughout the period of performance. The Radiation Oncology Services are accredited by a nationally recognized accrediting body contracted through National Radiation Oncology Program (NROP). As such any Contractor providing onsite radiation oncology services must adhere to Guidelines & Technical Standards for Radiation Oncology promulgated by the American College of Radiology, American Society for Radiation Oncology and American Association for Physicist in Medicine: A contractor providing onsite radiation oncology services must provide evidence the radiation oncology practice meets or exceeds the established clinical practice guidelines and standards. This role is for Independent Contractors (1099) Pay Rate: $185/hr Qualifications: License: • Contract physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia., • All licenses held by the key personnel working on this contract shall be full and unrestricted licenses. Contract physician(s) who have current, full, and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action, or denied upon application will not be considered for the purposes of this contract.Board Certification:, • All contract physician(s) shall be board certified by the American Board of Radiology and be currently certified in Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS) or equivalency. All continuing education courses required for maintaining certification must be kept up to date at all times.Board Certified Radiation Oncology Physician:, • The Radiation Oncology Services are accredited by a nationally recognized accrediting body contracted through NROP., • As such any Contractor providing onsite radiation oncology services must adhere to Guidelines & Technical Standards for Radiation Oncology promulgated by the American College of Radiology, American Society for Radiation Oncology and American Association for Physicist in Medicine: A contractor providing onsite radiation oncology services must provide evidence the radiation oncology practice meets or exceeds the established clinical practice guidelines and standards. Must have MD/DO, graduated radiation oncology residency, board certified in radiation oncology from the ABR with a minimum of five (5) years clinical experience excluding residency. RO must also have the following expertise and knowledge on the following procedures, equipment, and software:, • 3D Conformal Radiation Therapy (3D-CRT), • Three (3) years of experience – Intensity Modulated Radiation Therapy (IMRT).Stereotactic Body Radiation Therapy (SBRT): minimum case experience of 10 documented cases within the last two years, • Stereotactic Radiosurgery (SRS): minimum case experience of 10 documented cases within the last 2 years, • Three (3) year of experience - Eclipse treatment planning system; and ARIA record & verify system, including the following treatment modalities: 2D/3D, • Work Schedule: Contractor's physician(s) will be required to work onsite Monday thru Friday from 7:30am to 4:00pm, excluding holidays., • Patients must be seen by a contract physician(s) onsite at Facility in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult completion., • Contract Physicians shall be available and present in clinic during normal Facility clinic hours, Facility which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are Monday through Friday, 7:30 a.m. to 4:00 p.m., • Off-hours Coverage: Contractor must make a Radiation Oncologist available on-call during all hours when the Facility clinic is closed, including evenings, weekends, and holidays., • On-call contract physicians must be available at all times for phone consultations with residents and physicians., • Patients must be seen within 2 hours of the page when immediate evaluation or radiotherapy is medically indicated.Standards of Practice:, • The medical practice and patient care provided by Contractor shall be evidence based best practices that meet or exceed all standards of professional practice and performance measures applicable to (Facility) medical professionals, including, but not limited to, NHPP, AAPM and TJC standards and national recognized accrediting body current practice guidelines in radiation oncology. Contractor's care shall cover the range of services as would be provided in a state-of-the-art civilian medical treatment facility. Contractor shall provide evidence the Contractor's radiation oncology standard of care is of a quality that meets or exceeds currently recognized VA and national standards as established by:, • Applicable Radiation Oncology practice guidelines and standards promulgated by ACR, ASTRO, and AAPM., • Services shall include evaluation and treatment of transported inpatient and outpatient clinical services for both palliative and curative cancer patients; followup, re-evaluation, and treatment visit; and perform prostate seed implants (if applicable) in the OR., • Contract Radiation Oncologist shall provide evaluation and a treatment plan; follow patients for treatment management, continuing monitoring and follow-up evaluations. Contract Radiation Oncologist shall complete any documentation associated with the treatment provided to patients treated by them., • Conventional Radiation Treatment: Use of the following advanced modalities: IMRT, IGRT, Stereotactic Radiosurgery, and Stereotactic Radiotherapy, shall be fully justified in accordance with the appropriateness criteria promulgated by the American College of Radiology, American Society for Radiation Oncology, and American Association for Physicist in Medicine.Patient Consultation/Pretreatment Evaluation:, • A radiation therapy consultation is defined as a comprehensive patient evaluation provided at the request of the referring physician. A consultation shall consist of a meeting of the patient and a radiation oncologist within the timeframes established by Rules and Regulations, a history and physical examination, and a review of pertinent x-rays and laboratory results as well as the patient's medical record., • Review previous history, radiographic and lab studies., • Order any other test required for workup; and, • Discuss with patient and perform examination., • Document the evaluation in CPRS, including at least:, • Name of Attending Physician., • Radiation treatment type (e.g., conventional, IMRT)., • Curative or palliative radiation treatment., • Dose amount and duration of radiation treatment, and, • Discussion of evaluation with patient.Treatment Planning:, • When it is determined radiation therapy is appropriate, a goal-oriented treatment plan from supporting data shall be developed by the Contract physician(s) for each patient, discuss treatment plan with patient and obtain patient's signed consent, and made a part of the medical record. The treatment plan shall include the type of radiation to be administered, prescribed dose, treatment site location, Dose Volume (DV) based planning to include DV Histograms (DVH), designation of Organs at Risk (OAR) for radiation injury, DV based radiation delivery goals for each OAR., • Treatment plans shall be altered as necessary during the course of the patient's treatment., • Contract physician(s) shall document initial consultation and full plan of care that includes name of attending physician on all clinical notes, indicate radiation treatment type (i.e., conventional, IMRT), date of simulation or procedure date, curative or palliative radiation treatment, dose amount and duration of radiation treatment and signed patient consent for treatment.Treatment Management:, • Includes weekly examination of the patient under radiation therapy by attending physician. Weekly examination includes review of the daily and/or weekly port films by the attending physician, monitoring all therapy for side effects or complications, prescribed dose changes and other adjustment in treatment as needed, review of all cases at weekly case conferences or chart rounds and documented encounters and clinical progress notes in CPRS., • Prior to beginning radiation treatment, contract physician(s) shall instruct the patient and care givers on the risks involved including symptom management and symptoms requiring immediate intervention. This instruction must be documented in the medical record within 24 hours., • The patient shall be given names and telephone numbers of persons to contact to report these symptoms. Informed consent shall be completed prior to implementation of initial treatments., • Contract physician(s) shall evaluate each patient for treatment management at a minimum of once per five treatments. These treatment management evaluations, addressing tumor response and side effects of therapy and medications prescribed, include pertinent laboratory and imaging studies., • Patient's progress shall be reported to the referring physician using the electronic medical record, Computerized Patient Record System (CPRS), to include name of attending physician, treatment date, radiation treatment type, radiation dose amount and duration of treatment, radiation treatment dose to date and remaining dose to be provided, skin check of treated area, plan of care and number of treatments left to complete., • Contract physician(s) shall provide the patient with written guidelines regarding their rights and responsibilities. This includes keeping the patient informed of all issues affecting care and inviting full participation in planning and implementing care. Patient expectations of contract physician(s) should also be outlined. The patient must be advised of their right to submit complaints and procedures concerning such. This instruction must be documented in the medical record within 24 hours., • Contract physician(s) shall maintain written policies and procedures that clearly define guidelines for protecting patients and employees from all unnecessary radiation exposure, provisions for the safe use, removal, handling and storage of radiation and other radioactive elements., • Contract physician(s) shall monitor all therapy for side effects or complications; prescribe dose changes as needed; and review all cases at physician conference.Treatment Discharge:, • Contract physician(s) shall document treatment discharge summary (End of Treatment Note) in CPRS to include total radiation treatment doses, patient's condition at completion of treatment, discharge instructions to patient and a follow-up appointment with 30-60 days post treatment.The follow-up examination shall consist of a physical examination of the patient and a review of the current medical record including x-rays. The purpose of this examination is to evaluate the patient's response to therapy and a written evaluation shall be completed for the patient's medical record within 48 hours