Physician - Anesthesiologist

U.S. Department of Veterans Affairs; San Francisco (CA); On-site; USD 350,000 - 450,000; Full time

Job summary

U.S. Department of Veterans Affairs, San Francisco VA Medical Center, seeks a board‑certified Anesthesiologist to provide comprehensive perioperative anesthesia care. The role includes supervising general, regional, and monitored anesthesia, managing invasive monitors, and training medical students and residents.

Potential for leadership within the Anesthesiology Service. Candidates must hold a current US medical license, be proficient in English, and have ACLS certification.

Qualifications

• US citizenship or eligible per VA policy.
• Current full and unrestricted license to practice medicine in the United States.
• Board certification in Anesthesiology.
• ACGME/AOA‑approved residency in Anesthesiology (or equivalent) or one year post‑graduate training with 2 years independent practice.
• ACLS certification required.
• Proficiency in spoken and written English.

Responsibilities

• Prepare anesthesia for adult patients including history and physical examination.
• Manage perioperative patient anesthesia care and postoperative recovery.
• Supervise and administer general, regional, and monitored anesthesia.
• Place and manage invasive monitors and lines (arterial, central venous, etc.).
• Train and supervise medical students, nurse anesthetists, and residents.

Skills

English proficiency

ACLS certification

Education

Doctor of Medicine or Osteopathic Medicine

Residency in Anesthesiology

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.

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: Board Certified in Anesthesiology
• Preferred Experience: Must be fellowship trained or other experience may be considered as determined by the Chief - Anesthesia Service
• Advanced Cardiac Life Support (ACLS) certification is required Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: The work requires some physical exertion such as long periods of standing - recurring bending - crouching - stooping - stretching - and reaching
• Good hand and eye coordination and manual dexterity for troubleshooting and repairing sophisticated equipment is required
• Recurring pushing and pulling of carts and anesthesia machines within the surgical suites - between the surgical suites and from floor-to-floor of the Medical Center is required
• These machines weigh approximately 400 pounds and are on wheels
• The incumbent must be able to independently maneuver these machines
• Recurring lifting and moving of heavy items (may weigh over 400 pounds) such as patient monitoring equipment and cartons of supplies is also required
• Incumbent will be exposed to video display terminals - electronic equipment - lasers and radiographic equipment on a recurring basis
• A calm - yet efficient demeanor is required for troubleshooting and operating monitoring equipment in highly stressful Operating Room situations.

Duties

• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• Work Schedule: Schedule will be coordinated with hiring manager Education Debt Reduction Program (Student Loan Repayment): Learn more
• 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) (based on full-time)
• 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
• The San Francisco Veterans Affairs Medical Center (SFVAMC) Anesthesiology Service requires an Anesthesiologist to Manage adult patients many with multiple co-existing disease - rendered unconscious or insensible to pain and emotional stress during surgical and certain other medical procedures
• including preoperative - intraoperatlve and postoperative evaluation and treatment
• the support of life functions and vital organs under the stress of anesthetic - surgical and other medical procedures
• medical management and consultation in pain management and critical care medicine - direct resuscitation in the care of patients with cardiac or respiratory emergencies - including the need for artificial ventilation - pulmonary care - supervision of patients In post-anesthesia care units and critically Ill patients In special care units
• The major duties and responsibilities include - but are not limited to: Assessment of - consultation for - and preparation of patients for anesthesia including performance of history and physical examination Medical management of patients during the peri-operative period who are under physical and emotional stress Management of post anesthetic recovery including procedural pain Supervise and administer general anesthesia - regional - monitored anesthesia - pre and postoperative care - acute and chronic pain
• Place - manage - and utilize invasive monitors and lines including but not limited to arterial lines - central venous catheters - pulmonary artery catheters - epidurals - spinal catheters and drains - infusions - etc
• Management of anesthesia for implantation - removal - replacement - and repair of pacemakers - cardioversion devices - deep brain stimulators - and other neuro and muscular stimulators and devices
• Must also be able to train medical students - student nurse anesthetists - and residents at all levels of experience
• Special considerations will be given to candidates who are diplomates of subspecialty boards of Anesthesiology including: Critical Care Anesthesiology: Serve as consultants in the intensive care unit or as the primary attending depending on training - experience - board certification - and credentialling
• Cardiothoracic Anesthesiology: Management of cases which require or may require cardiopulmonary bypass - includes anesthesia for coronary artery surgery - valve surgery - "off pump CABG" - and non-cardiac major vascular surgery requiring cardiopulmonary bypass
• manage minimally invasive cardiology cases for transcutaneous aortic valve replacement - mitral valve procedures - watchman procedures - pacemaker and implanted defibrillator implantation and removal
• The Anesthesiologist must be board certified and fellowship trained and approved for faculty appointment at the University of California San Francisco Department of Anesthesiology and Perioperative Care.