City and County of San Francisco

Physician Specialist (#2230)

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$81.13-$114.88 Hourly / $14,062.00-$19,912.00 Monthly / $168,740.00-$238,940.00 Yearly


Under direction, performs the duties of a specialist in a recognized medical field requiring advanced and specialized education, training and experience; may require 24-hour “on-call” availability to unit or section staff; performs related duties as required. Nature of duties may require sustained physical effort involving manual skill and dexterity, with exposure to some accident and health hazards and disagreeable elements inherent in the specialized field.

Distinguishing Features

The 2230 Physician Specialist is distinguished from the higher level 2232 Senior Physician Specialist in that the Physician Specialist is an entry-level specialist who may require general direction from more experienced specialists in the specialty field. The 2230 Physician Specialist is distinguished from the 2220 Physician in that the Physician Specialist has completed an approved residency program and is qualified to practice in a recognized medical specialty, requiring clinical supervision only in management of difficult or complex cases.

Examples of Important and Essential Duties

“The class specification shall be descriptive of the class and shall not be considered as a restriction on the assignment of duties not specifically listed.” (CSC Rule 7).

1. As a family physician, internist or medical subspecialist, evaluates patient signs and symptoms, reviews laboratory and radiological data, diagnoses complex cases, and institutes treatments as appropriate. May serve as a consultant to other physicians, including specialists in other fields.

2. As a surgical specialist or subspecialist, evaluates patient signs and symptoms, reviews laboratory and radiological data, recommends, performs, and consults on specialized surgical procedures within his or her specialty field.

3. As a specialist in psychiatry, evaluates, plans and implements treatments for patients with a variety of psychiatric disorders.

4. As a pediatrician, examines, diagnoses, and treats pediatric patients; refers to other physicians, clinics, and agencies when so indicated.

5. As an obstetrician/gynecologist, provides obstetrical and gynecological care including screening, diagnosis, treatment, prenatal and obstetrical care.

6. As a specialist in occupational health, conducts pre-employment physical examinations of candidates for city service; when designated by the Civil Service Commission, assesses medical or physical competence of staff to perform assigned duties; participates in the identification and assessment of occupational hazards and injuries; develops and implements preventive and educational strategies.

Knowledge, Skills and Abilities

Knowledge. Abilities and Skills: Specialized professional knowledge of a recognized medical specialty.

Skill and ability to: make expert diagnoses, interpretations and recommendations on a consultative level.

Experience and Training

Graduation from an approved medical school, possession of an M.D. or D.O. degree, and completion of a recognized residency program in the respective specialty field.

License or Certificate

Possession of a license to practice medicine issued by the California Medical Board and Board Eligibility in the respective specialty consistent with the above requirements.

Disaster Service Workers

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

CLASS: 2230; EST: 1/1/1900; REV: 1/1/1900;