Summary

All staff physicians assigned to Medicine Service will meet basic requirements and hold a degree of doctor of medicine or doctor of osteopathy from a college or university approved by the Administrator; complete an ACGME accredited residency satisfactory to the Administrator, meet the physical standards as described by the Administrator and will be licensed to practice without restrictions in a state or territory of the U.S

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 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 Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by the American Osteopathic Association (AOA),OR (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), 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
• 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 or fee-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
• Proficiency in spoken and written English
• Preferred Experience: Board Certified in Nephrology Reference: See VA Handbook 5005, Part II, Appendix G2
• For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Must be able to physically and mentally perform the duties of Physician under normal and emergent conditions
• Moderate lifting 15-44 lbs and over with assistive devices, heavy carrying of 15-44 lbs and over with assistive devices
• reaching above shoulder
• use of fingers, both hands required, walking or standing up to 4 hours per day
• repeated bending up to 1-2 hours per day
• ability for rapid mental and muscular coordination
• near vision correctable
• hearing aid permitted
• See VA Directive and Handbook 5019.

Duties

• Administrative: Serves as acting Chief of the Section and Medical Director of Dialysis Unit (if appropriate), as needed
• Provides guidance and support to the Advanced Practice Provider (APP) assigned to Medicine Service in their respective areas of expertise
• Provides guidance and supervision for the medical students and residents (interns, residents, and/or fellows) assigned to Medicine Service/subspecialty services and clinics according to the standards outlined in Center Policy Memorandum, 11-4, \"Supervision of Postgraduate Residents,\" when assigned to do so by the Chief, Medicine Service
• Participates in and attends medical center committees and/or teams as assigned by the Chief, Medicine Service and in his/her absence or absence of their respective Section Chief
• Participates in various facility programs designed to enhance and improve the delivery of patient care services, such as Continuous Quality Improvement (CQI) teams, as assigned by Chief, Medicine Service
• Serves as medical director for inpatient or outpatient dialysis if needed as assigned by Chief of Medicine Service
• Demonstrates commitment to high quality customer service, including specific measures identified as performance goals by the Medical Center
• Adheres to all information security and privacy measures set by VHA and the Medical Center
• Annually develops and evaluates professional and personal goals
• Identifies individual professional learning needs and participates in formal programs, workshops, seminars, conferences, as well as self-directed learning activities, completes facility wide mandatory education yearly
• Clinical: Provides quality patient-centered patient care to both inpatients and outpatients for adults age 18-65 and older adults age 65+ as assigned by Chief, Nephrology Section
• 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
• Demonstrate sound decision making skills, both clinical and administrative, which bring credit to the profession and serve to enhance the distinctive and contributory role of physicians
• Facilitate the delivery of appropriate patient care in collaboration with other health professionals, medical center staff, and management
• Serves as staff attending for sub-specialty consult service as assigned
• Participates as a peer reviewer when requested
• Participates in multidisciplinary activities involving the treatment and discharge plan on patients admitted to the Medicine inpatient services
• Systematically evaluates patient care programs in all Medicine venues
• Exhibits leadership in initiating changes in patient care programs based on current concepts and finding from research and studies
• Keeps informed of developments in the management and treatment of diseases and illness through continuing medical education, both formal and informal
• Successfully integrates patient care activities on Medicine Services and other patient care programs at the medical center and in the community such as Social Work, Prosthetics, Home Based Health Care (HBHC), and private nursing homes
• Consistently demonstrates expertise in diagnosing and treating seriously ill, multi- symptomatic patients when clinical assignments so dictate
• Completes all medical record documentation in CPRS in a timely manner, including view alerts and encounter completion
• Includes patient/family/significant other/health care provider in establishing realistic, measurable goals related to health education and treatment plan and in planning care on a continuum
• assists staff in the process of mutual goal setting Demonstrates skill in implementation of clinical practice guidelines and protocols for patients with complex medical care needs
• Documents administrative and clinical information in a thorough and accurate manner
• Utilizes problem solving methodologies to resolve problems that impact on patient care or staff performance
• Plans implements, and evaluates care based on age specific requirements of the patient
• Serves as a role model in assessing and evaluating patient status and identifying priority needs for care
• Develops the initial plan of care and updates the plan, serving as a resource person to less experienced staff, and acts as a leader in developing standards of care
• Makes decisions based on professional standards Assesses veterans by utilizing advanced clinical judgment and physical assessment skills
• Identifies acute/non-acute/chronic health problems.