City and County of San Francisco

Senior Physician Specialist (#2232)

$102.20-$141.26 Hourly / $17,715.00-$24,486.00 Monthly / $212,576.00-$293,826.00 Yearly


Under general direction, performs difficult professional medical work in a recognized medical specialty field, requiring advanced and specialized education, training and experience; may supervise a section or unit of a larger medical facility or program; may supervise other physicians and other professional personnel; may require 24-hour "on-call" availability to unit or section staff.

Distinguishing Features

The 2232 Senior Physician Specialist is distinguished from the higher level 2233 Supervising Physician Specialist in that the latter assumes executive and/or administrative responsibilities within health programs of the department, whereas the former functions as a highly specialized physician within the field of specialty.

The 2232 Senior Physician Specialist is distinguished from the lower level 2230 Physician Specialist in that the former may supervise the activities of Physician Specialists within the field of specialty and performs more difficult medical work. The 2232 Senior Physician Specialist may also assume a coordinating or leadership role with respect to his or her department of service and the specialty area.

Supervision Exercised

May supervise the activities of Physician Specialists and other professional personnel within the field of specialty.

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. Serves as an experienced specialist representative/consultant of the specialty program or service including, but not limited to interactions with other programs or outside agencies; assists in the development and implementation of policies, methods, and procedures within the specialty area; including but not limited to Quality Assurance activities; prepares or reviews detailed and complex medical and technical records and reports.
  2. As a senior family physician, internist or medical subspecialist, evaluates patient signs and symptoms, reviews laboratory and radiological data, diagnoses complex cases, and institutes treatments as appropriate; serves as a consultant to physician specialists on difficult and complex cases.
  3. As a senior surgical specialist or subspecialist, evaluates patient signs and symptoms, reviews laboratory and radiological data, recommends, performs, supervises and consults with other physicians and surgeons on specialized, difficult or complex surgical procedures related to his or her specialty field.
  4. As a senior specialist in forensic pathology, performs medicolegal autopsies at the Medical Examiner's office; consults with the district attorney, public defender, police, and others on medicolegal matters; examines victims or suspects for medicolegal purposes; testifies in court and judicial hearings on medicolegal issues.
  5. As a senior pediatrician, examines, diagnoses, and treats pediatric patients; supervises and consults with other pediatricians, clinics and agencies on difficult and complex cases.
  6. As a senior obstetrician/gynecologist, examines, diagnoses and treats women who are pregnant, who require screening, or who have gynecologic complaints; consults with other obstetrician/gynecologist on difficult and complex cases.
  7. As a senior 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 prevention and education strategies; consults with other occupational health specialists, including physicians and other practitioners on difficult and complex cases or health issues.

Knowledge, Skills and Abilities

Knowledge of: Highly specialized professional knowledge of a recognized specialty in the field of medicine.

Ability and Skill to: Make expert diagnoses, interpretations and recommendations on a consultative basis; effectively communicate verbally and in writing; interact effectively with the medical and administrative staff, patients and family members, government officials, community representatives and the general public.

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.



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; AND

Possession of valid Board Certification in the appropriate medical specialty area for the assigned facility or division.



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.


From: 2230 Physician Specialist
To: 2233 Supervising Physician Specialist


04/18/1988; 02/04/1991; 09/26/14; 03/28/18; 02/19/21

To accurately reflect the current tasks, knowledge, skills & abilities, and minimum qualifications.

Business unit(s):

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: 2232; EST: 1/4/1978; REV: 2/19/2021;