Osteopathic Physician Job Description Sample
Medical Doctor Or Doctor Of Osteopathic Medicine
Provide quality medical care in a compassionate and caring environment. Work as an integral part of the Medical staff by participating in all strategic initiatives. Perform other duties as assigned, including but not limited to after hours call, weekend clinics, and supervision of PA/NP staff.
JOB DUTIES AND RESPONSIBILITIES
- Take appropriate history, perform physical examination of patients, order pertinent diagnostics and implement appropriate therapy according to standard medical practice.
- Obtain appropriate consults when problems presented are outside scope of practice or when unfamiliar with a particular aspect of the patient’s care.
- Communicate effectively with the patient throughout the physician patient relationship, provide appropriate patient education, and demonstrate respect for the culturally determined needs of patients.
- Shows consistent and determined intent to be competent, meeting or exceeding the community standard of care.
- Demonstrate competent knowledge in delivering health care to patients through peer review as established through the medical staff bylaws, recommendations of each licensing Board, and clinic Quality improvement Program. Participates in the peer Contribution, considering carefully the opinions of colleagues.
- Cooperates with the rest of the medical staff in assuring after hours and Saturday and evening hour’s coverage for the clinic patients.
- Supervise PA’s and FNP’s according to the standardized procedures agreed upon which defines their scope of practice while complying with all federal and state regulations and codes.
- Supports and contributes to in a positive manner clinic efforts to maintain and improve patient satisfaction in all aspects of health delivery.
- Works at maximum potential to meet productivity requirements in order to improve fiscal viability while maintaining quality medical care.
- Meets all time commitments by arriving on time to the clinic and working entire shift or more as needed.
- Become and integral part of the Medical staff through participation in medical staff and other clinic meetings.
- Responsible for maintaining credentials by keeping all required licenses current, including but not limited to California Medical License, DEA licenses, CME hours, PA preceptor License, CPR Certifications and any other required licenses. It is the responsibility of the physician to give Human Resources current credentials before old credentials expire.
- Willingly comply with Title 22 regulations regarding health care and infectious disease.
- Willingly performs other duties within the scope of practice as assigned.
- Completion of a nationally accredited Medical Doctor or Doctor of Osteopathic Medicine program.
- Must have a current California license without any limitations on license to practice in area of specialty.
- Must be in good standing with the California State Licensing Board.
- CPR Certification.
- ACLS certification
- BCLS certification
- PALS certification
- Previous outpatient clinic experience working with indigent population preferred.
Assistant / Associate Professor Of Osteopathic Principles & Practices - Colorado
The Department of Osteopathic Principles and Practice (OPP) at Rocky Vista University College of Osteopathic Medicine- Colorado (RVUCOM-CO) invites applications at all professional ranks for a full-time, non-tenure track faculty position in the Department of OPP.
RVUCOM-CO is committed to the education of osteopathic physicians who are dedicated to excellence in the practice of medicine, and who demonstrate integrity and professionalism in their lives while providing ethical, compassionate, holistic, and culturally competent osteopathic medical care to their patients.
The campus is located in Parker, Colorado in the Southeast Denver Metropolitan area. This vibrant and growing community boasts over 300 days of sunshine annually, provides a relatively stable economy, and is an easy drive to the Rocky Mountains for some of the best skiing, hiking, biking, and outdoor activities the nation has to offer throughout the year.
All applicants are required to submit a curriculum vitae, letter of interest, and salary requirements. Final applicants will be required to pass drug test and background check.
PRIMARY PURPOSE: Participate in OPP teaching and related clinical activities at RVUCOM-CO.
ESSENTIAL JOB FUNCTIONS:
- Actively participate in the education and instruction of medical students, other health care professional students, and residents while providing mentorship and motivation for learning, research, and scholarly activity in classroom environments, clinical settings, active learning groups, laboratory experiences, and research opportunities.
- Participate in the assessment and evaluation of students and residents, and provide feedback and remedial assistance to ensure that the students of the COM meet the standards established by the faculty and college and obtain the necessary knowledge, skills and competencies.
- Participate in curriculum development, assessment, and modification as a part of the college’s ongoing quality improvement and assessment program.
- Participate in the assessment or evaluation of and provide feedback to other members of the faculty as a portion of the colleges ongoing quality improvement and assessment program.
- Provide professional and clinical services in ascertained clinical settings consistent with training and degree as assigned by administration and the Department Chair or Vice Chair.
- Provide service to the university community and students through serving on COM and department committees; by providing leadership, mentorship and expertise to students; and by participating in community outreach events and with professional organizations or groups as assigned by the Campus Dean, Department Chair, or Department Vice Chair.
- Maintain a personal and professional development plan and portfolio, including documentation of teaching, professional development activities and plans, service provided to college and communities, and scholarly activity and research to assure personal growth and continued competency.
- Demonstrate and role model an ongoing ability to work cooperatively with colleagues, supervisors and support staff.
- Demonstrate adaptability and the willingness to assist the university and college in fulfilling its mission and vision.
- Demonstrate the highest standard of professionalism and ethical behavior in all aspects of personal and professional actions and performance, and advance the prestige of the University and College through advancement of its mission and vision, and advancement of your personal career.
- Other duties as assigned by the Campus Dean, Department Chair, or Department Vice Chair.
- Demonstrate knowledge and skill in the delivery of medical education, including the use of varied curriculum and teaching models.
- Demonstrate knowledge and skill in the application of osteopathic principles and osteopathic manipulative treatment (OMT).
- Demonstrate ability to mentor and motivate students and peers.
- Doctor of Osteopathic Medicine degree with current Board Certification or Board Eligibility in appropriate area of specialization.
- Academic experience as a faculty member at a COM, inclusive of an academically focused Neuromusculoskeletal Medicine (NMM) / Osteopathic Manipulative Medicine (OMM) residency program, or two (2) years of experience as a faculty member in an undergraduate or graduate medical education program.
- Demonstrated leadership and productivity in the areas of clinical or professional service, scholarly activity, and medical research or education.
- Good standing with all regulatory and governmental boards and agencies.
- Able to obtain osteopathic medical licensure in Colorado.
- Eligible for coverage by college’s malpractice insurer.
- More than 3 (three) years of academic teaching experience in OPP.
- Demonstrated leadership and administrative experience in clinical, professional or educational settings in OPP.
Department Chair/Associate Or Full Professor Of Osteopathic Principles And Practice
The Chair of Osteopathic Principles and Practice is responsible for: leadership and oversight of OP&P faculty; curriculum and course content in osteopathic manipulation; the osteopathic aspects of diagnosis and care in systems courses; fostering scholarship and research in the department; assuring quality patient care; and fostering collaboration and interdisciplinary learning.
Members of the OP&P Department will be expected to participate in teaching in the Osteopathic Principles courses, systems courses, physical exam course, case-based learning sessions, the physician and society, preparation for clerkships, procedural skills training, OMM Lab and OSCE’s. The members of the department will also participate in the SHSU practice plan.
The individual selected must be comfortable working in preclinical and clinical education, as well as evaluating curriculum and students through various learning and assessment methods. The department will be responsible for aiding GME programs affiliated with the COM in achieving and maintaining osteopathic recognition through ACGME.
Osteopathic Manipulative Medicine (Omm) Faculty
Des Moines University seeks a faculty member in the Department of Osteopathic Manipulative Medicine (OMM) who will participate in clinical patient care (90%), academic, scholarly and service activities (total 10%).
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned by the OMM Department Chairperson.
Patient care primarily but not limited to OMM.
Serving as a preceptor for third and fourth-year Des Moines University students.
Completing evaluations of students' clinical skill and knowledge.
Serving as a preceptor for OMM Undergraduate Fellows
Teaching/supervising OMM didactics, lectures & labs at the direction of the department chair.
Performing student service activities such as;
Serving as a student advisor (advising students on academic requirements and postgraduate education).
Acting as an advisor to student organizations.
Assisting with review and grading of third and fourth year DMU SOAP notes
Serving on faculty committees, professional committees, governmental agencies, and community organizations in service to the COM, University, community the profession, and for personal, professional growth.
Conducting clinical peer review.
Participating in and or providing student oversight during DMU community outreach initiatives.
Engaging in and conducting research, including case reports, clinical research or medical education research
Participating in interviewing prospective COM student interviews.
Participate in and successfully complete all University required training including, but not limited to discrimination/harassment, code of conduct, BLS, mandatory reporting for dependent and elder abuse and blood-born pathogen precautions.
Performs other job related duties and special projects as assigned.
Participating in interviewing applicants for support personnel positions.
Appraising performance of employees/peers.
Qualifications/Education and/or Experience:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
Have earned a Doctor of Osteopathy or Doctor of Osteopathic Medicine degree from an AOA-accredited college of osteopathic medicine.
Hold board eligible status or board certification in OMM/NMM. Alternate board certification or board eligible status may be considered if candidate possesses significant experience in OMM.
Possess an unblemished professional record for clinical skills/practice and ethical conduct.
Be a member in good standing in all appropriate professional and governmental organizations.
Three years experience in the practice of clinical medicine (preferred).
CERTIFICATES, LICENSES, REGISTRATIONS
Possess license to practice in the State of Iowa, or be eligible to gain license to practice in the State of Iowa.
Have valid state and federal narcotics license or be eligible to gain these licenses.
Meet the eligibility requirements for malpractice coverage by the University malpractice insurance carrier.
Excellent presentation, public speaking and interpersonal skills.
Effectively and efficiently communicate and convey information.
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions to problems.
Commitment to diversity and inclusivity.
Cover Letter, Curriculum Vitae, Reference Contact Information, Statement of Teaching Interest
Osteopathic Orthopedic Surgery Resident
- Collects data on the patient's physical status related to the presenting complaint and health history. confers with the Physician and/or follows approved protocols in the management of patient care. Orders appropriate medications, x-rays, and other diagnostic and treatment procedures.
Manages continuing treatment modalities by regulating and adjusting medications/treatments according to reassessments of the patient's condition in collaboration with physician. Performs daily rounding with physician to determine treatment regimen. Provides continuity of care to patients.
Medical Degree. Medical Training License.
ACLS, BLS AND PALS. Must maintain AOA and AOAO memberships throughout residency.
CPR is required for any RN, LPN, PCT, Patient Transporter or other direct patient care provider. Emergency Department, Intensive Care Units, PACU, Medical Emergency Team and Anesthesia require ACLS. Pediatrics, SICU, Emergency Department and Medical Emergency Team also require PALS.
Osteopathic Medicine Content Creator
Osteopathic Medicine Content Creator
Kaplan Medical seeks osteopathic medicine specialists to contribute and collaborate with the content and item writing teams to develop, edit, write, and produce high-quality content for COMLEX course materials and question banks. Contributors will focus on quality control of test items, style, format, fact-checking, consistency of medical terminology, clarification of medical-content issues, evaluation of edits/comments and flawed items.
- -DO degree
- -At least 2 yrs of teaching and/or writing experience in an academic setting
- -Expertise in osteopathic medicine
- -Familiarity with COMLEX content structure and question types
This is a part-time, flexible opportunity that will be hired on an independent contractor basis.
Job Functional Area
Kaplan is an Equal Opportunity Employer
Osteopathic Surgical Critical Care Fellowship
Osteopathic Surgical Critical Care Fellowship
Location: St. Barnabas HospitalDepartment: SurgeryHours: Full-Time
Participate in a trauma-heavy surgical critical care (SCC) fellowship program in the heart of the Bronx in New York City. The program is currently accepting applicants to start in July 2018.
Accredited through the American Osteopathic Association, the SCC fellowship program includes rotations through closed surgical intensive and intermediate care units (SICU/SIMCU) as well as subspecialty critical care, ultrasound and research rotations. The fellowship offers the opportunity to craft a schedule that best suits an individual fellow's educational and professional needs.
Fellows receive excellent exposure to an urban, underserved population at an American College of Surgeons-certified level 2 trauma center with annually >1800 trauma activations (including a high-rate of penetrating injuries) and >800 SICU/SIMCU admissions. The program is supported by six SCC fellowship-trained full-time attendings, a general surgical residency program and diversified surgical subspecialties.
Bronchoscopies, invasive monitor insertion, tracheostomies, gastrostomies and other critical care procedures as well as trauma and acute care surgery operations are integrated into the curriculum along with formal didactic education.
To apply for the fellowship, contact Program Director Gerard A. Baltazar DO FACOS at email@example.com
How to Apply
Please submit an updated resume with a cover letter to (email address):
Phone: (718) 960-6500
SBH Health System is an equal opportunity employer. We recognize the power and importance of a diverse employee population and strong encourage applicants with various experiences and backgrounds. SBH Health System – An EEO Employer M/F/D/V
SBH Health System does not discriminate on the basis of race, color, religion, creed, sex, national origin, citizenship status, age, disability, ethnic predisposition, carrier status, marital status, sexual orientation, transgender status, gender identity, veteran status or any other characteristic.
If you believe that SBH Health System has failed to provide services or discriminated in another way on the basis of race, color, religion, creed, sex, national origin, citizenship status, age, disability, ethnic predisposition, carrier status, marital status, sexual orientation, transgender status, gender identity, veteran status or any other characteristic as protected by applicable law, you may file your grievance with:
Cassandra Andrews Jackson
SBH Health System
4422 Third Avenue
Bronx, New York 10457
Ralph P. Belloise
Director of HIV Services
SBH Health System
4487 Third Avenue, Bronx, NY 10457
Faculty - Neuromusculoskeletal Medicine/ Osteopathic Manipulative Medicine
POSITION: Faculty Neuromuscularskeletal Medicine/Osteopathic Manipulative Medicine
DEPARTMENT: Jerry M. Wallace School of Osteopathic Medicine (CUSOM)
STATUS: Full Time
The NMM/OMM Faculty is a member of the Department of Osteopathic Manipulative Medicine for Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM). The faculty member is responsible for the full range of program development including participation in designing the curriculum, as well as assisting the Chair of Osteopathic Medicine with development and staffing of the pre-clinical and clinical curriculum. This role includes faculty recruitment and faculty development to ensure curriculum is successfully delivered to the CUSOM students and O-NMM residents.
Essential Duties and Responsibilities:
Demonstrate an active and consistent commitment to the mission of CUSOM.
Develop, implement, and evaluate a strategic plan for the clinical mission of CUSOM that supports and advances the strategic plan, mission, and vision of the school.
Serve as a liaison between the students and the OMM Department Chair.
Assist with providing the foundation for delivery of the curriculum for the School of Osteopathic Medicine.
Provides and supervises osteopathic manipulative medicine services through CUSOM affiliated clinics, hospitals and outreach partners
Provide input for the educational curriculum at CUSOM in collaboration with OMM Clinical Faculty, the OMM Department Chair, and Course Directors; collaborating together to support the mission, vision and priorities of CUSOM and review the outcomes of the departmentally sponsored programs on a regular basis.
Evaluate need-based items for successful curriculum delivery pertaining to audio-visual aids, travel, faculty development materials, teaching materials and aids, and any other related products.
Facilitate programs and resources to assist and promote faculty growth, development, and accomplishments in the fields of education, research, and professional service.
Assist with the integration of osteopathic principles in education programs.
Work in cooperation with the Curriculum Committee, Course Directors, Block Leaders, and OMM Department Chair to develop syllabi and curriculum for the students of the COM, schedule courses, assign educators, evaluate outcomes, and implement a continuous quality assessment and improvement system for the curriculum of the COM.
Participate in faculty meetings and committees as assigned.
Assure the advancement and integration of high standards for ethical and professional behavior in all aspects of the education of the students of CUSOM and actions of the administration, faculty, and staff.
Provide education in OMM lab for MS I and MS II as well as monthly call-back Friday's OMM session. MS I and MS II lectures as assigned.
Other duties as assigned.
Doctor of Osteopathic Medicine degree from an AOA accredited college
Board Certification or Board Eligibility in NMM only or NMM and another specialty. These may include certification from the following:
AOBNMM – Board Certification in Neuromusculoskeletal Medicine
AOBFP – American Osteopathic Board of Family Practitioners
AOBIM-American Osteopathic Board of Internal Medicine
AOBPMR-American Osteopathic Board in Physical Medicine, and Rehabilitation
AOBP-American Osteopathic Board of Pediatrics
Ability to obtain an unrestricted license to practice medicine in North Carolina
Demonstrate organizational, communication, ethical, interpersonal, and collaborative skills
Qualified to obtain medical staff privileges in local, North Carolina hospitals.
Three years of successful academic experience in a medical school and/or higher education preferred
Preferred track record in teaching and leadership from an accredited medical school
Consideration will be given to those with previous experience leading a community-based clinic.
Knowledge, Skills and Abilities:
Expertise in negotiation.
Ability to communicate effectively to all groups through both oral and written channels.
Ability to prepare grant proposals and academic evaluative reports.
Ability to work as a group leader and group member; team player.
Ability to respond calmly and appropriately in emotional situations.
Ability to listen and communicate in a positive manner.
Must be proficient in word processing and computer usage experience.
Experience and demonstrated abilities for working in an academic setting.
Ability to collaborate and interact with health care professionals.
Ability to organize, direct, prioritizes, and delegate work appropriately.
Excellent analytical skills necessary for preparing financial, legal, and administrative tasks.
Ability to manage time well and work under stressful conditions with an even temperament.
Ability to establish and maintain harmonious working relationships with other employees and the public.
To Apply For This Position:
Campbell University is unable to accept paper or email applications. Please apply online at http://www.campbell.edu/about/employment/ and click "Apply for this Position" below the description of the position for which you are applying. Please submit a cover letter, resume and contact information for three references. If you have any questions, or if you are an individual with a disability and need assistance completing an application for employment contact the Human Resources Department at 910-893-1256 or email firstname.lastname@example.org. Campbell University is an Equal Opportunity Employer.
Please Note: All positions at Campbell University require honesty, integrity and an understanding of the Mission Statement of Campbell University.
Campbell University maintains a continuing policy of nondiscrimination in employment. It is our policy to provide equal opportunity in all phases of the employment process and in compliance with applicable federal, state, and local laws and regulations. Accordingly, the University is committed to administering all educational and employment activities without discrimination as to race, color, sex, sexual orientation, gender identity, age, ethnicity or national origin, religion, disability, genetic information, protected veteran status and any other characteristic protected by law, except where appropriate and authorized by law. This policy of nondiscrimination shall include, but not be limited to, the following employment decisions and practices: hiring; upgrading; promotions; demotions or transfers; layoffs; recalls; terminations; rates of pay or other forms of compensation; selection for training, including apprenticeship; and recruitment or recruitment advertising.
Employees and applicants of Campbell University will not be subjected to any form of harassment or discrimination for exercising rights protected by, or because of their participation in, an investigation or compliance review related to Title VII of the Civil Rights Act of 1964, the Age Discrimination in Employment Act, the Americans with Disabilities Act, Executive Order 11246, Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veterans' Readjustment Assistance Act of 1974, the Veterans Employment Opportunities Act of 1998, or any other federal or state nondiscrimination law, rule, or regulation.
Campbell University also maintains affirmative action programs to implement our equal employment opportunity policy. Employees or applicants who wish to review appropriate portions of these affirmative action programs may schedule an appointment to do so by contacting the Vice President for Business and Treasurer at the Buies Creek campus, during normal business hours.
Assistant Or Associate Professor Of Family Medicine & Osteopathic Principles & Practice
The University of Pikeville's Kentucky College of Osteopathic Medicine (UP-KYCOM) invites applications for the position of Assistant or Associate Professor of Family Medicine and Osteopathic Principles and Practice.
Full-Time, College of Osteopathic Medicine
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The University of Pikeville's Kentucky College of Osteopathic Medicine (UP-KYCOM) invites applications for the position of Assistant or Associate Professor of Family Medicine & Osteopathic Principles & Practice. Located in the heart of Appalachia, KYCOM provides an osteopathic medical education in a student-centered setting that emphasizes primary care, encourages research and promotes lifelong scholarly activity. In keeping with our mission, our graduates are committed to serving the healthcare needs of rural communities in Eastern Kentucky and the Appalachian region.
This position is responsible for coordination and teaching in the Family Medicine Department, including but not limited to:
Teaching courses and associated labs within the department of Family Medicine and the department of Osteopathic Principles and Practice, as assigned by the respective chairs.
Participates in and recommends curriculum development and evaluation.
Assists in the preparation of course syllabi, objectives, lecture schedules, and testing procedures.
Assists in the preparation of materials and documentation required for continued accreditation of the school by the AOA and other accrediting agencies.
Serves on appointed Committees.
Provides clinical services as directed by the Department Chair and Dean.
Provides counseling and guidance for the students.
Provide external clinical activities, as assigned, which would be associated with family medicine and/or osteopathic manipulative medicine.
The University of Pikeville offers a competitive salary commensurate with qualifications and experience. UPIKE offers a competitive benefits package including medical, dental, vision, and life insurance, telemedicine, long term disability, tuition waivers, a 403(b) retirement plan, and HSA, FSA, & dependent care accounts. UPIKE also offers a generous holiday schedule and paid leave program.
Minimum requirements include a D.O. from an AOA COCA accredited college/school of osteopathic medicine, eligible for an unrestricted Kentucky license, and a strong desire to teach. Previous research and academic/clinical experience is preferred.
Must be eligible for an unrestricted KY license and obtain/maintain that license within 180 days of initial employment. Must be board certified by AOA and/or ABMS. The successful applicant will have excellent organizational, communication, teaching and decision-making skills, along with an ability to work with faculty from other disciplines.
Applications will be taken until the position is filled. Review of applications is expected to begin immediately.
Important Notes: Resume and other application materials will be reviewed to determine if you meet the required qualifications for the position.
If it is determined that you meet the required qualifications, your application materials will be used to identify a top group of the most highly qualified candidates. Please, specifically address the qualifications, competencies and desired qualifications in your resume and application materials. Please attach curriculum vitae, statement of experience, teaching philosophy, research goals and three letters of recommendation in order to be considered for this position.
The University of Pikeville is committed to providing a safe and productive learning, living and working community. To achieve this goal, we conduct background investigations for all final applicants being considered for employment. Background investigations include a criminal history record check, and when appropriate, a financial and/or motor vehicle history.
The University of Pikeville is an equal opportunity employer committed to assembling a diverse, broadly trained faculty and staff. The University of Pikeville does not discriminate on the basis of race, color, creed, religion, national origin, sex (including pregnancy), disability, age, veteran status, sexual orientation, gender identity or expression, genetic information, political affiliation or political philosophy in its programs or activities, including employment, admissions, and educational programs. Inquiries may be directed to the University of Pikeville Title IX Coordinator by calling 606-218-5216.
For more information about the University of Pikeville, please visit http://www.upike.edu. Interested applicants should complete the online application by visiting http://jobs.upike.edu. In addition to the application, interested applicants are requested to attach to their application a letter of interest, current resume, and the contact information for three to five professional references.
Department:College of Osteopathic MedicineEmployment Type:Full-TimePosition Type:Faculty
Osteopathic (Opp) Faculty
The Primary Care faculty member is a non-tenured position responsible for the education in pre-doctoral didactic and/or clinical educational programs who will primarily teach osteopathic principles and practice, osteopathic manipulative skills, clinical decision making and topics relevant to osteopathic medical practice. This position participates and assists the Department Chair and colleagues in the planning, directing and implementation of college programs, policies and procedures, and assists in the development of curricula which integrates the different specialty areas in a team-based, large and small group learning environments. Typical responsibilities for this position may include some or all of the following:
- teaching didactic preclinical and/or course material for years 1-4, which may include time in the classroom, clinical sites, laboratory, or telecommunications; supervising or teaching clinical internships or programs
- advising and mentoring students
- research to create and add to knowledge in a field, including the advancement of new theories and principles
- serving the academic mission of the Department and using academic professional expertise to serve your profession and the community
- A team player who values collaboration, mutual support and team cohesion
- DO from a COCA-accredited medical school
- Board certification by the appropriate AOA or ACGME specialty board
- Currently licensed or eligible to be licensed in the state of Idaho within 3 months of hire date
- Teaching experience in an academic setting
- NMM certification preferred
- Knowledge of instructional technologies
- Experience with curricular and instructional design and training or experience in educational theory and/or evaluation
- Experience using innovative teaching methods which might include team-based learning, ‘flipped classroom’, problem-based learning, distance learning, interactive large group presentation, audience response systems, curriculum delivery systems (e.g. Blackboard), and proficiency in exam item writing (USMLE and/or COMLEX-style)
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