§ 6.08.240. Special provisions  


Latest version.
  • A. Manpower Shortage. When the chief executive officer finds, after investigation, that an existing or impending manpower shortage exists in a medical or surgical specialty, he shall submit his findings to the board of supervisors and may recommend the establishment of a recruitment rate for a position compensated pursuant to Section 6.08.210 which does not exceed twice the rate established for the position under Section 6.28.050 of this code.

    B. Home Care Compensation. Whenever it is medically required for a physician to provide medical services in a patient's home during other than his normally scheduled workday, his total compensation shall be $30.00 per home call. Payment for such services requires approval by the chief executive officer.

    C. Overtime Compensation.

    1. Subject to the prior authorization by the chief executive officer, whenever it is medically required for a physician to be assigned by his department head to perform overtime work in excess of his workweek or workday and such work is performed at a county medical facility, he shall be compensated at his straight-time rate as defined in Section 6.15.060 unless he qualifies for the rate set forth in paragraph 2 of this subsection C or in subsection B above. All overtime shall be recorded at the physician's regular work location even though the overtime may be worked at some other work location. In such instances, the medical directors at both work locations shall agree in advance to the overtime at the second location. Upon approval of the department head, a physician may accumulate compensatory time off in lieu of paid overtime on an hour-for-hour basis, to a maximum of 240 hours at any one time in a calendar year. 144 hours of such compensatory time off may be deferred to the next calendar year during which any time not used with the permission of the department head shall be lost.

    2. In the case of physicians employed in the class of Physician, MD, OT (Item No. 5421) who are required to perform overtime work in comprehensive health clinics, or public health clinics, the rate of pay shall be the higher of the physician's straight-time rate or $36.40 per hour.

    3. Unused compensatory time off accrued during the period October 1, 1993 through June 30, 1994 shall be paid to the employee at the straight-time rate as defined in Section 6.15.060 in effect as of the date of payment, at the employee's option, on or after August 1, 1995, or upon termination from county service.

    D. Standby Compensation.

    1. Except as provided in subsections D2 and 3, whenever a physician is assigned to standby duty as defined in Section 6.08.190 J, he shall receive $7.30 per hour during said assignment. Such compensation shall constitute said physician's total compensation during said assignment. Assignment to standby duty requires the prior annual authorization of the chief executive officer.

    2. Repealed.

    3. Whenever a physician is assigned to standby duty in connection with the Home Care Program, he shall receive $25.00 for each 12 hours, or major portion thereof, of such duty. Such compensation shall constitute said physician's total compensation during said assignment, irrespective of whether or not said standby duty results in a return to the work site, a visit to a patient's home, or a telephone consultation. Assignment to said standby duty requires the prior annual authorization of the chief executive officer.

    E. Special Compensation Limitations.

    1. No combination of pay under the provisions of subsections B, C, and/or D of this section shall exceed 60 percent of a physician's base monthly salary, calculated twice each month; once for the period of the first through the 15th of the month, and once for the period of the 16th through the end of the month.

    2. In no event shall a physician receive compensation for overtime during a period of standby duty.

    F. Promotion.

    1. Any person employed in the classification of Physician Specialist, MD (Item No. 5477), Senior Physician, MD (Item No. 5478), Chief Physician I, MD (Item No. 5479), Chief Physician II, MD (Item No. 5480), and Chief Physician III, MD (Item No. 5481) who receives a promotion as defined in Section 6.08.190 of this code, shall be placed on the step in the M Schedule for the higher-level classification that provides an increase in salary over the salary in the lower level classification to which he was entitled based upon experience only, which is equivalent to the number of steps listed below:

    Promotion Steps
    Physician Specialist, MD to Senior Physician, MD 2
    Physician Specialist, MD to Chief Physician I, MD 3
    Physician Specialist, MD to Chief Physician II, MD 4
    Physician Specialist, MD to Chief Physician III, MD 5
    Senior Physician, MD to Chief Physician I, MD 1
    Senior Physician, MD to Chief Physician II, MD 2
    Chief Physician I, MD to Chief Physician II, MD 1
    Senior Physician, MD to Chief Physician III, MD 3
    Chief Physician I, MD to Chief Physician III, MD 2
    Chief Physician II, MD to Chief Physician III, MD 1

     

    2. Repealed.

    3. All other persons promoted to a higher-level position in accordance with the Physician Pay Plan shall be placed on the step in the appropriate P range which provides an increase in salary.

    4. Repealed.

    G. Reinstatement. When an employee is reinstated following separation from county service he shall be initially step-placed pursuant to the provisions of this Part 2 of Chapter 6.08 as if he were entering county service for the first time. The date of reinstatement shall set a new anniversary date.

    H. Additional Salary for Certain Physicians. Any physician compensated pursuant to Section 6.08.200, who is employed in the eligible classes listed below and is also assigned to one of the eligible medical specialties listed below, during such assignment, shall receive an additional flat monthly amount equal to three percent of the step on the appropriate P or M Schedule provided by this Part 2. The rate established by this provision shall constitute a base rate.

    Eligible Classes Eligible Medical Specialties
    Senior Physician, MD (Item No. 5478) Emergency Medicine
    Chief Physician I, MD (Item No. 5479) Obstetrics and Gynecology
    Chief Physician II, MD (Item No. 5480) Pathology
    Chief Physician III, MD (Item No. 5481) Urology
    General Surgery
    Anesthesiology
    Orthopedics
    Dermatology

     

    I. Additional Salary for Psychiatrists. Any physician compensated pursuant to Section 6.08.200, who is employed in the eligible classes listed below and is also assigned to work as a medical specialist in psychiatry, during such assignment, shall receive an additional flat monthly amount equal to four percent of the step on the appropriate P or M Schedule provided by this Part 2. The rate established by this provision shall constitute a base rate.

    Eligible Classes
    Senior Physician, MD (Item No. 5478)
    Chief Physician I, MD (Item No. 5479)
    Chief Physician II, MD (Item No. 5480)
    Chief Physician III, MD (Item No. 5481)

     

    J. Additional Salary for Certain Physicians. Any physician compensated pursuant to Section 6.08.200, who is employed in the eligible classes listed below and is also assigned to one of the eligible medical specialties listed below, during such assignment, shall receive an additional flat monthly amount equal to 5.75 percent of the step on the appropriate P or M Schedule provided by this Part 2. The rate established by this provision shall constitute a base rate.

    Eligible Classes Eligible Medical Specialties
    Senior Physician, MD (Item No. 5478) Neurosurgery
    Chief Physician I, MD (Item No. 5479) Thoracic Surgery
    Chief Physician II, MD (Item No. 5480)
    Chief Physician III, MD (Item No. 5481)

     

    K. Additional Compensation for Certain Physicians. Notwithstanding any other provision of the County Code, effective beginning on the date persons holding positions in the classes of Physician, MD and Physician Specialist MD cease to be eligible for matching contributions pursuant to Chapter 5.23 of the County Code, any physician compensated pursuant to Sections 6.08.210, 6.78.350 L or 6.86.020 C of the County Code shall receive additional compensation equal to three percent of the physician's current pay rate. The rate established by this provision shall constitute a base rate.

    L. Additional Salary for Forensic Pathologists. Any physician compensated pursuant to Section 6.08.200, who is employed as a permanent employee in the eligible classes listed below and who is also assigned to work in the medical specialty of pathology as a forensic pathologist in the Department of Coroner, during such assignment, shall receive an additional flat monthly amount equal to three percent of the step on the appropriate P or M Schedule provided by this Part 2. The rate established by this provision shall constitute a base rate.

    Eligible Classes
    Senior Physician, MD (Item No. 5478)
    Chief Physician I, MD (Item No. 5479)
    Chief Physician II, MD (Item No. 5480)
    Chief Physician III, MD (Item No. 5481)

     

    M. Placement in Salary Range. By specific action, the board of supervisors or the chief executive officer may provide for salary placement of a physician at any rate within the established Salary Range for the position which he/she holds.

(Ord. 2014-0020 § 10, 2014; Ord. 2008-0059 § 3, 2008; Ord. 2006-0084 § 20, 2006; Ord. 2005-0047 § 2, 2005: Ord. 2002-0104 § 1, 2002; Ord. 2002-0001 § 2, 2002: Ord. 2001-0074 § 5, 2001: Ord. 2000-0071 § 5 (part), 2000.)