Summary

The VA Texas Valley Coastal Bend Health Care System is seeking a part-time Gastroenterologist to provide comprehensive care for patients who have illnesses within the scope of Gastroenterology - with focus on patients with hepatitis. The physician may have responsibilities in other areas such as - education and research. A Recruitment/Relocation Incentive may be authorized to a highly qualified candidate. This position is eligible for the Education Debt Reduction Program (EDRP) -

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 allopathic 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 accrediting bodies for graduate medical education - the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) - in the list published for the year the residency - or fellowship if applicable - was completed
• OR (2) One year of post medical school training (internship - first year of residency - or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States
• OR (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement) - 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
• Exceptions: 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 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
• In rare and unusual circumstances - the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer - who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience - accomplishments - performance - and qualifications warrant such action
• Proficiency in spoken and written English
• Preferred Experience: Board Certified in Gastroenterology and/or Internal Medicine Fellowship training in Gastroenterology Three to five years of Gastroenterologist experience - preferably in VA or the Department of Defense
• Advanced skills to provide a full range of Gastroenterology evaluations to determine the type of degree of illnesses within the Gastroenterology scope
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Moderate lifting - 15-44 pounds
• light carrying - under 15 pounds
• Reaching above shoulder
• Walking (1hrs)
• Standing (2hrs)
• Both eyes required
• Depth perception
• Ability to distinguish basic colors
• Ability to distinguish shades of colors
• Hearing (aid permitted)
• Mental/ Emotional Stability.

Duties

• The Gastroenterology staff physician is responsible for providing primary - secondary - and tertiary care in both hospitalized and outpatient settings - identifying patients' health problems and designing diagnostic and therapeutic plans to meet these needs
• You are responsible for coordinating activities of other health service personnel - resolving problems affecting patient care and providing appropriate education for the patient/family members regarding the patient's care - patient's illness and its management
• A major percentage of the time will be devoted to patient care
• Depending on other activities - sufficient time will be allotted to administrative duties
• PROCEDURES:The Gastroenterology staff physician will be responsible to perform diagnostic and therapeutic upper and lower gastrointestinal endoscopy and colonoscopy procedures
• Liver Biopsy Small Bowel Biopsy-Dilation of the esophagus (bougienage) Esophageal motility Upper Gl endoscopy-Colonoscopy & Flex Sigmoid-Endoscopic retrograde cholangiopancreatography Polypectomy-Laparoscopy (Peritoneoscopy) Percutaneous Endoscopic Gastrostomy Laser: Photocoagulation of vessels Laser: Tumor Ablation-Gastric lavage & cytology Sclerotherapy of esophageal varices Esophageal ligation or banding of varices Endoscopic ultrasonography with or without fine needle aspiration biopsy Placement of esophageal stent The Gastroenterologist must demonstrate the knowledge and skill necessary to provide patient care appropriate to the age of the patients served
• Work Schedule: Part-time (To be determined) VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• Recruitment Incentive (Sign-on Bonus): Authorized Education Debt Reduction Program (Student Loan Repayment): Learn more
• EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact vhaedrpprogramsupport@va.gov - the EDRP Coordinator for questions/assistance
• 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