Gastroenterology Physician

Hospital is looking for at least 3 full time providers to provide 24 hour coverage. Onsite shift coverage will be Monday- Friday 8am-5pm. Call coverage 5pm-8am Monday-Friday. Weekend call starting at 5pm and ending Monday at 8am.

Call Coverage Details :

• Physicians are not required to remain onsite during call support, provided the circumstances do not necessitate their physical presence in the hospital.

o Example : The market should not charge for callback hours if the physician chooses to stay in the hospital but is not needed, based on the criteria described here.

o Endoscopic Procedures : If an emergent GI procedure (e.g., endoscopy, colonoscopy) is required for a patient in critical condition.

o Gastrointestinal Bleeding : Active gastrointestinal bleeding cases requiring urgent intervention.

o Obstructions / Perforations : Suspected or confirmed bowel obstructions or perforations that need immediate evaluation and management.

o Consultations : Calls from the Emergency Department (ED), other medical teams, or specialists requiring GI expertise, including but not limited to issues like pancreatitis, liver failure, or other gastrointestinal emergencies.

o Post-Operative Complications : Management of post-operative GI complications, such as leaks, infections, or issues following surgery (e.g., bariatric surgery, colectomy).

o Physicians are not required to oversee or sign off on routine care provided by non-GI specialists (e.g., general physicians, residents) unless the patient is involved in the situations listed above.

o Physicians will be required to intervene or oversee care for conditions within their specialty (e.g., gastrointestinal bleeding, pancreatitis, post-surgical complications) but will not be expected to manage non-GI-related medical conditions unless the situation necessitates it.

Documentation of Call Back Hours :

o Physicians are required to log call back hours on their timesheets, providing detailed notes for the reason for the callback, and ensuring descriptions that can be validated through an electronic health record (EHR) audit.

o Telephone consultations and medical record reviews are not counted as onsite call back hours.

o Consultation for Gastrointestinal Bleeding : Less than 90 minutes.

o Endoscopic Procedure (e.g., EGD, Colonoscopy) : Approximately 1-2 hours.

o Management of GI Obstruction / Perforation : Up to 2 hours.

o Post-Operative Care for GI Patients : Times vary based on severity, but generally under 3 hours.