City Medical Specialist assignment level IV
THIS IS A PART-TIME (35 Hours/Week)

Please note the maximum salary is $88.13 per/hour

Established in 1805, the New York City Department of Health and Mental Hygiene (the NYC Health Department) is the oldest and largest health department in the country. Our mission is to protect and improve the health of all New Yorkers, in service of a vision of a city in which all New Yorkers can realize their full health potential, regardless of who they are, how old they are, where they are from, or where they live.

As a world-renowned public health agency with a history of building transformative public health programming and infrastructure, innovating in science and scholarship to advance public health knowledge, and responding to urgent public health crises from New York City’s yellow fever outbreak in 1822, to the COVID-19 pandemic we are a hub for public health innovation, expertise, and programs, and services. We serve as the population health strategist, and policy, and planning authority for the City of New York, while also having a vast impact on national and international public policy, including programs and services focused on food and nutrition, anti-tobacco support, chronic disease prevention, HIV/AIDS treatment, family and child health, environmental health, mental health, and racial and social justice work, among others.

Our Agency’s five strategic priorities, building off a recently-completed strategic planning process emerging from the COVID-19 emergency, are:
1) To re-envision how the Health Department prepares for and responds to health emergencies, with a focus on building a “response-ready” organization, with faster decision-making, transparent public communications, and stronger surveillance and bridges to healthcare systems 2) Address and prevent chronic and diet-related disease, including addressing rising rates of childhood obesity and the impact of diabetes, and transforming our food systems to improve nutrition and enhance access to healthy foods
3) Address the second pandemic of mental illness including: reducing overdose deaths, strengthening our youth mental health systems, and supporting people with serious mental illness
4) Reduce black maternal mortality and make New York a model city for women’s health
5) Mobilize against and combat the health impacts of climate change

Our 7,000-plus team members bring extraordinary diversity to the work of public health. True to our value of equity as a foundational element of all of our work, and a critical foundation to achieving population health impact in New York City, the NYC Health Department has been a leader in recognizing and dismantling racism’s impacts on the health of New Yorkers and beyond. In 2021, the NYC Board of Health declared racism as a public health crisis. With commitment to advance anti-racist public health practices that dismantle systems that perpetuate inequitable power, opportunity and access, the NYC Health Department continues to work in and with communities and community organizations to increase their access to health services and decrease avoidable health outcomes.

PROGRAM AND JOB DESCRIPTION:

We strongly encourage people to apply and contribute your diversity in thought, racial identity, national origin, gender, age, religion, disability status, veteran status, and/or LGBTQI+ status to enhance the work of the DOHMH and promote the health of all New Yorkers.

We welcome applicants who share the vision for a city where all New Yorkers can realize their full health potential, regardless of who they are, where they are from or where they live. DOHMH extends this vision of wellness by providing every member of our team and prospective job applicants dynamic benefits: Benefits - NYC Health, and a robust Worksite Wellness program with a wide range of offerings.

As a current or prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs.

Please review the notice to see if you may be eligible for programs and how to apply at nyc.gov/studentloans

The Bureau of PHC seeks to hire a part-time Physician to serve as City Medical Specialist, Level 4

DUTIES WILL INCLUDE BUT NOT BE LIMITED TO:

Perform direct patient care 5 days per week.

Manage day-to-day clinical care of patients within her chest center.

Supervise other physicians in the clinic and completes performance evaluations in a timely manner.

Ensure that all TB disease or suspected TB patients (Class III & V) patients in the center have been reported and that every effort is made to ensure follow up & complete appropriate treatment.

Ensure that Directly Observed therapy (DOT) is given to as many patients as possible. Reviews the records of patients on clinic and community-based DOT. Recommends appropriate cases for intermittent DOT.

Perform QA on medical records of other physicians to ensure that prompt, effective treatment is given to priority patients (TB disease, suspected TB disease, contacts, immunosuppressed or HIV patients). All contacts, HIV-infected persons on treatment for latent TB infection should be monitored intensively by the PIC

Meet weekly with PHAs and other clinic staff to conduct case management “rounds" on all Class III patients in the Center, ensuring that appropriate treatment is being given, that contact is made within 24 hours of a missed clinic visit, that an appropriate contact investigation and monitoring is occurring, that the patient has been brought back to treatment if needed, etc.

Follow-up with case manager and appropriate staff on these issues

Review drug resistant/drug intolerant TB patients, including MDR and rifampin resistant monthly at a minimum and when needed.

Ensure that case management is documented in the TB registry system

Communicate and interact with non-DOH medical providers and health care workers as needed to reinforce guidelines for high standard TB treatment.

Perform 2 month and end of treatment reviews of all confirmed cases in the chest center.

Regularly review medical records of other clinicians working at the clinic. Any problems need to be documented and appropriate action taken.

**IMPORTANT NOTES TO ALL CANDIDATES:

Please note: If you are called for an interview you will be required to bring to your interview copies of original documentation, such as:
- A document that establishes identity for employment eligibility, such as: A Valid U.S. Passport, Permanent Resident Card/Green Card, or Driver’s license.

- Proof of Education according to the education requirements of the civil service title.

- Current Resume

Additional documentation may be required to evaluate your qualification as outlined in this posting’s “Minimum Qualification Requirements” section. Examples of additional documentation may be, but not limited to: college transcript, experience verification or professional trade licenses.

If after your interview you are the selected candidate you will be contacted to schedule an on-boarding appointment. By the time of this appointment you will be asked to produce the originals of the above documents along with your original Social Security card.

**LOAN FORGIVENESS

As a prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs. For more information, please visit the U.S. Department of Education’s website at StudentAid.gov/PSLF.

"FINAL APPOINTMENTS ARE SUBJECT TO OFFICE OF MANAGEMENT & BUDGET APPROVAL”

Possession of a valid license to practice medicine in the State of New York; and either:
a) Valid Board Certification issued by the appropriate American Specialty Board in any specialty area required by the agency; or
b) Current approved application on file for admission to the certifying examination given by the appropriate American Specialty Board in any specialty area required by the agency.
To be assigned to Assignment Level II, individuals must have, in addition to meeting the minimum qualification requirements for Assignment Level I described above, one year of satisfactory experience practicing in the specialty area.
To be assigned to Assignment Level III, individuals must possess:
a) A valid license to practice medicine in the State of New York; and
b) A Master's degree in Public Health, or equivalent Master's degree, including or supplemented by graduate credits in epidemiology and biostatistics. Completion of Epidemic Intelligence Service program of the Center for Disease Control and Prevention may be used to substitute for this Master's degree; and
c) At least two years of satisfactory experience after receipt of the Master's degree, or equivalent, in the practice of epidemiology. Specialty Board Certification or eligibility may be substituted for one year of this experience.
To be assigned to Assignment Level IV, individuals must possess:
a) A valid license to practice medicine in the State of New York; and
b) Completion of an approved residency program in an accredited hospital, including three years of experience, in either internal medicine, or family practice, or pediatrics, or another related specialty area required by the Department of Health and Mental Hygiene; and
c) Valid board certification or board eligibility issued by the appropriate American Subspecialty Board in Infectious Disease, Pulmonary Medicine, or a related subspecialty; and
d) Completion of an approved fellowship program in an accredited hospital, including two years of experience, in either infectious diseases, or pulmonary medicine, or another related subspecialty required by the Department of Health and Mental Hygiene.

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.