Summary

The John D. Dingell VA Medical Center in Detroit is seeking a full-time Home-Based Primary Care (HBPC) Medical Director Board Eligible/Board Certified in either Internal Medicine or Family Medicine. Our hospital is closely affiliated with Wayne State University School of Medicine with campuses adjacent to each other. The VA Hospital serves a primary partnership role in medical education of students - residents - and fellows - as well as in clinical and basic medical research.

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:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
• 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
• 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: (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME) - b) OR [(2) Those approved by the American Osteopathic Association (AOA) -OR (3) 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
• Proficiency in spoken and written English
• Preferred Experience: 3 years experience working in a Home Based Primary Care setting Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: To be able to do all the duties for the Primary Care HBPC Medical Director.

Duties

• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• 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 Goals of the HBPC program include: Provide HBPC targeted to frail - chronically ill - or disabled Veterans who require interdisciplinary health care teams for continuity & coordination of care - as well as integration of diverse services to address complex medical - psychosocial - rehabilitative - behavioral or palliative care needs
• These Veterans require comprehensive - longitudinal - interdisciplinary home care services - to maximize or maintain function - minimize institutionalization - and maintain quality of life
• Reduce the need for - and provide an acceptable alternative to - hospitalization - nursing home care - emergency & outpatient visits
• This is achieved through longitudinal care that provides close monitoring - early intervention - and promotion of a safe - therapeutic home environment through coordinated home and community based services
• Recognize the important role of the caregiver and provide support to the Veteran - caregiver in coping with all aspects of chronic disease - including assessment and intervention that addresses caregiver burden
• Enhance the Veteran's quality of life through the end of life by respecting the needs and preferences of the Veteran and caregiver - addressing symptom management - supporting the option of dying with palliative care at home if that is the Veteran's wish
• In addition - HBPC Team may provide initial bereavement care to the caregiver with community referral for formal or longer term bereavement support and counseling if needed
• Promote an enduring network of qualified home care professionals by providing an academic & clinical setting that allows for research and training in interdisciplinary delivery of primary care in the home - The HBPC Medical Director is Responsible for: The HBPC Medical Director must be a physician who is responsible for the overall medical care delivered by the HBPC team
• The HBPC Medical Director is to report directly to the ACOS/GEC or equivalent
• Who will receive any additional duties as directed by the ACOS
• NOTE: In VA medical facilities with academic affiliations - the HBPC Medical Director is encouraged to have a faculty appointment and be involved in academic activities
• (1) The HBPC Medical Director is responsible for collaborating with the HBPC Program Director to: (a)Provide leadership to the HBPC Program - including - but not limited to - clinical activities - and developing standard policies
• (b)Plan and direct the educational and clinical experience of medical students - residents - and fellows assigned to the HBPC Program If required
• (c)Assume a leadership role in the development and implementation of HBPC's process for continuous performance improvement
• (d)Advocate for HBPC with VHA leadership and the medical community
• (e)Develop partnerships and coordination with PACTs and the PACT High Risk Committee
• (f)Participate in selecting HBPC team members
• (2) Provide clinical input and oversight for all patient treatment plans unless delegated to an HBPC team physician with active supervision of the physician/mid level providers as the program expands
• (3) Be readily accessible and promptly responsive to calls from team members currently in a Veteran's home with urgent need for consultation or physician orders
• (4) Ensure Physician Medical Care Plan oversight at HBPC team meetings by either actively participating in HBPC team meetings or delegating an HBPC Team Physician to participate at team meetings
• (5) Keep the HBPC team apprised of medical care advances and practice standards
• (6) Arrange physician coverage and communicate the plan of coverage to the HBPC team
• (7) Serve as back-up for other HBPC primary care providers
• (8) Make routine home visits
• Carry patient panel
• (9) Collaborate with other HBPC Medical Directors - VISN leadership - and VA Central Office staff members on program development issues
• Work Schedule: Monday-Friday - 8:00AM-4:30PM