Summary

We are seeking a Nocturnist (Board Certified in Internal Medicine) to join our team in Columbia - MO. At the VA - your work will carry purpose as you provide care to Veterans while enjoying strong federal benefits and stability. This is an open-continuous announcement and remains open until June 21 - 2027 - or until the vacancies are filled (if a selection is made - announcement will be closed). Qualified applicants will be referred - as they are available from the opening date of the announcement.

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
• Additional Requirement: Must be board certified in internal medicine
• if recent graduate - must be board eligible with intent to become board certified within one year of hiring date Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: This position requires a pre-employment physical
• 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
• Near vision correctable at 13"" to 16"" to Jaeger 1 to 4
• Far visions correctable in one eye to 20/20 and to 20/40 in the other
• Must have depth perception and ability to distinguish basic colors and shades of colors
• Hearing aid is permitted.

Duties

• Why Choose Harry S
• Truman VAMC? State-of-the-Art Facilities: Work in a modern medical center equipped with cutting-edge technology and resources - ensuring you have the tools needed to provide the best care
• Work-Life Balance: Enjoy a balanced lifestyle with competitive salaries - generous benefits - and ample opportunities for professional development and continuing education
• Columbia is a vibrant city with a rich cultural scene - excellent schools - and outdoor recreational activities
• Supportive Community: Be a part of a community that values and supports its veterans
• Columbia is known for its welcoming atmosphere - diverse population - and strong sense of community
• Activities: Columbia is the site of internationally renowned \"Roots N Blues N BBQ\" annual music festival - the \"True False\" documentary film festival - and also hosts numerous arts - theater - and music events throughout the year
• Top collegiate sporting events average 25 per month - with easy access to professional sports in nearby St Louis and Kansas City
• Centralized location offers quick access to St
• Louis and Kansas City - the State Capitol - Jefferson City - and the beautiful vacation getaway - Lake of the Ozarks
• Columbia is also ranked by Niche.com as #25 best city to live in America - #28 best city to buy a house - and #24 best city to raise a family
• Columbia is also minutes away from historic towns and state parks featuring boating - fishing - hiking - biking and more
• http://www.visitcolumbiamo.com/ VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• 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: 6pm- 6am Nocturnist Duties: The duties and responsibilities of the Hospitalist-Nocturnist include - but are not limited to the following: Provide general Internal Medicine care of inpatient services in keeping with good clinical practice and standards of the Hospitalist Section and Medicine Service at the Harry S Truman Memorial Veterans' Hospital Participation in educational activities related to the Internal Medicine residency program
• Collaboration with the physician extenders and nursing care providers throughout the hospital
• Be a resource for Primary Care providers ensuring a smooth transition of patients from inpatient to outpatient settings
• Provide expertise in multispecialty and patient care-related discussions
• Provide inpatient General Internal Medicine consultation services to non-medicine teams - including direct supervision and education of medical consultation house staff
• Provide inpatient Internal Medicine attending services including clinical procedures within your specialty area of expertise on the general medicine teams Nocturnists cross-cover the Intensive Care Unit (ICU) patients with the help of the ICU fellow and attending physician intensivist as needed in the evenings
• You will be expected to serve on committees as requested by the Medical Center Director - Chief of Staff - or Deputy Chief of Staff
• You will be expected to follow the Medical Staff bylaws and will complete all medical records timely through CPRS (Computerized Patient Record System) in accordance with VA Policies and Regulations
• All attending physicians are expected to participate in ongoing process improvements within their specific areas of expertise thereby promoting quality - efficiency - patient safety - and timely access to care for our Veteran patients
• Will participate in inter-hospital transfers of patients as needed
• Responsible for the provision of medical diagnostic evaluation and initial assessment of patients to include a minimum of focused history - physical examinations - and pertinent laboratory investigations
• Responsible for the evaluation of all new admissions to the medicine team with completion of an admission History and Physical (H&P) - or completion of the short-form admission note as appropriate
• Perform - at a minimum - basic procedures expected of any board-eligible Internist
• This includes lumbar puncture - thoracentesis - and paracentesis
• Supervise any residents - students - fellows - or teams assigned to their areas of responsibility
• Other related duties as assigned - or as prescribed by the Chief of Staff.