The Physician Supervisor provides administrative, clinical, and programmatic leadership for Primary Care programs to ensure achievement of the clinical, research, and education goals and applicable performance measures. The Lead Physician is accountable for the supervision of all Primary Care clinicians (MD, DO, NP and PAs) assigned to their duty location. This responsibility includes the maintenance of coverage schedules, 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: The incumbent must be a board-certified, and BLS certified physician in his/her specialty with advanced clinical experience as well as demonstrated administrative and leadership skill. The incumbent must be eligible to be clinically privileged in a medicine discipline. The criteria for meeting these expectations include: 1. Leadership acumen sufficient to provide direction for single and complex programs in the delivery of Ambulatory Care Services to outpatients; 2. Management experience with strong administrative and interpersonal skills: 3. Demonstrated skills in providing clinical interface with academic affiliates and other key stakeholders; 4. Management experience regarding university generated education programs and specialty training programs; 5. Demonstrated commitment to an interdisciplinary approach to patient care delivery; 6. Documented ability to coordinate a broad continuum of programs; and 7. Demonstrates abilities to work well within an executive team. 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: The Physical Requirements of this position are concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and may include requisite laboratory and other screening as required by Federal regulatory agencies. Physician applicants must have the mental and physical ability to perform core privileges required by the specialty position in addition to any specialty privileges requested. Position requires walking, bending, stooping, light lifting (under 15 pounds), light carrying (under 15 pounds), reaching above shoulder, use of fingers, both hands required, both legs required, walking (2 hours), standing (2 hours), ability for rapid mental and muscular coordination simultaneously, both eyes required, near vision correctable at 13" to 16" to Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other, depth perception, ability to distinguish basic colors, ability to distinguish shades of colors, Hearing (aid may be permitted), working alone, working closely with others, and protracted or irregular hours of work. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid Time Off: 50-55 days of annual paid time offer 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory\nCME: Possible $1,000 per year reimbursement\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting The Physician Supervisor must be proficient in all aspects of the general practice of Primary Care. Specifically, the provider should possess the expertise and competency to perform the following: 1. Supervision of all clinicians at duty site including enforcement of appropriate discipline if/when required, as Fully implement the components and processes relative to the VHA Primary Care Medical Home (PCMH)\nhealthcare system design. well as ad-hoc, mid-year and annual performance reviews. Additional performance reviews as per the discretion of Chief Medical Officer and/or Clinic Administrator.\n2. Coordinate care for a panel of outpatients as assigned by TVHS.\n3. Evaluate and treat acute and chronic health problems for scheduled and unscheduled patients in the clinic\nsetting.\n4. Perform histories and physical exams.\n5. Provides appropriate documentation to minimally include history, physical exam findings, diagnosis, definitive care plan and disposition of the patient.\n6. Ensures that patients are appropriately closed-out including disposition that clearly indicates the next steps of care.\n7. Ensures that each patient is provided a list of current medications and an appointment list at close-out.\n8. Perform office procedures contained within approved privileges.\n9. Prescribe medications as appropriate.\n10. Order routine laboratory, radiological and diagnostic tests and provide initial interpretation of results.\n11. Communicate test results to patients.\n12. Respond to questions and other inquiries from patients.\n13. Initiate or expedite requests for consultations and special tests.\n14. Provide education to the patient and family as necessary.\n15. Order immunizations and other preventive or screening services as necessary.\n16. Screen patients to determine the need for hospitalization.\n17. Perform Basic Life Support as necessary.\n18. Communicate clinical findings to other providers using the Computerized Patient Record System.\n19. Function as the managing physician for nurse practitioners and/or physician assistants as assigned by TVHS.\n20. Function as a preceptor for residents in the clinic setting as assigned by TVHS.\n21. Treats patients 18 years of age or greater\n22. Consistently communicates and treats customers, (veterans, their representatives, visitors and all VA staff in a courteous, tactful and respectful manner. Incumbent will provide the customer with consistent information according to established policies and procedures and will handle conflicts and problems when dealing with\ncustomers constructively and appropriately.\n23. Incumbent will protect printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws Federal Regulations, VA statures and policy and VHA\npolicy. Incumbent protects data from unauthorized release, or from loss, alteration, or unauthorized deletion and follows applicable regulations and instructions regarding access to computerized files and release of\naccess codes, etc.\n24. Uses common word processing software to execute several office automation functions such as storing and retrieving electronic documents and files; activating printers, inserting and deleting text; formatting letters,\nreports and memoranda, and transmitting and receiving e-mail. Uses common spreadsheet software to\ndevelop and change spreadsheets to graphically display data. Uses common presentation software to\ndevelop presentation materials. Uses the Veterans Health Information & Technology Architecture (VISTA)\nand Computerized Patient Record System (CPRS) to access information in the Medical Center Computer\nSystem.\n25. Approval of leave requests for clinicians and maintenance of adequate clinician coverage of clinics.\n26. Travels as needed to other facilities to fulfill supervisory responsibilities.\n27. Fields patient complaints that are not resolvable by the individual PACT teams and provide service recovery if/when necessary.\n28. Other duties as assigned. Work Schedule: Monday-Friday 8 a.m. - 4:30 p.m."]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.