Performs duties under the general supervision of the Officer In Charge (OIC), Internal Medicine Clinic and Chief, Department of Medicine. Assignments are performed independently in accordance with Carl R. Darnall Army Medical Center regulations, policies and procedures. Work is reviewed in terms of results achieved and contribution to the mission of the service. 1. Provides direct expert patient care to patients in the Internal medicine clinic, and as a Rheumatology consultant for hospitalized patients Carl R. Darnall Army Medical Center (CRDAMC). Provides care and clinical supervision for a wide range of patient presentations, ages and conditions including emergent, urgent and non-urgent complaints. Evaluates, examines, diagnoses and treats Rheumatology and internal medical disorders for patients in the clinic or admitted to the hospital. Performs appropriate invasive and noninvasive diagnostic and therapeutic procedures acceptable for the specialties of Rheumatology and internal medicine including advanced cardiac life support. Provides all services identified in the current Model of Clinical Practice for Rheumatology as promulgated by specialty societies. Identifies significant and relevant symptoms of presenting Rheumatology or internal medicine patients that may be subtle or present with overlapping symptoms due to more complex diagnoses. Orders appropriate laboratory, x-ray, and other diagnostic tests; interprets the medical evidence, incorporating information into an accurate diagnosis or appraisal; institutes proper treatment and patient care. Facilitates patient access to continuing medical care by appropriate referrals to other healthcare providers and operating within the policies and regulations of the hospital. Renders consultative opinions to other physicians and auxiliary health personnel in the areas of expertise. Maintains health and clinical records in accordance with current regulations and standards. Directs the care of Rheumatology or Internal Medicine Services for patients to include supervision of residents, interns, medical students, and other paraprofessionals and administrative personnel when necessary. Responsible for the administration and teaching of all aspects of Rheumatology or Internal Medicine care to residents, interns and other medical personnel while on duty in the clinic or as Attending Staff on the internal medicine ward. Shares on-call duties with the other Rheumatology Staff for the Rheumatology service throughout the year. Has on-call duties while Attending Staff for a minimum 1-month of internal medicine ward each year conforming to the policies of the internal medicine residency program and Carl R. Darnall Army Medical Center. 2. As a member of the teaching staff for internal medicine and rheumatology participates in the graduate medical education of internal medicine residents, off-service residents, allied health residents, medical students and other medical trainees. Serve as a key and critical faculty member for the internal medicine residency in direct support of the internal medicine program director. Meets the scholarly requirements of the internal medicine residency program to include bedside teaching, formal lectures, mentoring resident research and contributing to regional/national presentations and medical publications in Rheumatology or internal medicine. Will seek and maintain an adjunct academic appointment (professorship) at a medical school affiliated with the medical center. Position may require occasional travel to affiliated medical training sites. 3. Participates in service and hospital performance improvement activities. Make recommendations on improvement of work methods, organizational features and the restructuring of positions to support the Rheumatology services and quality patient care at Carl R. Darnall Army Medical Center. PERFORMS OTHER DUTIES AS ASSIGNED. Conditions of Employment - Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation. - A Personnel Security Investigation is required. - This position may have specific initial background investigation and periodic re-verification requirements since its duties may require interaction with children and youth under the age of eighteen (18) years of age on a recurring basis. - Selectees may be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption. - This position is a Testing Designated Position subject to pre-employment screening and random drug testing. Selectees will be required to consent to participation in random drug urinalysis testing. - A pre-placement medical examination may be required. - Immunization screening may be required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position. - May be required to obtain and maintain current Basic Life Support (BLS) certification through the American Red Cross or American Heart Association. Advanced certification (e.g., ALS) does not supersede BLS. - Applicants must be able to fulfill credentialing requirements and obtain and maintain appropriate/relevant clinical privileges. - Moderate to heavy lifting up to 45 pounds may be required. - Additional requirements may be determined as positions arise and will be communicated during the hiring process if you are