ER Physician

The Sublette County Hospital District is currently seeking a physician for the emergency department

Pinedale Medical Clinic and future Sublette County Hospital Emergency Room. The current

emergency department offers 24/7 emergency services at the Pinedale Clinic in Pinedale, Wy and

this position would transition to the Sublette County Hospital upon completion, expected summer

2025. This physician would work eight (8) 24-hour shifts per month. The best candidate for this

position would be experienced in emergency medicine and comfortable providing solo coverage with

limited support. PRN opportunities are also available. This is truly a rural clinic as the nearest

hospital is approximately 78 miles away.

We offer excellent benefits including: CME reimbursement up to $5000, licensing fees

reimbursement, sign-on bonus, moving expenses, paid malpractice, health, life, and long-term

disability insurances, a health savings account, and a generous matching retirement program

through the Wyoming Retirement System. SCHD complies with the Wyoming Office of Rural Health

to allow eligibility for the Wyoming Healthcare Professional Loan Repayment Program. If no funding

is available through the Wyoming Office of Rural Health, the Sublette County Hospital District offers

its own loan repayment program with a 3-year minimum commitment.

Summary Description:

The Physician is a professional doctor whose main concern is his or her patient and their family’s health care needs.  The physician is responsible to deliver primary health services to the individuals and families within Sublette County Hospital District and those individuals and families that may be visiting Sublette County Health.  The physician must be consistent with all standards and protocols of care to direct the evaluation and treatment of patients.  Unique patient needs are considered and patient care guidelines will vary with each complaint and new diagnostic and therapeutic modality.

Supervision Received:  The physician will report directly to the Site Medical Director

Responsibilities:

1. Collect and document a comprehensive health history, including family history, and social history.  Document allergies, previous hospitalization, previous surgeries, previous diagnosis, all medications presently taking and any other pertinent information.

1. Perform a complete physical examination on all new patients as the cause for visit indicates.

1. Provide appropriate medical care for a routine office visits, patient counseling, blood pressure checks and gynecological examinations to include pelvic, pap smear, and breast and rectal examinations.

1. Order and interpret screening and diagnostic tests appropriate to presentation of symptoms.

1. Review, analyze and document objective and subjective data.

1. Create and document a problem list of diagnosis or potential diagnosis.

1. Develop, communicate and document a plan of treatment for the patient.

1. Prescribe, review, modify and document pharmacological therapy as appropriate.

1. Collaborate through consultation with other health care providers as appropriate and refer the patient for care as needed.

1. Refer for community resources as appropriate.

1. Provide preventative services inclusive of education, screening and counseling consistent with identified medical needs or health risk profiles.

1. Provide emergency stabilization consistent with patient needs.

2. Perform minor surgical procedures consistent with experience including but not limited to suturing, splint application, and incision and drainage of external abscesses.

1. Documentation of services provided and the diagnosis on the “Super-Bill.”

Qualifications:

1. MD or DO designation.

1. Current medical license in the State of Wyoming.

1. At least three references from previous employment or an accredited residency program.

1. Board Certification or Eligibility in Family Practice.

1. DEA number.

1. Eligible for enrollment in federally qualified third-party insurance plans.

1. Eligible for Malpractice coverage.

1. Current certifications in ATLS, ACLS, ABLS, BLS and PALS.

Knowledge, Skills and Abilities:

1. Knowledge of professional theory, regulations and practices to evaluate, diagnose and provide appropriate patient care.

1. Knowledge of treatment plans as related to specific diagnosis.

1. Knowledge of common safety hazards and precautions to establish/maintain a safe work environment.

1. Knowledge of CPT and ICD-9 coding responsibilities.

1. Skill in applying and modifying the principles, theory, methods and techniques to provide appropriate patient care.

1. Skill in identifying objective and subjective symptoms and treating appropriately.

1. Skill in documenting and maintaining patient records, writing reports and responding to correspondence.

1. Ability to work as a member of the “health care team” and to direct the team as appropriate.

1. Ability to maintain quality control standards.

1. Ability to react calmly and effectively in emergency situations.

1. Ability to communicate directions clearly and effectively.

Working Conditions:

1.    Subject to varying situations including ability to understand and respond appropriately, effectively and sensitively to special population groups, including those defined by race, ethnicity, language, age, sex, sexual orientation, economic standing, etc.

1. Frequent contact with a variety of people including prisoners and people with mental, emotional and physical disabilities.

1. Medical office, exam room, laboratory, radiology, emergency room and professional practice settings.  Frequent exposure to communicable diseases and other conditions common to rural clinic environments.

1. May require travel between District sites.

Physical Demands:

Varied activities including moving, reaching, bending, and lifting.  Requires full range of body motion including handling, moving, positioning and transporting patients.  Also requires manual and finger dexterity, and eye-hand coordination.  Requires standing and moving for extensive periods of time.  Occasionally moves items weighing up to 50 pounds without assistance.  Requires corrected vision and hearing to normal range.  This position frequently requires working under stressful conditions and irregular hours.  Year-round highway travel between clinics and other facilities throughout the district is required.

The above statements are intended to describe the general nature and level of work being performed by persons assigned to this job.  This document is not intended to be an exhaustive list of all responsibilities, skills, and working conditions for the persons so classified.  Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

This Job Description will be included in the Physician Employment Contract