Physician - Infectious Diseases, Director of Antimicrobial Stewardship
Veterans Affairs, Veterans Health Administration
Location: Pittsburgh, Pennsylvania, Pennsylvania
Internal Number: 762302600
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. 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: Infectious Diseases- Board certified or eligible in Infections Diseases Early to Mid-career, Graduating ID Fellow, Clinical Instructor, Assistant, or Associate Professor in Medicine/Infectious Diseases or higher ID fellowship training or career experience in the practice of healthcare epidemiology, infection prevention, public health or equivalent MPH/MS, CDC EIS, CIC, CDC/SHEA, or other formal training in Epidemiology OR established history of research in related field Experienced in methodologies of Quality Improvement Established experience and skills in informatics and healthcare data analytics Proven record of leadership of multidisciplinary health care teams Reference: 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: Physical demands include repetitive body movements including the following: frequent reaching, standing, walking, and lifting of equipment and/or patients to provide patient care. This position requires extension of the hand(s) and arm(s) in any direction including above or below shoulder level, during the provision of patient care, including retrieval of needed equipment, supplies and to make contact with the patient. This position requires the maintenance of an upright position to perform duties associated with patient care. This position is typically non-sedentary, and frequently involves being in the standing position. This position requires moving about accomplish tasks, such as assisting with patient ambulation and moving one patient area to the next. This position requires the raising of objects from a lower position to a higher position or the movement of objects horizontally position to position. Lifting may be done to move a patient from one location to the next, i.e.- from the exam table to the chair, and in the movement of equipment or supplies. ["Over-arching responsibilities of the position are to lead and grow VAPHS ASP, identify and intervene in priority areas for stewardship, implement strategies to improve antimicrobial use, and monitor trends in antimicrobial use, resistance and safety/adverse effects of antimicrobial therapy. Specific duties that contribute to VAPHS mission include, but are not limited to: Analyze antimicrobial consumption and implement strategies for optimization. Develop and implement updated guidelines and clinical pathways in the use of antimicrobials, review new agents to be added or removed from formulary, update antimicrobial susceptibility reports (antibiograms) to reflect emerging epidemiology and guide empiric therapy. Develop and review antimicrobial-related order sets and antimicrobial laboratory orders that improve patient care. Coordinate and manage antimicrobial drug shortages, and challenges stemming from problems in attainment procedures and restrictions. Expand ASP at VA UD and HJH, including in the outpatient setting, quality-improvement initiatives to ensure antibiotics are given at the correct doses for the most appropriate duration via the correct route, and in the Outpatient Parenteral Antibiotic Program (OPAT). To expand ASP activities in the Western Market and spoke VAs such as Altoona, Erie, Butler, and Clarksburg, including telemedicine stewardship services. Supervise and expand pharmacokinetic-pharmacodynamic (PK/PD) services for antibiotics. Engage with ID consultation, ID clinic and other clinical services in care of individual veterans at VAPHS. Work to optimize VAPHS responses to emergent infections, as recently exemplified by ASP-led clinics to deliver monoclonal antibody treatments to veterans with COVID-19. Supervise activities of ID ASP pharmacists. Provide ID clinician back up for all program activities, recommendations and restrictions of antimicrobial agents. Provide trainee supervision and education, and engage in research and scholarly activities. Actively participate in educational activities for various departments about appropriate use of antimicrobials. On an ad hoc basis, review policies and procedures that impact on antimicrobial stewardship. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentive (Sign-on Bonus): Authorized Education Debt Reduction Program (Student Loan Repayment): Learn more. EDRP Authorized: Contact email@example.com, 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 Work Schedule: Monday-Friday 7:30 am - 4:00 pm"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. At VA Long Beach Healthcare System, our health care teams are deeply experienced and guided by the needs of Veterans, their families, and caregivers. Our medical center provides primary care and specialty health services, including cardiology, mental health care, treatment for spinal cord injuries and disorders, suicide prevention, women’s health services, and more.