It is recommended that either the Word or PDF file be downloaded and used,
located on the left side menu.
CONTENTS
INTRODUCTION
CATEGORY DEFINITION
GROUP DEFINITION
MEDICAL OFFICER SUB-GROUP
INTRODUCTION
SUB-GROUP DEFINITION
GLOSSARY OF TERMS
FACTORS
BENCH-MARK POSITION DESCRIPTION INDEX
In Ascending Order of Level
MEDICAL SPECIALIST SUB-GROUP
INTRODUCTION
SUB-GROUP DEFINITION
GLOSSARY OF TERMS
LEVEL DESCRIPTIONS
BENCH-MARK POSITION DESCRIPTION INDEX
In Ascending Order of Level
INTRODUCTION
The positions allocated to the Medicine Group
are divided into two sub-groups:
Medical Officer Medical Specialist
This standard describes the classification
plans to be used to evaluate positions allocated to this
occupational group. It consists of an introduction and
definitions of the Scientific and Professional Category and the
Medicine Group. The standard also includes an introduction, a
definition of each sub-group, a glossary of terms, a
classification plan and bench-mark position descriptions for each
sub-group.
Allocation to one or the other of the two sub-groups is to be
determined by reference to the sub-group definitions.
CATEGORY DEFINITION
Occupational categories were repealed by the Public Service Reform Act (PSRA),
effective April 1, 1993. Therefore, the occupational category definitions have
been deleted from the classification standards.
GROUP DEFINITION
For occupational group allocation, it is recommended that you use the Occupational
Group Definition Maps, which provide the 1999 group definition and their
corresponding inclusion and exclusion statements. The maps explicitly link the
relevant parts of the overall 1999 occupational group definition to each
classification standard.
SUB-GROUP - MEDICAL OFFICER
MEDICAL OFFICER SUB-GROUP INTRODUCTION
This part
of the Medicine Group standard describes the classification plan
used to evaluate positions allocated to the Medical Officer
Sub-group. It consists of an introduction, a definition of the
sub-group, a glossary of terms, factor definitions and
characteristics, degree highlights and bench-mark position
descriptions.
A classification plan of five levels
representing significant differences in the difficulty of the
work, has been established for this sub-group.
Factors
The evaluation of positions and their
assignment to a classification level will be determined by the
application of three factors:
Nature of Activities Responsibility for Activities
Administration
Each factor is described, and the descriptions
designate the features of the work assigned to positions
allocated to the sub-group. A list of characteristics is included
for each factor. The characteristics indicate the features of the
work that are to be considered when evaluating a position under a
particular factor. Each characteristic describes the lowest and
the highest requirement. The factor characteristics serve to
ensure that consideration is given to all features of the work of
a position.
Because of the nature and diversity of
positions in this sub-group, it was not considered possible to
produce for all degrees of the factors meaningful definitions
that would describe and distinguish the increasing difficulty of
the work from the lowest to the highest level. As a result,
degree highlights are included for the second and fourth degrees
only. These highlights describe the features of the work that
will be found in most positions at these levels. The degrees of
each factor are illustrated by bench-mark position
descriptions.
Bench-mark Positions
Bench-mark position descriptions exemplify the
degrees of each factor and the levels of the classification plan.
Each bench-mark consists of a descriptive title, a statement of
the principal duties with the percentage of time devoted to each,
and a set of specifications describing the features of the work
of the position in terms of the characteristics of each of the
three factors. The specifications exemplify the application of
the evaluation plan to the duties and responsibilities of the
bench-mark position and indicate the degree assigned to the
position for each factor. A classification level is assigned to
each bench-mark position.
Use of theStandard
There are six steps in the application of this
classification standard:
1. The position description is studied to ensure
understanding of the position as a whole and of the nature of the
duties and responsibilities as they relate to the characteristics
of each factor. The relationship of the position being studied to
positions above and below it in the organization is also
studied.
2. Allocation of the position to the category, group and
sub-group is confirmed by reference to the definitions and the
descriptions of inclusions and exclusions.
3. A degree under each factor is tentatively assigned to the
position being evaluated by considering the duties and
responsibilities of the position in relation to the range
described for each factor characteristic and the degree
highlights for the factor, and determining that the difficulty of
the work is equal to, or greater or less than a degree that is
described. The features of the work of the position being
evaluated should be related to the degree highlight as a whole in
its total context, not to isolated words or phrases.
4. The degree tentatively assigned is confirmed by
comparison with the bench-mark position descriptions.
5. The level of the position is determined by the degree
that has been assigned to the position for at least two of the
three factors. When one degree does not predominate, raters are
to compare the total job with the bench-mark position
descriptions and determine the level that best corresponds on the
whole with the duties and responsibilities of the position.
6. The position is compared with bench-mark position
descriptions that have been assigned to the same level, as a
check on the validity of the level selected.
MEDICAL OFFICER SUB-GROUP DEFINITION
The performance, provision of advice on, supervision, or
direction of professional and scientific work in one or more
fields of medicine.
Inclusions
Positions included in this sub-group are those
that require the application of a comprehensive knowledge of
medicine in the performance of one or more of the following
duties:
- the conduct of programs to promote public
or individual health;
- the provision of medical and health
services or their planning and evaluation;
- the appraisal of drugs for safety and
efficacy under conditions of their intended use;
- the assessment of physical or mental
disability for compensation or other benefit purposes;
- the conduct of research and experimental work in the
causes, incidences and prevalence of diseases, methods of
treatment, or prevention and control of diseases, other physical
conditions or specific health problems;
- the provision of advice;
- the supervision and direction of any of
the above duties.
Exclusions
Positions excluded from this sub-group are
those that require the practice of a medical specialty.
GLOSSARY OF TERMS
"Continuing operation" refers to tasks or investigations,
usually of a straightforward nature, occurring in a pattern or
repetitive cycles.
"Activities" refers to the different actions taken in
performing the duties of a position such as planning, estimating,
supervising, advising, training, diagnosing and assessing.
"Subject-matter areas" refers to medical facts, theories,
ideas, techniques and related matters that are encompassed by
studies, projects or programs.
"Related areas of specialization" refers to disciplines which
have a bearing on, or are pertinent to, studies or services which
are being carried out e.g., in medicine related areas of
specialization include such disciplines as nursing, psychology,
physiotherapy, pharmacology, chemistry and biology.
"Clinical services" refers to the provision of direct care to
individuals and involves the performance of diagnostic,
therapeutic and prevention services.
"Supporting staff" refers to those professionals and
non-professionals employees who provide service and assistance to
medical officers in the performance of their duties, e.g.,
medical residents, nurses, nursing assistants, orderlies,
technicians, and administrative support staff.
"Health Services" refers to both consultative and operational
services concerned with promoting, protecting and restoring the
physical and mental health of individuals, families and
communities. They are provided by various health professionals
and related occupations at community and personal levels.
NATURE OF ACTIVITIES RESPONSIBILITY FOR
ACTIVITIES ADMINISTRATION
NATURE OF ACTIVITIES
This factor is used to measure the difficulty of the work in
terms of its scope, the variety of activities, the use of
approaches, methods and techniques and the requirement for
knowledge.
When evaluating positions under this factor raters are to
consider the following characteristics:
The scope of the work, ranging
- from a part or phase of a project or study, or a
continuing operation involving the provision of limited
services;
- to a medical or health program involving a number of
studies or services being conducted simultaneously within a broad
spectrum of subject-matter areas and related areas of
specialization and normally requiring intensive investigation or
activity.
The variety of activities, ranging
- from a succession of tasks comprising a limited number of
activities and closely resembling one another in most
aspects;
- to a broad spectrum of professional and administrative
activities different from one another in most aspects.
The use of approaches, methods and techniques, ranging
- from applying established methods and techniques to meet
the requirements of the work;
- to developing and applying new approaches, methods and
techniques to meet the changing requirements of a program.
The requirement for knowledge within areas of medical science,
related areas of specialization, the administration of medical
programs and departmental functions or policies will range
- from a thorough knowledge of the techniques and
procedures to achieve work objectives within
established guidelines;
- to an authoritative knowledge of subject-matter areas
within a medical or health program, a comprehensive knowledge of
the functions and requirements of related areas of specialization
and of the regulations and policies governing the program.
NATURE OF ACTIVITIES
Degrees
Bench-mark Position Descriptions
1
No . 1 Medical Assessment Officer, Overseas Region
The work is performed within a single subject-matter area
or within several related subject-matter areas. It consists
of the provision of comprehensive clinical services or the
conduct of a succession of projects requiring varying degrees of investigation. Activities differ from one another in
several aspects and include such things as investigating, analysing
and evaluating medical conditions or substances; providing treatment; training and supervising supporting staff;
reviewing the work of others and providing advice. The work requires selecting and implementing appropriate approaches, methods
and techniques with some adaptation to meet particular work problems. A thorough knowledge is required of the
principles, methods and techniques applicable to the work. Familiarity with the practices of related areas of specialization and
with departmental regulations and procedures is also
required.
The work is normally performed within a number of subject-matter areas and related areas of
specialization.
It consists of several studies or services conducted simultaneously, and comprising all or a significant segment
of a medical or health program. Work activities differ from
one another in most aspects and include such things as developing and implementing recommendations regarding
medical
standards, regulations, research, policy and government legislation; evaluating and authorizing or recommending on project
proposals; establishing objectives and priorities and
assessing work progress in relation to objectives; providing advice on approaches to complex problems; contributing to the
development of and/or directing and coordinating a variety of activities
in a medical or health program. The work requires developing
new concepts and novel approaches for the solution of complex problems by applying a comprehensive
knowledge of a subject-matter area and related areas of specialization.
The work also requires a thorough knowledge of the regulations
and objectives relevant to the medical or health program.
4
8 Director, Health Assessment Division
9 Assistant Regional Director, South
5
10 Regional Director, Ontario Region
RESPONSIBILITYFOR ACTIVITIES
This factor is used to measure the difficulty of the work in
terms of the latitude allowed for the exercise of initiative and
judgment and the responsibility for the work of others. It is
also used to measure the importance of the work in terms of the
impact of activities on the commitment of resources and the
requirement to provide advice.
When evaluating positions under this factor raters are to
consider the following characteristics:
Responsibility for defining problems and objectives, and
establishing guidelines, ranging
- from identifying work problems, expected variables and
availability of precedents;
- to developing program concepts, defining program
objectives and limitations and defining approaches to complex problems.
The guidance received, ranging
- from directives on methods to be used and procedures to
be followed, and guidance on unusual features and possible
approaches;
- to general direction on policy intent and program
objectives.
The extent to which work is checked by others, ranging
- from review of the work as it progresses;
- to review of the results of the work in terms of program
objectives.
Responsibility for assessing the quality of the work of
others, ranging
- from reviewing the work of supporting staff in progress
and on completion;
- to evaluating analyses of complex problems and proposed
departures from accepted practice.
The impact of activities on the commitment of resources,
ranging
- from spending own time and minor facilities, equipment
and supplies;
- to evaluating cost-benefit, feasibility or management
studies and approving or recommending the approval of plans involving the use of large numbers of
staff, the expenditure of large amounts of money and the procurement or use of costly
facilities, equipment and supplies.
The requirement for providing advice, ranging
- from advising colleagues and supporting staff on matters
related to the work;
- to providing authoritative advice and recommendations on
a variety of matters of national or international concern to
senior officials.
RESPONSIBILITY FOR ACTIVITIES
Degrees
Bench-mark Position Descriptions
1
No. 1 Medical Assessment Officer, Overseas Region
The work requires identifying work problems and devising suitable approaches and methods for their resolution.
Guidance consists of discussion with more senior professionals on the implications of unusual problems. Completed work and
recommendations are reviewed for soundness of judgement
and adherence to professional standards. The work requires reviewing the work of subordinate professionals and
supporting staff in progress or on completion. The work normally requires planning the use of equipment, supplies and facilities.
Advice is given to colleagues, associates and supporting staff on matters with own area of work.
The work requires defining objectives and guidelines for
the conduct of studies or services within a number of related subject-matter areas, and indicating likely approaches for
the resolution of complex problems. They are professionally independent and guidance is normally restricted to matters
requiring definition or clarification of policy and
objectives. Results of the work and conclusions and recommendations
are reviewed for soundness of judgement in relation to the attainment of objectives and conformance with directives.
The work of subordinate staff, colleagues and outside
specialists is reviewed in respect of approaches, soundness of
judgement and the broad implications on medical or health
activities. The work normally requires the conduct and evaluation of cost-benefit and feasibility studies as a basis for
developing and implementing recommendations involving the allocation
of significant numbers of staff and the use of substantial amounts of money. Advice on problems and theories in areas related
to the work is given to other specialists and officials; advice
in own area of work is accepted as authoritative.
4
8 Director, Health Assessment Division
9 Assistant Regional Director, South
5
10 Regional Director, Ontario Region
ADMINISTRATION
This factor is used to measure the difficulty of the work in
terms of the requirement to manage staff, financial and other
resources, to plan and improve communications, control and
delegation of authority in an organization, and to coordinate
work with that of others.
When evaluating positions under this factor
raters are to consider the following characteristics:
Requirement for the control of staff,
ranging
from supervising supporting staff, as
required;
to managing a very large staff (approximately
600) in a variety of professional, technical and other
occupational groups, selecting, appraising, training and
allocating personnel and subordinate supervisors to ensure the
effective development and use of staff.
Requirement for the control of physical and
financial resources, ranging
from planning the day-to-day use of equipment
and supplies;
- to planning and implementing the control of costly
facilities and resources, and preparing and
administering a very large budget
(approximately $8,000,000.).
Requirement for the retention of outside
assistance, ranging
from making recommendations concerning the
use of outside assistance;
- to confirming the need for and selecting suitable
sources of assistance, negotiating fees or salaries, relating the
costs and benefits to budgetary limitations and approving the
expenditure of funds.
Requirement for the development of an
effective working organization, ranging
from organizing a small staff into an
effective working group, as required;
to the continuing requirement to organize and
coordinate a very large staff carrying out a wide variety of
duties to meet current and forecasted program activities.
Requirement for the coordination of work
performed for or in conjunction with other organizational units,
ranging
from coordinating a small number of activities with those of
other individuals;
to coordinating a wide spectrum of services with those of
outside organizations.
ADMINISTRATION
Degrees
Bench-mark Position Descriptions
1
No. 1 Medical Assessment Officer, Overseas Region
3 Medical Officer, Gastro enterology, Haematology, Oncology Division
The work requires the full-time supervision and direction
of subordinate professional and supporting staff. The work
also requires estimating costs and controlling work activities
to meet productivity and quality standards, and recommending
the use of outside assistance. There is the requirement to organize and coordinate the work of a small staff, this
includes assigning duties and responsibilities, developing
and implementing improved work procedures and defining work priorities. In addition there is the requirement to
coordinate activities with those carried out in other organizational units.
The work requires developing and implementing plans and guidelines concerning establishments, manpower planning,
staff relations and training for a large staff in professional
and other occupational groups. It also requires preparing and administering a large budget, allocating funds,
implementing quality and cost controls, and arranging for the
recruitment and payment of outside assistance. The work requires organizing and coordinating a wide variety of professional
and support activities through a number of subordinate
supervisors, and evaluating and revising work procedures and
organizations to achieve program objectives. It also requires developing
and maintaining effective working relations with various
provincial, national and international organizations.
4
9 Assistant Regional Director, South
5
10 Regional Director, Ontario Region
BENCH-MARK POSITION DESCRIPTION INDEX
In Ascending Order of Level
LEVEL
BENCH-MARK POSITION NO.
DESCRIPTIVE TITLE
FACTOR EVALUATION
1
1
Medical Assessment Officer, Overseas Region
1-1-1
2
2
Section Head, Epidemiological Investigation (West) Field Epidemiology Division
2-2-2
2
3
Medical Officer, Castro-enterology, Haematology, Oncology Division, Bureau of Human Prescription
Drugs
2-2-1
3
4
Regional Aviation Medical Officer, Ontario Region Medical Services Branch
3-3-2
3
5
Chief, Communicable Disease Surveillance Division, Bureau of Communicable Disease Epidemiology
Health Services Branch
3-3-3
3
6
Chief, Castro-enterology, Haematology, Oncology Division, Bureau of Human Prescription Drugs,
Drugs Directorate
3-3-2
3
7
Regional Health Services Officer, Health Services - Ottawa
3-3-3
4
8
Director, Health Assessment Division , Health Services Directorate
4-4-3
4
9
Assistant Regional Director, South Medical Services Branch
4-4-4
5
10
Regional Director, Ontario Region Medical Services Branch
5-5-5
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 1
Level: 1
Descriptive Title: Medical Assessment Officer Overseas Region
Reporting to the Medical Officer-in-Charge, Office Abroad:
Duties
% of Time
Assesses for the Immigration Medical Program the mental and
physical suitability of prospective immigrants to Canada. Assesses reports of standard
physical examinations, analyses laboratory test results, interprets chest X-ray films
and, as required, arranges referrals for specialist examinations or opinions. Diagnoses
and categorizes the medical status of prospective immigrants in accordance with the terms
of the Immigration Act and specifies the degree of risk within the categories. Detects
fraudulent acts such as impersonation, substitution of chest X-ray films and deceptive
laboratory reports. Performs physical examinations of refugees, as required.
Advises Employment and Immigration on the medical status of prospective immigrants
and that public health surveillance will be required in Canada, in cases of inactive
tuberculosis, parasitic disease, treated syphilis and other infectious diseases.
50
Assesses the suitability of foreign physicians, hospitals,
laboratories and other medical facilities for the referral of Canadian public servants abroad
and dependents through interviews, reference checks, inspection of medical
facilities, and consultation with local health authorities or officers of other diplomatic
missions. Counsels Canadian public servants and their dependents on health matters and, on
occasion, examines them to provide diagnostic and treatment services directly and
arranges referrals to local physicians as required. Performs examinations and advises
management on suitability for employment or reassignment to other locations. Provides
surveillance of occupational and environmental factors which may affect the health of employees
and advises management and employees on general health problems and preventative
measures. Schedules and gives immunizations. Visits other posts to examine patients referred
by the nurse-in-charge and to provide treatment services where local medical
facilities are substandard.
30
Assesses the suitability of medical practitioners,
radiologists and pathologists in foreign countries to whom prospective immigrants are referred
for medical examinations and recommends the acceptance or rejection of applicants.
Negotiates fees with local medical associations and physicians. Instructs designated
physicians in specific examination techniques and requirements. Assesses the
reliability of medical reports submitted by designated physicians. Advises management on the
cost of medical care.
10
Performs other related duties such as providing medical
services to consular cases on request of the consular officer, acting as medical escort in
cases of evacuation to Canada of seriously ill public servants, attending conferences
and liaising with national and international health authorities to exchange
information.
10
Degree
Specifications
Nature of Activities
1
The work is primarily concerned with the continuing evaluation
and assessment of medical information in order to advise upon and recommend courses of
action to higher authority or to individuals. Work activities include arranging for and reviewing the
findings of examining physicians and other diagnostic services, occasionally conducting
physical examinations, determining through consultation, reference checks and inspection the
suitability of physicians and treatment facilities, investigating environmental and other
conditions of work which affect the health of employees and providing health
counselling services. The work is performed in accordance with the principles and
techniques of established medical practice and standards established for the Immigration
and the Public Service Health programs. The work requires identifying and suggesting improvements in
techniques and methods applicable to such matters as the certification and assessment
of prospective immigrants and immunization procedures and instructing designated
physicians in specific examination techniques and procedures. The work requires a thorough knowledge of medical examination
and assessment techniques and procedures, the requirements for certification under the
Immigration Act, Occupational Health policies and the medical sections of the
Foreign Service Directives.
Responsibilities for Activities
1
Work assignments are subject to a number of variable circumstances and professional
judgment and discretion is applied in determining the actions
to be taken in accomplishing them. Instructions and guidelines for the
conduct of work are provided by the Medical Officer-in-Charge, departmental manuals and
directives as well as instructions issued by the departments and agencies for whom
work is performed. The Medical Officer-in-Charge provides instructions on specific
work assignments and on the methods and techniques applicable to conditions encountered at
particular posts. Unusual problems are resolved through consultation with the Medical
Officer-in-Charge or with specialist colleagues. The Medical Officer-in-Charge exercises control over work by
assigning duties, establishing priorities, appraising performance and spot
checking completed work to ensure conformance with standards.
The work requires reviewing and evaluating the medical reports
of designated physicians to ensure the sufficiency and reliability of information.
The work involves spending own time and travel expense.
Degree
Advice is provided to departmental officers, employees and
other physicians as a consequence of tasks performed within the Immigration and
Public Service Health programs.As required, matters related to the diagnosis and assessment
of health are explained and clarified to officers of the Department of Employment and
Immigration. Departmental managers are informed and advised on the fitness of persons
for employment or reassignment and conditions of work that affect health. The
health counselling of employees requires the provision of information and advice on
a variety of medical subjects and includes referral to treating physicians and
facilities as necessary. Designated physicians are instructed on specific examination
techniques and requirements applicable to the examination of prospective immigrants.
Administration
1
There is no continuing responsibility for the supervision of
other employees. Planning requires the scheduling of work in accordance with assignments
and priorities established by the Medical Officer-in-Charge. Recommendations are made to appoint or to discontinue the
services of designated physicians. There is a requirement to coordinate own work
activities with colleagues and departmental officers in order to perform assignments.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 2
Level: 2
Descriptive Title: Section Head, Epidemiological Investigation
(West) Field Epidemiology Division
Reporting to the Chief of Field Epidemiology.
Duties
% of Time
Administers the Western Section of the Field Epidemiology
Division, covering Ontario, Manitoba, Saskatchewan, Alberta and British Columbia.
Prepares
work plans for the Section, discussing programme content and priorities with the
Chie f of Field Epidemiology. Prepares budget estimates and projections and
monitors expenditures.
Supervises subordinate professional staff, assigning duties,
providing expert advice on epidemiological duties, investigations and epidemic control,
and evaluating employees performance.
Recommends the purchase of equipment and material
and travel allocation.
30
Carries out epidemiological studies and research projects into
the epidemiology of infectious diseases and their control in cooperation with
provincial and academic authorities. Advises on priority areas of study based on
provincial requests, disease trends and emergency.
Collaborates with project teams in
designing and implementing studies and in analysing results.
25
Leads field outbreak teams to investigate and control
epidemics as requested by provincial and other governments or international agencies.
Plans with the Chief of Biometrics and other Directorates the use of resources for
outbreak teams.
Monitors investigations, writes reports, presents findings to
appropriate authorities and
recommends outbreak management, control and preventive
procedures.
10
Provides expert medical consultant advice to provincial
authorities, hospitals, practitioners and internationally on the epidemiological
aspects of communicable diseases such as respiratory infections, sexually transmitted diseases
and the management of outbreaks.
Answers requests for data and information,
interprets results of studies and research projects, takes part in committees and
advisory
groups and recommends specific or general options for the prevention and control of
communicable diseases.
25
Performs other duties such as publishing scientific papers in
the field and lecturing at colleges, and universities.
5
Degree
Specifications
Nature of Activities
2
The work requires the direction, implementation and
coordination of services in the Western Section of Field Epidemiology to provide medical
information and advice to the governments of Ontario, Manitoba, Saskatchewan, Alberta and
British Columbia on the epidemiological aspects of communicable diseases such as
respiratory infections and sexually transmitted diseases as well as on the management of
outbreaks.
Activities include carrying out studies and research projects
into the epidemiology of infectious diseases, interpreting results of studies, leading
field outbreak teams to investigate and control epidemics, advising on the prevention
and control of communicable diseases, and guiding and reviewing the work of field
epidemiologists. The work requires the selection and application of methods and
procedures to investigate, prevent and control communicable diseases. Methods and
procedures require adaptation to meet the needs of particular cases and to deal with medical
emergencies. A thorough knowledge of medicine is required together with a
knowledge of the epidemiology of communicable diseases. The work also requires
a good knowledge of the regulations and practices of disease surveillance and
control.
Responsibilities for Activities
2
The work requires establishing work plans and guidelines for
the Western Section for the conduct of investigations and epidemic control. This involves
discussing priorities with the Chief of Field Epidemiology, planning the use of outside
resources with other directorates, providing liaison between the Branch and
provincial authorities and defining duties of field epidemiologists. Guidance and advice are provided by the Chief of Field
Epidemiology on unusual medical problems and administrative details. The work is reviewed by
the Chief of Field Epidemiology in terms of the effectiveness of the Section's
programme. The work requires assigning work to subordinate professional staff and their
work is reviewed for adherence to standards to ensure effective services to provinces.
The work requires planning and leading project teams to
investigate and control epidemics as requested by provincial governments and other agencies and
also requires cooperating with provincial and academic authorities in the conduct of
epidemiological studies and research projects. Advice and recommendations are made on the
prevention and control of communicable diseases and on the management of outbreaks.
Degree
Administration
2
The work requires supervising the work of five professional
staff engaged in field investigations, assigning work, defining work priorities,
appraising their performance, and recommending promotions, transfers and formal
training. The work also requires preparing budget estimates and
forecasts, monitoring expenditures and recommending the purchase of equipment and material and
travel allocation. There is a requirement to coordinate the work of the section
with other directorates and provincial governments in investigating and controlling
epidemics.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 3
Level: 2
Descriptive Title: Medical Officer Gastro-enterology, Haematology, Oncology Division
Bureau of Human Prescription Drugs
Reporting to the Chief, Gastro-enterology, Haematology, Oncology Division:
Duties
% of Time
Reviews and evaluates submissions from manufacturers concerning new drugs, investigational new drugs and supplemental new drugs for
compliance with the Food and Drugs Act and Regulations. Assesses the acceptability of
clinical pharmacological properties and clinical (therapeutic) data in terms of disease
etiology, pathology and pathophysiology, expected and desired therapeutic responses,
natural prognosis, possible food and drug interactions, clinical pharmacokinetics related
to patient age, the potential for dependence, hazardous clinical properties, and
the overall impact on a typical patient suffering from a specific disease. Determines
whether the clinical data supports the therapeutic claims of the manufacturer. Prepares
reports with recommendations on acceptable benefit/risk ratio of drugs.
30
Reviews, evaluates and as required, revises product monographs
which present pharmaceutical, pharmacological and medical information to
physicians and pharmacists on new drugs; prescribing information on older marketed drugs; or
directions for use by consumers of some selected classes of drugs.
25
Recommends either the issuance of a Notice of Compliance or
alternative courses of action such as further clinical trials, the need for additional
clinical data, the rewriting of the product monograph or prescribing information and the need
for post- marketing surveillance.
10
Consults with professional representatives of drug
manufacturers to obtain and seek additional data and clarification relating to the
pharmaceutical and pharmacological properties and proposed clinical protocols submitted in
support of preclinical new drug submissions. Advises on regulatory requirements and techniques
and procedures for monitoring the safety and efficacy of the new drugs during
clinical trials. Responds to enquiries from physicians, pharmacists and dentists relating
to benefits, risks, adverse reactions, and use of drugs.
20
Assesses the benefit/risk ratios of new drugs for use in
medical emergencies, at a time when these drugs are not generally available for marketing or
general distribution in Canada.
10
% of Time
Performs other related duties such as maintaining awareness of
trends and developments in the field of pharmacotherapy by attending seminars and
conferences, consulting colleagues in the pharmaceutical industry and medical institutions or
organizations and studying medical and scientific literature.
5
Degree
Specifications
Nature of Activities
2
The work requires appraising and evaluating medical
information concerning new drugs, investigational new drugs and supplemental new drugs to advise
upon and recommend courses of action to higher authority. Activities include reviewing the medical and pharmacological
evidence supporting therapeutic claims of drug manufacturers, reviewing and
evaluating pharmaceutical, pharmacological and medical information provided to physicians
and pharmacists on new drugs, prescribing information on older marketed drugs or
directions for use by consumers on selected drugs, providing advice to representatives of
industry and clinical investigators in the conduct of clinical trials, and
responding to enquiries concerning benefits of new drugs, extent of monitoring required in the
post-marketing period and incidence or prevalence of drug adverse reactions. The work requires selecting and implementing methods and
procedures in appraising and evaluating drug submissions by industry. However, methods and
procedures are adapted to meet the needs of particular drug submissions. The work requires a thorough knowledge of medicine with
training and experience in the conduct of clinical trials and drug evaluation. A good
knowledge of pharmacology and pharmacotherapy is required. It also requires a good knowledge
of the legislation, regulations and practices concerning drug evaluations.
Responsibility for Activities
2
The work requires evaluating the acceptability of clinical pharmacological properties and
therapeutic data with respect to the safety and efficacy of
the proposed drugs, evaluating the medical relevance and validity of the
statistical data and determining whether the clinical significance of such data supports the
therapeutic claims of the manufacturer. The work is performed within guidelines set by the Division
Chief. Reports and medical and scientific decisions and recommendations made are reviewed
by the Division Chief in cases when there may be an unacceptable degree of risk or high
risk of adverse reactions and toxicities if new drugs are used. The work requires assessing the adequacy of proposed clinical
protocols for clinical drug trials in terms of adequacy of experimental design, medical
and ethical considerations, clinical appropriateness of doses and of timing based on
kinetics, patient age, diagnostic criteria used, earlier results obtained, and other
pertinent elements.
Degree
Advice is provided to drug industry representatives and
clinical investigators on techniques and procedures for monitoring the safety and
efficacy of the new drug while on trial. Information is provided to physicians and pharmacists
on the benefits of new agents compared to former available therapies, extent of monitoring required in the
post-marketing period, and incidence or prevalence of drug
adverse reactions.
Administration
1
There is no continuing requirement for the supervision of
other employees. The work is performed according to priorities and assignments established
by the Division Chief.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 4
Level: 3
Descriptive Title: Regional Aviation Medical Officer, Ontario Region, Medical Services Branch
Reporting to the Senior Consultant, Civil Aviation
Medicine:
Duties
% of Time
Directs and participates in the medical assessment of
applicants for licensing of aircrew and support personnel such as air traffic controllers, flight
engineers and flight navigators. Evaluates all medical reports on aviation
personnel examined by designated Civil Aviation Medical Examiners. Interprets medical
standards, arranges for specialists examinations and analyses clinical data in terms of human
performance in the aerospace system. Prepares reports for submission to the Aviation
Medical Review Board.
40
Develops, organizes and conducts aeromedical education
programs for pilots, air traffic controllers, civil aviation medical examiners, pathologists,
and medical practitioners and consultants.
10
Evaluates and recommends for appointment medical practitioners
as Civil Aviation Medical Examiners designated by Transport Canada. Interviews
candidates and visits facilities to ensure adequacy of their offices and equipment.
10
Acts as a human factors member of the aircraft accident investigation team, as required
by the Canadian Aviation Safety Board. Visits crash scenes,
interviews witnesses and survivors, attends autopsies, instructs pathologists in
autopsy methods, assists in identification, and coordinates special tissue studies.
Prepares reports and recommends improved procedures to promote air safety. Presents evidence
at inquests and court hearings.
10
Provides advice to the Regional Director, Air Regulations, the
Regional Director, Air Navigational Services and appropriate officers on the
aeromedical aspects of aviation to develop, promote and ensure high standards of aviation safety
in Ontario Region of Transport Canada.
10
Supervises the work of three Aviation Medical officers and
four support staff. Provides advice and guidance in the assessment of applicants for
licensing, interprets medical standards, provides training and assesses performance.
Estimates resource requirements and prepares program forecasts.
15
% ofTime
Performs other duties such as initiating aeromedical research
projects, maintaining cooperation and communication with the Chief Provincial
Coroners/Medical Examiners and appropriate local coroners/Medical Examiners, and keeping
abreast of latest developments in the fields of medicine and aviation through review of
journals and books, attendance at meetings, demonstrations, trade shows, clinical seminars
and liaison with aviation industry and associations.
5
Degree
Specifications
Nature of Activities
3
The work consists of the provision of regulatory, educational,
scientific and advisory services concerning the medical or human aspects of flying.
The work covers the field of aerospace medicine and involves the direction or conduct of a
number of investigations and projects. It also consists of the provision of
medical advice to Transport Canada in support of its responsibility for air safety in the Ontario
Region. Work activities differ from one another in many aspects and
include assessing the medical eligibility of aircrew and support personnel; assessing the
suitability of designated civil aviation medical examiners; developing and conducting
aeromedical education programs; investigating the human aspect of aircraft
accidents; providing advisory and consultative services; and administering the regional civil
aviation medicine program. The work requires the modification and initiation of methods,
procedures and projects to deal with new problems in the field of civil aviation
medicine. There is a continuing requirement to investigate and develop solutions to problems
concerning the human side of flying. The work requires a comprehensive knowledge of medicine. It
also requires specialized knowledge and training in aviation medicine. In addition, the
work requires a thorough knowledge of departmental policies, regulations and procedures
and of Transport Canada as regards civil aviation, and departmental and governmental
jurisdiction in this area.
Responsibility for Activities
3
The work requires implementing or recommending the implementation of standards and
procedures to guide in the assessment of the medical
eligibility of aircrew and support personnel. The work also requires identifying the need for
additional services and research in support of air safety and developing the
appropriate programs to meet these needs. The work is conducted within the policy guidelines and
established medical standards. These guidelines must be adapted and interpreted on a regional
basis. General guidance is received through a review of monthly and annual statistical
reports and the nature and number of problems referred to headquarters. Difficult
assessment problems which involve the establishment of precedents are referred to headquarters
for decision. This position is responsible for the professional and
technical competence of own work and that of subordinate staff. Guidance and direction is
provided to subordinate professionals in the conduct of medical assessments
and their decisions are reviewed for completeness, soundness of judgement and adherence to
guidelines and regulations.
Degree
A primary requirement of the work is the provision of expert
advice and information to officials of Transport Canada and the Canadian Aviation Safety
Board in the field of aerospace medicine. This includes advising on the medical
eligibility of aircrew and support personnel, on the human factor in aircraft accidents
and incidents and on all matters in which aeromedical advice and information can
contribute to the promotion of air safety in the Ontario Region. This position is also
responsible, through discussions and education programs, for providing advice to other
professionals (pathologists, consultants, medical practitioners) and to a variety of
interested groups on the medical aspects of flying.
Administration
2
The work requires the supervision and direction of three
medical officers and four clerks. This includes instruction in work methods, performance
appraisal, counselling and recommendations concerning promotions, transfers and
formal training. The work requires preparing program forecasts, including
budgets for approval and allocation of resources. These resources are used for
salaries, health services and the purchase and repair of equipment and supplies.
The work requires the assignment of tasks and responsibilities
to the staff, the setting of priorities and work schedules and the coordination of work
to meet the objectives of the civil aviation medicine program for the Ontario
Region. In the conduct of medical assessments, training programs and
aircraft accident investigations the work requires establishing cooperative
working relationships with a variety of federal and provincial departments and agencies and
civilian and military groups.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 5
Level: 3
Descriptive Title: Chief, Communicable Disease Surveillance
Division Bureau of Communicable Disease Epidemiology Health Services Branch
Reporting to the Director, Bureau of Communicable Disease Epidemiology:
Duties
% of Time
Plans, organizes and directs the development of Canada-wide
communicable disease surveillance systems and networks to monitor disease flux and
emergence such as sentinel systems for Reye Syndrome and hemorrhagic colitis.
Collaborates with international centres in the development of international networks and
adapts international surveillance and sentinel systems to provide current
information on infection risk to Canadians. Obtains data from other federal, provincial and
local health departments and directs the analysis of data characterizing communicable
diseases by time, place and person to establish current cross sections and projections of
diseases.
30
Develops, conducts and coordinates epidemiological research on
communicable diseases to determine their magnitude, severity, distribution and trends.
Investigates possible causes and develops measures for their control or eradication.
Collaborates with other medical scientists in establishing research requirements in
terms of study design, methods and techniques, sample size and target population.
Directs and coordinates evaluation studies of immunization programs as requested by
provinces and organizes vaccine trials.
25
Provides consultative and information services to federal,
provincial and local governments, national and international agencies and
universities on the control or eradication of communicable diseases. Recommends the
development of policies, programs or legislation. Participates in conferences to promote the
exchange of information. Coordinates the development of surveillance systems, reporting
practices and control procedures. Communicates with the news media, public and
various medical associations to provide information on communicable disease epidemiology.
20
Administers the work of the Division composed of two medical
officers, four technical staff and three administrative support staff. Establishes
objectives, priorities and work plans. Prepares annual estimates, controls budget and
recommends the allocation of resources. Assigns work and appraises employees
performance.
10
% of Time
Performs other duties such as planning, developing and
conducting training courses on epidemiology for medical and non-medical epidemiologists,
supervising the publication of Canada Diseases Weekly Report and keeping abreast with
developments in the field of epidemiology.
15
Degree
Specifications
Nature of Activities
3
The work requires planning, organizing, directing and
conducting epidemiological research on communicable diseases, directing the surveillance of
communicable diseases, and providing consultative advice and information to physicians
and officials of federal and provincial government health departments, the public,
voluntary health agencies, and other organizations. A number of epidemiological studies are
conducted concurrently and involve intensive research into a wide variety of communicable
diseases, such as influenza, typhoid, gastroenteritis, smallpox, measles,
diphtheria, tuberculosis, venereal disease, poliomyelitis, chronic bronchitis and other viral
infectious diseases. Epidemiological research on diseases involves studying factors
governing disease causation in population groups, including causal relationships
of genetic, social or environmental nature. The conduct of these studies requires
the analytical and statistical interpretation of disease distribution in terms of
type, time, location and population affected.
The work requires developing recommendations for changes and
improvements in standards, regulations and legislation relating to the surveillance and
eradication of diseases. It involves advising on the useful exchange of information,
coordination of communicable disease reporting practices and the updating of control
procedures. There is a requirement for developing and implementing new and revised
research methods and techniques, including the design of questionnaires, to meet
changing requirements for information and to facilitate the conduct of studies to the
particular circumstances and conditions encountered. The work requires developing and
recommending new methods and approaches for combating and controlling diseases.
The work requires a comprehensive knowledge of medicine and a
specialized knowledge of the epidemiology of communicable diseases. It also requires a
thorough knowledge of the legislation, regulations and practices relative to disease
surveillanc and control in Canada and abroad.
Responsibility for Activities
3
The work requires defining objectives and guidelines for the
conduct of research studies on communicable diseases. This involves identifying complex
problems requiring investigation and developing approaches to be used to resolve
them. General direction is received from the Director, Bureau of
Communicable Disease Epidemiology. This is normally limited to matters requiring
clarification of the Division's policies and objectives, for example, the
Division's stand on the use of biological, such as live measles vaccine versus a killed
vaccine, or priorities to be
Degree
assigned to epidemiological studies. The work is reviewed for
soundness of judgment in planning and conducting studies, and results of studies are
reviewed in terms of the validity of conclusions reached and the quality of
recommendations and advice provided.
The work requires the critical review of scientific papers
published by other professionals in the field of epidemiology as well as the
analysis and interpretation of morbidity and mortality statistics provided by national and
international organizations. Such reviews and analyses are conducted to ascertain the
accuracy and relevancy of information for inclusion in the consultative services
provided other physicians engaged in public health practices within federal and provincial
departments and in national health and research associations. It also requires reviewing
the work of own staff and non-departmental consultants and specialists engaged in
epidemiological research studies in order to develop approaches to control and reduce
diseases.
The work requires providing advice and recommendations to
federal, provincial and other health authorities on approaches to the control of
communicable diseases. Such advice may be in response to requests from provincial health
authorities for guidance on programs to reduce infectious disease contacts among school
children, from physicians on proposals to simplify immunization schedules or from research
organizations on the feasibility of their support for various projects.
Administration
3
The work requires the supervision of two medical officers,
four technical staff and three administrative support staff.
The work requires preparing annual estimates and administering
a budget of $100,000 annually.
The work requires assigning duties and responsibilities to
staff, defining work priorities and providing instructions on the approaches to be
applied in meeting the demands for advisory and informational services. There is a continuing requirement to coordinate the work of
the Division with physicians representing federal and provincial departments and private
agencies in order to develop effective epidemiological services in Canada. The objectives
of the work coordinated and performed in collaboration with other professionals are varied
and concern such activities as the establishment of surveillance networks and
the development and direction of field investigations to deal with epidemics. The
work also requires organizing and participating in national and international
conferences to promote better methods of reporting upon and controlling communicable
diseases and other health hazards.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 6
Level: 3
Descriptive Title: Chief, Castro-enterology, Haematology,
Oncology Division Bureau of Human Prescription Drugs, Drugs Directorate
Reporting to the Director, Bureau of Human Prescription
Drugs:
Duties
% of Time
Plans, coordinates and directs the evaluation of submissions
from industry on new drugs, investigational new drugs and supplemental new drugs assigned
to the division which include drugs to treat diseases of the esophagus, intestines,
liver, gall bladder pancreas, musculoskeletal system and bone narrow. Sets
priorities, assigns work to professional staff, and develops guidelines and standard
operating procedures. Reviews staff reports and recommendations and makes decisions on the
credibility, validity and acceptability of the scientific and medical data submitted by
industry. Informs manufacturers when submissions are incomplete and when
additional data are required.
Advises the Bureau Director when submissions are in compliance
with the appropriate sections of the Food and Drugs Act and Regulations.
50
Promotes the development and ensures the availability of
adequate directions for use of drugs to the medical practitioners and the public. Supervises
and participates in the editing of product monographs on new drugs, clinical
investigator's brochures on investigational drugs and product brochures on selected old
drugs. Develops patient-oriented information sheets for selected marketed
drugs to ensure understanding of benefits, risks, side effects and intolerances.
10
Advises the Director, Bureau of Human Prescription Drugs on
the existence and pertinence of adverse reactions to drugs and recommends appropriate
measures to prevent continued public health hazard. Advises the Bureau of Field Operations
on drug related health hazards to assist them in conducting inspection and
enforcement activities. Researches medical and scientific literature to provide information to
senior officers of Health Protection Branch and private physicians on obscure drugs or
unorthodox treatment. Recommends to the Director authorization of the sale of
emergency new drugs. Develops and recommends changes to Bureau policies and procedures and
to the Food and Drugs Act and Regulations.
25
Interprets the Food and Drugs Act and Regulations to senior
representatives of the drug industry. Maintains work relationship with senior officers of
research institution, universities, hospitals and U.S. government agencies to
facilitate the evaluation of drug submission.
10
% of Time
Performs other duties such as maintaining knowledge of latest
developments in the fields of gastroenterology, haematology, oncology, dermatology,
radiology, parenteral nutrition and allergy and attending seminars and conferences and
presenting papers.
Degree
Specifications
Nature of Activities
3
The primary purpose of the work is to provide scientific,
regulatory, advisory and consultative services concerning new, investigational new and
old drugs intended for clinical trials and marketing in Canada. The work involves the
conduct of a number of investigations on a variety of drugs, the provision of advice
and the conduct of special scientific and medical investigations in the areas of
gastroenterology, haematology, oncology, dermatology, radiology, parenteral nutrition, and
allergy.
Work activities differ from one another and include reviewing
and evaluating the recommendations proposed by the professional staff on the
acceptability and disposition of investigational new drug or new drug submissions, drug
status requests and special projects concerning drugs intended for human use, developing
guidelines on the appropriate and safe use of various drugs, providing advisory
and consultation services, recommending changes in policy and Food and Drugs Act and
Regulations, and supervising the work of professional staff.
The work requires evaluating both preclinical and clinical
studies included in drug submissions by industry in order to reach sound decisions
regarding compliance with the requirements of the Food and Drugs Act and Regulations. There
are no detailed or definitive standards for assessing the safety and efficacy of
new drugs.
The work requires researching published scientific and medical
literature and referring to previous experience in handling similar drug submissions. Many
quantitative and abstract variables influence final decisions. The most complex and
critical decision is the final clinical risk-benefit assessment.
This requires a correlation
of many factors including the significance of the disease to the patient, the
probability and nature of relatively serious side effects due to use of the drug, the relative
efficacy of the drug in curing or mitigating the disease state or ameliorating related
symptoms, and a comparison with other available therapies, in order to decide whether the
benefits of the new therapy outweigh the perceived risks: whether a new drug should be
marketed or a marketed drug withdrawn.
The work requires developing and recommending measures
designed to prevent any continuation of public health hazards and changes to Bureau
policies and procedures regarding drug submissions.
The work requires a comprehensive knowledge of medicine
including physiology, biochemistry, pathology, pharmacology, haematology, immunology
and pharmacotherapy. It requires knowledge and experience in drug research
methodology. A thorough knowledge is required of the policies, legislation and procedures governing
drug evaluations.
Degree
Responsibility for Activities
3
The work requires defining the objectives and establishing
guidelines for the review and evaluation of drug submissions and projects assigned to the
Division. It involves identifying and analysing problems and information
requirements specific to each drug review or project and formulating plans and approaches to
resolve problems and achieve the goals and objectives of the Division. The work is conducted in accordance with established Bureau
policies and the Food and Drugs Act and Regulations. Guidance is received from the
Bureau Director on the intent of policies. Recommendations are made to senior officers of
the Drugs Directorate on changes to existing policies or the creation of new policies
concerning drug submissions such as ensuring that there are patient information leaflets
for all non-steroidal anti-inflammatory drugs. The work is reviewed in terms of
soundness of recommendations. The Bureau Director reviews all recommendations for issuance
of a Notice of Compliance before a new drug may be marketed or entered into trial
conditions. Guidance and direction is provided to subordinate
professionals in the conduct of drug evaluations and special projects and their decisions and
recommendations are reviewed for completeness, soundness and judgement and adherence to
guidelines and regulations.
The work requires providing advice to other professionals and senior officials of the
Health Protection Branch in the fields of pharmacology and
therapeutics. Advice is provided to the drug industry on the requirements of the Food
and Drugs Act and Regulations. The work requires evaluating conflicting theories
published in scientific and medical literature in response to queries from the media
or international agencies such as FDA and WHO. It also requires evaluating and making
recommendations on research projects proposed by the Drug Research Laboratories taking
into account expenditure of resources. Recommendations are also made to the Bureau
Director on the authorization for sale of new drugs for emergency or urgent treatment of
patients.
Administration
2
The work requires the supervision and direction of four
medical officers, five biologists and a secretary. This includes assigning tasks, training and
development, counselling, performance appraisal, and recommendations concerning
promotions, transfers or further formal training.
The work requires preparing monthly and annual reports concerning the division's workload
and performance; and making recommendations concerning staff
requirements, the allocation of divisional funds to meet the needs of the division.
The work requires organizing and coordinating the activities
of the division, developing work methods and procedures, defining priorities and
establishing guidelines.
The work requires providing liaison and establishing working
relations with members of the medical and allied health science professions and the
pharmaceutical industry in order to ensure a maximum understanding of and compliance with
the Directorate's policies and regulations concerning drug submissions and projects.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 7
Level: 3
Descriptive Title: Regional Health Services Officer Health Services - Ottawa
Reporting to the Commanding Officer, Headquarters
Division:
Duties
% of Time
Plans, organizes and directs the Health Services Program in
the Ottawa area which provides medical and health services for 3,500 members through
the RCMP Health Services Program, Member Assistance Program, Lifestyle and Fitness
Program and Psychological Services. Establishes objectives and guidelines for the
sub-programs of the region and sets priorities. Formulates the region's short and long-range
requirements for human and financial resources. Manages a budget of seventy-five thousand
excluding salaries for the administration of the Health Services Programs and reviews
and approves payment for the expenditures of 2 million dollars annually of invoicing
and billing received for medical and health services provided to RCMP members.
Evaluates the region's effectiveness in achieving objectives and makes changes to
ensure the cost/effective delivery of medical and health services. Reviews medical
problems referred by senior management and develops new approaches to solve complex
problems relating to the treatment of health problems and prevention of accidents or
injuries in the sphere of police work.
30
Develops and coordinates the Occupational Health and Safety
Program in the Ottawa area.
Acts as Chairperson of the Health and Safety Comittee to
ensure that central agency policy is adhered to and employees and work environment meet
established standards. Conducts physical examinations of members to determine
suitability for assignment to specific duties. Schedules and performs periodic
pre-examinations of members and dependents for pre- and post-posting purposes and arranges for
the services of medical practitioners and clinics. Acts as Chairperson of Medical
Boards in the Ottawa area to determine members fitness for service. Provides advice to
management at HQ Division and the National Capital Area including former RCMP members of
CSIS on matters concerning members fitness for promotion, commission, affectation to work
place, in particular, special work forces and foreign postings.
30
Administers the activities of the Health Centre to ensure the
provision of medical, dental, hospital, pharmaceutical and optical care for members.
Arranges for health services of medical doctors, nurses, psychologists, medical
specialists; determines rates of pay and concludes personal service contracts. Provides
clinical services, diagnoses conditions, prescribes courses of treatment, determines the
need for, arranges and evaluates supportive specialist medical opinions and
correlates results with own findings. Informs practitioners, clinics and hospitals of
member entitlements, payment rates, billing procedures and coverage. Supervises one
psychologist, two nurses, five support staff, and six part-time medical practitioners on
contract.
25
96of Time
Performs other duties such as establishing contact with
officials of federal and provincial departments and agencies involved in health
maintenance and professional medical associations; attending conferences and keeping
informed of developments in medicine, particularly as it relates to occupational and
environmental health; providing information and statistics on the health, fitness and
disability of RCMP members, and providing support to operational policing and security
functions as required.
5
Degree
Specifications
Nature of Activities
3
The work requires planning, organizing and directing the
Health Services Program providing RCMP Health Services, Occupational Health Services,
Psychological Services, Lifestyle and Fitness Program and Member Assistance Program to
3,500 regular members and special constables located in the Ottawa Region. The RCMP
Health Services cover medical, dental, pharmaceutical, optical, psychiatric, chiropractic and
hospital care. These services are provided by the Regional Health Centre and a
collection of private physicians and specialists throughout the region. Occupational
Health Services involve assessing the medical fitness of person for special work and
duties associated with police work. Psychological Services entail evaluating and
treating work-related stress and other problems such as marital and family problems. Member
Assistance Program covers the rehabilitation of chemically dependent members and
prevention of such problems. Lifestyle Program is an educational program and fitness
program covering nutritional and weight-control counselling and stress handling.
The work involves establishing objectives, guidelines and
priorities for the various activities; developing pilot projects which could be
implemented nationally; evaluating the risk factor involved in the posting of members in
different, high stress work; conducting physical examinations of members for posting
purposes and of recruits for suitability for employment, providing advice to management;
and supervising the work of three professionals and support staff.
The work also entails developing and applying new approaches
in treating health problems and preventing accidents or injuries in the sphere of police
work. Examples of new approaches and methods for the provision of
medical, dental and other health services in the Region are the screening of special
unit force candidates, monitoring of the stress involved in special work areas
through psychological evaluation, job-handicap matching the concept of police work and the
stress on family and coworkers.
The work requires a thorough knowledge of the field of
medicine and related areas of specialization as applicable to the regional medical and
health service; a comprehensive knowledge of the legislation, regulations and policies
governing the Medical Services Program of the RCMP, the Provincial health care and the ethics
of the profession.
Responsibility for Activities
3
The work requires, within guidelines provided by the Director,
Health Services, establishing procedures and objectives for the provision of
the RCMP Health Services to all members of the Ottawa Region. Such services include
medical and dental treatment, psychological, chemical rehabilitation, family counselling,
environmental health, as well as fitness and lifestyle program.
Degree
Guidelines and instructions are formulated on the delivery of
these services through the region, such as the management of stress in police work and
special forces. The lack of conventional professional help in that field, being due to the
relatively new interest in this work group as well as the secrecy and security factor
inherent to the nature of the work, requires the exploration of new approaches to complex
problems. The Regional Health Services Officer is professionally independent and
responsible for the professional competence of own work and staff. Professional
direction is available from the Director in cases where policy is involved. Results of the work are reviewed in relation to the
achievement of goals and objectives established for the Region. The work is assessed in terms of
the quality of recommendations made, the soundness of judgement exercised in
dealing with problems and emergency situations and the effective utilization of
resources.
The work requires assessing the performance of staff by
evaluating their ability to resolve problems associated with the work and the environment
and by evaluating the progress of various sub-programs in achieving established
goals and objectives. The work of outside medical personnel is reviewed in terms of the
quality of their service and their contribution to the achievement of regional
objectives. There is a responsibility for conducting cost-benefit and
feasibility studies on such matters as the employment of new outside professional or the
continuation of existing contracts, approval of all the health care expenses for the
3,500 members of the region and all the theoritic and mechanical devices needed in
conjunction with the treatment or prevention of police work health hazards.
The work requires providing advice and recommendations to
senior officials of the RCMP on a wide variety of matters relating to the professional and
administrative activities of the Health Service. It also requires providing authoritative
advice to others on the operation of the Health Centre. There is a further
responsibility for providing authoritative advice in the field of Occupational Health and
Safety Program and development of preventive programs such as the Member
Assistance Program, Lifestyle and Health Evaluation and Stress Reduction.
Administration
3
The Regional Health Services Officer coordinates the health
services for the National Capital Region. The work involves responsibility for
supervising professional and non-professional support staff including 2 nurses, employee
assistance counsellor, psychologist, clerical staff and 6 part-time medical
practitioners on contract.
The work requires developing and implementing plans and
guidelines for the organization and utilization of human resources. This includes staffing,
performance appraisals and training. The Regional Health Services Officer is responsible for the
preparation of program forecasts including budgets for the Commanding Officer and has
the responsability to review the invoicing and services provided and approve medical
and health services payments to a total of $2 million annually.
The work includes
managing a budget for the health centre for administration, equipment and supplies
totalling $75,000.
The work requires assessing private practitioner services to ensure
compliance with fee schedules
Degree
and also negotiating salaries and/or fees for part-time
consultant services and concluding personal service contracts for services. It
is also required to negotiate agreements with provincial associations representing
optometrists, pharmacists and the medical profession for the supply of services direct to
entitled persons.
The work requires managing the Regional Health Centre by
organizing and coordinating the activities of the centre, determining priorities and
allocating work to subordinates.
The work requires organizing and coordinating a wide variety
of professional and support activities through liaising with and developing cooperative
working relationships with practitioners in private practice and others involved in
health related services to ensure availability of service and in compliance with
departmental policies.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 8
Level: 4
Descriptive Title: Director, Health Assessment DivisionHealth Services Directorate
Reporting to the Director General, Health Services:
Duties
% of Time
Plans, organizes and directs the services of the Health Assessment Division which
provides advice, consultation and advocacy in the planning,
development, application and evaluation of measures for the assessment, prevention and
control of major health problems among Canadians; identifies priority health issues,
assesses needs of special publics, prepares discussion/position/strategy papers and
recommends on government and other measures for disease prevention and control;
determines reasons for geographic and socio-economic health disparities and proposes the most
effective distribution and utilization of prevention and control services; coordinates
the development of integrated plans, policies, programs and guidelines for provision of
health services and the achievement of established goals; assesses and reports on the
health status of Canadians and on the cost effectiveness of measures to improve that
status; identifies need for research and assesses research results in terms of
applicability to health care systems; directs or collaborates in the development and implementation
of intervention strategies of an integrated and intersectoral nature for dealing with
major Health problems.
50
Estimates requirements for Health Assessment Division human
and financial resources;
prepares budgets, allocates work, delegates responsibility and
controls expenditures;
establishes work goals and objectives, monitors achievement to
ensure production and quality standards are maintained; supervises and coordinates
the activities of staff,
appraises performance and recommends approved training and
development programs for professionals; engages outside specialists as consultants to
assist in carrying out health assessment studies and prepares reports to the Director
General on the activities of the Division.
15
Provides a consultant service in the prevention and control of
chronic, non-communicable diseases to senior officials of the Department and other
federal, provincial and private organizations; reviews existing legislation, policies,
programs and proposed changes, analyses medical and related information, assesses the impact
of diseases and the extent and effectiveness of existing interventions so as to identify
inadequacies or inconsistencies and recommends changes; identifies new
intervention needs and opportunities and recommends appropriate research and
development projects including the use of outside resources; prepares speeches for senior
officials, conducts correspondence and writes papers and reports for presentation to the World
Health Organization and other national and international groups; drafts or reviews and
approves news releases and educational material; evaluates and recommends on application
for research and other grants submitted to the Department.
25
Provides policy and program advice and assistance to senior
officials on other matters requiring a comprehensive knowledge of medicine, especially
preventive medicine and public health; analyses and evaluates medical and scientific
information; establishes advisory committees and specialist working groups, chairs
meetings and coordinates their
10
% of Time
activities; prepares letters, reports and proposals on special
issues and responds to oral requests for advice; represents the Department at
meetings with and solicits cooperation of business and professional groups, the World
Health Organization, representatives of other countries and officials of provincial
governments.
Specifications
Degree
Nature of Activities
4
The work requires directing the Health Assessment Division,
which provides advisory and consulting services to federal and provincial government
departments and to national and international health agencies on the identification,
prevention and control of disabling and killing health problems in Canada. The Division carries
out simultaneous studies in differing areas such as cancer, cardiovascular and respiratory
diseases in order to develop recommendations for prevention and control and enable
the most effective allocation of intervention resources. Work activities vary and
reflect a broad spectrum including planning, organizing and directing division
services, evaluating and reporting on the status of national health, recommending government and
other initiatives for disease prevention and control, supervising the work of subordinates, providing a
specialist consulting service and advising on the
effectiveness of policies and programs.
The work requires developing, recommending and promoting
approaches to meet identified new intervention needs and opportunities, involving the
acquisition and assessment of comprehensive factual information, the evaluation of research
results, the determination of appropriate intervention methods and techniques, and
cooperating in or coordinating the development and implementation of comprehensive strategies
and programs (e.g., the prevention and control of cardiovascular diseases, etc.).
The work also requires a comprehensive knowledge of prevention
medicine and public health in order to assess health problems, provide advice and
recommendations, and present reports and papers to professional organizations. It further
requires a thorough knowledge of legislation and regulations governing the
prevention and control of diseases and a good knowledge of methods and techniques pertinent to
administering programs and managing the activities of a specialized division.
Responsibility for Activities
4
The Director is responsible for establishing goals and
objectives for the Health Assessment Division's program and for developing and
implementing methods, procedures and guidelines for evaluating and recommending disease prevention
and control measures, appropriate health services and the analysis of special
problems.
The work is performed independently under general direction concerning policy intent
and program objectives and is reviewed for quality of recommendations, advice provided
and successful program implementation. There is a significant requirement to evaluate
research results and medical information, examine existing programs and practices
and identify needs for new approaches. Current and proposed research projects are
evaluated and measures to improve public health are assessed for cost effectiveness. The
identification of new intervention needs and the consequent recommendations for
research and development projects, have considerable cost implications for governments
at various levels and for others. There is a substantial responsibility for providing
authoritative advice to senior officials of own and other departments, provincial
governments, international organizations and others on matters relating to the control
and prevention of diseases and the need for government initiatives in the form of
appropriate legislation and programs.
Degree
Administration
3
The work requires organizing and managing the Division's
staff, including estimating staff requirements, selecting suitable candidates, allocating
work and delegating responsibility. The Director is responsible for appraising the
performance of subordinates and for recommending training and development
programs, as well as for estimating, procuring and allocating human, financial and
other resources required by the Division. The annual budget is administered through the
implementation of quality and cost controls, The Director is also responsible for
engaging outside specialists as consultants to assist in conducting studies. The work further
requires organizing and coordinating the activities of a small staff including a
Liaison and Program Officer, a Health Assessment Consultant and a Secretary. Progress of
studies conducted within the Division is evaluated and the effectiveness of consulting
services provided by staff is assessed. There is a continuing requirement for developing and
maintaining effective working relations with other federal departments, provincial
authorities, and with international and professional organizations and groups in the
conduct of studies and the exchange of information concerning public health matters.
Budget and other resource limitations require persuasiveness and tact in co-opting staff
and money from other Departmental and non-departmental sources to participate in a
variety of cooperative activities.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 9
Level: 4
Descriptive Title: Assistant Regional Director, South Medical Services Branch
Reporting to the Regional Director, Ontario Region:
Duties
% of Time
Plans, directs and controls the operation of the Medical
Services Program providing Indian Health Services, Public Service Health, Quarantine,
Regulatory and Immigration Medical Services to two southern zones of the Ontario Region;
establishes zone goals, formulates strategic and operational plans that are consistent
with those of the Branch and the Region and that recognize the current social, economic
and other variable conditions in the two southern zones; defines zone projects
and target dates, assigns responsibilities, identifies tasks to be performed and
establishes performance measurement criteria; coordinates and monitors the activities
of the zones and their effectiveness in meeting goals and objectives, utilizing
resources efficiently and satisfying the needs of clients; manages a budget of $12.8
million; and administers the work of 19 health centres, 23 health stations, one large,
multi-disciplinary health services centre at Ohsweken, 15 Public Service Health Units, 3
Quarantine Stations and 2 Yellow Fever Clinics.
40
Establishes overall objectives, priorities and guidelines for
the provision of Immigration Medical, Quarantine and Regulatory Services and
Public Service Health programs throughout the Region, since these programs are
almost exclusively Southern Ontario programs; collaborates with the Assistant Regional
Director, Programs in the development and implementation of new approaches in program
delivery; collaborates with the Assistant Regional Director, North in coordinating
northern and southern operations; and recommends to the Regional Director improved operational
policies and procedures and solutions to resolve region-wide problems.
20
Establishes and maintains working relationships with
representatives of other organizations to provide information, explain objectives of
programs and projects, obtain cooperation and resolve problems such as issues of
jurisdiction and the aspirations of Indians; confers with senior officers of Indian and Northern
Affairs, Employment and Immigration, and Public Works to advise on and coordinate
medical standards, procedures, client needs and program delivery; negotiates with officials
of Ontario government ministries OHIP coverage, premium assistance, health care
standards and jurisdictional responsibility for health care; consults with Indian Treaty
Associations, Tribal Councils and Chiefs of communities in the southern Ontario sector to
discuss program development and delivery, resource planning and allocation, and transfer
of control of health programs.
20
Supervises the work of 162 employees through two Zone
Directors and the Regional Manager, Environmental Health; allocates staff and defines control
procedures to be exercised by the Zone Directors in observing budgetary limitations;
coordinates and monitors capital expenditure programs administered by the zones; chairs the
management Committee for Southern Operations which includes the two Zone Directors and
the Regional Manager, Environmental Health; develops training plans for employees,
participates in the staffing process and appraises the performance of subordinates.
15
% of Time
Performs other duties such as negotiating service contracts
with universities and professional associations, participating in the management and
direction of Ontario Region as a member of the Regional Executive Committee,
attending professional and other conferences, and serving on Medical Services Branch committees
investigating public health, accidents, injuries and other health-related
matters.
5
Specifications
Degree
Nature of Activities
4
The work requires planning, directing and controlling the
implementation of the Medical Services Program within two Southern Zones (Thunder Bay and
Toronto Zones) in the Ontario Region which provides Indian Health Services, Public Service
Health, Quarantine, Regulatory and Immigration Medical Services. Indian Health
Services provides comprehensive public health services to 85,000 registered
Indians in the two Southern Zones. Public Services Health program provides for the
promotion of health and safety for some 50,000 federal employees. Quarantine and Regulatory
Services involves inspections of international and interprovincial carriers such
as ships, airplanes and trains, provision of yellow fever clinics and vigilance
against importation of exotic diseases -- all activities revolving around international
airports, harbours and points of entry and exit.
The work requires establishing objectives, strategic plans and
operational plans which are consistent with those of the Region and the Branch and
adapted to the social, economic, political, or other variable conditions which
prevail in the two southern Zones; developing guidelines for the management of all
activities carried out in the two zones; establishing priorities for resource allocation;
continuously reviewing and evaluating all Zone programs in achieving objectives;
providing advice and guidance to Zone Directors and directing and coordinating their work.
The work includes developing and recommending new approaches
to program delivery and assessing the operational feasibility of changes and
innovations. It also requires developing and recommending changes to medical standards,
practices and regulations. As a member of the Regional Executive Committee, this position
contributes to the development of region-wide operational policies, objectives
and priorities. The work requires a thorough knowledge of the field of
medicine and related areas of specialization as applicable to the Zone's medical and health
services, a comprehensive knowledge of the legislation, regulations and policies
governing the Medical Services Program and an authoritative knowledge of provincial health
regulations and ordinances.
Responsibility for Activities
4
The work requires formulating objectives, plans, standards and
procedures for the conduct of the Medical Services program in the two Southern Zones
(Thunder Bay and Toronto). The Assistant Regional Director provides guidance and advice in
the delivery of services through the development of approaches to meet a number of
conditions in the South. 70°6 of Ontario Indian communities are in the South.
Almost all the Public Service Health and Quarantine and Regulatory activities take place in the
South and these are programs dealing with intense environmental health problems.
Degree
The position works independently and is responsible for own
work and staff. Guidance is normally confined to matters requiring definition of regional
policy and objectives, interpretation of legislation or clarification of the policies
and objectives of the Medical Services Program. Results of the work are reviewed in
relation to the achievement of goals and objectives established for the two
Zones. The work is assessed in terms of the quality of recommendations made, the soundness
of judgement exercised in dealing with problems and emergency situations and the
effective utilization of resources.
The work entails assessing the work of subordinate officers
and staff, as well as assessing feasibility studies designed to improve service and
program delivery. Evaluation of Zone Directors reports determines the need for
changes to improve the southern sector's operations, the re-allocation of resources
or the introduction of new or revised procedures to meet the needs of various client
groups.
The work requires providing administrative and professional
advice to the Director and members of the Regional Executive Committee on matters of
program administration, operational problems and the need for changes in standards,
procedures or facilities. Subjects for advice and recommendations are wide ranging and
commensurate with the diversity of the responsibilities assigned to the position. At
the operational level, advice is provided to the Management Committee for Southern
Operations. The provision of Indian Health Services entails advice to officers of Indian
Affairs and Northern Development, the provincial government and municipalities on a
variety of matters including measures to improve the health and environmental
conditions of Indians.
Administration
4
The operational management of the health programs and associated services in the
two Southern Zones entails coordinating and monitoring through
two Zone Directors, the activities of 162 employees providing services through 19
health centres, 23 health stations, one large multi-disciplinary health services centre,
15 Public Service Health Units, 3 Quarantine Stations and 2 Yellow Fever Clinics.
The position is responsible for allocating resources within an
overall annual budget of $12.8 million in consultation with the two Zone Directors and
other members of the Management Committee for Southern Operations and for
coordinating and monitoring a capital expenditure program budget of some $2.2 million
annually, involving negotiation with Indian Bands and Public Works Canada. Outside assistance is negotiated in the form of service
contracts with universities and professional associations to provide health services which
would otherwise not be available to the client population; assistance is sought from
the provincial government on issues relating to medical coverage through OHIP and
premium assistance to Indians.
The regional administrator role of the position entails
organizing and coordinating a wide variety of professional and ancillary activities through
peers and subordinates in diverse but related programs and activities; both the regional
and the sector role require developing and maintaining effective working relations
with other national and provincial organizations.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 10
Level: 5
Descriptive Title: Regional Director Ontario Region Medical Services Branch
Reporting to the Director General, Operations, Medical
Services Branch:
Duties
% of Time
Plans, organizes and manages the Medical Services Program of
the region including Indian Health, Occupational Health, Immigration Medical, Quarantine,
Regulatory Health and Emergency Health Services. Formulates long- and short-range
plans for the conduct of regional programs together with forecasts of the human,
financial and material resources required to achieve objectives. Establishes objectives and
priorities for regional programs consistent with those of the Branch program and
adapted to the social, economic, political or other variable conditions which prevail within
the region. Develops guidelines for the management of regional programs, defining
the objectives and goals to be accomplished within specific periods of time and
determining the criteria to be applied in measuring performance. Controls a budget of $65
million per annum, allocates resources, and provides guidelines on the utilization and
expenditure of resources to senior officers at regional headquarters and four zones.
Reviews and evaluates the efficiency and effectiveness of regional programs. Initiates
and directs the conduct of cost/benefit studies on the feasibility of new approaches to
improve regional operations and programs to meet the changing requirements of the
population and organizations served.
35
Manages and coordinates the work of 480 employees in the
professional, technical, operational and administrative categories through senior
officials at regional headquarters and four Zone Directors. Interprets program
policies, objectives and procedures, reviews the current status of the programs,
resolves complex management problems and identifies the need to change objectives,
priorities and procedures. Conducts a continuing program of recruitment, selection and
training of professional and other staff, provides direction to senior managers, assigns
work and evaluates their performance.
35
Directs and participates in the development of new approaches
to resolve problems and improve the quality, economy and effectiveness of regional
health and medical programs. Consults with officials of Indian and Northern Affairs and
Development and Environment Canada to advise upon and coordinate measures to improve the
environmental health conditions of Indians. Liaises with Employment and Immigration
Officials to improve the Immigration Medical Services. Collaborates with provincial and
municipal governments in establishing requirements for services and arranging the
sharing of facilities or other measures to improve the quality and economy of services.
Negotiates agreements with professional organizations and university faculty of medicine
for the provision of services in regional hospitals and clinics.
15
% of Time
Represents the department at meetings with officials of other
federal departments, Indian Bands and other organizations to promote the medical services
program and to provide information on social, environmental and cultural matters that
have a significant impact on health.
10
Performs other duties such as acting as a member of Branch
task forces and committees and providing information to the public and media.
5
Specifications
Degree
Nature of Activities
5
The work involves directing and coordinating the programs
within the province of Ontario.
These programs are conducted simultaneously within broad and
distinctive subject matter areas and differ in terms of organization, methods of
operations and objectives. Indian Health provides medical and dental preventative and treatment
services for some 85,000 registered Indians and operates 2 hospitals, 11 nursing
stations, 21 health centres and a number of clinics for this purpose. Quarantine Services
conduct medical surveillance to prevent the importation of infections or contagious diseases
by international travel or traffic. Immigration medical services advise the Employment
and Immigration Commission on the medical status of immigrants. The Occupational Health
program is directed towards the promotion and conservation of health for some 55,000
federal employees and operates 18 health units.
The Regional Director develops and implements new approaches
to meet changing requirements which occur with frequency within the regional
medical and health programs. The continuation of hospital and medical insurance plans
requires the periodic review of methods and procedures in order to effect cost recoveries and
to ensure coverage for the registered Indian population. Implementation of Branch
objectives relative to increasing the level of treatment services necessitates the use of
outside professional staff. Current objectives in this regard are met through the
negotiation of agreements and contracts with Ontario university faculties of medicine for
services on a rotational basis of specialists, physicians, residents and other medical
personnel at regional hospitals.
The work requires an authoritative knowledge of subject matter
areas, functions, objectives and administrative requirements of the region's
health and medical programs and of the regulations and policies governing the Branch
program and a comprehensive knowledge of the functions and objectives of provincial
departments that conduct medical and health programs.
Responsibility for Activities
5
The Regional Director serves as a consultant to the Director
General - Operations on the adoption of measures to implement, within the Branch program,
the policies established for the Branch. The work requires formulating plans and
objectives for the regional programs, consistent with those of the Branch program but
adapted to meet the social, economic, political or other variable conditions within the
region.
Degree
It involves establishing guidelines for the management of
regional programs and the resolution of complex problems to ensure the achievement of
objectives within limitations of time and resources. The work requires directing
the conduct of studies to develop new approaches in meeting changing requirements of the
population and organization served.
The Branch program is outlined in broad and general terms of policy intent and
objectives. The work requires judgment and discretion in the
organization of the regional programs, the allocation of resources and the
establishment of regional priorities.
The work is periodically reviewed through consultation with
the Director General - Operations and is assessed in terms of objective achievements.
Factors included in the assessment of work are, the standard and economy of regional
services, the resolution of unique and complex regional problems, the development of
approaches to facilitate achievement of objectives and the quality of recommendations
made which contribute to the development and implementation of the program.
The Regional Director evaluates senior regional management reports in order to gauge the
progress of programs towards the achievement of objectives and
to assess the quality, effectiveness and economy of their operation and management.
In addition the evaluation of management reports, determines the need for changes in
regional objectives and priorities, the re-allocation of resources or the introduction
of new procedures.
There is also a requirement to evaluate proposals for the introduction or alteration of
regional services from staff specialists, consultants,
officials of departments served, officers of the provincial government and representatives of
Indian organizations.
The Regional Director initiates and evaluates feasibility and
cost-benefit studies in the development of new approaches to improve the region's
profesional and management services and ensure that the programs' operations are
responsive to demands imposed by rapidly changing economic and social conditions. The supply of
some 50 person years of continuing professional services at hospitals and clinics by
universities, the provision of housekeeping, maintenance and dietary services at hospitals
by private contractors, improvements in the provisioning of isolated posts and the
participation of local public health units in the care of Indians are examples of new
services and approaches developed through feasibility and cost-benefit studies. It includes the
negotiation of contracts or agreements for new services introduced as the result of
studies. While major expenditures are subject to approval by the Assistant Deputy
Minister, the work involves approving the purchase of goods or services to $50,000.
The work requires the provision of authoritative advice and recommendations to senior
officials on matters relevant to the varied functional and
regulatory responsibilities of the Medical Services program in Ontario. Responsibility for
Quarantine and Immigration medical services occasion advice to officials of the federal
government and transportation companies concerning such matters as the establishment or
application of medical standards. Officers of employing departments are advised on measures to
improve and safeguard the health of employees within the Occupational Health program.
The provision of Indian Health Services require advice to officers of Indian Affairs and
Northern Development, the provincial government and municipalities on a variety of matters
including measures to improve the health, education and environmental conditions of Indians.
Officers of foreign governments are advised on matters relevant to Canadian health
standards and policies as they affect international travel. It also requires providing advice
and recommendations to the Assistant Deputy Minister on the adoption or implementation of
program policies.
Degree
Administration
5
The Regional Director manages, through senior officers at
headquarters and four zone directors, 480 employees in the professional, technical,
operational, administrative and support categories.
The work requires formulating the regions' long- and
short-term plans and forecasting human, financial and material requirements. Instructions and
guidance are provided to managers on the appraisal of subordinates, the application of
collective agreements, and procedures for the resolution of grievances. The work involves
exercising delegated authority for staffing, appraising the performance of senior
managers and reviewing reports on the suitability and capacity for development of
subordinate staff.
The work requires planning and administering the region's
budget of $65 million. Planning entails the provision of instructions and guidance to
senior managers on the formulation of long- and short-term financial estimates, the
identification of anticipated priorities and objectives and the review and
consolidation of these estimates for inclusion within the regional forecasts. Administration of
the budget includes the allocation of funds to headquarters and the four zones,
establishment of expenditure guidelines and controls together with the regular review of
expenditure trends in order to ascertain the need for the re-allocation of funds or other
appropriate action.
The work also requires the operation and maintenance of regional
facilities valued in excess of $30 million for which utility and material expenditures of
some $1.3 million annually are approved. In addition it requires the development of
systems for the recovery of costs, ranging between one and two million dollars, for
hospital and medical insurance plans.
There is a continuing requirement for outside professional
services to meet demands of the Indian Health program and an occasional need for
administrative assistance from non-departmental sources. It is required to establish
and maintain contacts and working relationships with universities, provincial health
authorities, medical associations and individual physicians and dentists to enlist their support and
participation. Professional and specialist services to the value of some $2.9
million are rendered to the region annually in accordance with the terms of contracts
negotiated and fees approved by the Regional Director.
The regional medical and health programs are subject to
demands for changes in the nature and intensity of the services provided. The work therefore
requires a continuing review of the region's human resources, including personnel engaged
through contract or fee, in order to organize and coordinate the activities of staff on
both a short- and long-term basis. Temporary fluctuations in workload may require the
transfer of staff to locations which provide medical, dental, quarantine or immigration
medical services. When changes affect the nature or major objectives of programs plans are
formulated which include the location of facilities, the number of staff and the activities
to be performed for inclusion with the other resources required to sustain the
organization.
Degree
The work also requires coordinating regional services with
those of other organizations.
This activity includes the development of cost-sharing
agreements with provincial and municipal health authorities for the provision of medical and
dental care or for the use of clinical facilities. Agreements for cost sharing are also
developed with other federal and provincial departments for transportation and
other common services in remote areas.
The operation of quarantine, immigration, occupational health
services requires the development of collaborative measures with the federal
departments and other organizations for whom advisory and other services are
provided.
MEDICAL SPECIALIST SUB-GROUP INTRODUCTION
This part of the Medicine Group standard describes the
classification plan used to evaluate positions allocated to the
Medical Specialist Sub-group. It consists of an introduction, a
definition of the sub-group, a glossary of terms, level
descriptions and bench-mark descriptions.
This level description method is used to
classify jobs allocated to the Medical Specialist Sub-group. Each
of the three levels in the classification plan is described in
terms of the primary features used to assign jobs to the level.
Jobs are regarded as being of equal difficulty and are assigned
to the same level when the duties and responsibilities best
correspond, on the whole, with the description of that level and
the bench-mark position descriptions that exemplify that
level.
Bench-mark Positions
Bench-mark position descriptions exemplify
each level. Each description describes the primary duties
performed. The bench-mark position descriptions are an integral
part of the plan and are used to ensure consistency in applying
the level descriptions.
Use of the Standard
Four steps are to be followed in applying this
classification standard.
1. The position description is studied to ensure
understanding of the position as a whole. The relation of the
position being evaluated to positions above and below it in the
organization is also studied.
2. The allocation of the position to the category, group
and sub-group, is confirmed by reference to the definitions and
the descriptions of inclusions and exclusions.
3. The position is tentatively assigned to a level by
comparing the duties and responsibilities of the position with
the level descriptions. The position is tentatively assigned to
that level that best corresponds on the whole with the duties and
responsibilities of the position.
4. The description of the position being
evaluated is compared with the descriptions of the bench-mark positions illustrating the level
tentatively selected, and comparison are also made with the
descriptions of bench-mark positions illustrating the levels
above and below the level tentatively selected.
5. The position being evaluated is compared as a whole with
positions that have been assigned to the same level, as a check
on the validity of the level selected.
MEDICALSPECIALIST SUB-GROUP DEFINITION
The practice, the supervision or direction of the practice of
a medical specialty in federal hospitals, clinics or other
facilities.
Inclusions
Positions included in this sub-group are those that require
the application of specialist medical training and knowledge in
the performance of one or more of the following duties:
- the diagnosis, treatment or prevention of human diseases,
disabilities and disorders following the prescribed methods and
procedures of a particular medical specialty;
- the teaching and training of medical students, residents
and other hospital personnel;
- the provision of medical consultations;
- the conduct of theoretical and applied research in a
medical specialty;
- the supervision or direction of any of the above
duties.
Exclusions
Positions excluded from the group are those
that do not require the practice of a medical specialty.
GLOSSARYOFTERMS
"Specialty Service" refers to an organizational unit which
represents a prime branch of medical specialization such as
medicine, surgery, psychiatry or pathology.
"Specialty Division" refers to an organizational unit within a
Specialty Service which represents a sub-specialty within a prime
branch of medical specialization such as chest medicine,
neurosurgery or medical biochemistry.
LEVEL DESCRIPTIONS
Level1
This level includes positions that are responsible primarily
for practicing a medical specialty in hospitals, clinics or other
facilities. Supervisory responsibilities at this level are
limited and typically include supervising and training treatment
personnel such as residents, nurses, technicians, nursing
assistants and orderlies, requisitioning equipment and supplies,
and recommending the purchase of new equipment and supplies or
the use of new treatment methods and techniques.
Level2
This level includes positions that are responsible for the
full-time supervision of other professionals or supporting
medical and paramedical personnel, and for the management of a
Specialty Division or of a Small Specialty Service.
Level3
This level includes positions that are responsible for the
full-time supervision of all professionals and supporting medical
and paramedical personnel, and for the total management of a
Large Specialty Service.
BENCH-MARKPOSITIONDESCRIPTIONINDEX In AscendingOrder of Level
LEVEL
BENCH-MARK POSITION NO.
DESCRIPTIVE TITLE
1
1
Medical Consultant, Public Service Health Clinic
1
2
Psychiatrist, Regional Psychiatric Centre
1
3
Anaesthetist, Moose Factory General Hospital
2
4
Section Head, Pathology, Toxicology Research Division
2
5
Director, Bureau of Medical Brochemistry, Laboratory Centre for Disease Control
3
6
Chief of Service, Psychiatry, Large Psychiatric Service
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 1
Level: 1
Descriptive Title: Medical Consultant Public Service Health Clinic National Capital Region
Reporting to the Medical Officer in Charge, Public Service
Health Clinic:
PrincipalDuties
Serves as a consultant in internal medicine
and in cardiology, providing medical consultations; advising the
medical staff on the diagnosis, handling and therapeutic
implications of complicated cardiological and other medical
problems; performing and/or directing various diagnostic tests
such as spiremetric evaluations, electro-cardiographic
documentations and treadmill stress testing; interpreting medical
investigation reports from the Clinic itself or from outside
sources: electrocardiograms, phonocardiograms, spirometry
analysis, blood gases and various biochemical tests, and
discussing the implication of these findings with the physicians
and sometimes with the patients; and treating senior executives
and members of parliament, as required.
Assesses the health of public servants and their families
referred to the Public Service Health Clinic to establish a
diagnosis or to give a medical evaluation of the state of their
health; taking medical histories; conducting physical
examinations, tests and other investigational procedures; and
analysing the results of tests and correlating these with
examination findings.
Performs comprehensive physical examinations on certain
categories of public servants who are "at risk" because of the
nature of their work such as persons working with toxic
substances, in excessively noisy areas and in laboratories where
infected animals are used; and suggesting means to protect these
persons and for the early detection of problems arising out of
their work.
Reviews and assesses medical reports from private physicians
submitted on behalf of employees for reasons such as
pre-employment, superannuation, absences and retirement and
advising management on the medical soundness of reports.
Administers vaccinations and immunizations to employees who
are required to travel abroad and who are "at risk" in various
working environments.
Participates in the teaching program for
nurses and provides guidance to nurses at various health units in
dealing with specific problems.
Performs other duties such as acting as a member of the
Medical Review Board for Medical Services Branch and a member of
the Disability Insurance Review Board for Treasury Board.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 2
Level: 1
Descriptive Title: Psychiatrist, Regional Psychiatric Centre
Reporting to the Clinical Director, Regional Psychiatric
Centre, Canadian Penitentiary Service: PrincipalDuties
Conducts psychiatric examinations of inmates
on admission to determine their mental status and psychiatric
history employing a variety of tests designed to indicate
structural, functional, somatic and metabolic factors.
Prescribes and conducts treatment for
individuals or groups of inmates, including psychotherapy and the
administration of psycho-pharmacological drugs and
electro-convulsive therapy.
Provides professional advice on precautionary
measures to ensure the well being of patients, such as suicidal
precautions and increased supervision.
Serves as a consultant to the Psychiatric
Centre on psychiatric assessment, diagnoses, treatment and
prognosis of inmates mental health problems and to the National
Parole Board and National Parole Service by providing psychiatric
reports on inmates under detention or on parole.
Makes recommendations affecting the status of
patients such as transfer to provincial mental institution or
other institutions, suitability for rehabilitative training and
employability on release.
Assist in the Centre's training programmes for
treatment and non treatment personnel such as psychiatrists,
nurses, occupational therapists, and security and recreational
personnel.
Participates in psychiatric research projects.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 3
Level: 1
Descriptive Title: Anaesthetist Moose Factory General Hospital
Reporting to the Zone Medical Director:
PrincipalDuties
Conducts pre-operative investigation and
evaluation of patients to determine fitness for anaesthesia and
to select the most suitable anaesthetic for each case.
Administers anaesthesia or supervises the
administration of anaesthesia by residents and provides
post-operative care through supervision of patients in the
Recovery Room or surveillance of post-operative patients for such
periods as are required.
Investigates and treats various types of
intractable pain syndromes through provision of consultation,
performing repeated diagnostic and therapeutic nerve blocks and
recommending definitive treatment including surgery when
indicated.
Organizes and participates in a teaching
program for anaesthesia residents, interns and nurses in methods
and techniques of anaesthesiology.
Conducts research on the effectiveness and usefulness of new
techniques and anaesthetics. Requisitions supplies and
equipment.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 4
Level. 2
Descriptive Title: Section Head, Pathology Toxicology Research Division
Reporting to the Chief, Toxicology Research Division:
PrincipalDuties
Directs and supervises the Pathology Section,
forecasting requirements for human resources, accommodation,
equipment and supplies; supervising, controlling and appraising
the work of staff consisting of one pathologist, two research
scientists seven laboratory technologists; and initiating new and
improved laboratory methods and techniques.
Conducts autopsies; interprets
histopathological slides arising from research work done in the
Food and Drug Directorates or other areas of government; and
reviews histopathological interpretations of other pathologists
in the Division.
Serves as a consultant in Pathology, including
anatomical, clinical, human and veterinary to the Food and Drug
Directorates, interpreting human and animal pathological reports
and results in terms of human health hazards; and making
appropriate recommendations.
Advises upon and participates in the planning
and design of research projects involving Pathology in the
Toxicology Research Division; advises and participates in related
research in other governmental institutions, universities and
non-government health professional associations; and presents
results of research at scientific meetings or publishes results
in scientific journals.
Participates in in-house training programmes
for technical and other support staff.
Performs such clinical duties as may be
required of first contact physician in the Sir Frederick Banting
Building.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 5
Level: 2
Descriptive Title: Director, Bureau of Medical
Biochemistry Laboratory Centre for Disease Control
Reporting to the Director General, Laboratory Centre for
Disease Control:
Principal Duties
Plans, coordinates and directs the medical
research and development and consultative activities of the
Bureau of Medical Biochemistry, establishing the objectives of
the Bureau; supervising the work of staff consisting three
research scientists, one biologist, two chemists, ten technicians
and two
administrative support staff; directing the
development of project plans; and appraising performance of
staff.
Directs the provision of national consultative
services in the field of clinical chemistry including the
development of reference methods, the organization of surveys for
the evaluation of methods in use in over 500 laboratories across
Canada, and the provision of reference sera with assigned values
for ten analyses.
Directs the provision of national consultative services in the
field of immunochemistry including the development of reference
methods and the purification, evaluation, interlaboratory
testing, certification and distribution to clinical laboratories
nationwide of national reference imnunochemistry materials as
primary calibrators.
Designs and directs projects in close
cooperation with various hospitals such as finding biochemical
markers which indicate the risk of complication, elucidating the
biochemistry and immunopathology, and evaluating the biochemical
indicators of effectiveness of treatment for specific diseases
such as diabetes; developing computerized data bases suitable for
epidemiological studies of diseases of biochemical origin; and
developing a classification system which provides a computerized
biochemical profile for each patient.
Provides consultative services as a specialist
in medical biochemistry to the National Defence Medical Centre,
the Ottawa Civic Hospital, the Ottawa General Hospital, and the Paediatric Hospital of Eastern Ontario, evaluating and selecting
patients for clinical research studies in cooperation with
hospital specialists; evaluating case histories of patients and
results of laboratory tests and physical examinations;
recommending additional laboratory tests; and providing
specialized laboratory tests and their interpretation.
Serves as a consultant, representing the department, to the
World Health Organization, Division of Medical Technology, as
associate member of the European Committee for Clinical
Laboratory Standards, and as a member of the Quality Assurance
Committee for Laboratory Medicine of Canada.
Participates in teaching of the medical students, interns and
residents of the Faculty of Medicine, University of Ottawa, in
the field of medical biochemistry and metabolic diseases.
BENCH-MARK POSITION DESCRIPTION
Bench-mark Position Number: 6
Level: 3
Descriptive Title: Chief of Service, Psychiatry Large Psychiatric Service
Reporting to the Hospital Director:
Principal Duties
Directs the hospital's Psychiatry Service
which provides care and treatment for some 400 patients,
assigning areas of responsibility to professional staff;
providing consultation to psychiatrists and medical officers;
conducting psychiatric conferences; establishing and maintaining
effective working relationships with other services and hospital
departments to ensure the optimum in consultative, treatment and
diagnostic facilities for patients.
Manages and supervises the Psychiatry Service, forecasting
resource requirements; administering a budget of $997,000.;
supervising staff consisting of 12 psychiatrists, 4
psychologists, 2 residents and approximately 150 nurses and
orderlies within the Service; assigning duties and appraising
performance.
Conducts educational programs in Psychiatry
for post-graduates and under-graduate students, nurses and other
members of the medical staff by conducting clinics, lectures,
seminars and group discussions.
Evaluates psychiatric research project
proposals, conducts research and coordinates the provision of
facilities for psychiatric research by others.
Advises the Hospital Director on the
legalities of admissions, discharges and probations.
Performs other related duties such as serving on the Medical
Advisory Board and other professional and administrative
committees; conferring with the Public Trustee on legal matters
related to psychiatric care and with the Canadian Mental Health
Association, the Royal Canadian Legion, service clubs and other
groups concerning the welfare of patients.
