Expression of Interest
Located on the campus of Valley Regional Hospital in Kentville, Nova Scotia. Opening early in 2020, the Valley Hospice will be a 10-bed residence where patients and their families will receive high-quality end-of-life care, comfort, and support.
Valley Hospice is dedicated to providing a compassionate, holistic approach to end-of-life care for patients and their families.
Our goal is to make patients’ last weeks of life as comfortable as possible with a specific focus on their unique end-of-life wishes.
Nova Scotia Health Authority (NSHA) seeks interested physicians to constitute a team of 6-8 members who will provide care on a rotational basis to patients admitted into the Valley Hospice. In keeping with other provincial hospice agreements, the physician team will work on a group APP contract at a sessional rate, administered by the Nova Scotia Department of Health and Wellness and overseen by NSHA.
Role of physician
To follow the Mission and Vision of Valley Hospice; specifically, to provide a palliative approach to care to patients who meet the eligibility criteria and are admitted to one of the 10 rooms at the Hospice, as well as to support their defined family.
Expected number of patients per annum is: (unknown, will evolve with time)
Average length of stay per patient is expected to be 21 days
Number of physicians: 6-8
Rotations: blend of 2-week and 1-week rotations, depending on the staff physician’s availability
Call schedule: 1- or 2-week blocks correlating with coverage rotations in Hospice
Expectations and working hours
The overreaching expectation is to provide high-quality palliative care in keeping with national standards for patients nearing end of life.
The staff physician will:
- Participate as an active member of an interdisciplinary team
- Work collaboratively with the Nurse Manager and Medical Director to ensure clinical care and patient flow meet hospice eligibility requirements and human resource demands
- Screen assessments for admission with Nurse Manager or designate
- Complete patient admission history and physical within 24 hours of admission (estimated 1.5 - 2 hrs/patient). Admissions will occur from 8 am to 5 pm weekdays, estimated 3 per week; once the hospice is well established, planned admissions on the weekend may be considered
- Review home medication list and order medications as appropriate at designated pharmacy through DIS to ensure a smooth admission and transition to Hospice
- Round on patients admitted to the Hospice a minimum of 3 days a week, one of which is to be a weekend day, estimated to require a total of 8 hours per week
- Attend weekly 1.5-hour team meeting (care/death review rounds)
- Be available by phone or secure email for pharmacist, nursing, or other staff concerns or questions
- Participate in teaching of learners and staff as required
After-Hours Call Expectations
- Available from 5 pm until 8 am weekdays and on the weekend from 5 pm Friday to 8 am Monday
- Able to respond to telephone inquiries from nursing staff regarding hospice inpatients and telephone inquiries from physicians in the community for patients who are accepted for admission but not yet admitted to Hospice
- Able to attend to patients in the Hospice on an urgent basis within 30 minutes if needed
- Review and discuss advance care planning and goals of care with patients or their delegate as required
- Work collaboratively with patients, families and colleagues to direct care according to requested goals of care
- Facilitate and/or attend family meetings as required
- Complete documentation to support patient care (e.g. Compassionate Care Benefits forms, patient third-party requests from government, insurers, etc.) as appropriate
- Complete death certification and discharge summary
- Participate in quality improvement initiatives, committees, and audits that contribute to the assessment and ongoing care of patients and families admitted to Hospice
- Support colleagues; take part in debriefing sessions and initiatives to mitigate burnout
- MD with or without specialty in palliative care
- Palliative care experience with active license to practice medicine in Nova Scotia
- Completion of palliative care training which can be any of the following:
o Pallium Canada's Learning Essential Approaches in Palliative Care
o Victoria Hospice Medical Intensive Course
o Year of added competence or subspecialty in palliative medicine
- Completion of methadone4pain free online course
- Membership in the Canadian Society of Palliative Care Physicians and/or the CFPC Community of Practice in Palliative Care considered an asset
Please submit your expression of interest to firstname.lastname@example.org with cover letter and CV outlining your experience in relation to the requirements for the position by November 20th, 2019.