BACKGROUND INFORMATION
Date of Study: February 9, 2004 – February 11, 2004
Collective Bargaining Identification: R16
Job Analysis Conducted By: Carol MacMillan, Personnel Examining Analyst, Personnel Examining Section, Pam Clements, Personnel Examining Analyst, Personnel Examining Section, Office of Workforce Planning and Selection
Number of Incumbents: There are 277 incumbents in this classification per Department of Corrections Filled/Vacant Position Report dated December 2003.
EDITED TASK LISTING
NOTE: Each position within this classification may perform some or all of these tasks.
Task Statements:
1. Interview inmate patients in order to establish the nature of their symptoms, evaluate their health status and needs, establish their medical history, determine their functionality, etc. utilizing medical knowledge, communication skills, medical records, consultation with other staff, etc. as needed.
2. Examine inmate patients in order to establish the nature of their symptoms, evaluate their health status and needs, guides additional medical history, determine their functionality, etc. utilizing medical knowledge, communication skills, medical records, consultation with other staff, medical instruments, etc. as needed.
3. Interpret written documents (e.g., unit health records, chronos, 602s (inmate appeals), etc.) in order to determine the next step in the health care process, make appropriate referrals, respond to appeals, etc. utilizing medical knowledge, communication skills, medical records, etc. as appropriate.
4. Assess inmate patients’ health status in order to provide medically necessary treatment, management, and/or referrals (e.g., medications, chronos, therapy, diagnostic studies, patient education, etc.) utilizing patient interviews, patient examination, unit health record and other documents, test results, medical knowledge, communication skills, etc. as needed.
5. Order medical interventions (e.g., medications, laboratory studies, diagnostic studies, special diets, chronos, physical therapy, etc.) as needed, to diagnose or treat inmate patients, provide medically necessary treatment, management, and/or referrals, and establish functionality, utilizing formularies, utilization management plans, Medical Services for Inmates (MSI), policies, procedures, medical reference materials, patient interviews, patient examinations, unit health record and other documents, medical knowledge, communication skills, etc.
6. Administer treatments (e.g., medication, dressings, injections, etc.) in order to diagnose, treat, or prevent inmate patients’ illnesses and injuries and to promote inmate health, utilizing medications, policies, procedures, medical reference materials, medical knowledge, communication skills, etc. as needed.
7. Perform medical, surgical, and diagnostic procedures (e.g., suturing, incision and drainage, endotracheal intubation, biopsy, endoscopy, pap smears, excision, etc.) in order to diagnose, treat, or prevent inmate patients’ illnesses and injuries and to promote inmate health, utilizing surgical skills, medical knowledge, medical skills, medications, policies, procedures, medical instruments, medical reference materials, communication skills, etc. as needed.
8. Order laboratory examinations and analyses, x-rays/imaging and other diagnostic tests in order to diagnose, manage, and/or prevent inmate patients’ illnesses and injuries and to promote inmate health, utilizing policies, procedures, medical reference materials, medical knowledge, communication skills, etc. as needed.
9. Manage medical problems in the inpatient and outpatient setting (including making rounds in the hospital, outpatient housing unit, or Correctional Treatment Center (CTC)) to facilitate continuity of care and appropriate management of the patients’ medical conditions utilizing medical knowledge, applicable laws, rules, regulations, policies, procedures, communication skills, documentation, etc. as needed and/or assigned by the supervising physician.
10. Conduct peer review, utilization review, and quality review to evaluate, document, and improve the quality and appropriateness of inmate patient care utilizing patient’s unit health record and other documents (e.g., court records, letters from inmate family, etc.), medical knowledge, laws, rules, regulations, court mandates, lab tests, etc. as assigned by the supervising physician.
11. Educate inmate patients about their medical conditions, to facilitate their participation in their health care and encourage self-responsibility for their health, utilizing medical knowledge, information about their specific disorder and treatment, patient handouts, videos, communication skills, policies and procedures, etc. as needed.
12. Instruct nurses, technicians, and other personnel in order to maintain the standard of care, promote effective utilization, and ensure compliance with laws, rules, policies, etc. utilizing medical knowledge, training skills, laws, rules, policies, procedures, communication skills, videos, demonstration equipment, etc. as assigned by the supervising physician.
13. Clinically supervise nurses, technicians, and other personnel in order to maintain the standard of care, promote effective utilization, and ensure compliance with laws, rules, policies, etc. utilizing medical knowledge, training skills, laws, rules, policies, procedures, communication skills, etc. as needed.
14. Participate in staff conferences (e.g., Utilization review, Peer Review, Interdisciplinary Treatment Team (IDTT), other medical staff committees, etc.) to maintain the standard of care, promote effective utilization, and ensure compliance with laws, rules, policies, etc. utilizing record reviews, statistical evaluation, communication skills, policies and procedures, etc. under the general direction of the supervising physician.
15. Prepare written documents (e.g., progress notes, patient histories and examinations, correspondence, appeals, policies, procedures, reports, etc.) to ensure proper documentation of patients’ conditions and treatment, provide information and direction to others, and comply with various laws, rules, policies and procedures utilizing communication skills, medical knowledge, policies and procedures, computer hardware/software, etc. as needed.
16. Serve as Medical Officer-Of-The-Day (MOD)/Physician on Call (POC) to provide inmate access to care on a continuous basis utilizing cell phone/pager, telephone, policies and procedures as assigned by the supervising physician.
17. Maintain the safety and security of the institution by supervising the conduct of persons committed to the California Department of Corrections (CDC) and by inspecting the premises in order to prevent escape, and/or to prevent injury by inmates to themselves, others or to property, utilizing interpersonal skills, heightened awareness of the surroundings, knowledge of the prison system and inmates, alarm systems, tool control policies, inmate searches, etc. as dictated by departmental policy.
18. Serve as a consultant to Health Care Services Division, Attorney General’s Office, Legal Affairs Division, institutions, etc. to provide information, assist with policy implementation, assist in determining appropriate treatment options, ensure appropriate patient care, and assess the treatment rendered, utilizing current knowledge of specialty area, communication skills, medical knowledge, laws, rules, policies and procedures, medical records, relevant documents, etc. as needed.
19. Participate in the development of policies and standards for the medical program to ensure compliance with existing laws, regulations, court mandates etc. and promote quality patient care utilizing rules, laws, regulations, computers and Internet connections, textbooks and journals, subject matter experts, medical knowledge, communication skills, under the general direction of the supervising physician.
20. Participate in clinical quality review to maintain the standard of care, promote effective utilization, and ensure compliance with laws, rules, policies, etc. utilizing record reviews, statistical evaluation, communication skills, policies and procedures, etc. under the general direction of the supervising physician.
Tasks highlighted in bold text are not currently on the SPB classification specification
EDITED KSAPC LISTING
NOTE: Each position within this classification may perform some or all of these KSAPCs.
Knowledge of:
K1. Extensive knowledge of methods, principles, recent developments, and professional standards in general medicine and surgery to manage chronic medical conditions (e.g., diabetes, hypertension, cancer, pain management, Hepatitis, Tuberculosis, Human Immunodeficiency Virus (HIV), etc.), respond to acute conditions (e.g., heart attacks, stab wounds, abdominal pain, etc.), practice preventive medicine (e.g., risk factor modification), and participate in the development of policies related to inmate health care.
K2. Basic knowledge of hospital organization and procedures to ensure compliance with laws, rules, regulations, policies, procedures (e.g., Title 22, Welfare and Institutions Code (W&I), medical staff bylaws, etc.), and participate in medical staff committees in a licensed facility.
K3. Basic knowledge of ancillary services (e.g., radiology, laboratory, dietary, respiratory therapy, speech therapy, social work, physical therapy, etc.) to order medically necessary inmate patient care.
K4. Basic knowledge of methods of diagnosing and treating mental disorders (e.g., schizophrenia, bipolar disorder, depression, personality disorders, etc.) to identify patients in need of further medical and/or psychiatric evaluation and treatment, participate in interdisciplinary care of the mentally ill, and understand how the patients’ mental illness may impact their self-care.
K5. Basic knowledge of principles and practices of public health (e.g. disease control, epidemiology, contact tracing, screening, surveillance, outbreak management, etc.) to identify and isolate cases, participate in exposure control committees, and recommend preventive measures.
K6. Basic knowledge of triage and organization of mass casualty events (e.g., riots, natural disasters, etc.) to effectively manage and prioritize treatment of large numbers of victims and participate in disaster planning and exercises.
K7. Basic knowledge of the diagnosis and management of physical and developmental disabilities to make recommendations for patients in need of accommodations for such disorders.
KSAPCs highlighted in bold text are not currently on the SPB classification specification
Skill to:
S1. Skill to apply methods and principles of general medicine and surgery to diagnose, treat, or prevent inmate patients’ illnesses or injuries and/or promote inmate health.
S2. Skill to perform medical, diagnostic, and surgical procedures (e.g., suturing, CPR, splinting, pap smears, defibrillation, removal of foreign bodies, etc.) to evaluate medical problems and provide medically necessary care.
S3. Skill to order appropriate interventions (e.g., diagnostic studies, consults, medication, diet, activity, etc.) to diagnose and treat patients, monitor progress, and promote inmate health.
S4. Skill to apply organizational policies and procedures to ensure compliance with court mandates, laws, rules and regulations, maintain licensure, ensure consistency within the organization’s health care system.
S5. Skill to examine patients to identify normal and abnormal physical findings (e.g., tenderness, deformities, a mass, heart murmur, swelling, etc.).
S6. Skill to interpret laboratory analyses and other diagnostic test results (e.g., x-rays, Magnetic Resonance Imaging (MRI), ultrasounds, Complete Blood Count (CBC), pap smears, etc.) to determine their significance and guide subsequent management plans of the inmate patient.
S7. Skill to direct others involved in health care delivery (e.g., surgical teams, resuscitation teams, lab tests, visual acuity tests, diagnostic studies, injections, breathing treatments, maintaining IVs, etc.) to promote effective utilization of medical resources and ensure compliance with laws, rules, policies, etc.
S8. Skill to instruct medical staff (e.g., nurses, Medical Technical Assistants, physicians, etc.) in the principles and practices of general medicine and surgery to develop and maintain their level of knowledge and skills.
S9. Skill to prepare case histories (i.e., unit health record) to document the health status and medical conditions of the inmate patient.
S10. Skill to analyze situations accurately to make reasoned decisions and adopt effective courses of action (e.g., medical management of inmate patients, personal safety, discovering contraband, conflict resolution, etc.).
S11. Skill to orally communicate effectively in order to exchange and/or provide information and direction to staff, patients, and others (e.g., educate patients, handle antagonistic or manipulative patients, instruct staff, order treatments and tests, provide clinical direction, etc.).
S12. Skill to prepare written documents (e.g., case histories, medical reports, correspondence, appeals, etc.) to provide legible, accurate, and complete information and/or direction to staff and others.
KSAPCs highlighted in bold text are not currently on the SPB classification specification
Special Personal Characteristics:
SPC1. Empathetic understanding of patients in a State correctional facility
SPC2. Alertness
SPC3. Keenness of observation
SPC4. Tact
SPC5. Patience
SPC6. Emotional stability
SPC7. Have and maintain current certifications in areas such as board certifications, Advanced Cardiac Life Support (ACLS), Advanced Neonatal Life Support (ANLS) and Advanced Trauma Life Support (ATLS).
KSAPCs highlighted in bold text are not currently on the SPB classification specification
Working Conditions:
WC1. Willingness to respond to changes in the work unit in a positive, professional manner.
WC2. Willingness to promote positive, collaborative, professional working relations among co-workers.
WC3. Willingness to accept constructive criticism and respond appropriately.
WC4. Willingness to interact professionally with people (e.g., members of the public, contract staff, inmate patients, and other agency personnel) from a wide range of cultural backgrounds in the course of completing work tasks and assignments.
WC5. Willingness to work in a team environment, including inter-disciplinary teams.
WC6. Willingness to work various schedules (e.g., day shift, swing shift, night shift, weekends, and holidays).
WC7. Willingness to work Physician-on-call (POC) or Medical Officer of the day (MOD) assignments (e.g., weekends, holidays, evening, and nights), which may extend beyond regular working hours.
WC8. Willingness to travel throughout the state for short periods of time (e.g., two to three days at a time).
WC9. Willingness to participate in departmental legal activities (e.g., expert witness, defendant, material witness).
WC10. Willingness to actively participate in the peer review and clinical quality review process.
WC11. Willingness to comply with the safety and security procedures.
WC12. Willingness to work in a State correctional facility.
WC14. Willingness to provide medical care to inmates.
WC15. Willingness to comply with tuberculosis screening requirements.
WC16. Willingness to have and maintain sufficient strength, agility, and endurance to perform during stressful (physical, mental, and emotional) situations encountered on the job without compromising their health and well-being or that of their fellow employees or inmates.
WC17. Possession of a valid license to practice medicine in the State of California.
KSAPCs highlighted in bold text are not currently on the SPB classification specification