THE
(Excerpted
in order to limit the publication of nonsense)
1. PRIMARY
A. Serving as Educational Preceptor
for clinical staff (including 9 subsections relegating responsibilities)
B. Providing Medical Services to Patients---
C. Serving as supervisory physician
---regarding---issues---state regulatory requirements
D. ---oversight of (CLIA regulations, Dru8g
Outlet etc)
E. Serving as co-chair of Health Center
quality assurance
2. ADMINISTRATIVE EXPECTATIONS
Category One Primary Job Functions
(includes 9 subsections relegating responsibilities)
Category Two: Administrative Relations
and Accountability (includes 11 subsections)
Category
Three: Staff Development (includes 4 subsections)
3-11 detailed medical job descriptions
such as hours, taking calls charting etc. 1.5 pages.
(FINALLY--THE
12. Primary Care
Physicians ---will be capable of performing the primary care services listed
below (or willing to learn---)
A. Minor surgery (toe nail
removal, mole and cyst removal---)
B. Suturing
C. Fine needle aspirations
D. Casting/splinting
E. General orthopedic evaluation management
F. Review of x-rays
G. Basic rehabilitation for musculoskeletal injuries
H. General Dermatology
I. General eye problems and Use of Slit Lamp on site
J. General EKG interpretations
K. Emergency management skills – use of defibrillator on
site
L. Allergy shots
M. Primary Care Physician’s General GYN expertise
__________________________________________________________________________________________________________
To
the least list I would add colonoscopy to at least 20 cm; taking pap smears,
and enough familiarity with a microscope to take a look at a drop of urine on a
slide and to read a stained blood smear.
Obviously
in the tract above the doctor is mainly the buffer between the organization and
the authorities—with a meaningful job description for the family doctor
appended almost as an after thought.
However,
if President Obama ever deploys the Primary Care Centers the practice of Primary
Care must be proficient in the 13 functions (A-M) listed above. These doctors
will guide and protect their patients through the complex and intimidating maze
of High Tech medicine.
Well
qualified physicians are like quarterbacks who get the ball back after every
play. They haven’t the time for the ludicrous burdens placed on them in this
document which is a perfect example of how misplaced management and intrusive
bureaucracy can cripple a profession.
Ref: http://fammed.uchsc.edu/media/JobDescriptionPrimaryCarePhysicianAuraria.pdf.
Read this. You will be astonished and
dismayed.