When assigned as the Chief Medical Director, EMSA directs the overall activities of the Emergency Medical Services Agency and supervises medical, professional and support staff in charge of coordinating services and managing the daily functions of the Emergency Medical Agency. When acting as the Chief Medical Director, CHN supervises medical, professional and support staff including incumbents in class 2235 Medical Director.

When assigned to the Research Section, AIDS Office, the 2237 Chief Medical Director provides scientific and administrative leadership in HIV prevention intervention research for the AIDS Office.

When assigned as the Chief Medical Director, AIDS Office, directs the scientific agenda for prevention intervention research and supervises a diverse research team including physicians, mid-level practitioners, counselors, laboratory personnel, data management and administrative staff.

When assigned to the Emergency Medical Services Agency:

1. Plans, organizes and evaluates the clinical and administrative activities of the medical and support staff in the Emergency Medical Services Agency; this includes selecting and supervising staff, conducting performance evaluations and instituting corrective and/or disciplinary measures.

2. Directs all health related aspects of the 911 Emergency System in San Francisco by developing medical protocols, standards and policies for paramedic advanced life support providers, first responders to life threatening 911 calls in San Francisco, central medical dispatch, ten receiving hospitals, base hospital, trauma center and other specialty care centers.

3. Conducts site reviews to evaluate first responders, central medical dispatch, ambulance providers, receiving hospitals, base hospital, trauma center and other specialty care centers, and monitors quality assurance and utilization review programs to ensure compliance with state and local regulations.

4. Applies sanctions which may include disciplining paramedics and forwarding recommendations concerning licensure to the state of California as required by law, when protocols are not met.

5. Certifies and de-certifies pre-hospital care personnel including first responders (EMT I’s), Paramedics (EMT H’s), and Mobil Intensive Care Nurses (MICN’s) who provide base hospital consultation.

6. Certifies pre-hospital training programs and authorizes basic and advance life support programs according to state and local regulations.

7. Designs, implements and evaluates clinical and systems research to determine efficacy of the components of the Emergency Medical Services System, including performance flaws and improvement needs for better patient outcomes; directs the collection and statistical analysis of data related to pre-hospital care; investigates new emergency and disaster medical devices, basic and advance life support systems.

8. Advises the Director of Health on matters pertaining to Emergency Medical Services Agency.

9. Maintains effective working relationships with representatives of federal, state and local agencies, including professional and medical societies; represents the Department of Public Health through contacts with representatives of governmental and community agencies; participates in committees and professional organizations related to the Emergency Medical Services Agency.

10. Develops, implements and monitors the Emergency Medical Services Agency budget for personnel, equipment and supplies.

When assigned to the Community Health Network:

1. Plans, organizes and evaluates clinical and administrative activities of the medical and support staff in the Community Health Network; this includes selecting and supervising staff, conducting performance evaluations and instituting corrective measures.

2. Directs all health related activities in the CHN, including CHN components of Mental Health and Substance Abuse Services by supervising the development of medical protocols and sand of care guidelines; provides oversight, organization and integration of medical activities within the CHN in collaboration and consultation with other physician leaders and the University of California; participates in developing the CHN mission, vision and values.

3. Monitors all CHN medical quality assurance and utilization review programs to ensure compliance with state, local, JCAHO and other regulatory requirements; evaluates on an ongoing basis, with other physician leaders and CHN leadership, organizational structure and allocation of physician and other provider resources to provide quality medical services; provides physician leadership in program planning, development and implementation to enhance the patient services of the CHN and to respond to changes in the health care environment.

4. Participates in the development of the CHN budget and budget priorities.

5. Works collaboratively with other CHN leaders and physician leaders to assure high quality cost effective services by developing plans, priorities and guidance for the performance improvement process including measuring, assessing and improving the CHN’s governance, management, clinical and support processes.

6. Represents the CHN in contract negotiations as directed by the Chief Executive Officer, CHN and the Director, Department of Public Health.

7. Works collaboratively with CHN leadership in providing education, guidance and support to medical staff in areas of performance improvement, licensing regulations and accreditation compliance, managed care, budget processes and the CHN strategic planning process.

8. Represents the CHN in internal and external settings, including Health Commission, Joint Conference Committee, Board of Supervisor meetings, outside agencies and community groups.

9. Participates in clinical activities as determined by interest and specialty (approximately 10% time).

When assigned to the AIDS Office:

1. Plans, applies for, and implements HIV prevention intervention research studies, including HIV vaccines studies, for the AIDS Office, SFDPH.

2. Directs all aspects of research implementation including protocol development, clinical oversight, study implementation, data management, adherence to good clinical practice guidelines, analysis of study results, preparation of presentations and publication, and dissemination to the research and affected communities.

3. Serves on HIV research leadership groups including advisory committees to federal and international research organizations, editorial boards of medical journals, planning committees for local, national and international scientific organizations and conferences.

4. Provides scientific leadership for global HIV prevention studies through multi-site federally funded networks.

5. Maintains effective working relationships with representatives of federal, state and local funding agencies and private foundations that support HIV prevention intervention research.

6. Hires and supervises all research staff in the HIV Research Section and oversees training, certification and corrective and/or disciplinary measures as required.

7. Teaches research methodology and provides mentorship to staff and medical trainees.

8. Performs community outreach through active involvement with Community Advisory Boards, presentations to community groups, and responses to community inquiries.

9. Develops, implements and monitors the HIV Research Section budget for personnel, equipment and supplies.

10. Participates in clinical activities as determined by interest and specialty (approximately 10% time).

Knowledge of: Principles and applications of Emergency Medical Services Agency medical staff management and current medical practices, utilization, quality assurance and program review practices; emergency medicine; health education and community relations; administration, finance, and management; long-range planning techniques; applicable federal, state and local laws and regulations, including regulations governing emergency medical systems, medical staff by-laws and established professional standards.

Ability to: Effectively formulate and execute policies and programs affecting medical and administrative staff; formulate the medical aspect of the County disaster plan; analyze complex administrative and medical care delivery problems; plan, coordinate and evaluate the work of subordinates; effectively work with staff, patients and family members, government officials, community representatives, and the general public.

When assigned to the Community Health Network:

Knowledge of: Principles and applications of medical staff management and current medical practices, utilization, quality assurance and program review practices; medical staff structures and management; current medical practices; established professional standards and provisions of JCAHO and title 22 of the California Administrative Code; hospital, clinic and network administration; integrated health delivery system structure and function; managed care concepts and health care financing; academic matters including teaching and research; administration, finance, and management; long-range planning techniques; applicable federal, state and local laws and regulations, medical staff by-laws and established professional standards.

Ability to: Effectively formulate and execute policies and programs affecting medical and administrative staff; work with the ethnically, culturally and socially diverse populations served by the CHN; analyze complex administrative and medical care delivery problems and formulate solutions; communicate effectively with medical and administrative staff, government officials and community representatives; plan, coordinate and evaluate the work of subordinates; effectively work with staff, patients and family members, government officials, community representatives, and the general public.

When assigned to the Research Section, AIDS Office:

Knowledge of: Clinical and epidemiologic research methodology; good clinical practice guidelines and research quality management; current HIV prevention research literature including HIV vaccines; HIV research funding streams and application processes; administration and management, internal medicine; technical writing; principles of research staff management;

Ability to: Effectively formulate overall scientific goals and successfully apply for funding; development of scientifically sound research protocols; hire and supervise staff to administer research studies; provide scientific leadership in local, state, national and international research groups; work effectively with colleagues, funders, staff, patients and the public; teach research methodology and provide mentorship for junior and mid-level investigators and staff; provide clinical care; interact effectively with community groups; present research findings through oral presentations and publications to scientific and lay audiences;

When assigned to the Community Health Network:
Experience: Requires four years of medical administration experience in an integrated delivery system.
Training: M.D. from an accredited medical school and MPH or MBA with emphasis in health care policy and planning.
License: Possession of a valid license to practice medicine issued by the California Medical Board and Board Certification in a specialty certified by the Board of Medical Specialties.
Special Requirements: Academic qualifications sufficient to ensure an academic appointment at the University of California, San Francisco; comprehensive knowledge of medical staff structures and management, current medical practices, established professional standards and provisions of JCAHO and Title 22 of the California Administrative Code; working knowledge of hospital, clinic or network administration; sensitivity to, and experience working with the ethnically, culturally and socially diverse populations services by the CHN.

When assigned to the Research Section, AIDS Office:
Experience: Requires four years of HIV prevention research including at least one year of supervisory experience.
Training: M.D. from an accredited medical school and additional training required for Board Certification in a specialty certified by the Board of Medical Specialties.
License: Possession of a valid license to practice medicine issued by the California Medical Board and Board Certification in a specialty certified by the Board of Medical Specialties.
Special Requirements: Academic qualifications sufficient to ensure an academic appointment at the University of California, San Francisco