The Women's Health/Primary Care Physician (PACT) functions as the physician leader within a multidisciplinary PACT team assigned to provide comprehensive, collaborative acute and continuity care to an assigned panel of Veterans as well as to patients outside of the assigned panel when Veteran care indicates a need for such. A Recruitment/Relocation Incentive may be authorized for a highly qualified candidate. This position is eligible for the Education Debt Reduction Program (EDRP) 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. Education: 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. Licensure and Registration: 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: Physicians appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7402(d) and 7407(d). Physical Requirements: See outlined below: Preferred Experience: Board Certified/Board Eligible in Internal/Family Medicine 3+ years of experience in a Primary Care setting Strong Customer Service skills Excellent communication skills (written and verbal) Strong skills utilizing electronic medical record system Strong problem solving skills 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: Moderate lifting- up to 45 pounds; moderate carrying 15-44 pounds straight pulling (1 hour); pushing (1 hour); reaching above shoulder; use of fingers; both hands required; walking (3 hours); standing (3 hours); kneeling (1 hour); repeated bending (1 hour); Ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; and hearing (aid permitted). See VA Handbook and Directive 5019. ["As the Women's Veteran Health-Primary Care/PACT Provider will provide leadership in the application of the PACT model and clinical practice guidelines to organizational processes and/or systems in order to optimize patient care outcomes, achieve excellence in both internal and external customer service and shape collaborative, high-performing teams. Ongoing, continuous care of one or more assigned panel(s) of Veterans. Utilizing all available tools, such as registries, to enable effective and efficient identification and intervention of individual patients and cohorts. Ensuring appropriate evaluation and access is provided to patients assigned to the patient panel. Functioning at the full extent of the team member's relevant clinical privileges, credentials, scopes of practice, elements of practice, certification, functional statement, or other VHA or local facility approved documentation of competency. Managing communications and facilitating safe transitions of patients between the PACT's site of care and other health care settings, using informal and formal communication methods, as appropriate. Providing health education and health coaching on wellness, disease prevention, chronic care management, and self-management skills to patients and personal support persons, commensurate with the documented expertise or professional training of the PACT member. Engaging patients in using health care, encouraging patients to engage personal support persons, receiving input from patients and personal support persons regarding VA care. Ensuring the patient's care plan contains medical recommendations for clinically indicated care. Offering clinically indicated health care services to patients assigned to the PACT and providing or arranging for care to which patient's consent. Providing leadership to the team including shared delegation of appropriate care and care processes to appropriate team members. Ensuring the patient has same-day access for face-to-face and telephone care visits during regular clinic hours. Collaborating with PACT staff to develop personal health plans that incorporate care management and care coordination appropriate to the patient's needs. As the Women's Health Clinical Champion (WHCC); you will be expected to meet the following performance standards including: Ensures that routine women's health care services such as but not limited to annual pap smears, conception counselling, contraception counselling, management of menopausal symptoms & breast cancer screening are completed for women Veterans in accordance with VHA directive 1330.01 appendix B. May serve as the Women's Health Medical Director within VATVCBHCS and perform duties in accordance with VHA directive 1330.01 appendix A. Collaborates with the Women Veteran Program Manager to promote & support Women's Health Care at VATVCBHCS. Encounter completion with-in 24hrs of patient appointment visit - Access to and demonstrated use of the Primary Care Almanac to identify high risk patients for proactive intervention Completion of Message Manager messages within 48hrs of message creation Completion of Secure messaging response within 72hrs of message receipt Maintain unprocessed view alerts at no more than 200 on any given day and no unprocessed Critical view alerts at the end of each day. Ensure that all clinical reminders pertaining to HEDIS measures are completed at the time of the visit. (diabetes, prevention, ischemic heart disease, tobacco, depression/Alcohol/PTSD screening) Consistently demonstrates high quality collegial interactions with all staff across VATVCBHCS. Documentation of completion of mini residency and 20 hours of Women's Health CME within the last 3 years with 505% of panel population being female within the last five years or expectation of completion one employed. Duties assigned by Chief Medical Office Work Schedule: Monday - Friday (8:00 a.m. - 4:30 p.m.) VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized\nEducation Debt Reduction Program (Student Loan Repayment): Authorized, \"See Education Section\"\nPay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\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"]
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.