Physician - Home Based Primary Care

Full Job Description

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. 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.

Additional Requirement: Board Certified Preferred Experience: 5 years experience in outpatient primary care. Geriatric care experience / training is preferred.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: In accordance with VA Directive and Handbook 5019 Major Duties:

VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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 The Home Based Primary Care Physician is responsible for medical care delivered by the HBPC teams he/she is assigned to, reports to the HBPC Medical Director and works in collaboration with the HBPC Program Director to meet the requirements of the program.

The Physician may have a faculty appointment and be involved in academic activities with affiliated Medical Schools or residency program when applicable.

The Physician provides patient care directly or through the supervision of residents in either the home or outpatient settings or in collaboration with LIPs.

In addition to the role as clinician, the Physician may have administrative responsibilities for leadership and direction of programs in HPBC , as well as effective interface with the Ambulatory Care staff.

The Physician may participate in accreditation processes, reviews, and site visits.

Duties include but are not limited to: Assuming primary medical responsibility for HBPC patients and conducting clinical examinations in the patients' homes Identifying the patients' medical problems, and the medical management of these problems Determining the need for consultation from medical, surgical, and/or psychiatric subspecialty clinics Determining the need for, and facilitating admission to the hospital Serving as collaborator and/or Physician delegate for advanced practice nurses Providing medical administrative support such as signing forms requiring Physician signature for the HBPC patients Serving as acting Medical Director upon the absence of the Medical Director Plan and direct the educational and clinical experience of medical students, residents, and fellows assigned to HBPC Assume a leadership role in the development and implementation of the HBPC performance improvement plan Advocate for HBPC with VHA leadership and the medical community Providing clinical input and oversight for patient treatment plans for HBPC Participating in HBPC team meetings, keeping the HBPC teams apprised of medical care advances and practice standards Arranging Physician coverage and communicating the plan of coverage to the HBPC team Collaborating with other HBPC Medical Directors, VISN leadership, and VA Central Office staff on program development issues Collaborating with community home health and hospice agencies as needed for HBPC patients Following HBPC Staff Safety procedures Complying with Medical Center and VHA regulations regarding the use of government vehicles Demonstrating work practices that include adherence to Infection Control standards and the safe use and operation of equipment Work Schedule: Full time, Monday-Friday 8:00am - 4:30pm (or as determined by the needs of the service)