MAHEC-OBGYN Hospitalist

Asheville, North Carolina

JOB SUMMARY:

Provides acute care for pregnant women in a hospital setting. This role involves managing labor and delivery, addressing obstetric and gynecological emergencies, performing cesarean sections, and offering consultative care to other healthcare providers. Hospitalists will provide continuous coverage for labor and delivery units, ensuring patient safety, and collaborating with nursing staff and other specialists. This position may also involve teaching and mentoring residents or medical students, as well as participating in quality improvement initiatives.

SPECIFIC RESPONSIBILITIES:

Specializing in OB care, covering hospital duties as a part of MAHEC OB/GYN Department

Clinical Activities:

• Continuation of practice and provision of care to obstetric and gynecologic patients at MAHEC Department of Ob/Gyn clinical sites, Mission (and other Mission Health sites), and at regional sites through outreach activities.
• Provides inpatient OB/GYN care as well as surgical, labor and delivery, night and weekend work in obstetric and gynecologic care.
• Maintenance of certifications, medical licensure, privileges, and other requirements of the profession.
• Provides quality care and documents appropriately according to policy and procedures.
• Abides by all MAHEC policies and guidelines.

Clinical Supervision responsibility:

• Supervision of Ob/Gyn residents, family practice residents, fellows, and medical students within MAHEC Department of Ob/Gyn clinical settings, Mission Hospitals, and at regional sites through outreach activities.
• MAHEC OB/GYN physicians provide supervision of family medicine, certified nurse midwives, as well as other physicians’ patient care.  MAHEC OB/GYN physicians provide supervision and care for unassigned patients and any other emergencies while working on labor and delivery.
• MAHEC OB/GYN physicians provide back up, consultation, collaborative care to patients of community family medicine providers and also nurse-midwifery providers.

Teaching Responsibilities:

• Participates in obstetric and gynecologic core curriculum for residents, fellows, and students, including the identification of topics, reading lists, and provision of feedback.
• Participates in teaching rounds, both obstetrical and gynecological.
• Participates in Ob/Gyn teaching conferences, didactics, simulation curriculum, and other teaching needs as determined by the Residency Program Director.
• Evaluates residents’ Ob/Gyn knowledge with evaluation process set by the Residency Program Director.

This role description is a general description of the essential job functions.  It is not intended to describe all the duties the OB Hospitalist may perform.

KEY COMPETENCIES:

• Communication Skills

Effectively and respectably communicate with other individuals, whether it be a colleague, patient, or patient’s family member and appropriately enumerate information in a manner easily understood by all parties. We do this to foster a culture of understanding between all parties, especially in complex and difficult situations, to ultimately provide the best care possible to our patients and their families.

• Decision Making

Ability to make the most appropriate decision in a given situation and then taking the next steps to ensure appropriate and timely completion. This requires conflict resolution skills, critical thinking skills, confidence in your ability to make the right decision in most situations. This also includes ability to prioritize your workday appropriately to ensure the most important tasks are completed on time.

• HealthCare Knowledge

Having the drive to keep yourself abreast and up to date on the new breakthroughs in your area of expertise and communicating them to the rest of the team, as appropriate.  This also includes keeping up with your licensure and yearly training requirements within your area expertise along with MAHEC’s organizational training. Finally, the ability to apply the depth of knowledge maintained and gained through this process in real life scenarios as appropriate.

• Interpersonal Skills

Showing the ability to meet difficult situations with grace, professionalism, and understanding. Within your area of expertise, showing respect and showing empathy where appropriate with your colleagues, patients, and their family at all times, even when its most difficult to do so. This is done, in part, by effective listening, being your authentic self, showing responsibility and dependability, and being patient with others.

• Organizational Values

Adherence to MAHEC’s founding principles and incorporating them every day. This includes, among others, having integrity and accountability, reverence for other cultures and equitable practices, ability to manage change, and displaying a clear understanding of organizational dynamics. Doing these things creates a culture where people want to do the best for each other and gives personal ownership towards the goal of helping people in their time of need.

• Problem Solving

Having an analytical mind and ability to work autonomously to solve complex problems that may arise. The wherewithal to think logically through a difficult problem and come to an appropriate resolution for a given issue. This helps to drive continuous improvement by thinking through where we can improve in a novel way. Measures success by understanding where we are currently and where we want to go and then applying those new ideas to affect positive change.

SPECIFIED SKILLS

• COMPUTER
  • Excellent skills in Microsoft Office including Word, Excel, PowerPoint, and database applications required.
• FOREIGN LANGUAGE
  • Spanish speaking skills preferred.

OB Hospitalist Skills:

• Operative vaginal delivery (Both forceps and vacuum)
• Manual rotation
• Cesarean/Postpartum hysterectomy
• D&E (<18 weeks)/Postpartum D&C
• Initiate and lead an effective de-brief (interdisciplinary and include community physicians)
• Knowledge of protocols
• OBH (Stage 2 & 3, OB transfusion protocols)
• Severe hypertension (escalating antihypertensive treatment, delivery timing)
• Antenatal steroids (at periviability, preterm, later preterm)
• Tocolysis and magnesium for neuroprotection
• GBS prophylaxis management
• Third- and fourth-degree laceration repair
• Placement of uterine tamponade balloon
• Laparoscopic ectopic pregnancy
• Breech second twin/Emergent breech vaginal delivery
• Performing post-operative checklist with circulating RN
• Perform interdisciplinary debriefs after complex events
• High risk transfer consultation

Mission Hospital Contract Duties:

• Provide support for Labor and Delivery, Maternal Fetal Medicine Unit, (MOMB) nurses for fetal heart rate tracing interpretation, urgent patient evaluation, and other consultation for all patients (including non-Contractor patients) at Facility.
• The conditions for which an OB Hospitalist needs to be alerted are as following (these conditions have been adopted by MEC)
  • Severe Hypertension (persistent >160/110 for 15 minutes or greater)
  • Category 3 fetal heart tracings
  • Obstetric Hemorrhage (blood loss greater than or equal to 1000ml, or blood loss of any amount accompanied by signs or symptoms of hypovolemia)
  • Eclampsia
  • Active preterm labor (preterm contractions with cervical change or membrane rupture)
  • Chest pain or shortness of breath
  • Mental status changes
  • Hemodynamic instability (MAP decrease >15%, HR>110, SBP<85, DBP<45)
  • Shoulder dystocia
  • Cord Prolapse
  • Imminent unattended delivery
• Provide standby coverage for patients whose provider are unavailable for urgent issues and births until the assigned provider is available.
• Provider support for unexpected obstetric emergencies in other perinatal units or the Emergency Department.
• Provide OB assessment for OB Triage patients for unassigned patients and community physician if not available within 30 min for the following conditions
  • OB patient’s presenting to OB Triage with labor ruled out and patient still has unexplained symptoms
  • OB patients presenting to OB Triage with symptoms not related to labor
• Participate in unit huddles twice a day as coordinated by department leadership
• Participate in unit safety huddles with Charge nurse and other RN’s at least twice per shift to identify changes in patient status or other urgent or emergent notification or early warning signs.

PHYSICAL DEMANDS

• Not Applicable.

SUPERVISORY RESPONSIBILITIES:

• Not Applicable.

EDUCATION AND EXPERIENCE

• MINIMUM QUALIFICATIONS:
  • The ability to function as a Board Certified obstetrician/gynecologist in the full realms of the practice of the specialty.  Must have dedication to equity in the healthcare field.
  • Demonstrated commitment to and experience in teaching resident physicians.

REQUIRED LICENSES:

• Board Certification
• Current North Carolina Medical License.
• Hospital privileges at Mission Hospitals.
• Current DEA certification.

SCHEDULE:

Regular attendance on-site is an essential function of this position. Typical main campus and clinical business hours are Monday – Friday, 7:00 am to 6:00 pm (or flexed to best meet the needs of the clients and/or the Division); 36-40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader.

• Full time .9 FTE: 3 daytime L&D shifts per week  =  12 shifts per 4 weeks
• .8 FTE:  3 daytime L&D shifts | 2 daytime L&D shifts per week alternating weeks = 10 shifts per 4 weeks
• There is no “administrative time” for OB Hospitalist role
• Overnight or weekend shifts are part of the call coverage and paid at a designated hourly rate of pay, in addition to base pay.

CURRENT SHIFT HOURS:

• Night Shift 5:45 pm to 8:00 am  (check out 7:00-8:00 am) or until end of transition of patient care
• Day shift: 7:00 am to 6:45 pm (check out 5:45 pm-6:45 pm) or until end of transition of patient care
• The total number of shifts as described above per 4 or 5 week time frame can be any needed mixture of days, nights, weekends based on the department’s overall schedule. Good will is used to create equitable and balanced schedule for all physicians and coverage.

Position Compensation:

Position salary includes base rate + years of experience, night and weekend shifts are included as additional add on of $140.00/hour.

This is a full time position with full benefits available

MAHEC is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

This ad expires on Wednesday June 11th, 2025