Department of Human Resources

2233 SUPERVISING PHYSICIAN SPECIALIST (PBT-2233-097136)

CHIEF MEDICAL OFFICER FOR PRIMARY CARE,

MEDICAL DIRECTOR FOR THE CURRY SENIOR CENTER &

MEDICAL DIRECTOR FOR THE POTRERO HILL HEALTH CENTER

SUPPLEMENTAL QUESTIONNAIRE EXAMINATION

 PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY

YOUR EXAMINATION SCORES WILL BE DERIVED FROM YOUR RESPONSES 

The purpose of this Supplemental Questionnaire/Training and Experience Evaluation is to assist with assessing possession of the Minimum Qualifications for the 2233 Supervising Physician Specialist – Chief Medical Officer for Primary Care & Medical Directors for the Curry Senior Center and Potrero Hill Health Center positions, as well as to determine your knowledge, skills, and abilities in job-related areas that have been identified as critical for satisfactory performance. Please refer to the examination announcement for a more detailed description of these knowledge, skills, and abilities.

PART ONE: Questions 1 – 7 will assist with assessing possession of the required licensure, certification, registration, and experience for the 2233 Supervising Physician Specialist positions. Attaching a resume does not substitute for submitting a completed application. Your application’s Education, Professional Licenses, Certifications, or Registrations, and Employment Record sections should clearly demonstrate how you satisfy this position’s Minimum Qualifications. Do NOT type “see resume” or leave the above-mentioned application sections blank.

PART TWO: Questions 8 – 20 will be scored and will account for 100% of the total weight of your final score and rank on the resulting 2233 Supervising Physician Specialist eligible list/score report.   Qualified applicants must achieve a passing score to be placed on the eligible list/score report, in rank order, according to their final score.

Your application or additional attached documents (e.g. resumes, cover letters, letters of reference/recommendation, etc.) will NOT be considered during the scoring process. Insufficient or non-responsive answers may result in ineligibility, disqualification, or lower scores. Once submitted, applicant responses cannot be changed.

It is suggested that you allow ample time to submit your application and Supplemental Questionnaire responses before the filing deadline. If you experience technical difficulties, make note of any error messages and contact the analyst before the filing deadline. Responses should be consistent with and supported by the information on your application (i.e. Professional Licenses, Certifications, or Registrations & Employment Record sections) and are subject to verification at any time.

PART ONE: MINIMUM QUALIFICATIONS

As a reminder, all qualifying licensure, registration, certification, and experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the licensure, registration, certification, and experience you are about to describe in the applicable sections of your application, you will not receive credit. If you are copying an old application, please take the time to update applicable sections before submitting your application.

Do you have a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California?

Do you have valid Board Certification in any medical specialty area?

Please identify the medical specialty area(s) for which you have valid Board Certification. Select all that apply.

Do you have valid Drug Enforcement Administration (DEA) registration with the United States Department of Justice?

How much post-residency experience do you have as a practicing Physician in the medical specialty area of Internal Medicine?

One (1) year of experience is equivalent to 2,000 hours.

How much post-residency experience do you have as a practicing Physician in the medical specialty area of Family Medicine?

One (1) year of experience is equivalent to 2,000 hours.

How much post-residency experience do you have as a practicing Physician in the medical specialty area of Pediatrics?

One (1) year of experience is equivalent to 2,000 hours.

PART TWO:  TRAINING AND EXPERIENCE EVALUATION = 100% OF YOUR FINAL SCORE AND RANK

How much experience do you have directing primary care programs or clinics?

One (1) year of experience is equivalent to 2,000 hours.

How much experience do you have supervising employees?

One (1) year of experience is equivalent to 2,000 hours.

From your Physician experience, please identify the healthcare disciplines of employees you’ve supervised. Select all that apply.

Considering your entire career as a post-residency Physician, identify a role where you supervised the largest number of Physicians, Physician Assistants, and/or Nurse Practitioners at any one time. How many of the professional staff identified above did you supervise?

Please identify all of the at risk patient populations you’ve worked with as a post-residency Physician. Select all that apply.

How much experience do you have in the areas of community engagement and/or community program planning?

One (1) year of experience is equivalent to 2,000 hours.

Excluding residency experience, as a Physician, have you lead a quality improvement activity or project?

Please identify all tools that you’ve utilized for clinical quality improvement activities or projects. Select all that apply.

Excluding residency experience, as a Physician, please identify all of the resources you’ve utilized to enhance patients’ experience. Select all that apply.

Excluding residency experience, as a Physician, please identify all tools/methods you’ve used to enhance employees’ experience. Select all that apply.

Excluding residency experience, as a Physician, please identify all quality assurance activities with which you’ve had experience. Select all that apply.

Has your post-residency Physician experience included handling employee issues related to laws/regulations including, but not limited to the Equal Employment Opportunity (EEO), Americans with Disabilities Act (ADA), Workers’ Compensation, or protected leaves of absence (e.g. Family Medical Leave Act (FMLA), Pregnancy Disability Leave (PDL), etc.)?

Please identify your experience with the following components of the corrective and/or disciplinary action process. Please select all that apply.

AREAS OF INTEREST:  The Department of Public Health is filling (2) full-time 2233 Supervising Physician Specialist (2233) positions, functioning in leadership roles for the San Francisco Health Network (SFHN). One full-time 2233 position will function as the Chief Medical Officer for Primary Care and the other full-time 2233 position will function as the Medical Director for the Curry Senior Center.  Please indicate your interest in these positions and if you are open to being considered for either opportunity, select both options.

AREAS OF INTEREST (10/21/19):  The Department of Public Health is also filling a full-time 2233 Supervising Physician Specialist position to function in a SFHN leadership role as the Medical Director for the Potrero Hill Health Center.  Below, please indicate your interest in also being considered for this opportunity: