Physician - Geriatrics and Extended Care/Home Based Primary Care
Veterans Affairs, Veterans Health Administration
Location: Reno, Nevada
Internal Number: 657651700
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more. 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: Experience in extended care, long term care, home care and/or hospice programs Experience in quality and performance improvement Experience with interdisciplinary teams 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: 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. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Not Authorized\nPermanent Change of Station (Relocation Assistance): Not Authorized\nEducation Debt Reduction Program (Student Loan Repayment): Position Eligible\nEDRP Authorized: Contact Susan.Bringel@va.gov, the EDRP Coordinator for questions/assistance Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid Time Off: 50-55 days of annual paid time offer 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory\nCME: Possible $1,000 per year reimbursement (must be full-time with board certification)\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting The Geriatrics and Extended Care Service Line provides care in inpatient and outpatient settings. The ACOS/Geriatrics and Extended Care is responsible for the overall clinical and administrative function of the Service. Clinical care responsibilities: The GEC HBPC Physician will have the following direct clinical responsibilities: Serves as a primary care provider for a panel of Veterans including conducting home visits for medical evaluation and treatment and by request from other team members when clinically indicated and collaborating with HBPC RN and interprofessional team for patient case management needs. Panel size to be determined by local, regional, and national guidelines. Territory served to be determined and assigned by local and program needs. Works with an interprofessional team to deliver primary care to Veterans in their place of living. Includes being available during the tour of duty for phone, video, and face to face visits, conducting solo and/or joint home visits with team members as needed, and providing leave coverage for HBPC providers as needed. Participates in CLC on-call rotation for after-hours coverage from home. Obtain relevant health and medical history, perform appropriate physical exam including mental status and psychiatric exam as appropriate. Formulates appropriate differential diagnosis based on history, physical exam, and clinical findings. Formulates and implements appropriate non-pharmacological and pharmacological plan of care. Integrates veteran's goals of care and collaborates with interprofessional team, veteran, and veteran's support system in formulating and implementing plan of care as appropriate. Provide education to veterans and their support systems as needed and appropriate. Perform phlebotomy and immunizations for patients as indicated. Determine the need for and initiate referrals and consultation in accordance with standard of practice and/or specified protocols. Obtain consent for procedures, transfers, or opioid contracts as appropriate. Completes documentation and enters orders in veteran's health record in compliance with local, regional, and national standards and guidelines. Meet minimum clinical productivity expectations as determined by the service line and health system. The individual must have a valid driver's license and be able to drive to home visits. Maintain BLS certification Administrative support responsibilities: The physician will help ensure that medical care provided in the HBPC is adequate and appropriate by: Precepting and collaborating with the HBPC nurse practitioners Providing back-up HBPC Medical Director functions in the absence of the Medical Director Being familiar with VHA and local policies that may affect patient care programs Quality and Performance Improvement support responsibilities: The GEC HBPC physician will help ensure that medical care is adequate and appropriate by: Complying with all pertinent medical staff guidelines, policies, and procedures Supporting on-going survey readiness in the HBPC, including participation in VA internal surveys and Periodic Performance Review Working with HBPC Medical Director, Program Director and other leaders and staff on quality and performance improvement projects Participating in peer review activities and proctoring as required by VASNHCS policies Reviewing and evaluating incident reports and making recommendations to the HBPC Medical Director and SNHCS administration as needed Advising the ACOS GEC on the appropriateness of scope of services, and the adequacy of professional and support staff and medical equipment Fostering a positive learning environment for students, staff and trainees in HBPC. Work Schedule: Monday - Friday, 8:00am - 4:30pm"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.