To provide specialized services to patients for the diagnosis and management of diseases of the digestive tract.
SCOPE:˙
The gastroenterologist is a staff member of the Internal Medicine Service Division of the Specialty Medical Services Department.
Responsibilities are divided between the outpatient G.I. Clinic and Endoscopy Unit (40% of his time), and the in-patient services: Consultations and admissions 25% of his time, and G.I. procedures (upper G.I. and lower G.I. endoscopies, E.R.C.P., etc) 20%, and general internal medicine duties 15% of his time. He works under the professional supervision of the Chief of Internal Medicine service.
PRINCIPAL CONTACTS:˙
Contact with patients, their families, nurses, endoscopy staff (nurses and technicians), other gastroenterologists, internists, ward physicians, and physicians of the Specialty Services and Ambulatory Services Departments.
PRINCIPAL DUTIES:˙
To˙perform the professional duties of a gastroenterologist in accordance with the delineation of privileges as recommended by the Chief of Internal Medicine Service and approved by the Credentials Committee.
To perform his duties in the G.I: Clinic, evaluating patients with G.I. diseases which accounts for 25% of his time.
To provide care to his patients in the intensive care units and medical wards, which accounts for 25% of his time.
To perform G.I. procedures - upper and lower G.I. endoscopies, liver biopsies, E.R.C.P., and oesophageal motility studies - 20% of his time.
To provide consultation services to the in-patient services in his area of expertise which accounts for 15% of his time.
To share in the on-call duties of the Internal Medicine Service, which accounts for 15% of his time. The gastroenterologist is an internist as well as a gastroenterologist and is expected to perform all the duties performed by an internist (refer to duties of internist).
˙Provides after-working-hours on-call emergency coverage for G.I. emergencies.Provides supervision and education to the endoscopy staff, nurses, and technicians.
Participates in the monthly staff meeting of the Internal Medicine Service.
Attends and contributes to the daily morning Chiefs conference to review admissions and management problems.
Participates and contributes to the educational activities in the service: daily noon conferences, weekly grand rounds, monthly journal club, and the general physicians twice monthly conferences.
Performs additional duties as assigned by the Chief of service (e.g. Committee membership).˙
Participates and contributes to all the quality assurance activities of the service (e.g. monthly mortality and morbidity conference, peer review, audit, and chart review).
Supervises the work of ward physicians, professional development physicians, and interns, and provides his evaluation of their work at the request of the Chief of Service.
Performs duties in general internal medicine clinics/wards as assigned by the Chief of Service and as workload dictates.
