Description

Mission or Goal of Unit:

• High-quality, evidence-based, efficient, and patient-centered patient care
• Thorough and responsive medicine consultation and co-management of non-medicine patients
• Exemplary teaching and mentoring of Internal Medicine Housestaff, medical students, and other learners
• Scholarship inspired by the challenges of inpatient care that seeks to overcome these challenges
• The pursuit of excellence of clinicians, educators, scholars, and leaders

Chief Purpose of this position: VCU Health Community Memorial Hospital is a small, rural community hospital that provides a wide range of care of subspecialty care to a large region. In 2017, VCU Health System built a beautiful, brand-new hospital that is both aesthetically and clinically spectacular. This facility includes 54 beds on three med-surg floors, a 10-bed ICU, 6 labor and delivery beds, and 16 emergency department beds. The current primary service area is around 80,000 people and includes Mecklenburg, Lunenburg, and Brunswick Counties with a secondary service area extending into North Carolina. Because of the high-quality care provide at the facility, the daily census is growing with a median of about 54 patients and a range up to 74 patients. The EMR is Epic.

Position Responsibilities:

Schedule
Hospitalists typically work a 7 on, 7 off model of 12-hour shifts. During the week, two physicians and two APPs round with a shift start time of 7 AM. Providers alternate in a round-and-go model with at least one provider staying until 7 PM. An admitter comes in a 10 AM and works until 10 PM. The night provider comes in at 7 PM and works until 7 AM. On the weekends, the admitter become a rounder, and there are no APPs and no admitter; the physicians admit in round robin fashion. Approximately one week in twelve is night coverage. Median census per physician team is 14 patients. Median number of day admissions is 8.5, and median number of night admissions is 6.

Patient Load
The patients are 100% inpatient with an open ICU. Median census per physician team is 14 patients. Median number of day admissions is 8.5, and median number of night admissions is 6. On-site consultation is available from pulmonary/critical care, cardiology, surgery, and anesthesia. Other consultation can be sought from subspecialists at VCU Medical Center in Richmond but may require the patient be transferred.

Procedures
Hospitalists rarely perform procedures, but comfort with central lines is preferred. Providers from surgery and anesthesia perform most procedures. Codes are run by hospitalists and emergency medicine providers.

Teaching
As part of the new family medicine residency in South Hill, physician will regularly supervise second- and third-year residents. Faculty are expected to provide typical supervision, train these residents on the care of adult inpatients, and complete evaluation and feedback of the residents.

Required Qualifications:

• Board Certified/Board Eligible in Internal Medicine or Family Practice
• MD or DO degree
• Willingness to engage with the hospital and surrounding community to advance are in the region
• Desire to grow as a clinician and educator