Summary

This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

Qualifications

To qualify for this position - you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation.

Basic Requirements:

• Citizenship: The Veterans Health Administration (VHA) encourages any eligible non-citizens to apply
• Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
• Education: Degree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine
• The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed
• Licensure: Current - full and unrestricted license to practice medicine or surgery in a State - Territory - or Commonwealth of the United States - or in the District of Columbia
• Residency Training: Physicians must have completed residency training - approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification
• (NOTE: VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are: Those approved by the Accreditation Council for Graduate Medical Education (ACGME) OR Those approved by the American Osteopathic Association (AOA) - OR Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States) - which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the physician to an appropriate range of patient care experiences
• Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs)
• PRPs must be fully licensed physicians (i.e. - not a training license) and may only be appointed on an intermittent or fee-basis
• PRPs are not considered independent practitioners and will not be privileged
• rather - they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision
• Additionally - surgery residents in gap years may also be appointed as PRPs
• Language: Proficiency in spoken and written English
• Experience: The individual must qualify to perform duties as a physician - have completed an accredited residency and/or possess experience which has qualified the individual to perform general duties and some specialized functions and procedures without supervision
• Staff physicians may also include attendings who train physician residents assigned in facilities with residency training programs - and consultants who are capable of giving authoritative views and opinions on subjects in their field of medicine
• Preferred Experience: Board Eligible/Board Certified Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Physical demands include repetitive body movements including the following: frequent reaching - standing - walking - and lifting of equipment and/or patients to provide patient care
• This position requires extension of the hand(s) and arm(s) in any direction including above or below shoulder level - during the provision of patient care - including retrieval of needed equipment - supplies and to make contact with the patient
• This position requires the maintenance of an upright position to perform duties associated with patient care
• This position is typically non-sedentary - and frequently involves being in the standing position
• This position requires moving about accomplish tasks - such as assisting with patient ambulation and moving one patient area to the next
• This position requires the raising of objects from a lower position to a higher position or the movement of objects horizontally position to position
• Lifting may be done to move a patient from one location to the next - i.e.- from the exam table to the chair - and in the movement of equipment or supplies.

Duties

• This position is authorized to provide the right candidate with the Education Debt Reduction Program (EDRP) to pay up to $200 -000 in qualifying loans! In addition - salary can go above the maximum amount shown if candidate meets annual performance metrics
• Patient Care Reviews labs and diagnostics in a timely fashion and communicates lab/imaging/test results to Veteran via telephone - face-to-face - secure messaging - or correspondence letter as per VHA Directive (either within 14 days or 7 days as appropriate)
• Depending on findings - follow up may be assigned to other team members as appropriate based on the sensitivity of the result
• Focuses on the care of medically complex - higher level management patients on the panel and patient experiencing acute exacerbations of their chronic conditions Develops - evaluates - and manages the medical treatment plan for all Veterans on the panel throughout all stages of life including prevention and wellness - acute illness - chronic illness - and end-of-life care Utilizes secure messaging to directly interact with Veterans to share information - such as lab - imaging - and test results and communicate treatment plans Utilizes Health Coaching and Motivational Interviewing to partner with patients and assist with behavior change and guidance toward his or her goals Completes clinical reminders for positive PTSD - depression - alcohol and other clinical reminders as needed or assigned to providers Participates in direct patient-centered care to include scheduled visits and unscheduled/acute visits Promotes same day access by providing multiple modalities of care including non-face-to-face care Performs a comprehensive history and physical at least once a year for each patient on the panel Orders appropriate diagnostic tests to evaluate and manage patients - utilizing VA/DOD practice guidelines Provides appropriate health screening and preventive care according to NCP guidelines Consults with specialty services when indicated and adheres to service line agreements Provides patient education to assist Veteran with disease management and improve self-management skills Completes final medication reconciliation with a copy provided to patient at every encounter Team Work Collaborates with the team to reach PACT goals related to access - continuity - and coordinated care measures and utilizes PACT almanac data to guide improvement efforts Plan today's work to be done today by being proactive in pre-planning for visits with team members and by being responsive to the needs of Veterans and team members in their efforts to assist Veterans Documents clearly and concisely in CPRS to communicate the plan of care with the team - including the Veteran as per VA Medical Center Policy Participate in daily huddle and Inter disciplinary PACT team meetings bi-weekly Participates in daily huddles with PACT core team Participates in Inter disciplinary PACT team meetings bi-weekly to include extended PACT team members Monitor panel clinical performance measures and guide the team in setting goals for improvement utilizing PACT tools Diabetes Registry - works with team to manage all diabetics on the panel placing high priority as per EPRP and EQM metrics Primary Care Almanac (at least monthly PACT compass for metrics including panel management - access - continuity - and coordination of care Ensure all preventive screenings completed for the panel to include immunizations - colorectal screen - breast screen and cervical screen for assigned panel of patients in timely manner or as appropriate Opioid Registry- uses database in managing chronic pain patients on opioids by getting I-Med consent - urine drug screen - and providing naloxone for high risk VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• EDRP Authorized: Authorized (Former EDRP participants ineligible to apply for incentive) Education Debt Reduction Program (Student Loan Repayment): Learn more
• Pay: Competitive salary - annual performance bonus - regular salary increases Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year and possible 5 day paid absence for CME) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1 -000 per year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: Monday to Friday - 8am to 430pm
• No call requirement!