Physician (Regular Ft)

Veterans Health Administration, Department of Veterans Affairs; Canton Charter Township (MI); Sur place; USD 180 000 - 260 000; Plein temps

Résumé du poste

The Veterans Health Administration, within the Department of Veterans Affairs, seeks a physician to provide direct patient care at the Ann Arbor VA Healthcare System. This role includes comprehensive duties from clinical reminders to chronic disease management and patient-centered care.

Candidates must meet Federal medical licensing and board eligibility, complete ACGME/AOA residency, and hold full and unrestricted US licensure.

Qualifications

• United States citizenship as required for federal appointment.
• MD or DO degree from an approved school for the year completed.
• Full and unrestricted license to practice medicine in a US state/territory/DC.
• Residency approved by VA for board eligibility in core specialty.
• Alternate pathway for post-medical school training with sufficient practice.
• Proficiency in spoken and written English.

Responsabilités

• Provide direct patient care including scheduled, unscheduled, and urgent visits.
• Complete physician/nurse practitioner clinical reminders.
• Address and respond to alerts, Teams messages, and secure messages.
• Complete opioid consent forms and related documentation.
• Manage medications with reconciliation, safe prescribing, and renewals.
• Coordinate with specialty consultants for patient referrals.
• Provide care management with PACT team and care dashboards.
• Manage acute and chronic diseases and provide preventive care.
• Facilitate team meetings and huddles using various formats.
• Lead goals-of-care discussions and document decisions.
• Review VA and non-VA medical records prior to visits.
• Order tests, labs, imaging, procedures, and other services.
• Perform procedures such as cryotherapy, Pap smears, injections, and aspirations.
• Participate in continuing medical education and quality improvement activities.
• Precept medical students, residents, and new providers.
• Place RTC orders and coordinate coverage during planned leave.
• Set out-of-office messages and establish surrogates in EHR.
• Support population health and preventive strategies with the PACT team.
• Engage in service recovery and care-plan communications.
• Promote excellent customer service and patient experience.
• Communicate schedules and coverage plans with the team.

Connaissances

Licensure to practice medicine

Board certification eligibility

English proficiency

Formation

Doctor of Medicine (MD) or equivalent

Current full and unrestricted license in US/DC

ACGME/AOA residency in core specialty

Description du poste

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: The work of the physician is largely office based and in a sedentary setting
• No manual labor is required above ordinary situations
• Incumbent must be capable of using a computer given that all clinical charting is electronic.

Duties

• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• 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) 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 Functions and Tasks 1
• Provide direct patient care - including scheduled - unscheduled - and urgent visits
• 2
• Complete physician/nurse practitioner (MD/NP) clinical reminders
• 3
• Address and respond to alerts - Microsoft Teams messages - and secure messages
• 4
• Complete opioid consent forms
• 5
• Manage medications - including reconciliation at every visit - safe prescribing - ordering - and renewals
• 6
• Manage consults using services available at the Ann Arbor VA Healthcare System - including: Patient-Centered Medical Home (PCMH) Telehealth Social Work (SW) Home-Based Primary Care (HBPC) Case Management Other available support service 7
• Confer with and refer patients to specialty consultants as appropriate
• 8
• Provide care management by: Reviewing complex patients with Patient Aligned Care Team (PACT) members Facilitating team-review meetings focused on quality - panel dashboards/Almanac - team performance measures - and team building
• 9
• Manage acute and chronic diseases
• 10
• Provide preventive care
• 11
• Facilitate team meetings and regular huddles using various formats - including in-person and virtual modalities
• 12
• Facilitate goals-of-care discussions - including life-sustaining treatment preferences and healthcare decision-making
• 13.Review VA and non-VA medical records
• order tests - laboratory studies - imaging - procedures - and other appropriate services 14
• Perform procedures - including cryotherapy - Pap smears - joint injections - and joint aspirations
• 15
• Participate in professional education and quality improvement activities - including: Continuing medical education (CME) Journal clubs Grand Rounds Sharing best practices Workgroups Process-improvement initiatives 16
• Precept medical students - residents - and new providers
• 17
• Place return-to-clinic (RTC) orders
• 18
• Communicate planned leave dates and coverage plans to the team by email
• 19
• Set a Microsoft Outlook out-of-office message that identifies the appropriate contact during an absence
• 20
• Assign and establish surrogate(s) in EHR (Electronic Health Record) system before planned leave
• 21
• Assist with service recovery and close out inquiries and plans of care related to: 22
• Promote and encourage excellent customer service
• 23
• Support population health and panel management by working with the PACT team to review and identify health-promotion and preventive-care strategies for patients who have fallen out of care
• Work Schedule: Monday - Friday - 8:00am - 4:30pm