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. Additional Requirement: Board certification in internal or family medicine.

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

Physical Requirements: Applicants must meet physical standards for the position. A physical examination prior to placement is required. This is a designated drug testing position.

After appointment, you will be subject to random testing for illegal drug use. Requires lifting 15-44 pounds; pushing (approx.

2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously.

Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted. 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 V21CCOEEDRP@VA.GOV, the EDRP Coordinator for questions/assistance Work Schedule: Full-time.

Schedule will be determined by supervisor.

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 include but are not limited to: Functions/Scope: Staff physician provides comprehensive primary care to a primary care panel of eligible veterans.

A wide variety of medical conditions are treated, including but not limited to: Hypertension Diabetes Hyperlipidemia Coronary artery disease Neurological disorders Endocrine disorders Dermatological conditions Follow up for inpatient as well as outpatient surgical procedures Urologic conditions Eye evaluations Dental evaluation and care Anticoagulation monitoring Chronic obstructive pulmonary disease Degenerative arthritis Depression, and geriatric problems Women's health including contraception, hormone replacement and women specific screenings Assess the patient to determine the nature of the disease process: Provide appropriate treatment Provide instruction and/or education concerning treatment/diagnosis/medications Contact other medical personnel for necessary consultation Provide referral to Specialty Clinics as appropriate Refer patients to the Emergency Department or to the inpatient hospital service when clinically indicated Provide for follow up as necessary Emphasize Preventive and health screening for veteran patients Conduct performance measure clinics to support and improve the health of diabetic patients, with particular attention to hypertension, lipid management, foot examinations and medical management of the disease with improved glucose control.

Judicious use of laboratory and x-ray services, as well as appropriate referral and consultation is obtained. Participation in the teaching programs of the University of Nevada, School of Medicine.

Provide educational opportunities for students of medicine, nursing, pharmacy, dietary services, and others.

Residents in training in medicine, surgery, psychiatry and family practice also receive instruction from Ambulatory Care Service staff clinicians.

Provide training and/or direction as applicable to supporting employees (e.g. RNs, LPNs, technicians, administrative support staff) assigned to the unit during the performance of duties.

Such direction and interaction will adhere to government and professional clinical standards and accepted clinical protocol.

Other Responsibilities: Support of the medical center Employee Health Services. Interpersonal relationships: works effectively with patients, families, co-workers and other health care professionals.

Acts as collaborative physician with PA's and NPs as requested by authorized staff. At the request of authorized personnel, responds to emergencies in the facility.

Physicians comply with information security policy and procedures and all documentation on coding.

Documents medical advice to patients by telephone as appropriate and in accordance with the VASNHCS protocol.

Performs necessary administrative duties which include operation of VISTA and the computerized electronic patient record (CPRS) and meets established timelines for completion of documentation and encounter completion.