Physician

U.S. Department of Veterans Affairs; Buffalo (NY); On-site; USD 230,000 - 320,000; Full time

Job summary

U.S. Department of Veterans Affairs seeks a Hospitalist/Nocturnist to provide inpatient internal medicine care, coordinating admissions and discharges, and supervising trainees. The role supports ED collaboration and participates in quality initiatives.

The position emphasizes board-eligible physicians with strong English proficiency and a full, unrestricted US license, working in an academic hospitalist environment with EDRP eligibility.

Qualifications

• United States Citizenship: non-citizens may be appointed when qualified citizens cannot be recruited per VA policy.
• MD or equivalent in allopathic/osteopathic medicine.
• Current full and unrestricted license to practice medicine or surgery in US territory or DC.
• Residency in an accredited core specialty leading to board certification eligibility.
• Board certification preferred for faculty status in academic training roles.
• Proficiency in spoken and written English.

Responsibilities

• Evaluate and manage patients admitted to the inpatient Medicine Service.
• Provide general Internal Medicine care per VA standards and service protocols.
• Coordinate admissions, daily care, and discharges with cross-functional teams.
• Provide supervision of residents, students, and other clinical trainees as applicable.
• Collaborate with nursing, social work, and discharge planners for continuity of care.

Skills

Clinical supervision

Inpatient care

Hospitalist care

Team-based care

Education

MD/DO

Tools

EHR systems

Job 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.

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
• Additional Requirement: Incumbent must be Board Certified Preferred Experience: The academic hospitalist (nocturnist) provides inpatient clinical care to the patients admitted to the teaching and non-teaching hospitalist services
• They must be board-eligible Internal Medicine physician able to manage basic and complex adult medical illnesses
• They will be coordinating admissions - daily care - and patient discharges - leaving proper documentation in the form of H&Ps - progress notes and discharge summaries
• They will work closely with the ED - specialty providers - primary care providers - nursing staff and social workers to ensure continuous - high quality - effective patient care
• They will participate in quality improvement initiatives and be an active member of the multidisciplinary team to improve efficiency and facilitate continuum of care for patients from admission through discharge process
• They will advise trainees - both medical students and residents - role modeling professional behavior and high standards of care
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: In accordance with VA Handbook 5019

Duties

• The Hospitalist/Nocturnist is responsible for the evaluation and management of patients admitted to the inpatient Medicine Service - including completion of a comprehensive History and Physical or short-form admission note - as designated by service protocols
• The Hospitalist/Nocturnist provides comprehensive general Internal Medicine care in accordance with accepted standards of clinical practice - applicable VA policies and procedures - and the standards of the Hospitalist Section and Medicine Service
• Other duties include but are not limited to: Evaluates and manages patients throughout their inpatient stay and provides appropriate medical consultation to Surgical subspecialty and Mental Health Services when requested
• Coordinates appropriate transfer to a facility capable of providing the necessary level of care to support continuity and safety of patient care
• Provides clinical coverage and medical support for designated inpatient and residential services throughout the facility - as assigned
• Evaluates acute changes in clinical condition - management of urgent medical needs - and coordination of additional services or transfer when a higher level of care is required Provides clinical oversight and supervision of residents - students - and other clinical trainees or team members assigned to the inpatient service - as applicable
• Works collaboratively with physician extenders - nursing staff - social workers - discharge planners and other members of the interdisciplinary healthcare team to facilitate effective communication - coordinated patient care - and safe and timely transitions between inpatient and outpatient settings
• Participates in the delivery of high-quality - patient-centered care and to contribute to the effective and efficient operation of their assigned clinical services
• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• Work Schedule: Overnight tour - 7:00pm-7:30am EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact [e-mail] - 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