Physician Services #49150

Physician Services, #49150
Occupational Family: Health and Human Services
Pay Band Range: 7 - 9

Concept of Work

This Career Group provides career tracks for physicians licensed by the Virginia Board of Medicine who perform medical responsibilities ranging from staff physician to management in accordance with state law. Responsibilities include the full range of medical duties associated with conducting physical, mental, and postmortem examinations; prevention, diagnosis and treatment of patient illnesses; providing expert consultation; managing health care services and public health care programs.

Roles Comprising This Group

These roles describe the collective characteristics of the work performed by employees in the Physician Services Career Group. The roles define the typical career paths for employees who pursue careers as physicians.

Although all of these employees are physicians, there are various types of physicians and each warrants a separate career track. Each of the career paths requires different knowledge, skills, and abilities and would not naturally lead to the other for career progression. However, a role for each of these occupations represents different levels of work, or career progression. Career paths may exist within a single role, extend to other roles in this Career Group, or to roles in other occupationally related Career Groups.

PAY BAND	PRACTITIONER ROLES	ROLE CODE	MANAGEMENT ROLES	ROLE CODE
7	Physician I	49151
8	Physician II	49152	Physician Manager I	49153
9			Physician Manager II	49154

Role Descriptions

These roles are distinguished based upon the Compensable Factors of Complexity, Results, and Accountability and are used for position classification. These factors should be used for classification and compensation analysis. Recruitment and selection standards must be based on knowledge, skills, and abilities as indicated in the Employee Work Profile.

Physician I

Code: 49151

Pay Band: 7

SOC: 29-1060*

The Physician I role provides a career track for physicians that examine, diagnose, treat, counsel, and prescribe treatment for patients and make referrals to medical or clinical specialists.

Physician I

COMPLEXITY	Applies knowledge of medical principles and practices and skill in the use of medical instruments, equipment, and procedures. Ability to accurately examine, diagnose, counsel, and treat a variety of patients. Frequently consults on matters relating to medical treatment with: patients and their families; medical, clinical, or other professional staff; and insurance companies.
RESULTS	Accurate prevention, diagnosis, and treatment. Improvement in patient health and quality of life.
ACCOUNTABILITY	Independently resolves daily medical issues. Guidance is received on policy or exceptional situations. May provide medical supervision to other clinical staff.

These two roles provide a dual career track for physicians.

Physician II	Code: 49152	Pay Band: 8	SOC: 29-1060*
Physician Manager I	Code: 49153	Pay Band: 8	SOC: 11-9111*

The Physician II role provides a career track for physicians that lead or supervise health care services and/or serves as expert consultants in a medical specialty.

Physician II

COMPLEXITY

Tasks are varied and may include the most complex, critical medical issues.

May require knowledge of administrative and supervisory principles.

Additional postgraduate education or board certification in a specialty area may be required.

Frequent contact with the public, legal establishment, or professional organizations to discuss services or to provide expert opinions.

RESULTS	Programs reflect high quality and credibility and contribute to successful patient outcomes. Accurate prevention, diagnosis, and treatment. Improvement in patient health and quality of life.
ACCOUNTABILITY	Independently resolves complex medical issues. Leadership and supervision may be provided to medical, clinical, or administrative staff.

Physician Manager I

The Physician Manager I role provides career tracks for physicians that direct one or more statewide health programs or a variety of health programs for a district or region. Positions in this role ensure that policies, procedures, and outcomes of health care activities comply with regulatory, legal, and medical standards.

Physician Manager I

COMPLEXITY

Applies a variety of administrative, coordinative, and medical techniques and practices.

Applies knowledge of principles and practices governing medical professions.

Applies knowledge of management practices and principles.

Analyzes medical problems and reaches conclusions that are logical and legally sound.

Positions may require additional graduate education in health administration or public health.

Frequent contacts to discuss medical programs with health care professionals; professional associations; media; legislators; local, state, and federal government agencies; legal establishments.

RESULTS

Outcomes can affect credibility of health care programs.

Effective performance ensures facilitation of appropriate delivery in health care services.

Decisions impact the health and safety of the public.

Decisions influence policy regarding health care programs.

ACCOUNTABILITY

Provides leadership through visibility within and outside state government.

Independently determines direction of programs.

Exercises sound judgment in patient care and providing health care services.

Physician Manager II

Code: 49154

Pay Band: 8

SOC: 11-9111*

The Physician Manager II role provides career tracks for Chief Physicians who are medical facility directors providing overall medical, administrative, and clinical direction for a state residential or medical facility; or medical directors overseeing medical care for a state medical facility or a statewide health system; or the administrator and medical consultant to a statewide medical regulatory board; or Commonwealth’s Medical Examiner.

Physician Manager II

COMPLEXITY	Considerable hospital and administrative management experience. Frequent contacts to discuss facility or health care management issues and regulations with legislators; Attorney General’s office; law enforcement and court officials; state, and federal agencies; patients and families; licensees; professional associations; and certifying bodies.
RESULTS	Significant impact on the quality of health care and efficient use of resources. Decisions may impact the continued certification and funding of medical programs. Accurate regulation of physicians and other medical professionals impacts the quality of treatment and appropriate delivery of health care services for the public.

ACCOUNTABILITY

Exercises sound judgment in effective direction and leadership.

Develops programs, policies, and protocols

Independently determines direction of programs.

*Statistical Reporting

This Career Group includes, but is not limited to, those in the following Standard Occupational Classifications:

11-9111	Medical and Health Services Manager
29-1060	Physicians and Surgeons
29-1062	Family & General Practitioners
29-1063	Internists
29-1064	Obstetricians & Gynecologists
29-1066	Psychiatrists
29-1069	Physicians & Surgeons, All Others

New Effective Date: 11/01/01

History

Previous class titles (listed by new role title).

Physician I

CLASS CODE	CLASS TITLE	GRADE
42212	Public Health Physician	20
42311	Rehabilitation Center Staff Physician	20
42322	Institutional Physician	20

Physician II

CLASS CODE	CLASS TITLE	GRADE
42213	Public Health Physician Specialist	21
42215	Public Health Physician Supervisor	21
42214	Medical Consultant	22
42245	Mental Health Physician B	22
42221	Assistant Chief Medical Examiner	23
42246	Mental Health Physician C	23

Physician Manager I

CLASS CODE	CLASS TITLE	GRADE
42231	Medical Program Director	21
42216	Public Health District Director MD	22
42232	State Health Assistant Commissioner (MD)	22
42323	Corrections Chief Physician	22
42233	State Health Deputy Commissioner, (MD)	23

Physician Manager II

CLASS CODE	CLASS TITLE	GRADE
42252	Mental Hospital Director	23
28386	Medicine Board Executive Director	23
42222	Chief Medical Examiner	UG