Physician (Regular Ft)

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

Job summary

U.S. Department of Veterans Affairs seeks a Pain Management Physician for the Dayton VA Medical Center within the Integrative Medicine Service.

The physician will deliver multidisciplinary outpatient care for veterans, manage complex pain conditions, and coordinate with the integrative team. Applicants should be board eligible or certified in pain medicine or a related subspecialty, with appropriate residency and licensure in the United States, and be proficient with EHR and patient counseling.

Qualifications

• MD degree from an approved school.

Responsibilities

• Provide multidisciplinary outpatient pain care for veterans with chronic pain and informed by a whole-health approach.

Skills

English proficiency

EHR proficient

Injections proficiency

Effective communication

Multidisciplinary collaboration

Education

MD degree

ACGME/AOA residency

Medical license in US

Board eligibility/certification in Pain Medicine

Residency training in core specialty

Alternative training path (internship + post-training)

Job description

Summary

The Dayton VA Medical Center seeks a Board Certified or Board Eligible Pain Management Physician to join Integrative Medicine Service.

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 Academy 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
• Preferred Experience: Qualified candidates must be Board Eligible or Board Certified in Pain Medicine or a related subspecialty
• Fellowship training or post-residency clinical experience in pain medicine - physical medicine and rehabilitation - anesthesiology (pain) - or a related field with significant focus on pain management
• Clinical experience managing complex pain conditions and comfortable with initiating - continuing - adjusting - and tapering controlled substances
• Experience implementing medication safety practices - including risk stratification - prescription medication monitoring - and co-prescribing of safety interventions
• Experience prescribing and managing complex medication therapies for pain and substance use conditions - including medication-assisted treatments and other analgesic therapies
• Willingness to participate in face to face - along with telehealth based clinical delivery
• Ability to utilize EHR proficiently
• Proficient in office based injections
• Ability to communicate effectively with diverse populations and provide oral/written counseling on drug therapy
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• VA Regulations - specifically VA Handbook 5005 - Part II - Appendix G-2 Physician Qualification Standard
• This can be found in the local Human Resources Office
• Physical Requirements: Heavy Lifting (45 lbs
• and over)
• Heavy Carrying (45 lbs
• and over)
• Straight Pulling (up to 4 hours)
• Pushing (1 - 2 hours)
• Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (up to 8 hours)
• Standing (up to 8 hours)
• Repeated bending (up to 4 hour)
• Ability for rapid mental and muscular coordination simultaneously
• Near vision correctable at 13"" to 16""
• Hearing (aid permitted).

Duties

• 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 Work Schedule: Monday-Friday - 8:00AM-4:30PM Telework may be utilized via ADHOC per supervisor discretion
• Provide multidisciplinary - evidence-based outpatient pain care for veterans with chronic pain and opioid use disorder as part of the Integrative Medicine Team
• Evaluate high-risk opioid use and polypharmacy
• develop and monitor safety-focused treatment plans
• Perform histories - physicals - assessments - diagnostics - procedures - and referrals
• document all care in the federal EHR
• Manage pain referrals - determine appropriate care level - and communicate clear transition plans to primary care
• Order diagnostic tests and medications
• prescribe controlled and non-controlled substances per regulations
• Deliver office-based injections
• ensure consent - education - and procedural documentation
• Provide patient counseling - health promotion - disease-prevention guidance - and shared decision-making
• Participate in quality improvement - strategic planning - occasional trainee shadowing - and accreditation activities as well as meetings and support clinic operations
• Maintain current knowledge of pain medicine and integrative therapies - complete required training - and certifications
• Coordinate care with integrative medicine team using a whole-health approach
• Complete training modules - comply with leave procedures - meet CPR/RQI requirements - and perform other duties within scope.