VA St. Louis Health Care System is recruiting for full-time, board certified or board eligible, Internal Medicine or Family Practice physicians to join our Primary Care faculty. This is an open continuous announcement. The announcement will be opened until September 30, 2023. Applications will be reviewed bi-weekly. Applicants that are found eligible will have their applications forwarded to the selection manager for further consideration. 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. Completion of residency training, or its equivalent, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. Proficiency in spoken and written English. Physical requirements outlined below. Preferred Experience: NEW HIRES ARE EXPECTED TO PARTICIPATE AS A WOMEN'S HEALTH DESIGNATED PROVIDER AND WILL BE PROVIDED FREE CME AND OTHER TRAINING OPPORTUNITIES RELATED TO WOMEN'S HEALTH CARE.. 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: Moderate lifting, 15-44 pounds; straight pulling (4 hours); pushing (4 hours); reaching above shoulder; use of fingers; both hands required; walking (2 hours);standing (7 hours); kneeling (1 hour); repeated bending (4 hours); both legs required; near vision correctable at 13" to 16" to Jaeger 1 to 4; far-vision correctable in one eye to 20/50 and to 20/100 in the other; ability to distinguish basic colors; hearing (aid permitted); mental and emotional stability required. Pay Schedule: The salary range listed in this announcement is a Base-Line Salary ($215,000-$243,000) range estimate for a full-time work schedule. Starting salary will be set based on locality (which may include a special pay rate depending upon location), as well as FT, PT or Intermittent employment. Recruitment/Relocation Incentive: Authorized. Permanent Change of Station (PCS) relocation assistance: Not Available Financial Disclosure Report: Not Required Student Loan Repayment/Education Debt Reduction Program (EDRP): This position may be eligible for the Education Debt Reduction Program (EDRP), a student loan reimbursement program. To participate in the program, you must meet specific individual eligibility requirements in accordance with VHA Policy 1021 and submit your application within four months of appointment. The final award amount (up to $200,000) and eligibility period (one to five years) is determined by the VHA Education Loan Repayment Services office. EDRP approval is contingent on this occupation and specialty being deemed "hard-to-recruit-and-retain" at the duty location you are interested in. Pay: Competitive salary, annual performance bonus, regular salary increases. Paid Time Off: 26 days paid annual leave (carryover up to 86 days), 13 days paid annual sick leave (unlimited carryover), 11 paid Federal holidays per year. 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). Incentives: Possible signing bonus and student loan repayment up to $200K for eligible debt. Licensure: 1 full and unrestricted license from any US State or territory and you can practice anywhere in VHA. CME: Possible $1,000 per year stipend + possible 1 week paid authorized absence to attend. Malpractice: Free liability protection with tail coverage provided. Contract: No Physician Employment Contract and no significant restriction on moonlighting and no restrictive covenants. ["The Physician will evaluate, diagnose, treat and provide consultation to ambulatory adults outpatients at one of the St. Louis VA Medical Center's Primary Care Clinics. Duties for Primary Care faculty include providing direct patient care in an outpatient setting. There are also opportunities to engage in population health management and quality improvement projects. Prior training or clinical experience is preferred. 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 Teach and train residents as part of the academic partnership with our affiliates. Admit, evaluate, diagnose, treat and provide consultation to adults and geriatric patients admitted to John Cochran Division with both common and complex illnesses of the circulatory, respiratory, digestive, endocrine, metabolic, musculoskeletal, hematopoietic, neurologic eliminative systems and mental health of the human body. Procedures include but not limited to preliminary EKG interpretation, suture uncomplicated laceration, incise and drain abscesses, simple skin biopsy, arthrocentesis, simple wound debridement, lumbar puncture, thoracentesis, paracentesis, central line placement and provider performed microscopy (as example fern test, urine microscopic examination KOH to screen for fungal elements and wet mounts). Procedures are authorized for the inpatient ward locations and intensive care units. Work Schedule: Monday - Friday 8:00am - 4:30pm Financial Disclosure Report: Not required Recruitment/Relocation incentive: May be available to highly qualified individual."]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.