Career Center

Summary

The Emergency Department (ED) is staffed and equipped to provide emergency care across a broad spectrum of illnesses - injuries and mental health disorders. Emergency care is provided in a clearly defined area dedicated to this function and operates 24 hours a day - 7 days a week. Emergency physicians are expected to be present and immediately available to provide emergency care during clinical tours as defined by the needs of patients including appropriate transition of care in the ED.

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
• Additional Requirement: Board Certified/Board Eligible in Emergency Medicine Preferred Experience: Completion of ACGME accredited residency in Emergency Medicine Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• 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 Duties and Responsibilities of the Emergency Medicine Physician Provision of emergency care including evaluation - stabilization - management - and treatment of emergent conditions for patients presenting to the ED - seeking emergent care - that is in line and consistent with all applicable standards and regulations and in compliance with the intent of the Emergency Medicine Treatment and Active Labor Act (EMTALA) 42 United States Code (U.S.C.) 1395dd - including stabilization and transfer of patients for definitive care to appropriate other VA and non-VA Medical Centers for patients whose care may exceed the Medical Center's capacity - capability and/or function
• NOTE: While not technically subject to EMTALA and the regulations implementing the Act issued by the Centers for Medicare and Medicaid Services (CMS) - VA complies with the intent of EMTALA requirements regarding the transfer of acute patients among health care facilities
• Supervision - teaching - and evaluation of the performance of students - residents - fellows and other trainees participating in institutionally approved educational activities in emergency medicine
• Support and participation in the existing Emergency Medicine Systems (EMS) including provision of medical direction for the patients in the pre-hospital setting - where appropriate
• Consultation of and/or referral of patients to the appropriate medical - surgical and psychiatric services for the management of conditions treated in the ED - including transition of care to the inpatient setting for definitive care - and to the outpatient setting for follow-up care - as appropriate
• Provision of assistance to Advanced Practice Practitioners (APPs) with emergency care exceeding the privileging and scope of APP practice - and as required for the emergency care needs of the patients
• Completion of all required components of standard documentation within the electronic health record - and inclusive of the requirements associated with medical student - resident - fellow and other trainee documentation - pursuant to applicable Medical Center and VHA policies
• Participation in section - service and hospital committees
• peer review
• quality and improvement and quality assurance programs
• systems redesign programs
• patient flow and productivity improvements - and other administrative and similar programs as designated by the Emergency Medicine Section and the Medicine Service
• Timely completion of all periodic training and in-service activities as required by the Emergency Medicine Section - the Medicine Service - the Roudebush VAMC and the VHA
• Participation in scientific research and other educational and scholarly activities - as appropriate - and in accordance with institutional research regulatory requirements
• Performance of other applicable duties as assigned by the Emergency Medicine Section - and the Medicine Service
• Work Schedule: Full-time - Variable tours of duty include weekends and holidays - which could be rotating tour of duty
• will be discussed during the interview process