This is medical administration work directing, through subordinate supervisors, teams of medical, nursing, counseling, technical and paramedical personnel engaged in providing primary, ambulatory family medical care in one or more municipal health centers. 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 the family medical care program. Direction of family 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 is performed under the medical direction of a higher level physician and under the administrative direction of a district health center director.

ALLOCATING FACTORS: (The following conditions must be met for a position to be approved for this class.)

• Employees in this class must direct teams of medical, nursing, counseling, technical and paramedical employees providing primary ambulatory family medical care in one or more municipal health centers.
• These positions must be located in the Health Department.

• Directs, through subordinate supervisors, family 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 family 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 family 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 family 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.

KNOWLEDGE OF:

• the principles, practices, literature and current developments of internal medicine and family practice.
• 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.

• 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 family medical care in a facility designed to service large number of patients.
• establish and maintain effective working relationships with associates, officials of hospitals and governmental agencies, and patients.
• express ideas effectively, both orally and in writing.

EDUCATION:

• Graduation from an accredited school of medicine or osteopathy, with a degree of Doctor of Medicine or Osteopathy, and completion of an internship in an approved hospital.
• Possession of a certificate in Internal Medicine or Family Practice issued by the appropriate board of specialization.

• Three years of clinical experience in the practice of medicine, which is in addition to the formal training requirements for the above certificate, one calendar year, greater or equal to .5 FTE, of which has been in a program of comprehensive primary ambulatory family medical care with responsibility for coordinating the provision of medical care with related patient care services and services provided by other health care organizations and institutions.

PHYSICAL AND MEDICAL REQUIREMENTS

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

LICENSES, REGISTRATIONS, AND/OR CERTIFICATES

• 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 Family 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.

PAY RANGE: EP32
Class Established:
  CSC - 1/1978 ; Ad Board - 2/1978

Latest Spec. Revision:
  CSC - 11/1994 ; Ad Board - 1/1995

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