Emergency Room Physician

Resolution Think LLC's joint venture, Cognito Systems,  is seeking a part-time ER Physician to work on site at Madigan Army Medical Center at Joint Base Lewis-McChord, WA. The lives of our nation’s active-duty military depend on outstanding healthcare. Cognito Systems strives to provide highly qualified healthcare professionals to work in the heart of military medicine. As a civilian contractor working for Cognito Systems, you will serve as a an ER Physician providing care to active duty service members, veterans, and their families. 

Essential Functions and Job Responsibilities

• Be a Part of the Team: Cognito Systems, LLC is Mentor-Protégé Joint Venture between Resolution Think and Quarter Line Consulting Services. Cognito Systems is committed to providing high-quality service to our customers and to delivering world-class healthcare to members of our military and our nation’s veterans.
• The Benefits: Our team offers competitive compensation packages, a full range of benefits, continuing education, and excellent work-life balance to ensure your success
• Compensation: $285/hr.

• Clinically supervise and teach emergency medicine residents, PAs, PA fellows, interns, 
  medical students, and house staff during assigned ED shifts; complete teaching attestation 
  and co-sign charts within 72 hours; when clinically supervising residents, provide verbal 
  feedback on performance at end of shift and one written teaching evaluation per emergency 
  medicine residency policy.
• Ensure accurate, complete, and timely (within 72 hours) documentation in the electronic 
  health record (EHR); respond to coding queries and correct deficiencies promptly; maintain 
  records per hospital directives and DHA PM 6025.02. 
• Provide expert guidance to Government Service PAs in ED Fast Track as needed.
• Stabilize and manage patients requiring transfer beyond MAMC capabilities, coordinating 
  with the Patient Logistics Center, discussing with the accepting physician, and completing 
  necessary documentation per COBRA and EMTALA regulations.
• On day shifts, review abnormal microbiology results and culture sensitivity reports in the 
  electronic medical record and counsel/treat patients as appropriate. 
• Intermittently prepare, deliver, and proctor a 30-minute oral board clinical case for the 
  emergency medicine residents.
• When assigned to shifts in the main ED, review charts of patients who Left Without Being 
  Seen, contacting high-risk patients or those with abnormal labs per ED policy.
• Regularly review the ED tracking board (LaunchPoint) and monitor the waiting room to 
  enhance efficiency and patient safety.
• Obtain clinical consultations as needed.
• Respond to Pierce County Base Station calls, directing pre-hospital care per Washington 
  State, Pierce County, and Madigan guidelines.
• Respond to mass casualty situations per hospital procedures.
• As part of the Coordinating Team (charge RN, medic shift leads, nursing supervisor, and 
  administrator on duty), address workflow issues, staffing shortages, supply deficiencies, or 
  equipment failures on shift.
• Remain in or immediately available to the ED throughout the shift; do not leave without a 
  privileged replacement; receive a safe and effective handoff from a designated staff member 
  before assuming duties. At the end of the shift, ensure a safe and effective transition of care 
  to the oncoming privileged provider.
• Submit schedule requests on time via the electronic system; shifts may be in main ED, ED 
  Fast Track, or Vertical Split Flow based on need and availability; provide intermittent ED 
  coverage during Grand Rounds (Wednesdays 0700-1600) or staff-only days.
• Perform monthly peer reviews for ED providers using the electronic chart review system
• Complete all required paperwork, computer-based training, and face-to-face training per 
  Madigan policies.
• Prepare additional records/reports as required of Army Medical Department officers or 
  physicians in routine patient care.
• Complete Washington State Labor and Industry and civilian employee injury forms for on the job incidents and respond to quality improvement or patient complaint inquiries

•  Degree/Education: Doctor of Medicine (MD) OR Doctor of Osteopathic Medicine (DO). Graduate from an accredited medical school in the United States or Canada.
  •  Equivalency Determination Request: The Contractor may not request an equivalency determination as a substitute for education requirements on this labor category.
• Residency: Successful completion of an internship and residency program to become 
  Board certified by Emergency Medicine (American Board of Emergency Medicine 
  (ABEM) or American Board of Osteopathic Emergency Medicine (ABOEM) only.
• Experience: A minimum of one year experience in the last two years as an Emergency Medicine 
  Physician, post-training. 
• Certifications: BLS, ACLS, PALS
• Board Certification: Board certified by Emergency Medicine (American Board of Emergency Medicine (ABEM) or American Board of Osteopathic Emergency Medicine (ABOEM) only. The DoD only recognizes certifications issued by boards that are members of the American Board of Medical Specialties (ABMS) or the AOA Bureau of Osteopathic Specialists.
• Licensure: Current, full, active, and unrestricted license (MD or DO) to practice medicine and able to obtain clinical privileges to practice medicine at the MTF where services are provided and have an active DEA registration.