4D04
MEDICAL CARE CLINICAL DIRECTOR

  This is medical administration work directing, through subordinate supervisors, teams of medical, nursing, counseling, technical and paramedical personnel engaged in providing primary, ambulatory medical care in one or more municipal health centers in the area of specialization. Employees in this class are responsible for insuring the adequacy of medical care and related services provided by health center personnel and by other health care institutions to patients enrolled in a medical care program. Direction of medical care teams, contact with administrators and physicians of other health care institutions, establishing and maintaining effective working relationships with representatives from managed health care organizations, and participating with managed health care organizations in the review of the medical care provided to health center patients are of major significance to the work. Work may include directing and/or participating in program planning, grant writing and overseeing the development and evaluation of standards associated with the program. Work is performed under the medical and administrative direction of a higher level physician.

• Employees in this class must direct teams of medical, nursing, counseling, technical and paramedical employees providing primary ambulatory medical care in one or more municipal health centers.
• Only one position will be assigned to each of the Pediatrics and HIV Services specialties.
• These positions must be located in the Health Department.

  Directs, through subordinate supervisors, medical care teams including physicians, physician assistants, nurses, nurse practitioners, nutritionists, social workers, laboratory and x-ray technicians; evaluates medical care and related services provided by clinic personnel and by other health care institutions; contacts consulting physicians to discuss diagnostic and therapeutic services provided to patients; confers with medical care team supervisors and members to discuss the adequacy and appropriateness of care and referrals provided, and to identify and resolve problems in operating procedures; prescribes changes in diagnostic and therapeutic services.

  Observe standards of medical care being provided; selects and reviews medical charts, x-rays and reports of laboratory analyses.

   Serves as in-house specialist in internal medicine; provides technical consultation and direction to team physicians and extended care providers on more difficult or unusual cases; investigates and recommends new techniques in diagnosis and treatment; conducts in-house training programs for medical care team members.

  Arranges with other health care institutions for provision of a full range of ambulatory, specialty and in-patient services, and evaluates quality of services provided.

   Provides consultative services to hospitals; advises hospital officials on clinic operations; orients new clinic physicians and resident physicians to public health policies and objectives; directs training of staff physicians and residents; lectures to lay and professional groups.

  Conducts case conferences and seminars to present unusual or interesting cases to all medical personnel; calls for staff and individual conferences to explain and interpret departmental policies and procedures; evaluates clinic practices and recommends changes in procedures to improve service to patients; investigates and recommends new techniques in diagnosis and treatment.

  Participates with administrative and professional superiors in developing operational procedures and standards for the medical care program.

  Establishes and maintains effective working relationships with representatives from the Health Center Community Board.

  Performs annual written evaluations and annual chart reviews for each subordinate physician and extended care provider assigned to the health center.

  Performs related work as required.

INTERNAL MEDICINE / FAMILY MEDICINE SPECIALTY

  Directs the provision of internal/family medical care services at a District Health Center.

PEDIATRICS AND HIV SERVICES SPECIALTIES

   Reviews proposals for funding of programs and services, recommends appropriate action and response through grant writing.

   Participates in the development of community education programs.

   Provides content for training programs; plans and conducts or participates in workshops, seminars, and conferences for professional and community groups.

PEDIATRICS SPECIALTY ONLY

  Directs the development and evaluation of standards for the pediatric programs of a District Health Center.

  Engages other departmental units as well as other city and non-city agencies in collaborative pediatric initiatives.

  Conducts clinical research with a focus on pediatrics.

HIV SERVICES SPECIALTY ONLY

  Directs all activities related to the HIV/AIDS program at health centers.

  Directs through subordinate supervisors, a comprehensive needs assessment of health services in program areas; solicits input from consumers, community leaders and professionals on needed services.

KNOWLEDGE OF:
ALL SPECIALTIES
• the principles, practices, literature and current developments of medicine as they apply to the area of specialization
• the systems and techniques of comprehensive patient care in an active ambulatory care setting
• health administration principles, practices and techniques pertaining to clinical and related services
• current research methodology

PEDIATRICS AND HIV SERVICES SPECIALTIES

current legislation and funding mechanisms as applied to the health services delivery system

grant/funding opportunities, techniques and strategies for the development and management of health programs

ABILITY TO:
ALL SPECIALTIES
• supervise the work of a number of clinic physicians and extended care providers engaged in examining and treating patients
• examine patients, diagnose disease, and to prescribe and administer treatment in the field of specialization
• plan the physical layout, equipment and personnel needs required for the delivery of medical care in a facility designed to service a large number of patients
• establish and maintain effective working relationships with associates, officials of hospitals and governmental agencies, community and special interest groups and patients
• express ideas effectively, both orally and in writing

PEDIATRICS SPECIALTY ONLY

set up management systems to monitor and report progress of program

HIV SERVICES SPECIALTY ONLY

plan, organize, and supervise the work of subordinates engaged in consultative and program monitoring work

plan, direct and implement epidemiological studies to identify at risk individuals

EDUCATION

Graduation from an accredited school of medicine or osteopathy with a degree of Doctor of Medicine or Osteopathy and completion of a residency in the appropriate area of specialization.

Possession of a certificate issued by the appropriate board of specialization.

AND
GENERAL EXPERIENCE:

Two years of experience in the practice of medicine, in the area of specialization, beyond the formal training required of the above certificate.

AND
SPECIFIC EXPERIENCE:

One year of supervisory or administrative medical experience in the area of specialization.

OR


Any equivalent combination of education and experience determined to be acceptable by the Personnel Department that has included the specific experience described above.

Ability to physically perform the duties and to work in the environmental conditions required of a position in this class.

Possession of a valid unrestricted license to practice medicine or osteopathy in the Commonwealth of Pennsylvania issued by the appropriate state board prior to and during tenure of employment as a Medical Care Clinical Director.

Eligibility for an unrestricted Controlled Substances Registration Certificate from the United States Department of Justice, Drug Enforcement Administration, and possession of such certificate within six months of the date of appointment and during tenure of employment.

Eligibility for hospital admitting privileges in the appropriate specialty department, and possession of hospital admitting privileges within one year of appointment and during tenure of employment.

Completion of one hundred fifty (150) hours of continuing medical education (CME) credits within three years from the date of appointment, of which a minimum of sixty (60) hours shall be Category I credits.