City and County of San Francisco

Physician Specialist (#2230)

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$81.13-$114.88 Hourly / $14,062.00-$19,912.00 Monthly / $168,740.00-$238,940.00 Yearly


Under direction, performs the duties of a specialist in a recognized medical field requiring advanced and specialized education, training and experience; may require 24-hour "on-call" availability to unit or section staff.

Distinguishing Features

The 2230 Physician Specialist is distinguished from the higher level 2232 Senior Physician Specialist in that the former is an entry-level specialist who may require general direction from more experienced specialists in the specialty field.

Supervision Exercised


Examples of Important and Essential Duties

According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are not intended to be an inclusive list.

1. As a family physician, internist or medical subspecialist, evaluates patient signs and symptoms, reviews laboratory and radiological data, diagnoses complex cases, and institutes treatments as appropriate. May serve as a consultant to other physicians, including specialists in other fields.

2. As a surgical specialist or subspecialist, evaluates patient signs and symptoms, reviews laboratory and radiological data, recommends, performs, and consults on specialized surgical procedures within his or her specialty field.

3. As a specialist in psychiatry, evaluates, plans and implements treatments for patients with a variety of psychiatric disorders.

4. As a pediatrician, examines, diagnoses, and treats pediatric patients; refers to other physicians, clinics, and agencies when so indicated.

5. As an obstetrician/gynecologist, provides obstetrical and gynecological care including screening, diagnosis, treatment, prenatal and obstetrical care.

6. As a specialist in occupational health, conducts pre-employment physical examinations of candidates for city service; when designated by the Civil Service Commission, assesses medical or physical competence of staff to perform assigned duties; participates in the identification and assessment of occupational hazards and injuries; develops and implements preventive and educational strategies.

Knowledge, Skills and Abilities

Knowledge of: Specialized professional knowledge of a recognized medical specialty.

Ability and Skill to: make expert diagnoses, interpretations and recommendations on a consultative level.

Minimum Qualifications

These minimum qualifications establish the education, training, experience, special skills and/or license(s) which are required for employment in the classification.  Please note, additional qualifications (i.e., special conditions) may apply to a particular position and will be stated on the exam/job announcement.


Experience: Successful completion of a residency program accredited by the Accreditation Council for Graduate Medical Education or American Osteopathic Association in the appropriate medical specialty area for the assigned facility or division (i.e. Board Eligible).

License and Certification: Possession of a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California.




Nature of duties may require sustained physical effort involving manual skill and dexterity, with exposure to some accident and health hazards and disagreeable elements inherent in the specialized field.



To: 2232 Senior Physician Specialist

Disaster Service Workers

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

CLASS: 2230; EST: 1/4/1978; REV: 3/28/2018;