Oregon Health & Science University

Emergency Department Medical Director - Assistant Professor

Job Locations US-OR-Astoria
Requisition ID
Position Category
Position Type
Regular Full-Time
Job Type
Emergency Medicine
Salary Range
HR Mission
School of Medicine
Drug Testable

Department Overview

Columbia Memorial Hospital is a rural critical access emergency department with outstanding operational metrics and a great community of strong nursing staff and hospital administrative leadership. The department manages 14,000 patients annually, is 8-9 beds in size and sees high acuity as this is an isolated department in a rural location and the only trauma designated center in 60 miles. This is a single practice, limited support setting and a great opportunity for teaching and practicing emergency medicine. Second year emergency medicine residents enjoy a month-long rotation/elective which receives high scores within resident education. Engagement in the group is exceptional. CMH was recognized as one of the most wired critical access hospitals in the nation. There are two daily physician shifts and the shift length is 12-hours; 6:00am - 6:00pm and 6:00pm - 6:00am. There is one daily Advanced Practice Provider shift and the shift length is 10-hours; 12:00pm - 10:00pm. 


This position is under the supervision of the Chair, with OHSU’s Department of Emergency Medicine. Responsibilities will include working with the interdisciplinary team in the emergency department to achieve quality of care, patient safety, and service excellence goals. The duties of this position are in support of the missions, goals and objectives of OHSU and the School of Medicine. 


This position reports to (supervisor): Mary Tanski, MD, Associate Professor & Chair, OHSU Department of Emergency Medicine

Function/Duties of Position

  • The Medical Director performs clinical duties of an emergency physician while upholding a leadership presence to:

    • Facilitate healthy communication between the ED and external entities
    • Continuously optimize program roles and responsibilities to meet performance goals, maintain and improve quality of clinical operations to ensure high quality of care, maximize efficiencies, and maximize cost effectiveness.
    • Communicate and collaborate with administrators to establish improvement plans and priorities and implement positive change
    • Work closely with the ED Nurse Manager to review and update nurse-initiated protocols and department policies, construct processes to improve department flow, predict capital budget equipment and advise on product standardization, participate in trauma surveys, develop annual meeting agenda for Nursing and Clinicians that focuses on team building and education, and align working goals for contingency/emergency staffing response planning
    • Build collaborative network and partnerships with nursing leadership, support services, as well as partnership with the local community. 
    • Hold regular, weekly administrative office hours to maintain departmental presence, including ED and staff rounding, and problem solve/trouble shoot in real time
    • Recruit and cultivate a diverse team of medical professionals who will facilitate advancement of department goals: 
      • Perform initial provider FPPE
      • Contribute to hiring, onboarding, training, mentoring, and continued medical education and growth of physicians and advanced practice providers
      • Annual review of onboarding process and documentation
      • Perform annual performance evaluations, monthly chart audits, and case reviews
    • Responsible for Advance Practice Provider oversight:
      • Review, document and provide constructive feedback on charting and medical management
      • Facilitate professional development and goal setting with great individual variation based on level of experience and professional goals, including oversight of procedure proctoring plans, skills lab and educational opportunities, FPPE and OPPE
      • Manage, implement and optimize the role of advance practice provider within the department
    • Oversite and mentorship of clinical team and various department leaders, including but not limited to Clinical Scheduling, Ultrasound, Lead Peer Reviewer, Residency Site Lead, Pediatric Readiness Liaison, Fire Department and EMS Medical Director, and all non-clinical liaisons
    • Act as liaison to collaborate with Adventist Health Portland, Hillsboro Medical Center, and Marquam Hill ED leadership to promote a unified, organizational approach to the system workflow, learning opportunities, and culture to maximize the department’s overall operational quality and ensure continuity in system strategic goals.
    • Plan and facilitate the monthly ED clinician meeting to include communication of department objectives, process changes and evolutions and facilitate open discussion about current department operations.
    • Promote/support clinican wellness and work-life balance
    • Quality oversigt of the clinical quality activity within the CMH emergency physician group which includes peer review activity, patient experience reporting, operational ana revenue metric analysis and feeback, as well as review and respond to "Verge" system notifications. 
    • Quarterly Physician Check-ins to include peer feedback, metric productivity, non-clinical role (accountability) check-in, wellness check, professional and personal development and goals
    • Ensure the team is apprised of program performance and development opportunities within CMH, the local community, and OHSU
    • DEM representative for various CMH meetings including:
      • Administration (COO & VP of Patient Care Services) review of shared goals
      • Chief Medical Officer
      • Trauma Committee review of trauma system entries, educational presentations, system development
      • ED Director’s biannual presentation to the Quality Oversight Committee

Required Qualifications

Education: MD or equivalent; Emergency Medicine Residency Certificate


Experience: Knowledge, training and experience in clinical and academic Emergency Medicine. Previous leadership experience.

Additional Details

Location requirements:

  • Reside in the Astoria coastal community


Job Related Knowledge, Skills and Abilities:

  • Demonstrated ability to satisfy standards of performance delineated by law.
  • Ability to manage heavy workload with multiple priorities and inflexible deadlines.
  • Ability to communicate effectively verbally and in writing.
  • Proficient in the use of computing hardware and software, including personal computing equipment, electronic medical record, word processing and spreadsheet software.
  • Regular and consistent attendance at work.

Registrations, Certifications and/or Licenses: Current Advanced Cardiac Life Support (ACLS) Certification required; ABEM or ABOEM Board certified or board eligible

  • A qualified candidate must have a current unlimited Oregon MD (or equivalent) license prior to start date. The provider must complete the credentialing process and be approved by the OHSU Professional Board to practice as an independent practitioner in an acute care/emergency setting. The provider must be registered with Federal Drug Enforcement Administration and be authorized to prescribe medications prior to start date. 

Working Conditions:

  • Hours vary.
  • Frequent interruptions in an environment of frequent change and fluctuations.
  • May be exposed to excessive auditory and visual stimulation.
  • May be required to attend out of town conferences according to hospital travel and reimbursement policies.
  • May be exposed to body fluids, tissue, possible radiation exposure, and infectious processes.
  • Subject to computer work for several hours, as needed.
  • Able to use all appropriate patient care equipment and office equipment within work area.

Physical Requirements/Demands of the Position:

  • Standing: On concrete, vinyl, or carpeting up to 4 hours per day and intermittently.
  • Sitting: Chair or stool continuous up to 8 hours per day and intermittently.
  • Changing Position: Intermittently, as needed.
  • Walking: Intermittently up to 4 hours per day on concrete, vinyl, and carpeting.
  • Carrying: Up to 50 pounds (supplies, equipment, books, papers, etc) for intermittent periods and distances.
  • Lifting: Up to 50 pounds (patients, equipment, supplies, books, etc) Intermittent throughout the day.
  • Pushing/Pulling: Up to 100 pounds, intermittent, throughout the day.
  • Bending: From the waist and knees, frequently throughout the day.
  • Reaching/Handling: Fine manipulation, repetitive, gross motor requiring full ROM in upper extremities, including overhead reaching.
  • Twisting: All ROM required, intermittent periods, throughout the day.
  • Climbing: Staircase, intermittently throughout the day.
  • Crawling: Infrequent but possible on vinyl, carpet surface.

All are welcome

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

As an organization devoted to the health and well-being of people in Oregon and beyond, OHSU requires its employees to be fully vaccinated against COVID-19.


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