Job details –
The Medicine service schedules 2 physicians on call per week from Monday 8am to the following Monday 8am. Usually 7 days on service followed by 7 days off service. Locum physicians however, may be scheduled for up to 2 weeks based on availability. During the on call week, physicians take call for admissions and consultations every other day (24hrs). The physician is responsible for daily rounds on assigned inpatients during the week, including documenting History and Physicals, daily progress notes electronically with updated care plans and communication with patients, families, consultants, nurses, case managers, and appropriate ancillary services. The average inpatient load is 10-20 daily. All transfers and discharge summaries should be timely documented. Daily orders are to be clearly written in patients’ charts. There is no nocturnist coverage, so nursing calls on inpatients overnight are also the responsibility of the assigned physician. All orders given via telephone must be co-signed, timed and dated within 24hrs. Verbal orders are not generally accepted unless there is an emergency. At the end of the rotation, the physician is responsible for creating a typed sign out list assigning all inpatients to the upcoming on call physicians for the following week. Verbal communication with the upcoming physician is encouraged.
We generally transfer patients off-island for emergency services NOT available including:
Other services not available on St. Croix include:
Skilled Nursing Facilities
Available consulting services include:
Interventional Cardiology (intermittent)
ICU/ Critical Care (sporadic)