Providers Requested: 1 Provider Title:
Provider Type: Physician
Request Type: Locum Tenens
Coverage Type: Call Only Decision
Date: Ongoing
EMR System: Cerner
Will Facility Accept Multiple Providers? No
Practice Setting: Inpatient
Is Both Inpatient and Outpatient Required? No
Does Provider require hospital/surgery center
privileges?: No
Admissions Required? Yes
Are temporary privileges available?: Yes
Is Hospital Stroke Certified? No
Patients Per Shift: 4
Bed In Department: TBD
Rounding: Unassigned Patients
Practice Details
Does your Facility require physicians to be
board certified?: Yes
Fellowship: Preferred
Minimum Board Certification: Certified The Following Certification Are Required
Board Certification must be for specialty on
AR: No
ABLS: No
What is the license requirement to bid?:
Licensed in MA only
ACLS: No
Will you reimburse Vendor for costs
associated with licensing Provider?: No
ATLS: No
BLS: Yes
Estimated Credentialing Timeframe (Days): 30-
90 days
PALS: No
Other: No
What Trauma Level Is This Facility? 4
What PEDs Level Is This Facility? 0
Define The Number of Support Staff to Be
Supplied For The Locum Coverage:
Will Provider Be Required To Supervise Advance
Practice Providers? No
RN: TBD MA: TBD
Is Resident or Teaching Supervision Required? No
PA/NPs: TBD
Office Staff: TBD
Travel Details
May need to consult on inpatients. Fully hospitalist and ICU attending coverage, so they would only be
consultants.
We have general surgery PAs who are in house the majority of the time
