(Excerpted in order to limit the publication of nonsense)
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.
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---)
C. Fine needle aspirations
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