General Practitioner in Oncology - Kentville

at  Nova Scotia Health Authority

Requisition ID: 155154
Opportunity Type: Permanent
Estimated Annual Salary: 50,000 - 100,000
Type of Remuneration: Hourly Rate
Site Visit & Reallocation Allowance Programs: Relocation Program; Site Visit Program
For information and to determine eligibility for Department of Health and Wellness Incentives, please contact Physician.Resources@novascotia.ca

QUALIFICATIONS

• applicant must have an active license to practice medicine in this province from the College of Physicians and Surgeons of Nova Scotia (CPSNS)
• applicant must maintain active Canadian Medical Protective Association (CMPA) coverage and have active hospital privileges at their designated site/zone
• previous oncology training and experience is an asset

RESPONSIBILITIES

• Maintain current knowledge related to systemic therapy delivery and potential complications.
• Be the most responsible physician contact as it pertains to the patient’s cancer treatment for patients under their care.
• Be accountable and committed for the designated days and hours for outpatient assessment clinics per week. Collaborate with prescriber colleagues and clinic leads (e.g., Clinical Practice Lead, Manager) to ensure the number of clinics and patients per clinic allow for safe and efficient care and meet the patient demand and volumes.
• Practice in an interdisciplinary model of care that responds to the patient’s needs while undergoing systemic therapy, radiation therapy and other oncological care, maintaining a supportive role with the patient’s primary care provider.
• Receive patient and supervise treatment delivery as required including:
• Conduct and document a patient’s evaluation regularly as per plan of care. More frequent evaluations may be required based on the patient’s clinical condition.
• Review/ perform pre-treatment assessment including but not limited to bloodwork, diagnostic imaging, toxicity assessment, and other relevant clinical investigations to complete prescription orders for continuation of previously initiated anti-cancer systemic therapy regimens, including:
• New orders
• Modifications of existing orders
• Both oral and parenteral regimens
• Prescribe systemic therapy orders as per protocol and the Cancer Centre Specialist’s referral order.
• Revise systemic treatment in keeping with the protocol or in direct prescriber-to-prescriber consultation with the Cancer Centre Specialist.
• Revise ancillary (e.g., antiemetic) therapy according to patient needs.
• Complete all documentation related to a clinical encounter.
• Provide a summary of patient treatment, upon completion of treatment plan, to be shared with the patient’s referring oncologist/ hematologist, primary care provider, and other clinicians as appropriate, based on patient’s circumstances.
• Act as the most responsible physician during the administration of the patient’s treatment. The patient will continue to see their primary care provider for non-cancer related care.
• Maintain the cancer care plan for patients on active treatment and follow-up, in collaboration with other members of the health care team.
• Manage cancer symptoms and treatment-related adverse effects in collaboration with the specialist and health care team. Agree not to initiate, cancel, or make substantive changes in treatment plan for any patient without the consultation and supervision of a specialist.
• Notify the specialist of changes in the patient’s condition including the following:
• Oncologic emergencies including febrile neutropenia, spinal cord compression and severe hypercalcemia
• Cancer recurrence or progression on treatment
• Grade 3 or higher treatment related toxicity (e.g., neutropenia requiring a treatment delay or treatment reduction)
• Hospital admissions for any cause
• Significant medical illness including myocardial infarction, stroke, venous thromboembolism
• Deaths from any cause
• Follow cancer patients admitted to hospital in collaboration with admitting physician to ensure oncology needs are addressed.
• Where possible, provide follow-up assessments and examinations for cancer patients undergoing surveillance as well as consultation and support for cancer patients without family physicians.
• Complete forms and written referrals as needed.

ADDITIONAL RESPONSIBILITIES

• Adhere to NSHA CCP guidelines and policies to ensure that expected standards of care are achieved
• Participate in medical practice that is compatible with the Nova Scotia Health’s mission, values, and strategic directions
• Provide academic and clinical leadership to the local medical community related to the care of cancer patients and work in a co-leadership capacity with the clinic manager and/ or zonal oncology leadership as needed