Physician (Nocturnist)

U.S. Department of Veterans Affairs; Cincinnati (OH); On-site; USD 200,000 - 240,000; Full time

Benefits offered by this job

Competitive salary

50-55 days of paid time off per year

Federal health/vision/dental insurance

Job summary

The U.S. Department of Veterans Affairs in Cincinnati is hiring a Nocturnist to provide overnight clinical care, oversee educational efforts for residents and medical students, and participate as a faculty member with academic affiliates.

Applicants must be board-certified or eligible in Internal Medicine and possess a current medical license. Significant responsibilities include inpatient care, supervision of training programs, and participating in continuous quality improvement initiatives.

Qualifications

• Must be a U.S. citizen with full and unrestricted medical license.
• Experience in residency training or board certification required.
• Ability to work in a sometimes-fast-paced medical environment.

Responsibilities

• Provide clinical care overnight and oversight of medical education.
• Maintain professional relationships resulting in improved patient care.
• Participate in inter-hospital transfers of patients.

Skills

Board eligible/board certified in Internal Medicine

Proficiency in spoken and written English

Clinical supervision

Education

Degree of doctor of medicine or equivalent

Completed residency training

Job description

Summary

The Nocturnist's primary role is to provide clinical care overnight and to provide bedside teaching and oversee the education of Residents and Medical Students within his/her practice area. Seeking a board-certified/eligible-qualified Nocturnist to support Hospital Medicine at the Cincinnati VA Medical Center. Candidate must be eligible for affiliate faculty appointment at the academic affiliate and participate as an active member of the shared responsibilities of our learning institutions.

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 eligible/board certified in Internal Medicine
• Eligible for appointment as teaching faculty with academic affiliate
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Per VA Directive and Handbook 5019 - a physical examination will be conducted based on the physical requirements of the position
• A physical examination prior to placement is required
• Long periods of standing or walking in the operating room setting and outpatient clinic will be encountered
• The mental/sensory requirements include recall - reasoning - problem-solving - hearing - speaking clearly - writing legibly - reading - and logical thinking
• The environment's pace can vary from steady to a sometimes-fast pace requiring handling of multiple priorities - frequent - sometimes intense customer - intense customer interactions - and the ability to adapt to frequent changes in a sometimes-noisy environment.

Duties

• All physicians will be board eligible/board certified in Internal Medicine
• Each physician will establish and maintain professional relationships within Medical Service - and with other services and facility management - which result in improved patient care
• Nocturnist duties and responsibilities include - but are not limited to: Function as part of a Hospitalist Medicine team and provide quality inpatient care services in keeping with good clinical practice and standards of the Hospitalist Section and Medicine Service at the Cincinnati Department of Veterans Affairs Medical
• Provides supervision - admission staffing and education of internal medicine residents and medical students in all their clinical activities
• Provides inpatient co-care services and internal medicine consultations to other services - including but not limited to - Mental Health and Surgery
• Completes independent patient admissions during swing and night shifts based on current admission algorithms
• Address cross-coverage calls from established medicine consults - CLC patients and supervise medicine residents in coverage of admitted medicine and ICU patients
• Supervise and assist residents during codes and rapid responses
• Assist residents in emergent patient care management in ICU with tele-critical care support
• Participation in educational activities related to the internal medicine residency program
• Communicates with incoming and off going Hospitalists to ensure continuity of care
• Procedural skills may include but are not limited to endotracheal intubation - arterial puncture - arthrocentesis - abdominal paracentesis - central lines - nasogastric tube insertion - and thoracentesis based on credentialing
• Maintain internal medicine board certification and training
• Attend regular Hospitalist team meetings as scheduling allows
• Demonstrate ethical conduct and serve as a positive role model to others at all levels of the organization
• Follow the Medical Staff bylaws and complete all medical records timely in accordance with VA Policies and Regulations
• Ensure timely record completion for all patients as outlined in the Department of Medicine
• Participate in inter-hospital transfers of patients
• Participates in various facility programs designed to enhance and improve the delivery of patient care services - such as Quality Improvement projects - as assigned by Section Chief and/or Chief of Medical Service Maintains clinical privileges in the areas of his/her expertise and in all areas required to carry out the duties of his/her assignments/responsibilities within Medicine Services
• 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
• Work Schedule: Variable - includes nights - swing admitting shifts - some weekends and holidays 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