- The Physician will provide primary health care services to ambulatory patients within the specified within the

specified population served by Imperial Valley Family Care Medical Group.

- The Physician will practice preventative and corrective care within the realm of competence, they will care for adult patients and children.

- They will include in their care early stages of illness as well as long-term disease and the supervision of the well.

- Appropriate information and health education may be distributed the patient and the family concerning the

diagnosis and the plans for therapy as part of this close collaboration.

- The Physician will at all times be a teacher of patient health, “instructing and counseling patients.”

- The Physician will be prepared to “lecture and demonstrate” as a ‘health’ resource person to both medical and nonmedical persons.

- With the ambulatory care setting of the offices of Imperial Valley Family Care Medical Group, the Physician will exercise the following options, after having assessed the patient’s status.

- Assume the role of supervising Physician by taking and dictating medical histories. These include identifying

information, chief complaint, present illness, past history, social history, a complete systems review, perform a

complete physical examination and include an impression or diagnosis.

- Evaluate the presence and severity of disease within the realm of their competence, keeping the Primary Physician abreast of pertinent developments as indicated.

- Order medication in protocols mutually agreed by the acting supervising physician and the practitioner.

- Record in systematic order in the chart, pertinent information relative to the patient condition and progress.

- The Problem Oriented Record System is the approved method of documenting patient care given.

- Order x-ray examination and laboratory examination. These examinations may be ordered after consultation

with the acting supervising physician or independently as such are detailed in the treatment plan.

- Order and execute treatment as deemed necessary within the guideline of the attached Protocols.

- Gather data for review and disposition by the physician.

- Perform specified procedures approved by the acting supervising physician and as provided as an attachment (Exhibit D) to this document.

- Initiate appropriate therapy as suggested or requested in writing by a consulting physician (i.e.

Gastroenterologist, Oncologist, etc.)

- Communicate immediately to the acting supervising physician in cases which the practitioner in cases which the

Provider identifies as a medical emergency.

- Provide immediate emergency treatment in the absence of acting supervisor or other Physician.

- Institute appropriate therapy consistent with the agreed upon protocols and level of knowledge without further

consolation with the acting supervising physician. Immediate supervision by the acting supervising physician is

not required.

- Approve for refill maintenance medications when such approval is requested by a Pharmacist. Prescribe

controlled medications within guidelines or written protocols. Drugs may be prescribed within the guidelines or

written protocols. To facilitate the dispensing of such medications, the Provider may telephone prescription

directly to the pharmacist.

- Development of an in-service education program to develop the nursing skills and expertise of the nursing or

medical assistant staffs. The training of additional physician extenders to help with histories, health teaching

and screening procedures.

- The practitioner is encouraged to take advantage of the opportunities for continued education which are

provided locally by attending short courses, “local seminars, lectures, tapes, and other available measures.” The practitioner is to follow certification and educational requirements outlined by his professional organization.

An ongoing evaluation by the physician of the care rendered to the patients by the practitioner through audit

procedures. This is to include an informal ongoing review of the medical records of the patient and may include

a formal chart review at the discretion of the Imperial Valley Family Care Medical Group’s Board of Directors

or the acting supervising Physician.

- anxiety

- depression

- tobacco use and dependence

- drug and alcohol abuse

- allergies

- bacterial skin infections

- acute gastroenteritis

- genitourinary infections

- respiratory infections

- dysphagia and gastroesophageal reflux

- abdominal pain

- peptic ulcer disease

- constipation

- diarrhea; chronic/acute

- irritable bowel syndrome

- diverticular disease

- proteinuria

- hematuria

- electrolyte disturbances

- urinary tract stones; chronic

- renal failure

- peripheral vascular disease

- breast problems

- abdominal hernias

- benign conditions of the rectum of anua

- venign vulvovaginal disorders

- early detection of gynecological malignance

- veneral diseases

- fractures (assess and refer)

- prostatitis

- anemia

- infectious mononucleosis

- common problems including cough, hemopysis and chest pain

- chronic obstructive pulmonary disease

- atypical chest pain

- angina:pectoris

- acute myocardial infarction (assess and refer)

- arrhythmias

- mitral valve prolapse

- heart failure

- hypertensin

- joint-pain

- bursitis, tenosynovitis, fibrositis

- exercise related musculoskeletal syndromes

- degenerative joint disease

- arthritis and gout

- diabetes mellitus

- thyroid disorders

- hyperlipidemia

- obesity

- headaches

- seizure disorders

- dizziness

- cerebrovascular disease

- peripheral neuropathy

- sleep disorders

- asthma and bronchospasm

- fatigue

- allergic reactions

- dehydrations

- muscular problems/spasms

- ear problems

- cataracts (assess and refer(

- conjunctivitis

- dermatitis

- rash

- common problems of the feet

- simple lacerations

- first and second degree burns

- simple foreign bodies

- furnucles and abcesses

- warts and moles

- acne

Partner Practice

Please note this position is posted on behalf of our partner practices. This individual will be working at the specific practice that is mentioned in the above details and will not be a direct employee of Aledade, Inc. so will therefore not be eligible for the benefits available to Aledade employees.