Hiring a full-time primary care geriatrician to work in the San Francisco VA Community Living Center (CLC)

The UCSF Division of Geriatrics and San Francisco VA Health Care System are hiring a full-time primary care geriatrician to work in the San Francisco VA Community Living Center (CLC) in the Geriatrics, Palliative, and Extended (GPEC) Care Service line. The CLC Physician will have a 100% VA-funded position and a without-salary faculty position in the UCSF Division of Geriatrics.  The CLC Physician provides primary care and coordinates management of interprofessional staff providing care to veterans (mostly older adults) with complex chronic diseases and mental health illness who reside at the CLC.

The CLC Physician is expected to be a geriatric medicine expert with knowledge and practice experience in geriatric medicine, dementia care, mental health illness management, rehabilitation, transitions of care, and healthcare systems navigation. Specific responsibilities include providing primary care for veterans, attending weekly interprofessional care plan meetings, attending watch list huddle three times a week, participating in screening meeting every morning if you are the daytime on call physician, attending weekly Falls focus meeting, attending weekly CLC provider meeting and ad hoc family meetings. Providing medical management of CLC Veterans includes identifying medical problems, defining medical management of problems, participating in the development of individual plans of care during interprofessional care plan meetings, and determining the need for other subspecialty services.

The CLC physician shares after hours, weekend and holiday calls with other physicians in the GPEC service. The CLC physician is required to participate in quality improvement projects within the CLC and to engage in SFVAMC committees, such as medical records, dementia committee, and physician utilization management committee etc.

The position reports to the Community Living Center Medical Director and follows the guidance of the Geriatrics, Palliative, and Extended Care Associate Chief of Staff on matters concerning the physician and geriatrics profession within the Medical Center’s jurisdiction. The position practices independently and their work is reviewed at least annually by the supervisor for medical accuracy and conformance with program standards and standard of care as applicable to the subject.

RESPONSIBILITIES:

The CLC Physician serves as a collaborator, consultant, and contributor to the CLC interdisciplinary team and program. The CLC Physician is expected to be trained in and demonstrate a high degree of knowledge and expert practice in evidence-based geriatric medicine to include knowledge and application of geriatric principles, knowledge and use of geriatric assessments, primary care management of complex chronic illnesses, ability to evaluate for decision making capacity, evidence-based prognostication, communication skillsincluding ability to facilitate and perform difficult conversations, and working in interprofessional teams. The CLC Physician is also expected to have a high degree of systems knowledge and practice including identifying the need for and facilitating transitions of care (including transitions through the end of life) and engaging resources and facilitating communication between health systems and sites of care when veteran is ready to be
discharged from the CLC. The physician is expected to be dedicated to ongoing professional education and growth.

Direct patient care responsibilities include: evaluate and manage Veterans at the CLC; perform and document admission and re-admission histories/physical examinations/assessments and plans on assigned patients within 24 hours of admission; admission medication reconciliation on all new admissions and readmissions; admit respite admissions to the CLC; participate in Disruptive Behavior rounds, Fall focus review meeting and ad hoc family meetings as needed for his/her patients; coordinate with interprofessional team members for discharge planning for Veterans who will be discharged from the CLC. The CLC provider will share on-call after hours,
weekends and holidays with physicians of GPEC service to provide care via phone. The CLC provider will provide leave coverage for primary care providers as needed.

Clinical administrative duties include reviewing and co-signing notes from interprofessional team members and from medical and surgical subspecialties consultative notes. The CLC physician is expected to write at least monthly notes on veterans in his/her panel as well as quarterly medical review notes and annual medical review notes. The CLC physician will attend interdisciplinary care plan meeting for his/her patients as well as review and sign 30-day pharmacy review notes.

Additional program responsibilities include being an education resource for team members and learners working at the CLC. The CLC physician will work with CLC teams to meet local, regional, and national program measures. The CLC physician is also expected to participate in continuing medical education for license and certification and professional development.

This position joins an mission-driven, collegial, multidisciplinary team and Division devoted to improving the care of vulnerable older persons.

Please use this link to apply for the position: https://aprecruit.ucsf.edu/JPF02896