The Hospitalist Staff Physician provides direct-patient care and is responsible for carrying out operations in the Hospitalist Section of the Medicine Service; reporting directly to and collaborating with the Section Chief to determine the mission and objectives of the Section. In addition to clinical matters, the Staff Physician participates in education and training activities within the Service. This position may involve some teaching duties for medical students and medical residents. 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. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position may require potentially extended periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situation. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situation, able to shift priorities based on patients needs. ["Duties include but are not limited to: Individually manage all aspects of care delivered in the ICU including but not limited to:\n- Resuscitation, Intubation, Ventilator management, Central line placement, Vasopressor administration, Arrhythmia management, Medical ACS management, thrombolytic administration, emergency cardioversion and other ACLS interventions.\n- Provide Medical Consultative services for any inpatient on the non-medical services such as Surgery, Psychiatry and Substance abuse Recovery Unit.\n- Supervise and teach Medical Students and Residents and provide education to other rotating disciplines on the inpatient service.\n- Supervise administration of specialty care infusions for Heme/Onc, Neurology, Gastroenterology and Rheumatology patients, as prescribed and directed by the various specialty care physicians.\n- Perform medical and critical care \"bedside\" procedures such as: skin biopsies, arthrocentesis, thoracentesis, paracentesis, central line and arterial line placement, intubation, and bone marrow aspiration/biopsy procedures.\n- Supervise and interpret clinical studies for in-patients such as EKGs, Exercise Stress tests and nuclear stress tests.\n- Supervise and interpret PFT testing ordered by hospital providers.\n- Supervise and interpret Stress tests and EKGs ordered by other non-hospitalist providers. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Available\nPay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory\nCME: Possible $1,000 per year reimbursement (must be full-time with board certification)\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: Full-time. Variable 8 hour shifts during daytime, nighttime, weekends and holidays to cover the hospital 24 hours/day, 7 days/week, 365 days/year (24-7-365). All Hospitalists share shifts equitably."]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.