The VA Pacific Islands Health Care System provides access to patient care to over 130,000 veterans across a 2.6M square mile area of the Pacific Ocean. Remote Island locations, separated by great distances of ocean, is the environment in which the VAPIHCS delivers a full range of comprehensive health care services. The VAPIHCS operates seven community-based outpatient clinics (CBOCs) covering seven county areas. These outpatient clinics are in America Samoa, Guam, Hilo, Kauai, Kona, Leeward, and Maui. VAPIHCS is a Level 3 facility within the VA Sierra Pacific Network (VISN 21). The Physician/Medicine Supervisor position is located at the respective Community Based Outpatient Clinic (CBOC) for which this position is responsible for: American Samoa, Guam, Leeward, Hilo, Kauai, Kona