The Michael E. DeBakey VA Medical Center (MEDVAMC) at Houston is a designated VA Comprehensive Stroke Center and Joint Commission Certified Primary Stroke Center. We have a growing Stroke program handling the highest acuity Stroke patients in the entire VA. The MEDVAMC supports a Stroke/Vascular Neurology Fellowship Program with Baylor College of Medicine (BCM) and centered at the VA. 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: Basic Life Support (BLS) certification required upon entry. Board certification completion of a fellowship in Neuro Critical Care or Stroke. Preferred Experience: Interest and proven ability in research is especially encouraged. Administrative and committee experience will also be valued. 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: Light lifting (under 15 lbs), light carrying (under 15 lbs), reaching above shoulder, use of fingers, walking (2 hrs), standing (2 hrs), far vision correctable in one eye to 20/20, hearing (aid permitted), emotional/mental stability, working inside and outside, working closely with others, working alone, working with hands in water, protracted or irregular hours of work, slippery or uneven walking surface. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting We are seeking a junior or mid-level physician to be a part of a four-member Stroke Team supported by Neuro-interventionalists and Neurosurgeons and two mid-level providers (NP/PA). Essential duties of this position include: (1) the care of adult patients with Cerebrovascular Disease, and (2) teaching residents, fellows, and medical students (3) contributing to the Neurology Service as an attending in general neurology clinics and inpatient service. See also the list of duties below. The MEDVAMC department of Neurology maintains active academic and teaching affiliations with the Baylor College of Medicine. The selected candidate will be nominated for a faculty position at Baylor College of Medicine commensurate with qualifications. Must have completed ACGME fellowship in Stroke and/or Neuro Critical Care, Board Certified or Board Eligible in Neurology. Must have a MD or equivalent degree and unrestricted licensure in any state. U.S. Citizenship is required. This physician will be in a rotation with 12 other physicians to cover the Ward and Consult service in two-week blocks. This physician is also expected to be part of a 4-member team covering resident/fellow Stroke clinic. The physician will have an additional half day clinic with their own panel of patients and another half day of clinic supervising residents. The Physician is expected to be on backup stroke call rotation with 3 other Stroke Physicians. When on General Neurology Ward or Consult teams the physician will round every day they are assigned these services. If on Ward Service or covering both services on weekends they will be on call from 4:30PM to 8:00 AM on weekdays and from 4:30PM on Fridays and 8:00 AM on Monday. On assigned days the physician will be rounding on all patients and responsible for care of patients on Neurology Service. On Ward Service the physician will complete H&P within 24 hours of admission. Discharge Summaries will be corrected and signed in a timely manner. Consults will be completed in a timely manner as well. Work Schedule: 8:00am - 4:30pm; May include extended hours and weekends when assigned weekend Ward service. Duties include, but are not limited to: Assess the needs and plan intervention for individuals/families Facilitates the delivery of care expected from a Stroke subspecialist and a general Neurologist. Screening outpatients to determine the need for further Neurological Care Ordering diagnostic studies such as laboratory tests, CT scans, MRIs, PET scans, EEGs, EMGs and other electrodiagnostic tests. Performing and supervising Lumbar Punctures. Performing specialty specific tests such as NIHSS, MMSE/MOCA, as appropriate. Exercises medical decision-making and provides a broad range of diagnostic and therapeutic services for a specific group of patients Exhibits leadership in initiating changes in patient care programs based on current concepts and findings from research and/or studies. Involved in direct patient care, patient and family teaching, staff education and multidisciplinary consultations and collaborations. Participates in education of PA students, NPs, Fellows, Residents, and Medical Students. Consistently demonstrates expertise in diagnosing and treating seriously ill multi-symptomatic patients. Initiating and expediting requests for consultations and scheduling special tests and studies Be proficient in other components of patient management such as charting, progress notes, signatures, preparation of consults, referrals, telephone consults with specialists at the Medical Center that are an integral part of the clinical team. Integrate both mandated health screening and guidelines for treatment into the practice. The incumbent will have basic proficiency with a computer and willingness to learn VA's EMR. Clinic progress notes will be completed on the same or within 24 hours of seeing a patient. Progress notes of patients seen by trainees will be signed in a timely fashion. Performs other duties as assigned."]
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.