Staff Physician/Section Chief of Ambulatory Care

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:

• 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: Experience in Primary Care is a pre-requisite for selection
• Reference: For more information on this qualification standard - please visit
• Physical Requirements: More details can be found in VA Handbook 5019.

Duties

• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• The Chief of Ambulatory Care position at the VA St
• Louis will encompass the breadth of outpatient clinical care management of the Service in addition to supervision of other LIP's - staff and trainees assigned to the Service
• The physician will have substantial clinical and administrative experience in a medical setting
• Prior clinical and administrative experience with the VA is desirable
• The successful candidate must also demonstrate excellent leadership and communication skills - an ability to work collaboratively with all the medical center's customers and stakeholders - an ability to build and work effectively within teams - and a solid commitment to increasing the VA's ability to improve the health of our nation's Veterans
• Duties include but are no limited to: Primary Care of a panel of primary care patients (male and female) Provide comprehensive assessment - diagnostic work-up and clinic intervention - including comprehensive patient assessment - health history - physical examination - and patient education to Veterans in the Primary Care team setting
• outpatients include both scheduled and unscheduled Veterans
• Function as an integral part of a Primary Care multi-disciplinary team to coordinate - facilitate - and provide patient care and services
• Discriminate between normal and abnormal findings to establish a diagnosis and initiate appropriate response to emergency health problems
• Initiate appropriate referrals and consultations to other clinical services
• Order and evaluate diagnostic tests as appropriate - recommend treatment and/or referral
• Validate the effectiveness of previously implemented medical treatment
• Initiate - evaluate - and change orders for medications
• Include patient and family in planning care and establishing realistic measurable goals for health maintenance/improvement
• Record/document health appraisal information - clinical assessments - treatment decisions - plan of care - ongoing management and therapeutic outcomes - order medications - diagnostic tests and referral consultations where needed for every patient encounter
• recording will be accomplished using the electronic comprehensive patient record system (CPRS) - and will be completed on the day of the encounter
• Respond to computerized \"alerts\" indicating diagnostic test abnormalities and to health line requests from Veterans/family members on the day of receipt (weekends excepted)
• Follow Performance Measure guidelines - including completion of clinical reminders in CPRS
• Access and timeliness standards
• prescription order entry - National VA formulary requirements - and customer service standards
• Work effectively with patients - families - members of the multi-disciplinary team - and other staff
• Demonstrates flexibility in responding to clinic demands - adhere to personal and professional obligations and responsibilities - practice and maintain ethical standards - and sustain a work environment that is harmonious and customer service oriented
• Providers will act as surrogates for the patients of their colleagues when their colleagues are on leave/travel
• Serving as a resource for nurse practitioners or physician assistants who are also delivering primary care and responds to all staff in the primary care teams regarding patient concerns Having primary responsibility for supervising other LIP's and staff in the Service - and for ensuring that staff are performing to the highest standards of clinical care excellence - time - efficiency - professional and ethical behavior
• Education Debt Reduction Program (Student Loan Repayment): Learn more
• EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact [email protected] - the EDRP Coordinator for questions/assistance Recruitment/Relocation Incentive: May be offered to highly qualified candidates
• 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-Friday - 8:00am - 4:30pm

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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