Medical Director ARORA

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Department: Clinical
Reports To: Chief Executive Officer
FLSA Status: Exempt
Direct Reports: None
Safety Sensitive Position
OSHA Risk Category: 1

Job Summary/Scope

The Medical Director (MD) is responsible for the supervision and conduct of ARORA Abdominal Recovery services. The Medical Director has clinical management oversight of potential donors, providing consultation to clinical staff in real time regarding referrals and determining donor suitability/eligibility. The Medical Director is a licensed physician in Arkansas and will have current United States Drug Enforcement Administration (DEA) registration without restrictions.

The Medical Director is responsible for oversight in all phases of clinical management of potential organ donors, surgical recovery of organs for transplantation and research, placement of transplantable organs with appropriate transplant centers, organ preservation, and tissue donor clinical oversight.

Additional responsibilities include but are not limited to training of ARORA Staff, consultation during donor cases, post-case review, inclusion of external medical experts, engagement of local medical professionals, and leadership in scientific research and development. The Medical Director is responsible for approving the credentials of recovery surgeons both locally and visiting transplant centers. The Medical Director is responsible for compliance with legal and regulatory requirements, implementation and documentation of periodic evaluations of the Organ Procurement Organization’s (OPOs) Standard Operating Procedures for donor evaluation and management of organ recovery in addition to determination of donor suitability/eligibility for donation and placement, particularly in increased risk cases.

The Medical Director serves an advisory role to the Advisory Council and is an ex-officio member of the Governing Board of Directors, representing ARORA as needed at hospital-related functions and public events.

These responsibilities support ARORA in achieving its mission of restoring lives through the recovery of organs, tissues, and eyes in Arkansas.

Essential Functions

1. Responsible for the supervision and recovery of abdominal organs for transplant.
2. Responsible for the implementation and compliance of clinical Standard Operating Procedures (SOPs) of a medical nature:
   1. Responsible for annual review and approval of clinical SOPs, prior to implementation, of a medical nature up to and including:

1. Organ: donor suitability, evaluation, screening, medical management, recovery, preservation, and placement, particularly in increased risk cases.
2. Tissue: donor evaluation; specifically responsible for establishing donor eligibility criteria.

1. Assists the Director of Organ Recovery in efforts to develop and modify organ recovery protocols designed to maximize the number of donors and number of organs transplanted.
2. Follows and enforces systems, including Standard Operating Procedures.
3. Perform surgical organ recovery to local and national standards for abdominal organ transplantation.
4. Maintains a call schedule of a minimum of 20-23 on-call days each month.
5. Maintains on-call availability for telephone consultation with organ and tissue procurement staff regarding donor evaluation, medical suitability, and donor management. Provides clinical staff with education on different aspects of surgical organ recovery and preservation techniques.
6. Maintain knowledge level of current practices of organ procurement.
7. Notifies the CEO or designee of anticipated absences in a timely manner.
8. Serves an advisory role to the Advisory Council and is an ex-officio member of the Governing Board of Directors, attends all meetings, and provides the Medical Director’s report.
9. Responsible for the oversight of the clinical management of potential donors:
   • Works with Organ Recovery Coordinators (ORCs) to ensure adequate donor management.
   • Serves as advisor or mediator when staff is experiencing difficulty with a member of the medical staff or recovery team in any hospital where organ recovery or tissue recovery is in progress.
10. Responds to ARORA employee requests for assistance calls within one hour.
11. Participates in ARORA’s Quality Improvement (QI) efforts by monitoring clinical outcomes and recommending necessary corrective actions in Clinical Staff Meetings.
12. Supports professional education efforts by corresponding as needed with hospitals, transplant programs, tissue banks, and the medical community regarding organ and tissue donation and related issues.
13. Supports compliance with Centers for Medicare and Medicaid Services (CMS) and Food & Drug Administration (FDA) regulations, Association of Organ Procurement Organizations (AOPO) and American Associations of Tissue Banks (AATB) standards, and United Network for Organ Sharing (UNOS) bylaws, and/or other medical/legal requirements.
14. Provides medical guidance to the tissue recovery team.
15. Serves as medical consultant when needed for media/press inquiries.
16. Reviews all potential adverse outcome reports and participates in determination of the impact and resolution of any adverse outcome.
17. Responsible for ensuring the appropriate parties are notified regarding the availability of infectious disease test results when determined to be of medical significance.
18. Maintains effective relationships with Physicians, the Office of the Chief Medical Examiner, and other medical professionals for the purpose of education and problem resolution, when appropriate, as well as work actively in hospitals for the purpose of increasing organ and tissue donation.
19. Attends annual AATB meeting at least once every three (3) years.
20. Performs other duties as assigned.

Secondary Functions

1. Represents ARORA at national meetings involving organ donation at the direction and discretion of the CEO.
2. Attends, participates in, and/or presents to ARORA staff in various settings, such as clinical meetings, staff meetings, etc., at the direction of the CEO.
3. Communicates timely days of availability for donor coverage to the CEO each month.

Organizational Expectations

1. Completes and maintains appropriate documentation in a timely and thorough manner including activities. Examples include: training documentation, mileage, expenses, electronic schedule of ARORA events, and other forms.
   • Proofs work for accuracy and completeness.
2. Exhibits and models ARORA’s conduct standards, mission, and organizational clarity (core purpose, core values, business definition, and strategic anchors) in all job functions and interactions, both internal and external to ARORA.
3. Attendance at staff meetings, training programs, and/or in-services meetings, as required.
4. Demonstrates professional appearance, behavior, and standards in all business dealings and interactions.
5. Demonstrates professional conduct and behavior reflective of ARORA’s respect, honor, admiration, and reverence for the donor and donor family.
6. Fosters effective relationships with client representatives.

Potential Risk Factors:

1. Risk Exposure to Blood/Body Fluids: While performing some essential functions of your position, you may be exposed to blood or body fluids. Established procedures identify the appropriate personal protective measures that you should use when performing essential functions of your position. The ARORA Safety program will provide you with the appropriate procedures and guidelines in which you should perform the essential duties of your job. If you need additional training or resources, please see your supervisor or the ARORA Safety Officer.
2. Repetitive Motion: While performing some essential functions of your position, you may be required to perform some functions repeatedly. When such tasks are not performed properly, injury can result.
3. Physical Requirements: see Analysis of work demands section of this job description.
4. Training: You may need additional training to better understand the performance requirements of your essential job functions. Training classes are available and can be requested and/or assigned. Your attendance at such classes is mandatory.

Work Environment

1. Works in various locations, including normal office environment, hospital, and other locations as essential and secondary functions necessitate.
2. Required to carry a cellular telephone for business purposes.
3. Occasional travel required by personal vehicle to fulfill the duties and responsibilities of the position.
4. May require travel by commercial or chartered aircraft.
5. Non-smoking office.

Work Hours

ARORA is a 24/7 operation and will require this position to maintain 24/7 on-call availability. The Medical Director must be available evenings, holidays, and weekends as required.

Minimum Job Requirements

1. A Medical Doctor (M.D.) or Doctor of Osteopathic Medicine (D.O.) with a current Arkansas license and current DEA registrations without restrictions.
2. Five or more years of experience in organ recovery and transplantation, medical management of organ donors and/or in critical care.
3. Must maintain required vaccination and/or health screenings to minimize the potential for disease transmission.
4. Maintain a valid driver’s license, reliable automobile, and proof of automobile insurance.
5. Thorough knowledge of clinical laboratory standards and procedures.
6. The ability to work effectively with a broad range of medical professionals.
7. Well-developed interpersonal communication skills necessary to interact with all management, supervisors, and staff.
8. Strong analytical and problem-solving skills.
9. Proven ability to lead a team, coordinate internal and external resources, and achieve measurable results against goals.
10. Consistent demonstration of attention to detail, precision, accuracy, and customer satisfaction.
11. Possess strong prioritization skills and the ability to effectively manage multiple projects and tasks.
12. Ability to utilize general office equipment and software and must be proficient in Microsoft Office Suite.

Security Requirements

This position is responsible for requesting, managing, and storing confidential records and ensuring that information is protected, handled discretely and professionally, according to the recognized standards, regulations, and standards for maintaining patient and financial records.