Physician - Resource

Overview

Position Highlights:

• Position:
  Per Diem OBGYN Physician

OB-GYN Physician Coverage Program

Endeavor Health

2024

OB Coverage Program

Resource Physician (RP) Responsibilities - Days, Nights, Weekends, Holidays

The Resource Physician is responsible for enhancing the safety of our patients, providing excellent clinical care and actively participating in the ongoing education of our learners in the Department of Obstetrics and Gynecology.

Availability: Arrive on time to begin your shift. If there is an unavoidable delay, contact the RP on duty to arrange for continuous coverage until your arrival on the unit.

Sign out RP-to-RP at shift changes. Sign out should include the status of obstetric and gynecologic North Shore Community Health Center (NCHC) patients, including private patients in Labor and Delivery (L&D), Emergency Department (ED) status and pending services such as tubal ligations, circumcisions, etc.

Provide contact information. Ensure the charge nurse, residents and unit secretary have your preferred method of reaching you during your shift (e.g., pager, in-house phone).

Record start and end times properly. Compensated payroll hours are calculated based on actual hours worked and must have documentation in at least one of the following methods.

Sign-in the duty log book when arriving and completing the shift. This log book is located in the "Chart Room" in L&D. All RPs will sign in on arrival and when completing their shift. It should also be used to record each billable service provided during the shift, in addition to completing billing sheets as described in the Billing section.

Enter start and end times in API Timecards for payroll processing. Non-Medical Group physicians must enter their start and end times in API;
Medical Group physicians must enter their hours as a calendar entry in API.

Remain physically on-site during the entire shift. RPs must remain within the confines of Evanston Hospital and should be readily available in the event of an emergency. They are not required to be in the Women's Hospital when not needed, but may not leave hospital buildings. The medical office buildings at 1000 Central Street or 2500 Ridge are not considered within the confines of Evanston Hospital.

Inform staff when leaving the Women's Hospital.

Serve as the team leader and general resource for Labor and Delivery staff. The RP monitors the clinical course of all patients in L&D and should be available for consultation or assistance on request. The RP should initiate interactions if there are concerns about management.

Schedule major procedures for private patients outside of scheduled OB Coverage shifts. Do not schedule non-obstetric procedures for private practice patients while on duty. During scheduled hours, RPs may engage in other professional activities as long as these activities do not interfere with RP responsibilities.

Arranging for substitute physician coverage for schedule changes. Covering physicians must be contracted Resource Physicians.

During normal business hours, the scheduled RP will notify the Department Administrator at x2521 or jkurtz and L&D at x2222 of all changes. After normal business hours, when the scheduled physician is unable to report for or complete their shift due to an emergency, the on-call contacts are Jennifer Kurtz at 6896 and Deanna Hanks at 7158 to coordinate timely coverage.

Clinical

Activities:

Supervise all clinical care for NCHC patients, including obstetric patients in L&D, the Women's Hospital and other locations with vaginal deliveries, cesarean sections, tubal ligation, amniocentesis, NSTs, AFIs, versions and related procedures. This does not include antepartum patients followed by MFM. The RP should alert the MFM attending or antepartum residents if a patient is admitted to the MFM service.

This also includes supervision of gynecologic patients in Emergency Department evaluations, admissions, surgery, pre- and post-operative examinations and rounds, and requested inpatient consultations.

Evaluate and document patients in a timely manner. The RP must see all NCHC patients, see patients in the ED, admit patients, and document notes in the Epic chart. When patients are in labor over more than one RP shift, each RP writes a note for their shift.

Provide urgent, emergent or attending coverage for all patients, as indicated, or if requested by nursing or a resident.

Assist the multi-disciplinary team. Provide assistance to attending physicians, residents, students and nursing staff as needed, especially when the service is busy.

Review and sign-off on all EFM records. Review, document and sign-off on monitor strips, NSTs and AFIs before the end of the shift for patients who are evaluated and discharged undelivered. Sign-off must be documented in the patient chart and in the Monitoring Log Book, including any strips from a previous shift.

Billing: Complete pink billing sheets for all billable services. Billable services include deliveries (NSVD, CS, VAVD, twins,…