Provide comprehensive primary care and preventative care to an established panel of primary care patients, under the Patient Aligned Care Team (PACT) model. Provides preventative medicine and medical care management for adult patients for acute and chronic medical condition. Responsible for the direct treatment, consultation and/or referral for patients' medical conditions as appropriate Management of patients includes following VA clinical guidelines. 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. Board Certified or Eligible in Internal Medicine or Family Practice. Physical requirements outlined below. 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: Must pass a pre-employment physical examination as required by VA Handbook 5019. This examination is administered by VA Occupational Health. This position requires: light to moderate lifting (15 - 44 lbs.); light carrying (15 lbs. and under); reaching above shoulder; use of fingers; both hands required; walking (up to 2 hours); standing (up to 2 hours); kneeling (up to 1 hour); ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16"; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted); emotional stability; mental stability; working closely with others; and working alone. ["The Physician is responsible for the direct treatment, consultation and/or referral for patients' medical conditions as appropriate management of patients includes following VA clinical guidelines with documentation in the electronic medical record. Works within a team of various health care staff to direct the resources needed to assist in the management of patients. Duties include, but are not limited to: Performs an advanced, comprehensive and holistic health assessment, including a relevant health history and physical assessment. Adapts assessment tools and techniques according to individual client needs, stage of development and cultural aspects. Determines the need for, orders, performs, receives and interprets the appropriate diagnostic tests. Analyzes and synthesizes data from multiple sources to establish a differential and working diagnosis. Analyzes and synthesizes data from multiple sources to identify and monitor a health situation. Applies knowledge of pharmacology including pharmacokinetics, pharmacodynamics and best practice standards in selecting, prescribing and monitoring drugs to treat conditions, diseases, disorders and injuries within the NP's scope of practice and clinical practice setting. Communicates verbally and in writing, history, physical assessment findings, diagnosis, and treatment plan when indicated. Communicates progress and treatment options with the client and other members of the team, when indicated. Consults with other health care providers in an appropriate and timely manner. Critically appraises and applies current, relevant research into clinical practice from an evidence-based framework. Collaborates with the client and health care team in management and monitoring of a health situation by: - Assesses client needs by compiling qualitative and quantitative information about clients (e.g. epidemiological information, interviews, surveys, research findings, and community assessments). Participates in the development of health promotion/prevention programs based on assessed needs, culture and evidence-based strategies and available resources for clients who are healthy or have acute or chronic conditions. Participates in health promotion/prevention programs in partnership with others including the community, colleagues and other sectors. Applies principles of teaching and learning when providing health education to individuals, families and groups. Monitors, evaluates and modifies health promotion/prevention programs in partnership with the client and other members of the health care team. Encourage clients to take responsibility for maintaining and/or improving health by increasing knowledge of, control over, and influence on, health determinants. Implements primary, secondary and tertiary prevention strategies for individuals, families, and communities or for specific age and cultural groups, in accordance with population health principles. Accepts sole responsibility and accountability for all actions taken within his or her scope of practice. Incorporates professional, legal, and ethical decision-making guidelines into the practice of Medicine. Acts as a resource person, preceptor and/or mentor for students, residents and other health care professionals, and the community. Demonstrates leadership in clinical practice to meet multiple health care needs. Participates in interdisciplinary, and/or inter-professional research or meetings that relates to her/his practice. Participates in emergency preparedness and environmental health planning as part of a team. Accepts personal responsibility for ongoing professional development related his/her competence, including, but not limited to, continuing education related to prescriptive authority and health management. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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 to 4:30pm Education Debt Reduction Program (EDRP): Eligible *See \"Additional Information\" section below for more details. Financial Disclosure Report: Not Required"]
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.