Physician - Deputy Associate Chief of Staff for Ambulatory Care Service

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.

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 or Board Eligible in Internal Medicine or Primary Care.

Preferred Experience:

• Possess skill and creativity in organization, management, leadership, and interpersonal relations to deal with a wide variety of complex ambulatory care/primary care issues and arrangements.
• Possess knowledge and skills related to the delivery of health care, education, leadership, management, change theory, and quality improvement are required.

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: Applicants must meet physical standards for the position. A physical examination prior to placement is required. This is a designated drug testing position. After appointment, you will be subject to random testing for illegal drug use. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted.

Responsibilities:

**This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30th, 2024. The initial cut-off date for referral of eligible applications will be December 27th, with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.**

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Contact V21CCOEEDRP@va.gov, the EDRP Coordinator for questions/assistance

Work Schedule: 8:00am to 4:30pm, Monday through Friday
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

The Deputy Associate Chief of Staff (DACOS) for Ambulatory Care Service reports directly to the Associate Chief of Staff (ACOS), Ambulatory Care Service and serves as the system expert in ambulatory care/primary care matters.

The DACOS for Ambulatory Care service has programmatic responsibility for planning, developing, and directing the administrative and operational activities for the Ambulatory Care Service at the VASNHCS. The incumbent is responsible for overseeing all ambulatory care clinics, including the five community-based outpatient clinics in Fallon, Susanville, Carson, East Campus, North Campus and Reno, as well as the Winnemucca Outreach Clinic in addition to Occupational Health, Compensation and Pension, Women's Health, and primary care clinics at the main campus.

The DACOS for Ambulatory Care Service supports the VA's teaching mission with support and oversight to attending physicians and other preceptor opportunities. Attending physicians supervise learners of various levels including resident physicians and medical students providing clinical oversight of direct and indirect patient care. They ensure care provided meets standards for VA (policies, protocols, quality). Attending physicians also engage in providing education and feedback to learners formally and informally. They complete evaluations for learners and provide/oversee didactic sessions.

The major duties and responsibilities include, but are not limited to:

• Provides oversight and leadership for the clinical, teaching, and research functions within the Ambulatory Care Services at VASNHCS.
• Oversite of multiple areas within Ambulatory Care Service and serves as a member of the Ambulatory Care Council.
• Oversight responsibility and/or is champion for several performance measures, including wait times, missed opportunities, and outpatient satisfaction.
• Directly responsible for the recruitment and retention of faculty and staff and initiates areas of programmatic development.
• Despite the incumbent's extensive administrative responsibilities, he/she maintains a clinical workload providing comprehensive Primary Care to a primary care panel of eligible veterans with a wide variety of medical conditions.
• Conduct performance measure clinics to support and improve the health of diabetic patients, with particular attention to hypertension, lipid management, foot examinations and medical management of the disease with improved glucose control.
• Participation in the teaching programs of the University of Nevada, School of Medicine.