Physician- 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.

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

Physical Requirements: See VA Handbook 5019 Major Duties:

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Work Schedule: - 8:00am - 4:30pm Monday - Friday Education Debt Reduction Program (Student Loan Repayment): Authorized 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 Duties and responsibilities included but are not limited to: The incumbent works as a member of a primary care team consisting of clerical staff, nurses, physicians, social workers, and clinical pharmacists.

The incumbent provides or coordinates all aspects of the patient's care including preventive, urgent, and routine care including women's healthcare.

The Physician provides effective care to patients characterized by using sound judgment in assessing, planning, implementing, documenting and evaluating patient care for assigned patients.

Primary Care is comprehensive, continuous, and covers preventative and psycho-social aspects of patient management.

The incumbent must meet access, quality, efficiency, satisfaction, and other standards of performance established by the Veterans Health Administration.

The incumbent provides medical histories and performs comprehensive physical examinations (H and P's), orders appropriate diagnostic studies, interprets and analyzes medical data, establishes diagnoses, formulates and implements treatment plans, and modifies treatment plans; orders subspecialty consults, tests, prosthetic requests, completes forms on veterans' behalf that are within the treatment purview of the incumbent, and performs other clinical duties as directed and deemed by the Service Chief to be appropriate and in the interest of the Veteran.

The incumbent references quality improvement information and organizes patient care needs to assure safe, efficient, and cost-effective care and initiates effective actions in emergencies.

The delivery of care may be in person, by VVC, or via telephone, and the incumbent will actively participate in the provision of telemedicine care to outlying communities as well as occasional travel to other VA clinics to provide clinical coverage.

The candidate must be willing to: - treat opiate use disorder with buprenorphine therapy (training available) in consultation with Behavioral Health; - treat Geriatric Primary Care patients and is encouraged to apply for implementation of a Geriatric Primary Care panel (encouraged but not required); - engage in Women's Health treatment, hypertension management, and diabetes management; and - support residency training of affiliated medical Universities and programs.

Clinical practice: Appropriately documents own interventions and reviews patient treatment plan Recognizes complex situations that impact patient care and intervenes, using sound judgment, professional attitude, and appropriate channels Participates in establishing policies, procedures and guidelines to ensure adequate, comprehensive services Participates in in-service training programs and maintains competencies.

Participates in direct patient care utilizing tele-health technologies.

Maintains current knowledge of trends in professional issues through action participation in Continuing education Evaluates the need for and provides education to the patient and for their family concerning the patient's treatment, diagnosis and prognosis to the extent known Quality of Care: Uses professional standards of care and practice to evaluate programs and activities Participates in interdisciplinary teams in Primary Care to improve patient care, which leads to organizational performance Recognizes impediments to health care delivery and uses problem solving/performance improvement approaches to improve outcomes Participates in performance improvement activities related to the service line quality improvement process Evaluates need and participates in interdisciplinary ad hoc committees/process action teams for constructive problem solving Is educated and conversant in Primary Care Performance Measures which are based on population demographics and diagnostic categories