Career Center

Summary

The Martinsburg VA Medical Center is seeking Physicians (Anesthesiologist) to service as a Fee Basis provider. What is Fee Basis? Fee Basis are temporary appointments for professional and technical occupations under Title 38 USC - Section 7405(a)(2). Fee Basis appointments are on a fee-for-service basis compensated per specific task or procedure provided - not based on time or annual salary. Individuals under this authority are subject to standard pre-employment hiring processes.

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: Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: See VA Directive and Handbook 5019
• Physical Requirements: Lifting up to 35 pounds - intermittently
• moderate carrying (15-35 pounds) - intermittently
• lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care
• pulling - intermittently
• pushing - intermittently
• reaching above the shoulders - intermittently - both hands required
• walking - intermittently
• standing - intermittently
• kneeling - intermittently
• and repeated bending.

Duties

• Fee Basis position of Physician (Anesthesiologist) is within the Surgical service section at the Martinsburg VA Medical Center in Martinsburg - Wv
• Anesthesiologists are fully licensed independent practitioners who provide perioperative medical care - anesthesia - pain management - and critical care services
• They practice within the scope of their privileges as approved by the Medical Staff and Executive Committee of the Medical Staff (ECMS).Serves as a fee basis anesthesiologist within the Martinsburg VA Medical Center performing direct medical care in their specialty
• The incumbent must be Board Certified by the American Board of Anesthesia and have authoritative intensive knowledge in the area of Anesthesia
• An anesthesiologist may perform the following functions independently unless otherwise specified: Preoperative Assessment & Optimization Conduct comprehensive patient evaluations for anesthesia risk
• Order and interpret laboratory - imaging - and diagnostic studies related to anesthetic management
• Obtain informed consent
• Anesthesia Administration Provide general - regional - neuraxial - monitored anesthesia care (MAC) - and sedation
• Administer intravenous - inhalational - and adjunct anesthetic agents
• Manage the airway - including intubation and advanced airway devices
• Intraoperative Management Monitor physiologic parameters and adjust anesthetic depth accordingly
• Direct and supervise Certified Registered Nurse Anesthetists (CRNAs) - anesthesia residents - and students
• Perform invasive monitoring (arterial line - central venous - pulmonary artery catheter)
• Manage intraoperative fluid - electrolyte - and blood product therapy
• Post-Anesthesia Care Provide post-anesthesia care in PACU/ICU settings
• Manage postoperative pain (epidural - peripheral nerve blocks - PCA - multimodal analgesia
• Address complications related to anesthesia
• Critical Care & Emergency Management Provide advanced cardiac life support (ACLS)
• Lead resuscitative efforts during perioperative emergencies
• Manage ventilatory and hemodynamic support in critically ill patients
• Pain Management Perform acute and chronic pain evaluations
• Administer pharmacologic - interventional - and regional pain therapies
• Outside OR Anesthesia Provide anesthesia in procedural suites (endoscopy - interventional radiology - cardiac cath lab - etc.)
• Provide sedation and anesthesia for imaging and minor surgical procedure Pay: $350 to $400 per type of procedure Licensure: 1 full and unrestricted license from any US State or territory Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: Fee Basis
• this system of VA compensation pays based on the specific task or service provided
• Providers are paid in accordance with the fee schedule listed above
• Providers are scheduled based on the needs of the service.