SIGNIFICANT RESPONSIBILITIES:
Performs specific job responsibilities:
Participates in a 12-month intense training program in family and rural health medicine consisting of patient care in a Level 1 Trauma Center, simulation lab training, off service rotations and rotations to community hospitals, emergency departments, rural health sites outside of Roanoke, family medicine clinics, and urgent care clinics.
Attends Family Medicine grand rounds and lectures, develops beginner and advanced skills in suturing, wound care, I&D, foreign body removal. Becomes proficient in basic radiological diagnostic abilities.
Conducts necessary steps to obtain comprehensive health history. Performs basic physical, psychological and developmental assessments using the techniques of observation, inspection, auscultation, percussion and palpation.
Discriminates between normal and abnormal physical, psychological and developmental findings and appropriately determines when to consult and/or refer the patient to other members of the health care team.
Assesses, diagnoses, and manages selected acute and chronic illnesses and conditions. Performs or requests laboratory/radiology procedures and/or other screening tests based on age, health history and health assessment. Performs splinting, suturing, and incision and drainage as appropriate. Analyzes and interprets these and other health data. Initiates and implements appropriate treatment plan using established protocols or physician consultation. Administers medications and injections as needed.
Utilizes automated computer systems, including electronic medical records. Accurately records assessment findings, documenting in a clear and concise manner all actions taken in response to these findings. Documents patient information – including, but not limited to treatment procedures, medication refills, test results, patient concerns, etc. – in the medical records in a timely manner.
Coordinates necessary appointments and referrals, including the use of community resources, as the patient’s health status dictates.
Consults with physician, as appropriate, keeping physician informed of needs and problems related to patient care. Recognizes limits in role as APPF provider.
Identifies and provides patient/family education needs in a timely manner. Teaches, discusses and plans with patient and family for continued health management. Promotes wellness through health education. Acts as a clinical and professional resource to patients, other health team members, the community and various academic institutions. Maintains patient flow, seeing patients in appropriate order and keeps exam rooms filled.
Rotates to rural emergency departments, family medicine, and urgent care settings as well as off-service rotations as prescribed by program curriculum
By the end of the fellowship, the APPF is able to manage 16 patients per day in the family medicine setting.
Consistently delivers the best in customer service and patient care. As a team member, demonstrate respect, dignity, kindness and empathy in each encounter with patients, families, visitors and other employees.
Champion Carilion’s mission, vision and values; comply with the policies and procedures, ethical standards and code of conduct set forth by the company.