Supervising Physician

Job Description

Job Description

Job Description

If you are interested please email your resume to: JLee@mlkch.org

• Per Diem

• Schedule 1 day per week 8-330pm (Days may vary)

POSITION SUMMARY

The Street Medicine Physician is responsible for providing high-quality, comprehensive medical care to individuals experiencing homelessness and housing instability throughout South Los Angeles. The physician practices independently within the scope of their clinical privileges and works as an integral member of a multidisciplinary Street Medicine team providing care in nontraditional settings, including streets, encampments, shelters, interim housing locations, and other community-based environments.

The Street Medicine Physician evaluates and manages acute and chronic medical conditions, provides preventive and harm-reduction services, performs appropriate point-of-care testing and procedures, coordinates specialty and hospital-based care, and facilitates longitudinal engagement with patients who may experience significant barriers to traditional healthcare.

A significant component of this position is the supervision and education of Internal Medicine residents participating in Street Medicine rotations. The physician serves as the supervising attending physician for residents in the field, provides direct clinical supervision appropriate to resident level and competency, reviews patient assessments and treatment plans, completes required documentation and attestations, and provides structured teaching and feedback.

The physician works collaboratively with Street Medicine leadership, Internal Medicine residency leadership, nursing and advanced practice providers, medical assistants, community health and outreach personnel, social services, behavioral health professionals, community organizations, and other partners to provide patient-centered and coordinated care to the unhoused population of South Los Angeles.

The physician will supervise Internal Medicine Residents in street medicine core principles and provide guidance both in person and be available by phone when necessary. The supervising physician will participate in didactic lectures and research that pertain to street medicine. **Grant Funded Position, updated annually until 6/30/2031**

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Provides independent, comprehensive medical care to patients experiencing homelessness and housing instability in South Los Angeles.

2. Conducts clinical care in street and community-based environments, including encampments, shelters, interim housing, supportive housing, mobile settings, and other locations where unhoused patients reside or receive services.

3. Obtains comprehensive and focused medical histories, performs physical examinations, develops differential diagnoses, and establishes evidence-based treatment plans.

4. Diagnoses and manages acute and chronic medical conditions commonly encountered in Street Medicine, including hypertension, diabetes, cardiovascular disease, pulmonary disease, infectious diseases, dermatologic conditions, wounds, musculoskeletal conditions, and other medical illnesses.

5. Provides preventive healthcare, vaccinations, screening services, health education, harm-reduction interventions, and counseling appropriate to the individual patient's needs.

6. Evaluates and manages wounds and skin and soft-tissue infections and performs appropriate office- and field-based procedures consistent with clinical privileges.

7. Orders, performs, and interprets appropriate laboratory studies, point-of-care testing, diagnostic imaging, and other diagnostic procedures.

8. Prescribes, administers, dispenses, and manages medications in accordance with applicable laws, organizational policies, clinical privileges, and Street Medicine protocols.

9. Ensures appropriate medication reconciliation, storage, tracking, and dispensing practices within the Street Medicine program.

10. Identifies patients requiring a higher level of care and facilitates appropriate transfer to emergency departments, hospitals, specialty services, or other healthcare settings.

11. Coordinates transitions of care following emergency department visits, hospitalizations, and specialty consultations to promote continuity and reduce fragmentation of care.

12. Develops patient-centered care plans that account for medical illness as well as behavioral health conditions, substance use, housing instability, transportation limitations, health literacy, and other social determinants of health.

13. Works collaboratively with nursing, advanced practice providers, medical assistants, outreach staff, community health workers, behavioral health professionals, social workers, housing personnel, and community partners.

14. Establishes therapeutic relationships with patients who may have experienced significant barriers to healthcare through trauma-informed, culturally responsive, and nonjudgmental care.

Job Requirements

POSITION REQUIREMENTS

A. Education

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school.

• Successful completion of an ACGME-accredited residency program in Internal Medicine, Family Medicine, or another specialty appropriate to the clinical responsibilities of the position.

• Board certification or board eligibility in Internal Medicine, Family Medicine, or another appropriate specialty.

• Current, unrestricted California Physician and Surgeon License.

• Current DEA registration without restrictions appropriate to the position.

• National Provider Identifier (NPI).

• Must meet all medical staff credentialing and privileging requirements of the organization.

B. Qualifications/Experience

• Enrolled in Medi-Cal

• Will require MLKCH med staff privileges and payor enrollment

C. Special Skills/Knowledge

• Ability to lead a team

INTERNAL MEDICINE RESIDENT SUPERVISION AND EDUCATION

o Serves as the supervising attending physician for Internal Medicine residents assigned to Street Medicine clinical rotations.

o Provides direct clinical supervision of residents during Street Medicine field activities and ensures that supervision is appropriate to each resident's level of training, competency, and demonstrated ability.

o Reviews resident patient assessments, differential diagnoses, diagnostic evaluations, treatment plans, prescriptions, procedures, referrals, and disposition decisions.

o Personally, evaluates patients when clinically indicated and provides attending-level oversight for complex, unstable, or high-risk patients.

o Reviews resident documentation and completes attending attestations and other required documentation accurately and within required timeframes.

o Provides bedside and field-based teaching regarding clinical medicine, health disparities, homelessness, social determinants of health, trauma-informed care, harm reduction, healthcare access, and the unique principles and practice of Street Medicine.

o Provides residents with timely, constructive feedback regarding clinical knowledge, patient care, professionalism, communication, teamwork, documentation, and performance in the Street Medicine environment.

o Completes resident evaluations and communicates significant performance, professionalism, patient-safety, or educational concerns to appropriate Street Medicine and Internal Medicine residency leadership.

o Collaborates with Internal Medicine residency leadership to develop and continuously improve the Street Medicine educational experience and curriculum.

o Serves as a professional role model for residents and other learners regarding compassionate care, professionalism, advocacy, interdisciplinary collaboration, and service to vulnerable populations.