Anesthesiologist

Minimum Education Medical Doctor (M.D.) Medical degree from an accredited medical school. (Required) And Minimum Work Experience 0 years Completion of required residency and fellowship training. (Required) Required Skills/Knowledge Knowledge of current principles, methods and procedures for the delivery of medical evaluation, diagnosis and treatment in the area of expertise Knowledge of legal and ethical standards for the delivery of medical care Ability to function independently in evaluating patient problems and developing a plan for patient care Ability to incorporate ethical concepts into patient care and discuss these with the patient, family, and other members of the health care team. Ability to supervise, advise, educate and train clinical professionals and/or students in area of expertise with respect to their level of training. Ability to maintain quality, safety, and/or infection control standards. Excellent verbal communication skills are necessary. Ability to navigate and use electronic medical record and smart phone technology for placing and responding to calls and texting Physical abilities needed for lifting gas (oxygen, air, nitrous oxide) tanks, moving stretchers, turning and moving patients of all sizes, managing airways, and performing CPR Required Licenses and Certifications Fully licensed and credentialed attending staff category physician on the medical staff of Children’s National Medical Center. Upon Hire (Required) Board eligible/certified in anesthesiology and in pediatric anesthesiology with the expectation that the employee will be board certified within 3 years and maintain certification. (Required) And Chronic pain physicians shall be board certified or eligible in Pain Medicine, or equivalent training in this subspecialty . Functional Accountabilities Commitment to World Class Care Provide clinical services for patients at Children’s Hospital and other approved sites in an ethical, professional and timely manner. Provide oversight of the medical care team and manage direct patient care for a specified patient population; improve continuity of care, customer service and partnerships with community physicians through timely completion of records and communication. Provide on-call services as determined by the Division Chief. Actively participate in family centered care and communicate in a professional and compassionate manner; refer patients to specialists and to relevant ancillary services as appropriate. Appropriately utilize the defined chain of command and escalation policies. Respond to team members and outside physicians in a timely and respectful manner; communicate clearly to trainees expectations regarding patient updates and notifications of significant clinical changes, and encourages questions from trainees. Commitment to Advocacy Participate in CNMC’s advocacy initiatives. Contribute scholarly effort to the advancement of public policy to promote population-based pediatric health and well being. Teach patients and families about treatment, prevention, and care enhancement techniques. Participate in specific health promotion, education and/or prevention programs. Contribute scholarly effort to the advancement of public policy that promotes population-based pediatric health and well being. Commitment to Research Conduct research of significant scientific value in the clinical and translational science area(s) relevant to his/her practice specialty. Participate in reviewing manuscripts for peer-reviewed journals. Publish in peer-reviewed, scientific, quality and management journals. Submit applications for grants or contracts for funding of research projects. Participate in research committees, workshop special interest groups, etc. Commitment to Education Participate in CNMC's medical education programs through learning activities with colleagues and trainees. Participate as appropriate in hospital/university –wide educational programs. Participate as appropriate in local, regional and national educational efforts. Provide timely feedback to trainees. Ensure adequate orientation for the care that the trainees deliver. Supervise and train clinical professionals and students effectively . Commitment to Quality & Compliance Follow established bylaws, policies and procedures, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Adequately and promptly complete all clinical documentation as required by JCAHO, other regulatory bodies and/or the Medical Staff Bylaws, Rules and Regulations and Policies and Procedures include complete clinical charge documentation. Identify problems related to patient services and make recommendations for improvement. Cooperate and participate in the development, implementation and revision of policies affecting medical practice, judgment and quality of care; Participate as a member of special care teams, Medical Staff and hospital committees. Review and prepare protocol for use by staff. Evaluate patient care according to adopted protocol and Quality Assurance program criteria. Participate in evaluation of peers and support staff; acknowledge and report medical and/or other errors as well as participate in efforts to prevent them. Core Clinical Competencies Core competency in Pediatric Anesthesiology includes the knowledge and skills to provide comprehensive management of newborns, infants, children, and adolescents to be rendered unconscious or insensitive to pain and emotional stress during surgical, dental and medical procedures. This includes perioperative examination and evaluation, assessment of the patient's anesthetic risk and impact of any coexisting disease or condition, and developing an appropriate anesthetic management plan pursuant thereto. The anesthesiologist also provides consultation to medical and surgical colleagues as well as parents and families in questions related to anesthesia, sedation and management of pain problems. Perform general anesthesia, and all other levels of sedation using intravascular, intramuscular, trans-mucosal, inhaled and topically applied agents including major and minor tranquilizers, potent inhaled anesthetic vapors, anesthetic gases, narcotics and non-narcotic analgesics and neuromuscular blocking agents and including invasive monitoring, respiratory therapy including short and long term ventilatory support. Perform airway management including mask ventilation, laryngeal mask airway insertion, direct laryngoscopy, fiberoptic bronchoscopy and video laryngoscopy with tracheal intubation. Perform local and regional anesthesia with and without sedation, including topical and infiltration, minor and major nerve blocks, intravenous blocks, spinal, epidural. Perform vascular access including peripheral and central venous cannulation, and arterial cannulation. Perform patient controlled analgesia using morphine, fentanyl & hydromorphone. Provision of postoperative pain relief with epidural infusion of local anesthetics &/or narcotics. Perform advanced life support and resuscitation of patients of all ages. Evaluate and manipulate respiratory parameters; difficult airway problems; fluid, electrolyte, and metabolic parameters including use of blood component therapy; and cardiovascular parameters. Manage hypovolemia from any cause; malignant hyperthermia; unconscious patients; and manipulation of body temperature. Provide collaborative supervision of Allied Health Professionals (Anesthesia Assistants, Anesthesia RNs and Nurse Practitioners) in the Division of Anesthesiology, Pain and Perioperative Medicine. Perform diagnostic and therapeutic management of perioperative and acute pain. Special Procedures Special Procedures Privileges in Cardiac Anesthesiology: Anesthetic management of infants, children & adults (with congenital heart lesions) undergoing surgery for corrective and palliative repair of the heart and/or great vessels with or without extracorporeal by-pass. Special Procedure Privileges in Chronic Pain Medicine: Management of complex, chronic pain syndromes, acupuncture, interventional pain procedures. Minimum Education Medical Doctor (M.D.) Medical degree from an accredited medical school. (Required) And Minimum Work Experience 0 years Completion of required residency and fellowship training. (Required) Required Skills/Knowledge Knowledge of current principles, methods and procedures for the delivery of medical evaluation, diagnosis and treatment in the area of expertise Knowledge of legal and ethical standards for the delivery of medical care Ability to function independently in evaluating patient problems and developing a plan for patient care Ability to incorporate ethical concepts into patient care and discuss these with the patient, family, and other members of the health care team. Ability to supervise, advise, educate and train clinical professionals and/or students in area of expertise with respect to their level of training. Ability to maintain quality, safety, and/or infection control standards. Excellent verbal communication skills are necessary. Ability to navigate and use electronic medical record and smart phone technology for placing and responding to calls and texting Physical abilities needed for lifting gas (oxygen, air, nitrous oxide) tanks, moving stretchers, turning and moving patients of all sizes, managing airways, and performing CPR Required Licenses and Certifications Fully licensed and credentialed attending staff category physician on the medical staff of Children’s National Medical Center. Upon Hire (Required) Board eligible/certified in anesthesiology and in pediatric anesthesiology with the expectation that the employee will be board certified within 3 years and maintain certification. (Required) And Chronic pain physicians shall be board certified or eligible in Pain Medicine, or equivalent training in this subspecialty . Functional Accountabilities Commitment to World Class Care Provide clinical services for patients at Children’s Hospital and other approved sites in an ethical, professional and timely manner. Provide oversight of the medical care team and manage direct patient care for a specified patient population; improve continuity of care, customer service and partnerships with community physicians through timely completion of records and communication. Provide on-call services as determined by the Division Chief. Actively participate in family centered care and communicate in a professional and compassionate manner; refer patients to specialists and to relevant ancillary services as appropriate. Appropriately utilize the defined chain of command and escalation policies. Respond to team members and outside physicians in a timely and respectful manner; communicate clearly to trainees expectations regarding patient updates and notifications of significant clinical changes, and encourages questions from trainees. Commitment to Advocacy Participate in CNMC’s advocacy initiatives. Contribute scholarly effort to the advancement of public policy to promote population-based pediatric health and well being. Teach patients and families about treatment, prevention, and care enhancement techniques. Participate in specific health promotion, education and/or prevention programs. Contribute scholarly effort to the advancement of public policy that promotes population-based pediatric health and well being. Commitment to Research Conduct research of significant scientific value in the clinical and translational science area(s) relevant to his/her practice specialty. Participate in reviewing manuscripts for peer-reviewed journals. Publish in peer-reviewed, scientific, quality and management journals. Submit applications for grants or contracts for funding of research projects. Participate in research committees, workshop special interest groups, etc. Commitment to Education Participate in CNMC's medical education programs through learning activities with colleagues and trainees. Participate as appropriate in hospital/university –wide educational programs. Participate as appropriate in local, regional and national educational efforts. Provide timely feedback to trainees. Ensure adequate orientation for the care that the trainees deliver. Supervise and train clinical professionals and students effectively . Commitment to Quality & Compliance Follow established bylaws, policies and procedures, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Adequately and promptly complete all clinical documentation as required by JCAHO, other regulatory bodies and/or the Medical Staff Bylaws, Rules and Regulations and Policies and Procedures include complete clinical charge documentation. Identify problems related to patient services and make recommendations for improvement. Cooperate and participate in the development, implementation and revision of policies affecting medical practice, judgment and quality of care; Participate as a member of special care teams, Medical Staff and hospital committees. Review and prepare protocol for use by staff. Evaluate patient care according to adopted protocol and Quality Assurance program criteria. Participate in evaluation of peers and support staff; acknowledge and report medical and/or other errors as well as participate in efforts to prevent them. Core Clinical Competencies Core competency in Pediatric Anesthesiology includes the knowledge and skills to provide comprehensive management of newborns, infants, children, and adolescents to be rendered unconscious or insensitive to pain and emotional stress during surgical, dental and medical procedures. This includes perioperative examination and evaluation, assessment of the patient's anesthetic risk and impact of any coexisting disease or condition, and developing an appropriate anesthetic management plan pursuant thereto. The anesthesiologist also provides consultation to medical and surgical colleagues as well as parents and families in questions related to anesthesia, sedation and management of pain problems. Perform general anesthesia, and all other levels of sedation using intravascular, intramuscular, trans-mucosal, inhaled and topically applied agents including major and minor tranquilizers, potent inhaled anesthetic vapors, anesthetic gases, narcotics and non-narcotic analgesics and neuromuscular blocking agents and including invasive monitoring, respiratory therapy including short and long term ventilatory support. Perform airway management including mask ventilation, laryngeal mask airway insertion, direct laryngoscopy, fiberoptic bronchoscopy and video laryngoscopy with tracheal intubation. Perform local and regional anesthesia with and without sedation, including topical and infiltration, minor and major nerve blocks, intravenous blocks, spinal, epidural. Perform vascular access including peripheral and central venous cannulation, and arterial cannulation. Perform patient controlled analgesia using morphine, fentanyl & hydromorphone. Provision of postoperative pain relief with epidural infusion of local anesthetics &/or narcotics. Perform advanced life support and resuscitation of patients of all ages. Evaluate and manipulate respiratory parameters; difficult airway problems; fluid, electrolyte, and metabolic parameters including use of blood component therapy; and cardiovascular parameters. Manage hypovolemia from any cause; malignant hyperthermia; unconscious patients; and manipulation of body temperature. Provide collaborative supervision of Allied Health Professionals (Anesthesia Assistants, Anesthesia RNs and Nurse Practitioners) in the Division of Anesthesiology, Pain and Perioperative Medicine. Perform diagnostic and therapeutic management of perioperative and acute pain. Special Procedures Special Procedures Privileges in Cardiac Anesthesiology: Anesthetic management of infants, children & adults (with congenital heart lesions) undergoing surgery for corrective and palliative repair of the heart and/or great vessels with or without extracorporeal by-pass. Special Procedure Privileges in Chronic Pain Medicine: Management of complex, chronic pain syndromes, acupuncture, interventional pain procedures.

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