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Santa Maria Valley is nestled along the northern perimeter of Santa Barbara County on California's Central Coast. The Valley is approximately 21 square miles in size and lies 220 feet above sea level. It is located 170 miles north of Los Angeles and 270 miles south of San Francisco. The Santa Maria Valley itself sits between the Sierra Madre Mountains and the Pacific Ocean. It includes the cities of Santa Maria and Guadalupe, as well as unincorporated Orcutt. Today, the City of Santa Maria is home to a rich mix of both agriculture and retail. New industries including aerospace, communications, research, energy production, and manufacturing are also on the rise.

Vandenberg Air Force Base is a United States Air Force Base located 9.2 miles northwest of Lompoc, California. It is under the jurisdiction of the 30th Space Wing, Air Force Space Command. Vandenberg AFB is a Department of Defense space and missile testing base, with a mission of placing satellites into polar orbit from the West Coast using expendable boosters. Wing personnel also support the Service's LGM-30G Minuteman III Intercontinental Ballistic Missile Force Development Evaluation program. In addition to its military mission, the base also leases launch pad facilities to SpaceX, as well as 100 acres leased to the California Spaceport in 1995. The base is named in honor of former Air Force Chief of Staff General Hoyt S. Vandenberg.

The flight medicine physician shall provide health care to beneficiaries assigned to the Flight Medicine Clinic, Occupational Health Clinic, or other civilian Flight Medicine physician positions as defined by the MTF. These tasks include performing primary care and occupational health clinician duties and the associated administrative tasks.

Care shall include but not be limited to continuing, comprehensive health maintenance and provision of medical care, including preventive medicine, behavioral health, occupational health, and community health.

The civilian Flight Medicine physician may become the primary care manager (PCM) for a panel of patients. As a PCM, the flight medicine physician will be the primary person responsible for the management of the health and wellness of his/her assigned patients.

Examination of patients, formulation of differential diagnostic plans, ordering of appropriate diagnostic testing.

Interpretation of examination findings and test results, and implementation of treatment plans.

Determination of the need for consultation and assisting in medical care and treatment provided at the direction of other specialists.

Approving/disapproving subspecialty referrals.

Directing case management activities.

Answering patient telephone consults with the assistance of clinic staff.

Providing primary and secondary preventive maintenance care.

The Chief, Flight Medicine Clinic will assign specific duties/patient care assignments, and other duties deemed necessary. All inpatients will be admitted as per the local MTF instructions.

Diagnose and treat a wide-range of adult acute and chronic diseases and injuries including but not limited to conditions of the: Skin Pulmonary System, Head Gastrointestinal System, Eyes Musculoskeletal System, Ears Genitourinary System, Nose Reproductive System, Throat Lymphatic System, Neck Central Nervous System, Cardiovascular System Endocrine System, Psychiatric and Behavioral Health.

Perform medical procedures and maintain certification where appropriate to include, but not limited to, the following: Basic Life Support, Secure and maintain an adequate airway, to include endotracheal intubation, Cardioversion of life threatening arrhythmias, Simple minor surgical procedures: punch biopsies, excision of skin lesions, Simple abscess incision and drainage, Nail trephination, Sling or swath injuries, Suture simple laceration, Suture removal, Cryotherapy, Nebulizer treatment, Bladder catheterization, Cultures (throat, wound), Remove ocular, nasal and ear foreign bodies, Clearing of ears by flush technique, Reduce simple dislocations and fractures, when appropriate, Bandaging of sprains, minor burns, and minor lacerations, Perform venous punctures for lab studies and interpret results, Administer intravenous, intramuscular and subcutaneous medications as appropriate, Stabilize and evaluate cervical spine injuries as appropriate, Splint and stabilize traumatic injuries to extremities.

Review, interpret, and act upon medical surveillance data relating to the Occupational Health program.

Prepare records and reports as required in support of services rendered in accordance with established procedures.

Attend and participate in patient care reports, review meetings, patient care conferences, team conferences, professional staff conferences and other appropriate professional activities only to the extent that such attendance and participation is relative to assigned cases and/or performance of services.

Civilian flight medicine physicians will not fly (as part of their duties), or participate in exercises beyond the scope of medical care specified in their privileges and/or credentials. They will not be utilized as Squadron Medical Element physicians.

Credentialed civilian flight medicine physicians may respond to HAZMAT and in-flight emergencies. After hours coverage will only be provided if requested by local authorities and written into local contract.

Conduct special operational evaluations and determinations, including (but not limited to):

PHA for flyers/special duty personnel.

Initial certification exams for flying/special duty applicants (including foreign military personnel attending US military training, initial health screening for foreign military personnel attending US military training).

Conduct adaptability rating assessment for military special duty applicants.

Make PRP/PSP determinations IAW DoD 5210.42R and AFMAN 10-3902.

Aeromedical Dispositions: Civilian Flight Medicine providers will be allowed to make aeromedical dispositions ONLY if they meet the Qualifications criteria listed in section 1. Aeromedical dispositions must be specifically listed on the Flight Surgeon's credentials and privileges list, which requires initial review and approval by the MTF's SGP. The term "aeromedical disposition" includes drafting and reviewing aeromedical waivers, approving DNIF/DNIC, and return-to-fly 1042s. Exceptions to this policy require approval from AFMSA/SGPF. Civilian Flight Surgeons will be granted base-level waiver authority only on approval of MAJCOM/SGP.

Apply medical, fitness and profiling standards IAW AFIs 48-123, 36-2905 and 10-203 (including profiling and duty restrictions as Profile Officer).

Complete deployment health assessments IAW DHA policy.

Must possess a doctor of medicine (MD) or a doctor of osteopathy (DO) degree from an approved school of medicine or osteopathy.

Having and maintaining current board certification in Aerospace Medicine is highly recommended. If not board certified in Aerospace Medicine, then must show proof of completion of any medical residency program and must have a minimum of 3 years of U.S. military Flight Surgeon experience.

Must have a minimum of 35 hours of direct patient care in the past year, and must have a minimum of 3 years' experience in the last 10 years having served as a privileged flight surgeon at a US Military installation, with experience in:

• U.S. military medical standards to conduct special operational evaluations, including (but not limited to) PHA for flyers/special duty personnel, initial certification exams for flying/special duty applicants.
• Aeromedical disposition for flying/special operational duty.
• Conducting adaptability rating assessment for military special duty applicants.
• Applying medical, fitness and profiling standards IAW AFIs 48-123, 36-2905 and 10-203 (including profiling and duty restrictions as Profile Officer).
• Providing primary care for active duty personnel and their family members.

Have and maintain a valid, unrestricted and unencumbered license in one of the 50 states in the U.S. or the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.

Have and maintain current American Heart Association (AHA) approved Basic Life Support (BLS) certification.

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