The Primary Care Provider is responsible for the medical care, administrative coordination, clinical delivery and performance improvement activities for the patients who present for care at Interim Care. Patients may be unassigned, assigned to PACT teamlets within Orlando VAHCS or Traveling Veterans. The Interim Care provider coordinates the service for routine as well as Code Triage care or emergent care that may need transfer to a higher level. 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. 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: Must pass a pre-employment physical examination as required by VA Handbook 5019. This examination is administered by VA Occupational Health. This position requires: light to moderate lifting (15 - 44 LBS); light carrying (15 LBS and under); reaching above shoulder; use of fingers; both hands required; walking (up to 2 hours); standing (up to 2 hours); kneeling (up to 1 hour); ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16"; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted); emotional stability; mental stability; working closely with others; and working alone. ["Duties include but are not limited to: Clinical Manage the care of patients who are unassigned to PACT Teams and facilitate registration for care when appropriate. Work closely with traveling Veteran coordinators to facilitate care with remote facilities. Be familiar with and use remote access modalities to obtain remote information. This includes but is not limited to Supra Vista Brilliance, Joint Longitudinal Viewer (JLV) and Vista Web. Work closely with and foster good relations with receiving facilities who receive transfers for higher level of care. Provide as appropriate a bridge supply of medication for a one-time temporary supply to ensure availability of maintenance medications (generally 10-15 days) until the Veteran receives a renewal or refill from the preferred facility. Work within the PACT model and coordinate care. Use virtual modalities including VA Video Connect (VVC) and phone for follow up of diagnostics and to communicate with the Veterans preferred facility providers. Document the care provided and the recommendations for continued care in accordance with the local medical records and medical staff bylaws. All timeline and notification requirements must be maintained. Electronic notifications, phone calls, administrative form completion and other patient requests are to be completed in a timely manner per policy guidelines. Collaborates with other disciplines and specialists to assure quality medical care. Participates in direct patient care in a patient centric delivery system. Responds to opportunities for performance improvement as result of Ongoing Professional Practice Evaluation (OPPE) and quarterly reviews. Serve as preceptor to Physician Assistants and students where needed. Administrative Is compliant with applicable medical center and outpatient clinic policies, rules and regulations, VA specific clinical guidelines and medical staff bylaws. The responsibility to complete timely medical license renewal, credentials and board certification remains with the provider. Attends regular meetings with Primary Care Section Chief/ Chief Medical Officer(CMO)/ Deputy Associate Chief of Staff (DACOS)/ Associate Chief of Staff (ACOS)/ Administrative Officer (AO) as requested. Can include daily, weekly or monthly administrative meetings as required. Responsible for reviewing, interpreting and clinical decision making. Will use the negotiated leave Memorandum of Understanding (MOU). Notify Team Lead Supervisor or Section Chief Primary Care for final approval/disapproval of leave. Comply with the established surrogacy for team members for approved leave and any unplanned absences. Works closely with the Patient Advocate and customer service stakeholders to improve Patient Experience. Assists with Patient Advocate/White House Hotline (WHH)/Congressional complaint issues. Attempts service recovery when needed. Will maintain the highest standards of honesty, integrity, impartiality, compassion, courtesy and ethical behavior toward patients, visitors, and fellow employees in accordance with Medical Center policy. Mentoring of new PCPs that join the teams is encouraged. Participate in the onboarding process for all new PCPs as appropriate. Committee participation highly recommended. Be actively involved in Performance Improvement activities. Participates with quality assurance and utilization programs including peer reviews. Active knowledge of electronic medical record (EMR) system and VA record support Education Participates and complies with all required education including but not limited to VA Talent Management System. (TMS) and Resuscitation Quality Improvement (RQI). VA offers a comprehensive total rewards package. VHA Physician Total Rewards.\nRecruitment Incentive (Sign-on Bonus): An incentive is authorized\nPermanent Change of Station (Relocation Assistance): Not Authorized\nAppraised Value Offer (AVO): Not Authorized\nEDRP: Authorized (See the 'Additional Information' section for more details)\nPay: 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\nWork Schedule: Monday-Friday; 9:00am to 5:30pm"]
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.