Summary

The Fee Basis Physician will provide intermittent surgical care to support the clinical operations of the Medical Center at VA Boston Healthcare System. This is a Fee Basis position and payment will be made on a fee for service basis. There is an aggregate limit of $400 -000. This means you cannot make over $400 -000 in a calendar year - and this is inclusive of all combined appointments.

Qualifications

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 allopathic 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 accrediting bodies for graduate medical education - the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) - in the list published for the year the residency - or fellowship if applicable - was completed
• OR (2) One year of post medical school training (internship - first year of residency - or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States
• OR (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement) - 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
• Exceptions: 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 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
• In rare and unusual circumstances - the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer - who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience - accomplishments - performance - and qualifications warrant such action
• Proficiency in spoken and written English
• 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.

Duties

• The Fee Basis Physician Responsibilities include - but are not limited to: -Delivering comprehensive perioperative and operative care to Veteran patients
• -Assisting or performing general surgical procedures as authorized by approved privileges
• -Participating in surgical consultations - inpatient services - outpatient follow-up - and procedural care
• -Ensuring timely and accurate documentation in CPRS/VISTA
• -Complying with all VHA - Joint Commission - and federal standards of care
• -Maintaining professional conduct consistent with VA values and medical staff standards
• Specific Clinical Duties - Perform preoperative assessments and develop surgical care plans
• - Assist or perform general surgical procedures in the operating room
• - Conduct postoperative rounds - manage complications - and coordinate follow-up
• - Provide inpatient consultative services
• - Utilize VHA-approved imaging modalities - surgical tools - and perioperative equipment
• - Participate in quality improvement meetings - M&M conferences - and clinical case reviews
• - All encounters must be documented in CPRS within required timeframes
• - The physician must comply with VHA policies regarding informed consent - perioperative safety - medication reconciliation - and quality reporting
• - Compliance with infection control - patient safety - and OR protocols are mandatory Reports clinically to attending surgeons and administratively to the Chief of Surgery
• Continued service dependent on performance and privilege
• Pay: Starting salary limitation of up to $300 -000 can be earned in a calendar year
• Unit Work Description/ Pay Per Unit: Monday-Friday= $1 -020.00 Saturday/Sunday/Holidays= $2 -040.00 Licensure: 1 full and unrestricted license from any US State or territory Malpractice: Free liability protection with tail coverage provided Work Schedule: Appointment is intermittent and based solely on the needs of the Surgical Service
• - No guaranteed hours or fixed schedule
• - Assignments may include OR coverage - inpatient care - outpatient clinics - procedural support - or emergent coverage