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- Physician (Geriatrics and Extended Care) - Kerrville - EDRP Authorized
Description
Summary
This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.
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
- Education: 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
- License: 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
- English Language Proficiency: Proficiency in spoken and written English
- Preferred Experience: 1
- Board Certification in Hospice and Palliative care and experience of at least one year managing hospice patients preferred
- 2
- Experience in managing residents in community living centers or Long-Term nursing home care
- 3
- Board certification or board eligible in Internal or Family Medicine
- 4
- Experience in managing complex geriatric medical problems in collaboration with Multidisciplinary team members
- Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.
Duties
- VA offers a comprehensive total rewards package
- VHA Physician Total Rewards
- SCOPE OF DUTIES: In addition to observance of Federal National and Local regulatory policy - and accreditation requirements governing this Health Care System - this position encompasses the following examples of responsibilities
- Administrative Duties - The Practitioner will participate in staff meetings
- communicate administrative and medical issues or concerns to the service medical director
- - Participate in the development and implementations of performance improvement plan - put in practice medical care advances and practice standards
- - Arranging physician coverage and communicating the plan of coverage to the team members when taking leave of absence
- - Serving as back up for other GEC providers
- - Participates in chart reviews - peer review and other process improvement m1t1at1ves
- The staff will complete training requirements - employee health requirements and Environmental and Occupational Committee requirements
- - The Practitioner will ensure compliance with the leave and attendance requirements and respond to critical lab/diagnostic test result notifications in a timely manner
- - Clinical Management including direct and indirect patient care: ensure all required encounters are closed the same day the visit was made
- Respond to consults and complete documentation requirements in CPRS in a timely manner including cosigning of students/fellows/resident' notes documentation
- Provide oversight of non-physician team members
- Practitioners will participate in the implementation of action and initiatives relevant to improving and meeting performance measures and goals
- participate in the development of the new focus on the Medical Home and Patient Centric Care - Utilization - Quality and Patient Safety oversight - process improvement (system redesign)
- - The Practitioner will provide supervision to non-physician provider within the prescribing authority and achieved competencies and performance as approved by the professional board
- - The Practitioner will participate in maintain safety and environmental standards for the assigned services
- Clinical Duties - Provides clinical input and oversight for patients' treatment plans
- Being readily available to the team members for collaboration when medical or other problems arise
- - Assure that care is provided in a manner - which is in accordance with accepted practices and is evidenced based
- Assure that care is provided in a timely manner and in an appropriate setting
- - Assure appropriate oversight of delegated care activities of Nurse Practitioners - Physician Assistants - Pharm D's and others practicing with a \"scope of practice\"
- - Completes documentation of patient's visit with appropriate encounters in CPRS in a timely manner
- - Facilitate appropriate consultation and implementation of consultant recommendations
- - Address issues related to infection control including skin testing - immunization and infection prevention
- - The Practitioner will provide cross coverage to the different clinical GEC services within the approved and recommended privileges by the Professional Standards Board
- Performs other duties as assigned
- Education Debt Reduction Program (Student Loan Repayment): Learn more
- EDRP Authorized: Former EDRP participants ineligible to apply for incentive
- Contact [email protected] - the EDRP Coordinator for questions/assistance Pay: Competitive salary - annual performance bonus - regular salary increases Paid 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) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1 -000 per year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: Monday - Friday - 8:00am - 4:30pm This is an open continuous announcement and will remain open until the closing date or until the position is filled
- Eligible applications received will be referred at regular intervals or as additional vacancies occur on an as-needed basis until the position is filled.
