**Schedule:** - 7 on / 7 off rotation - On-site from 7 AM to 7 PM; on call from 7 PM to 7 AM

- One day of orientation followed by two to three days of proctoring

**Clinical Responsibilities:** - Focused on inpatient care only

**Procedural Requirements:**

- Candidates must possess experience in Respiratory and Critical Care, as the position is entirely inpatient-centric.

- Core Privileges & Procedures (for MD/DO) do not necessitate proctoring but should be explicitly requested:

  - Moderate Sedation

  - Lumbar Puncture  - Endotracheal Intubation and Extubation

  - Paracentesis

  - Thoracentesis  

- Ventilator Management, including assessing readiness for respiratory weaning, oxygen therapy, and extubation, as well as evaluating the need for intubation  

- Chest Tube Insertion  - Insertion of PICC, Arterial, Central Venous Lines (either percutaneously or via cut down)  

- Arterial Line Insertion and Removal (both radial and femoral), which may be grouped under one privilege  

- Tracheostomy Care, including tube changes  

- Management of tension pneumothorax in emergent situations

  - External pacing, with the ability to adjust temporary epicardial, transvenous, or transcutaneous pacemakers as necessary - Proctoring is mandatory for five instances of each procedure.

**Clinical Support:** - Available

**EMR and Documentation:**

- Utilize EPIC and Dragon for documentation

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*Credentials and Experience:** - Board Certified/Board Eligible (BC/BE)

- Advanced Cardiovascular Life Support (ACLS) certification required

**Case Logs:** - Submission of 50 inpatient logs from the last 12 months is required, including the ability to present and verify them.

**Licensure:** - Consideration for the Interstate Medical Licensure Compact (IMLC) is available; otherwise, a Michigan license is mandatory.