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. Learn more. 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: Preferred Experience: Board Certification or eligibility in Gastroenterology 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: Heavy lifting (45 lbs. and over); reaching above shoulder; pulling (4 hours); pushing (4 hours) use of fingers; both hands required; walking (3 hours per day); standing (6 hours per day); kneeling (2 hours per day); both legs required; ability for rapid mental and muscular coordination simultaneously; ability to distinguish basic colors; hearing (aid permitted); mental and emotional stability required ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): NA\nPay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\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 (must be full-time with board certification)\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting SCOPE OF PRACTICE\nThe staff Gastroenterologist works within her or his privileges at all times. Must be qualified to diagnose, treat, and manage patients with gastrointestinal diseases according to standard, usual, and acceptable methods, and techniques. The Gastroenterologist is expected to maintain current knowledge and skills. She or he must be able to deliver interventions throughout the full spectrum of gastroenterology care, i.e., she or he is expected to maintain good diagnostic and therapeutic acumen. Primary duties are to perform full general gastrointestinal examinations on established or newly consulted patients, including electronic consultations (eConsults) in the Gastroenterology clinics, inpatient wards or Emergency Department for signs or symptoms of gastrointestinal dysfunction. The Gastroenterologist will ensure communication with the hospitalists regarding inpatients and/or potential admissions. The staff Gastroenterologist will perform gastroenterology procedures including: EGD (gastroscopy) Paracentesis\nEGD with Peg Esophageal manometry\nERCP Liver biopsy\nColonoscopy 24 hr. pH monitor Oversees the administration of moderate sedation. Provides oversight to Gastroenterology Nurse Practitioners and Nurses. Ensures communication with the incoming evening Medical Officer of the Day regarding patient care issues. Responsibilities will include completing medical records in accordance with Medical Staff Bylaws, Rules and Regulations, including (but not limited to): history and physical exams within 24 hours of admission progress notes daily for inpatients and for each encounter on outpatients consult notes within 24 hours of evaluating patient discharge summaries within 10 days of hospital discharge new or renewal of prescriptions, transfer summaries and/or discharge instructions Participation in quality assurance programs and chart reviews; demonstrates knowledge of and promotes performance improvement in meeting organizational goals. Conducts point of care audits and peer reviews when requested by Chief of Medicine. Exercises corporate citizenship by serving as a leader and/or active member on Medical Center committees as requested and attending Medical Service Staff meetings and meetings of the Medical/Dental staff. Teaches effectively and creatively and provides guidance to others involved in the delivery of the educational program. Maintains Advanced Cardiac Life Support (ACLS) Certification and completes all mandatory training by due date. The staff Gastroenterologist provides expanded access to services via off normal tour or on-call periods. SUPERVISION Practices independently, using professional judgment and expertise to make decisions about services and treatment provided to veterans and their significant others/family members. Incumbent is given authority to make his/her own work assignments within the program area to which assigned. Consults with the supervisor as needed and with colleagues to develop knowledge and apply agency policies and practices to new matters. His/her work is reviewed for technical adequacy and conformance with procedures and practices applicable to the subject. Uses initiative and resourcefulness in deviating from traditional methods or trends and patterns to develop new methods, criteria, and proposed new policies. Practices at an advanced level and independently gathers relevant information to guide practice, including community Social Work standards. Reports to the Chief, Gastroenterology Section and/or his/her designee. Work Schedule: Schedule to be determined 16 Hours per a week"]
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.