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Medical Director- Preoperative Evaluation Clinic Physician (MD/DO)

Inova Health System
parental leave, paid time off, retirement plan
United States, Virginia, Fairfax
Nov 25, 2025

Inova's Preoperative Evaluation Clinic is seeking a strong leader to join as the Medical Director with the system.

The Medical Director for the Preoperative Evaluation Clinic (PEC) provides strategic, clinical, and operational leadership for a system of preoperative evaluation sites and a centralized RN call center. This role is responsible for maintaining and expanding a standardized, high-quality approach to pre-procedure evaluation and optimization for all surgical patients across the enterprise, directly impacting patient safety, procedure efficiency, and care quality. The Medical Director partners closely with perioperative leadership, nursing, anesthesia, surgery, and executive administration to ensure safe, effective, and efficient preoperative optimization for all surgical patients.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

PEC Medical Director Job Responsibilities:



  • Serve as the primary clinical leader for Advanced Practice Providers (NPs and PAs) within the PEC, providing oversight, guidance, and clinical consultation for complex patient cases.
  • Ensure adherence to evidence-based guidelines, clinical pathways, and scope-of-practice

    regulations.
  • Conduct regular APP performance evaluations, participate in hiring, onboarding, and

    competency assessment, and support ongoing provider education and mentorship.
  • Lead clinical and operational standardization across all PEC sites and the RN call center.
  • Develop and update protocols, order sets, workflows, and policies consistent with best

    practices and regulatory requirements.
  • Oversee scheduling models, throughput optimization, and clinic capacity planning.
  • Monitor key quality metrics including case readiness, day-of-surgery cancellations, patient safety indicators, and surgical delays.
  • Lead root-cause analyses for perioperative incidents related to preoperative evaluation.
  • Oversee continuous improvement initiatives, including preoperative optimization pathways (e.g., anemia, diabetes, cardiovascular risk).
  • Develop dashboards and regularly report performance outcomes to perioperative leadership and hospital committees.
  • Partner with Anesthesiology, Surgery, Nursing, and Perioperative Administration to ensure seamless patient preparation.
  • Serve as the clinical liaison to hospital committees related to preoperative optimization, patient safety, and perioperative operations.
  • Work collaboratively with the RN call center leadership to ensure effective triage, patient communication, and escalation pathways.
  • Communicate updates, expectations, and policy changes effectively across all PEC team members and stakeholders.
  • Provide education to APPs, RNs, residents, medical students, and other clinical staff regarding perioperative medicine.
  • Develop standardized onboarding curriculum for new APPs and nurses within the PEC.
  • Present system-level updates and performance reports to executive leadership, surgical councils, and quality committees.
  • Identify opportunities to expand or enhance preoperative services, such as telehealth optimization, risk stratification tools, or specialty optimization clinics.
  • Support long-term growth planning for PEC services in alignment with system goals and surgical volume projections.
  • Lead or participate in research, pilot projects, or innovation initiatives related to perioperative medicine.
  • Maintain a standardized, system-wide approach for Pre-Procedural Evaluation Clinics (PEC) and Pre-Procedural Surgical Screenings (PSS) across all care sites.
  • Align disparate site-specific PEC and PSS centers into one cohesive system program.
  • Establish key performance indicators (KPIs) and quality metrics for the PEC program, focusing on reducing surgical procedure cancellations, optimizing patient preparation, and minimizing delays in care.
  • Provide direct clinical oversight and expertise within the PEC clinics, spending one (1) day per week in patient-facing clinical settings and one (1) day per week on administrative and leadership duties.
  • Maintain active clinical practice, including up to three (3) days per week providing anesthesia services in the Operating Room (OR).


Requirements:



  • Education: Graduate of accredited MD or DO with board certification in Anesthesiology, Internal Medicine, Family Medicine, or related specialty.
  • Experience: Minimum of 5 years of clinical experience in perioperative medicine or a related field.
  • Board Certification: Anesthesiology, Internal Medicine, Family Medicine, or related specialty.
  • Certification: Must obtain advanced certification in applicable modality; BLS from the American Heart Association
  • Licensure: Currently hold or ability to obtain an unrestricted VA medical licensure
  • Credentialing: Ability to obtain successful medical staff credentials throughout all of our Inova PEC locations


Preferred Qualifications:



  • Fellowship training or advanced certification in perioperative medicine.
  • Experience supervising NP/PA teams in a clinical environment.
  • Experience working within a multi-site health system.
  • Demonstrated success in quality improvement or clinical operations leadership.


Featured Benefits:



  • Physician Led Organization
  • Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
  • Competitive Compensation Package: Competitive Base and Incentive program, opportunities for Sign On/Retention/Relocation
  • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. 457B retirement plan is also available for physicians in a 0.5 FTE and greater
  • CME Support: Up to $3,500 a year for CME support and up to 5 days of CME
  • Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
  • Work/Life Balance: offering paid time off, paid parental leave

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