Classified/Non-Examined 
Class Code Pay Plan Class Title Eff.Date
4661  RZ - 14 PRINCIPAL PHYSICIAN  May 17, 2013
4663  RW - 14 PRINCIPAL PHYSICIAN (DMHAS)  Dec 26, 2014
PURPOSE OF CLASS:
In a state agency this class is accountable for providing clinical administrative and/or supervisory functions and/or direct care medical services as a board certified physician.

In the Office of the Chief Medical Examiner this class is accountable for performing autopsies and conducting investigations of sudden and medically unattended deaths.
GUIDELINES FOR CLASS USE:
1.
Class Code 4661 is established at Salary Group RZ 14 and is used by the following agencies:
          Department of Children and Families,
Department of Developmental Services,
Department of Veterans Affairs,
Office of the Chief Medical Examiner and
University of Connecticut Health Center - Correctional Managed Health Care.
2.
Class Code 4663 is established at Salary Group RW 14 as part of a pilot study for recruitment and retention purposes within the Department of Mental Health and Addiction Services.
SUPERVISION RECEIVED:
Receives general direction from the facility Medical Director or other administrator of higher grade.
SUPERVISION EXERCISED:
May lead/supervise medical and unit staff including physician assistants, nurses and clerical staff.
EXAMPLES OF DUTIES:
Provides 24 hour medical supervision to specified groups of patients and facility coverage as scheduled including on-call and weekend coverage; makes rounds and provides direct care and clinical oversight of multi-disciplinary treatment teams; coordinates work of medical staff with related programs; reviews treatment plans, medical records, diagnoses and patient discharge plans for adherence to policies and/or The Joint Commission (TJC) and Health Care Financing Authority (HCFA) standards; provides education and training as indicated, e.g. grand rounds and case conferences; assigns, oversees and evaluates work of staff and on-site night duty physicians; conducts and/or participates in meetings on medical and administrative policy, research programs, medical program development and treatment techniques; assesses, examines and evaluates patients for admission or discharge; monitors the use of special treatment procedures; assesses, examines, diagnoses and prescribes appropriate medications and other biologic treatments; consults on difficult and/or complex cases; develops and implements QA/QI process improvement initiatives; prepares and/or reviews reports, medical records and correspondence; perform utilization review and management functions; attends court hearings as a state witness; performs related duties as required.

OFFICE OF THE CHIEF MEDICAL EXAMINER: Performs autopsies at Office of the Medical Examiner or other facilities for determination of cause of death, trace evidence, establishment of identification and estimation of time of death; conducts investigation and examination at scene of sudden or medically unattended death or hospital where a person may have been pronounced dead on arrival or following hospitalization for injury; makes inquiries into circumstances of death for purposes of establishing cause and manner of death; compares findings at scene of death with results of autopsies to establish cause and time of death; testifies about findings in courts of law; exchanges information and works with municipal and State Police, health departments and other agencies in resolving cases; participates in educational programs for medical and law enforcement students and officials; performs related duties as required.
MINIMUM QUALIFICATIONS REQUIRED
KNOWLEDGE, SKILL AND ABILITY:
Considerable knowledge of methods and principles of medicine and surgery; considerable knowledge of current principles and methods of assessment and treatment of patients with medical illness, mental illness and substance abuse disorders; considerable knowledge of recent developments in field of medicine and substance abuse including treatment models and best practices; considerable interpersonal skills; considerable oral and written communication skills; considerable ability to examine for, diagnose, assess and treat patients with illnesses and substance abuse disorders; considerable ability to prescribe medications and other treatments specific to medical illness, mental illness and substance abuse disorders; ability to develop a collaborative group practice environment with other physicians, psychiatrists and members of interdisciplinary teams; ability to analyze and interpret laboratory reports, x-ray reports and other medical reports and findings; administrative/supervisory ability.

OFFICE OF THE CHIEF MEDICAL EXAMINER: Considerable knowledge of principles and practices of anatomic pathology; knowledge of forensic pathology; knowledge of principles and practices of general medicine and surgery; considerable skill in pathological technique and determination of cause of death; considerable oral and written communications skills; interpersonal skills; ability to supervise and teach laboratory technicians anatomical pathology techniques; ability to prepare reports of medicolegal autopsies.
EXPERIENCE AND TRAINING:
General Experience:
Incumbents in this class must possess and retain certification in the field of internal medicine, family medicine, or related specialty, from an appropriate medical specialty board.

OFFICE OF THE CHIEF MEDICAL EXAMINER:

Incumbents in this class must be certified in anatomic pathology by the American Board of Pathology and board eligible in forensic pathology.
SPECIAL REQUIREMENTS:
1.
Incumbents in this class must possess and retain a license to practice medicine and surgery in Connecticut. A temporary license may be granted for a period not to exceed one (1) year.
2.
Office of the Chief Medical Examiner: incumbents must be certified in forensic pathology by the American Board of Pathology within two (2) years of employment.
3.
Incumbents in this class may be required to possess and retain certification as a specialist in addictions medicine from the American Society for Addiction Medicine (ASAM).
4.
Incumbents in this class (except for Office of the Chief Medical Examiner) must possess and maintain eligibility for participation in federal health care programs as defined in 42 U.S. 1320a-7b(f).
5.
Office of the Chief Medical Examiner: incumbents in this class will be required to work on call during evenings/nights on a rotating basis. During an evening on-call the physician is responsible for disposition of all new cases and must conduct any required scene investigations. Evening on call coverage is from 4:30 P.M. to 9:00 A.M. the next day.
6.
Office of the Chief Medical Examiner: incumbents in this class will be required to work weekends on a rotating basis. When working a weekend the physician must be in the Farmington facility and conduct whatever postmortem examinations are required.
7.
Incumbents in this class may be required to travel.
8.
Incumbents in this class may be required to be bilingual.
Note:
Non-Examined refers to Section 5-219 of the Connecticut General Statutes which permits appointment of candidates to competitive positions without formal examination when a professional license, professional degree, accreditation or certificate is a mandatory requirement for appointment to a class.
This replaces the existing specification for the class of Principal Physician in Salary Group RZ 14 approved effective May 17, 2013. (Revised to implement 1199 MOU, DMHAS Pilot Project)

4661A 12/17/14 cm
CC Final#  Occup. Group Bargaining Unit EEO
4661  1924  (21)-Medical, Dental, Veterinary Medicine
(11)-HEALTH PROF (P-1)
(2)-Professional
4663  2145  (21)-Medical, Dental, Veterinary Medicine
(11)-HEALTH PROF (P-1)
(2)-Professional