POSITION DUTIES: Works under the supervision of the Chief, Internal Medicine Service, who discusses policies and objectives. The incumbent exercises independent judgment in the medical treatment and management of patients and Internal Medicine Clinic (IMC) with the full range of conditions encountered in primary care, and in providing assistance and supervision to house staff. Effectiveness of service rendered to patients and in supervision of housestaff will be monitored through results obtained from peer review, continual quality improvement, chart reviews, and patient complaints and compliments. MAJOR DUTIES 1. Serves as the primary care physician for adult patients who have both acute and chronic illnesses and conditions covering internal medicine. Daily work involves management of complicated medical problems such congestive heart failure, valvular heart disease, hypertension, peptic ulcer disease, thyroid disorders, diabetes, arthritic conditions etc. Examines patients, takes histories, performs physical examinations, orders laboratory tests, makes definitive diagnoses and prescribes treatment to meet needs of patients, and refers as appropriate to specialty/subspecialty care. Follows full care of all patients and insures return from consultant. Admits patients to the hospital when appropriate. Monitors and manages care for patients as they move through the system to ensure cost effective care. Notifies patients of abnormal reports. Performs outpatient procedures to include graded exercise tests. Serves as an inpatient general medicine ward attending physician. Must be available for telephonic or personal consultation for inpatient care when on call. Responsible for consultative preoperative and perioperative recommendations to the surgical specialties in BAMC, as well as teaching consultative medicine to the housestaff assigned to his/her rotation. Responsibilities include night and weekend call when assigned to the consult service. Serve as an inpatient and outpatient consultant for the Internal Medicine Consult Service. Participates in the teaching activities of both residents and interns. Directs the input into continual quality improvement of the Internal Medicine Training Program. 2. Attends Department or Hospital board or committee meetings. Participates in the clinic Utilization Management and Quality Assurance processes. Attends Continuing Medical Education (CME) Courses and maintains specialty specific CME sufficient to satisfy the requirement of applicable licensing agencies and the Joint Commission on the Accreditation of Healthcare Organizations. Performs other duties as assigned.