Family Medicine Resident Physician PGY-1

The Family Medicine Resident Physician position entails the provision of patient care that matches the individual physician's level of training and competence.

A Resident Physician's responsibilities include patient care activities and educational activities within the scope of their clinical privileges and commensurate with their level of training.

Expectations include attendance at clinical rounds and didactics, timely completion of medical records, compliance with all educational and record keeping responsibilities, demonstration of proficiency in the core competencies and specialty milestones, and adherence to professionalism standards and ethical principles.

All Resident Physicians in the Family Medicine Residency Program are employees of MHC Healthcare and must abide by its corporate and institutional (GME) policies and procedures.

Residents are taught and evaluated according to the 6 core competencies established by the Accreditation Council of Graduate Medical Education (ACGME): Medical Knowledge, Patient Care, Professionalism, Practice Based Learning, Systems-Based Practice, and Interpersonal Communication. Residents are also evaluated bi-annually on the 19 specialty specific milestones for Family Medicine according to ACGME standards and as indicated in Institutional Resident Renewal and Promotion policy.

As part of the professionalism competency, residents are expected to complete evaluations for each rotation for which they participate; including evaluations of faculty, peers, and of the program.

Required Qualifications

Education: An applicant must meet one of the following qualifications to be eligible for appointment to the ACGME-accredited Family Medicine Residency Program:

Graduation from a medical school in the United States or Canada, accredited by the Liaison Committee on Medical Education (LCME); or

Graduation from a college of osteopathic medicine in the United States, accredited by the American Osteopathic Association (AOA); or

Graduation from a medical school outside of the United States or Canada and meets one of the following additional qualifications:

Holds a current and valid certificate from the Educational Commission for Foreign Medical Graduates (ECFMG) prior to appointment; or

Holds a full and unrestricted license to practice medicine in a United States licensing jurisdiction in their current ACGME specialty/subspecialty program.

Must have passed United States Medical Licensing Examination (USMLE) Step 1 and Step 2 before rank order list submission OR have passed Comprehensive Osteopathic Medical Licensure Examination (COMLEX) Step 1 and Step 2 before order rank list submission.

Must provide three letters of recommendation, a curriculum vitae, a dean’s letter, and a personal statement, and must submit an application through the Electronic Residency Application Service (ERAS) to be included in the National Resident Matching Program (NRMP).

Must be in possession of a current AZ training or unrestricted license, a valid Drug Enforcement Administration (DEA) number, and current lifesaving certificate plus other advanced competencies as deemed necessary for their level of training and specialty, such as Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Advanced Life Support Obstetrics (ALSO) to become involved in direct patient care.

Fingerprint Clearance Card through the Arizona Department of Public Safety (or ability to obtain upon hire)

Current Arizona driver’s license with clean driving record and proof of current vehicle insurance (39-month MVR will be run by MHC)

Must have passed United States Medical Licensing Examination (USMLE) Step 3 OR have passed Comprehensive Osteopathic Medical Licensure Examination (COMLEX) Step 3 before advancing to PGY-3.

Preferred Qualifications

• Bilingual (English/Spanish)
• Graduation from medical school within the last 2 years

Equivalent combination of education and experience may be considered if applicable and must be directly related to the functions and body of knowledge required to successfully perform the job.

Supervisory Responsibility

May occasionally provide direction, training, or guidance to others.

Knowledge, Skills, and Abilities

Oral communication skills necessary to give clear, concise instructions to patients and families regarding treatment, to consult with medical team, to teach and present recommendations on programs, and to interact with department staff, other departments, patients and families with good public relation skills, and to understand oral instructions.

Reading and writing skills in the English language are necessary to evaluate patient charts and documents, to participate in research programs and collect data, and to understand written instructions.

• Is personally courteous, responsive, and overtly hospitable to customers and employees in all departments.
• Assists internal or external clients with any problems they may have, in a pleasant and cooperative manner.

Excellent customer service, organizational, and communication skills with emphasis on responsiveness, building trust, mutual respect, and courtesy.

Demonstrates cultural competence and commitment to supporting and promoting diversity, equity, and inclusion through work performance and professional interactions.

Duties and Responsibilities

Post Graduate Year 1 Resident (PGY-1)

• Provides responsible, safe, efficient, and compassionate patient care.
• Progressively acquires clinical skills consistent with the practice of Family Medicine.
• Practices at a level commensurate with experience and skills.

Participates fully in assigned educational activities, including conferences, rotations, workshops, simulations, and journal clubs.

Provides patient care under the supervision of a member of the Family Medicine faculty or other supervising licensed independent practitioner, as assigned by the Residency Program Director.

Demonstrates respect, dignity, and compassion in all activities and interactions to internal and external customers.

• Recognizes own role as a learner and participates in available opportunities to enhance learning.
• Ensures timely attendance and deadline management for all clinical and educational activities.
• Accepts feedback and identifies opportunities for personal and professional growth.
• Practices cost effective, high-quality, patient care.
• Logs required procedures and duty hours and completes evaluations in a timely manner as outlined in institutional policies.
• Completes timely and comprehensive medical records for all patients.

Adheres to institutional security requirements including wearing an identification badge while on duty and safeguarding patient and institutional privacy.

Demonstrates the highest levels of professionalism in the work environment and when representing MHC Healthcare at other institutions.

In addition to the essential functions outlined above, PGY-1 Residents will be responsible for the following:

Under direction of the Attending or Senior Resident, sees a broad spectrum of patients with an emphasis on quality of patient evaluation and care.

Performs the initial patient assessment and actively participates in all aspects of patient care, including history and physical, diagnostic and therapeutic planning, procedures, writing orders, and interactions with families.

Conducts an in-depth discussion of all cases with the attending prior to all diagnostic studies or therapeutic interventions.

• PGY1 residents cannot supervise other residents or medical students.
• All procedures must be done under direct approval and supervision of an attending.

PGY-2

• In addition to the essential functions outlined, PGY-2 Residents will be responsible for the following:
• Must be familiar with patients and serve as the attendings’ principal resource for day-to-day patient data.
• May supervise junior trainees and/or medical students.

Must seek and gain experience with full spectrum of procedures; working to increase proficiency, efficiency, and quality of patient evaluation and care.

Initiates common diagnostic studies and therapeutic interventions in straight forward patients, prior to consultations with an attending.

Has in-depth discussion with a supervising attending regarding invasive procedures, discharge of patients, changes in management plan and unstable patients.

Specialized diagnostic studies, uncommon therapeutic interventions, and use of consultants must be discussed with the attending prior to initiation.

All procedures must be completed with attending supervision and approval.

PGY-3

• In addition to the essential functions outlined, PGY-3 Residents will be responsible for the following:
• Plays supervisory role with increased teaching, consultative and research activities.

While seeing a broad spectrum of patients, ensures emphasis is on those with highest acuity or greatest critical illness.

Manages time and resources efficiently. Works within multiple systems to ensure effective patient flow and coordination of teams.

Is proficient in a full range of medical procedures as required for graduation.

PGY3 Residents must discuss all cases with the attending. However, they may initiate common diagnostic studies and therapeutic interventions prior to attending discussion. With attending approval, a PGY3 Resident may also initiate more sophisticated diagnostic studies and therapeutic interventions.

With attending approval, a PGY3 may take presentations from PGY1 or PGY2 Residents and/or medical students and assist in their patient care management.

With attending approval, the PGY3 initiates procedures except those on the list of procedures requiring direct supervision.

May supervise procedures by PGY1 or PGY2 residents, with attending approval (and if so certified by the residency training program, as appropriate.)

• Responsible for leading sign-out and ensuring transitions and shift change.
• Creates a supportive, respectful and caring environment of learning and models professionalism and teamwork.
• Marana Health will re