Oncologist - Full Time - Baltimore, MD, United States - Sanford Federal Inc

Description

FAR Group headquartered in Stafford, VA., is a Service-Disabled Veteran Owned Small Business that provides federal professional services, primarily engaged in providing advanced information technology, cyber security, management systems support, as well as business and infrastructure management services.

We are among the most innovative, respected, and ethical providers of technology solutions to the United States government.

Our mission is to provide superior-quality, innovative, information technology solutions that help federal agencies best aid, serve, and protect the American people.

Type:
Full Time

Baltimore VA Medical Center located at 10 N. Must have at least five (5) years of documented post-residency experience
Must have at least three (3) years of continuous work experience within the last five (5) years
Five (5) years of experience - post residency experience with consultations, CT simulations, treatment planning and follow-up.
Five (5) years of experience -Image Guided Radiation Therapy (IGRT) including Cone Beam CT (following standards of TG-142.

Five (5) year of experience - Eclipse treatment planning system; 2D/3D Conformal, SRS, SRT, SBRT, and IMRT/VMAT (following standards of TG-53) .

Three (3) years of experience - VA CPRS Computerized Patient Record System electronic medical record.
follow patients for treatment management, continuing monitoring, and follow-up evaluations.

IMRT, IGRT, Stereotactic Radiosurgery, Stereotactic Radiotherapy, and/or HDR or LDR brachytherapy shall be fully justified in accordance with the appropriateness criteria of the American College of Radiology (ACR).

A radiation therapy consultation is defined as a comprehensive patient evaluation provided at the request of the referring physician.

A consultation shall consist of a meeting of the patient and a radiation oncologist within the timeframes established by VA Rules and Regulations, a history and physical examination, and a review of pertinent x-rays and laboratory results as well as the patient's medical record.

# Document the evaluation in CPRS, including at least:


Treatment Planning :

When it is determined radiation therapy is appropriate, a goal-oriented treatment plan from supporting data shall be developed by the physician for each patient, discuss treatment plan with patient and obtain patient's signed consent, and made a part of the VA medical record.

The treatment plan shall include the type of radiation to be administered, prescribed dose, treatment site location, Dose Volume (DV) based planning to include DV Histograms (DVH), designation of Organs at Risk (OAR) for radiation injury, DV based radiation delivery goals for each OAR.

# Physician shall document initial consultation and full plan of care that includes name of attending physician on all clinical notes, indicate radiation treatment type (i.e. conventional, IMRT), date of simulation or procedure date, curative or palliative radiation treatment, dose amount and duration of radiation treatment and signed patient consent for treatment.
# Treatment Management :
Includes weekly examination of the patient under radiation therapy by attending physician.

Weekly examination includes review of the daily and/or weekly port films by the attending physician, monitoring all therapy for side effects or complications, prescribed dose changes and other adjustment in treatment as needed, review of all cases at weekly case conferences or chart rounds and documented encounters and clinical progress notes in CPRS.

# Prior to beginning radiation treatment, the physician shall instruct the patient and care givers on the risks involved including symptom management and symptoms requiring immediate intervention. This instruction must be documented in the medical record within 24 hours. The patient shall be given names and telephone numbers of persons to contact to report these symptoms. Informed consent shall be completed prior to implementation of initial treatments.
# These treatment management evaluations, addressing tumor response and side effects of therapy and medications prescribed, include pertinent laboratory and imaging Patient's progress shall be reported to the referring physician using the electronic medical record, Computerized Patient Record System (CPRS), to include name of attending physician, treatment date, radiation treatment type, radiation dose amount and duration of treatment, radiation treatment dose to date and remaining dose to be provided, skin check of treated area, plan of care and number of treatments left to complete.
# This includes keeping the patient informed of all issues affecting care and inviting full participation in planning and implementing care. Patient expectations of contract physician(s) should also be outlined. The patient must be advised of their right to submit complaints and procedures concerning such. This instruction must be documented in the medical record within 24 hours.
# The physician shall maintain written policies and procedures that clearly define guidelines for protecting patients and employees from all unnecessary radiation exposure, provisions for the safe use, removal, handling and storage of radiation and other radioactive elements.
# physician(s) shall monitor all therapy for side effects or complications; Treatment Discharge : The physician shall document treatment discharge summary (End of Treatment Note) in CPRS to include total radiation treatment doses, patient's condition at completion of treatment, discharge instructions to patient and a follow-up appointment with 30-60 days post treatment.

Follow-up Evaluations : The board-certified radiation oncologist must see each patient at least one (1) time following the radiation therapy treatment series within thirty (30) to sixty (60) calendar days of the end of a treatment series.

The follow-up examination shall consist of a physical examination of the patient and a review of the current medical record including x-rays.

The purpose of this examination is to evaluate the patient's response to therapy and a written evaluation shall be completed for the patient's medical record within 48 hours.

Inclusion of correct Current Procedural Terminology (CPT) and diagnoses codes, and service connection of condition being treated on encounters
# Resident supervision documentation.
# Our work helps the US Government secure our nation, support the efforts of our military and intelligence communities, and provide lifesaving medical services to our soldiers, vets, and their families.
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