Physician (Regular Ft) - Primary Care - VISN 15 Clinical Resource Hub

This position is located in the VISN 15 Clinical Resource Hub (CRH). The CRH provides virtual Primary Care, Specialty Care, and Mental Health services to Veterans in underserved areas that are experiencing staffing gaps. The incumbent will work as part of a virtual primary care team to care for Veterans located within the VISN 15 catchment area.

This position is a virtual position but will be recruited and credentialed through the VA St. Louis Health Care System.

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:

Preferred Experience:

• Experience delivering care through virtual modalities preferred.
• Experience delivering care as part of a medical home or Patient Aligned Care Team model preferred.

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: Moderate lifting, 15-44 pounds; Light carrying, under 15 pounds; Use of fingers; Walking, 2 hours; Standing, 2 hours; Work closely with others; and work alone.

Responsibilities:

Primary Care of a panel of primary care patients (male and female)

• Provide comprehensive assessment, diagnostic work-up and clinic intervention, including comprehensive patient assessment, health history, physical examination, and patient education to Veterans in the Primary Care team setting; outpatients include both scheduled and unscheduled Veterans. Function as an integral part of a Primary Care multi-disciplinary team to coordinate, facilitate, and provide patient care and services.
• Discriminate between normal and abnormal findings to establish a diagnosis and initiate appropriate response to emergency health problems.
• Initiate appropriate referrals and consultations to other clinical services.
• Order and evaluate diagnostic tests as appropriate, recommend treatment and/or referral.
• Validate the effectiveness of previously implemented medical treatment.
• Initiate, evaluate, and change orders for medications.
• Include patient and family in planning care and establishing realistic measurable goals for health maintenance/improvement.
• Record/document health appraisal information, clinical assessments, treatment decisions, plan of care, ongoing management and therapeutic outcomes, order medications, diagnostic tests and referral consultations where needed for every patient encounter; recording will be accomplished using the electronic comprehensive patient record system (CPRS), and will be completed on the day of the encounter.
• Respond to computerized "alerts" indicating diagnostic test abnormalities and to health line requests from Veterans/family members on the day of receipt (weekends excepted).
• Follow Performance Measure guidelines, including completion of clinical reminders in CPRS. Access and timeliness standards; prescription order entry, National VA formulary requirements, and customer service standards.
• Work effectively with patients, families, members of the multi-disciplinary team, and other staff.
• Demonstrates flexibility in responding to clinic demands, adhere to personal and professional obligations and responsibilities, practice and maintain ethical standards, and sustain a work environment that is harmonious and customer service oriented.
• Providers will act as surrogates for the patients of their colleagues when their colleagues are on leave/travel.
• Serving as a resource for nurse practitioners or physician assistants who are also delivering primary care and responds to all staff in the primary care teams regarding patient concerns

• Teach and train residents as part of the academic partnership with our affiliates.

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

Recruitment Incentive (Sign-on Bonus): N/A
Permanent Change of Station (Relocation Assistance): N/A
Education Debt Reduction Program (Student Loan Repayment): Yes
EDRP Authorized: Contact Carrie, the EDRP Coordinator for questions/assistance

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

Work Schedule: 8:00am-4:30pm M-F.

The VA Saint Louis Health Care System is a 2 Campus, full-service tertiary referral center, with 4 Community Based Outpatient Clinics, providing advanced inpatient and ambulatory care in medicine, surgery, psychiatry, neurology, and rehabilitation, as well as over 65 subspecialty areas, including the VA's busiest interventional cardiac program, interventional radiology and radiation oncology.

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