This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Applicants pending the completion of educational, or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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: Board Certified in Emergency Medicine. 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: 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. Note: Must have Basic Life Support (BLS) certification prior to assuming clinical duties. The BLS requirement is satisfied by successfully completing an American Heart Association (AHA) BLS Healthcare Provider Course or Military Training Network (MTN). BLS courses are normally offered within 1-5 days of entry on duty. No online certifications will be accepted. ["The Chief of the Emergency Department reports directly to the Chief of Staff and is responsible for the clinical and administrative functions of the Emergency Department physicians, nurse practitioners and physician assistants. The incumbent is responsible for participation and oversight of staff performance, compliance, training, and performance improvement, recruitment and retention of highly qualified and experienced providers, participation in various Medical Center committees to ensure performance measures are met and compliance with applicable rules and regulations, and participation in system redesign activities. The incumbent will be responsible for preparing and maintaining the Emergency Department provider schedule. Duties and Responsibilities include but not limited to: Attend and represent the Emergency Department at all applicable hospital administrative and patient care meetings to include, but not limited to: UM Committee, Systems Redesign, ED huddles, RPIWs related to the ED, Cardiology Performance Improvement Workgroup, Peer Review Committee and participate as a voting member of the Medical Executive Board. Meet with all providers in the Emergency Department regularly to review protocols, procedures, expectations for transported/transferred patients, including minor trauma victims. Monitor established VA/VISN/Joint Commission, etc., performance measures and identified goals for the Emergency Department (e.g., physician report card), and provide providers with group and individual feedback on how to improve and/or sustain achieved success in such metrics/measures. Regularly meet (\"huddle\") with Emergency Department providers and nursing staff to discuss departmental performance and barriers to achieving performance measure/workflow success. Develop solutions at the lowest level whenever possible, employing LEAN management principles and thinking. Work to eliminate wasted efforts/ work/testing in the Emergency Department and develop and/or utilize preexisting patient care protocols (Acute Coronary Syndrome, Stroke, Sepsis, Women's Health) and develop tools to monitor the success of those efforts. Develop, implement and sustain an orientation/ standard work manual for all providers in the Emergency Department. Work with the VA Utilization Management (UM) department staff to monitor the preadmission screening process and its success in impacting InterQual appropriate inpatient admission/observation status utilization performance measures. Monitor overall performance of all providers in the Emergency Department and provide performance improvement opportunities and/or interventions as appropriate. This includes but is not limited to performing FPPE/OPPEs and ensuring the RVU tool reflects appropriate data. Conduct Peer Reviews of Emergency Department providers and attend the Peer Review Committee on a monthly basis. Monitor Emergency Department workforce needs and budget. Collaborate with the administrative staff to develop budgets and conduct a yearly needs assessment. Maintain an up-to-date schedule which provides appropriate provider coverage in the Emergency Department. Lead all recruitment efforts for providers in the Emergency Department. Develop recruitment and retention strategies to ensure highly trained and experienced providers seek/maintain employment with this Medical Center. Staff Emergency Medicine physicians are ultimately responsible for all aspects of medical care delivered to patients in the ED. Staff Emergency Medicine physicians provide or assist residents, nurse practitioner and/or physician assistant in the process of evaluation and treatment of the ED patient, and actively participate in corrective actions against untoward responses to medical interventions. Staff Emergency Medicine physicians evaluate the patient to assess changes in the physical and mental status during their stay in the ED. A progress note is written in the patient's chart. Notes also include the concurrence with notes written by the resident, Nurse Practitioner or Physician Assistant and attending notes as appropriate. Staff Emergency Medicine physicians perform outpatient medical evaluations and treatment. During scheduled tour hours, staff Emergency Medicine physicians shall be available for all emergency interventions as part of the ED staff team. Staff Emergency Medicine physicians are appropriately credentialed and privileged. They participate in various hospital committees, hospital in-service programs, and education programs of the medical center. They are also involved in continuous quality improvement through the VA peer review process. Staff Emergency Medicine physicians shall be responsible for outpatient care, and graduate and undergraduate medical education, and scientific research as appropriate. Work Schedule: Monday - Friday, 8:00am - 4:30pm. This may vary depending on veteran and facility needs."]
About Veterans Affairs, Veterans Health Administration
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.