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
• 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: In Accordance With VA Directive and Handbook 5019

Duties

• The provider will manage scheduled and unscheduled patients in the outpatient clinic setting
• The modalities will be in-person - video - or in some instance from a designated telework location - and occasionally phone visits
• We are affiliated with the Icahn School of Medicine at Mount Sinai and Vagelos School of Physicians and Surgeons at Columbia
• The facility also has its own internal medicine residency program
• Scope of Assigned Duties: Clinical Functions: The primary care physician physician will provide direct patient care full time and work as a member of an expanded healthcare team (PACT)
• Primary care physician works with this team to oversee and coordinate medical care for a population of Veterans in a group practice setting
• A primary care provider in the outpatient setting is assigned a panel of patients
• The target panel size is based on various factors but may be exceeded depending on needs of the service
• Major Duties of this position may include - but are not limited to: Provide outpatient care for primary care patients - including routine scheduled visits and urgent visits Prescribe medications within defined scope of practice Order diagnostic studies such as laboratory tests - x-rays - electrocardiograms Review needs - and order health promotion and disease prevention measures Initiate and respond to consultations - special tests - and studies Provide education and counseling of patients and families in preventive care - medical conditions - and use of prescribed treatments and drugs
• Participate in team communication with the PACT MSA - LPN and RN: Daily Team Huddles Completion of clinical reminders as medically appropriate
• Quality of care should always meet professional standards
• Timely documentation (notes and encounter forms) is necessary in all areas in accordance with facility policy
• All administrative work should be completed in a timely fashion
• All physicians will always work within their privileges - unless necessitated by an emergency
• Additional Duties may include: Chart reviews Congressional - other suspense items VA Tort Claims Other duties as assigned Alternative or collateral duties may include: Management of a subsection of primary care patients - the subsection may be defined either by a disease status (e.g. - spinal cord injury patients - Pain management etc.) - or demographic status (Geriatric - Women Veterans - employees etc.) or may be an Academic PACT
• Typically - these duties are designated at the time of joining but may be assigned in the course of employment in response to new initiatives
• Serve as Float Primary Care Physicians who will cover for absences of PACT providers - and other duties under the primary care umbrella such as Employee Health - Traveling Veteran care - urgent care and others
• This position may require intermittent travel to Community Based Outreach Clinics (CBOC)
• Supervising of or collaboration with primary care mid-level providers
• Physicians are expected to provide clinical oversight and to participate in peer review of other primary care providers through periodic chart reviews
• Supervising - educating and evaluating of internal medicine residents and medical students in the outpatient primary care setting
• Providing surrogate coverage for absent primary care providers when needed - to include review of CPRS view alerts - paper correspondence and other aspects of patient care
• Attending primary care staff meetings - departmental - and medical staff meetings
• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• 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: Typical work hours are Monday to Friday 8:00am -4:30pm - and a provider is required to work a minimum of 80 hours per pay period per 1.0 FTE
• Compressed schedule may be available based on facility need
• Duties may include evening and weekend hours.