Description
Mass General Brigham is a health care system that includes five nationally ranked hospitals, including two world-renowned academic medical centers, Massachusetts General Hospital and Brigham and Women's Hospital. Mass General Brigham is expanding our Home Hospital program and seeking physicians interested in delivering exceptional and innovative patient care. This is a hybrid work model serving patients throughout greater Boston. Full-time and part-time opportunities are available.
Our physicians practice as part of an interdisciplinary team filled with both passion and purpose. If you have interests in patient-centered care, healthcare delivery innovation, health equity, digital health technology, and acute care medicine, our program may be of interest to you.
INNOVATIVE HOME HOSPITAL ROLE FOR CREATIVE GENERAL INTERNIST
The Home Hospital Physician treats acutely ill patients in the home as a substitute for in-hospital care. The Home Hospital Physician is a forward-thinking, creative individual who wants to practice in an innovative clinical setting and values interdisciplinary teamwork and patient-centered care. The Physician will provide hospital-level acute care in a patient's home and will be part of the Home Hospital team including (depending on each patient's needs) Registered Nurses, Community Paramedics, Advanced Practice Providers, Pharmacists, Case Managers, Social Workers, Home Health Aides, Physical Therapists, and other operational staff. The Physician will be the attending of record for patients admitted to the Home Hospital service.
Responsibilities of the Home Hospital Physician include medical decision-making, patient evaluations through a combination of in-person and virtual visits tailored to the patients' needs, documentation, oversight of and collaboration with the Home Hospital team, periodic teaching to team members, and being "on call" for patient needs overnight with the support of a Community Paramedic team who makes in-person overnight visits. In addition to their clinical duties, Home Hospital physicians may have the opportunity to participate in care redesign initiatives and/or mentored research and innovation projects.
Full-time and part-time positions are available. Home Hospital physicians are typically scheduled for blocks of up to 7 days, which may consist of patient rounding (field-based), coordination and virtual team support, and admitting (primarily hospital-based). Virtual night-time coverage will be needed occasionally. Home Hospital physicians may provide direct care and/or collaborate with Advanced Practice Providers.
Qualifications:
Required:
- Internal Medicine BC/BE
- Proficient in inpatient medicine, virtual care, and multidisciplinary team-based care
- Willing to make home visits (alone or with other team members) within a defined radius around site hospitals
- Open-minded, creative, team-oriented, expert communicator
- Ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate
- Ability to be self-directed and to demonstrate initiative in addressing the responsibilities of the position
- Ability to utilize appropriate problem-solving and conflict resolution skills
- Energetic and quality driven with a proven ability to be a productive member of a team dedicated to providing optimal patient care
- Interest in working as part of a service that is committed to innovation, rapid cycle testing, and process improvement
- Active Advanced Cardiopulmonary Life Support (ACLS) certification
- Maintaining credentialing at Mass General Brigham hospitals to support patient care needs in a system-wide Home Hospital program.
- Other requirements and qualifications may apply
Highly preferred:
- Competency in (and/or willingness to learn) bedside procedures appropriate to the patient population
Home Hospital physicians are responsible for providing their own transportation.
Principal Clinical Duties and Responsibilities:
- Provides home visits within defined radius around site hospitals according to Home Hospital care model.
- Provides direct care (in-person or virtual), counseling, and teaching to a designated patient population in the inpatient and home settings.
- Available to patients for urgent issues overnight, typically via virtual collaboration with a community paramedic
- Performs complete histories and physical examinations
- Oversees and/or collaborates with multidisciplinary team members according to organizational policies and practices
- Collaborates with nurse practitioners and physician assistants on mutual patient care
- Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
- Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
- Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
- Consistently provides high quality and timely documentation, including admission and progress notes, procedure notes, and discharge summaries.
- Practices cost-effective medicine in an efficient manner, maximizing available resources.
- Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
- Demonstrates expert clinical judgment skills to function in an independent role
- Additional duties and responsibilities as required by the department/division
Non-Clinical Duties and Responsibilities:
- Demonstrates professional collaborative and consultative relationships with other clinicians
- Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional training
- Maintains superior interpersonal and communication skills as a member of the healthcare team to collaborate effectively with patients, families, staff, and community health workers
- Remains actively involved in continuing education with a commitment to self and departmental growth
- Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation.
- Demonstrates an understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care
- Additional duties and responsibilities as required by the department/division
Mass General Brigham is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
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