The Cincinnati, OH VA Medical Center is currently recruiting for a full time Physician to perform clinical duties and effective outpatient care in the Emergency Department and participate in the Emergency Department's Emergency Preparedness Response. The Emergency Department is under the Primary Care Service and is 24/7, triple-covered during the day and single-covered at night. It has 25,000 annual visits with approximately 18% of evaluated patients being admitted. 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. a. Citizenship. Be a Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with [38 U.S.C. § 7407(a)).] b. English Language Proficiency. Physicians appointed to direct patient care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). c. Education. Degree in Doctor of Medicine, Doctor of Osteopathic Medicine or equivalent from a school in the United States or Canada. This degree must have been accredited by the Council on Medical Education of the American Medical Association; Association of American Medical Colleges; Liaison Committee on Medical Education; Commission on Osteopathic College Accreditation of the American Osteopathic Association, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (1) Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or (2) Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted. (3) For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated. NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. § 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area. Degree from Foreign Medical School: A Doctor of Medicine or equivalent degree from a foreign medical school must provide education and medical knowledge equivalent to accredited schools in the United States. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country, or successful completion of the U.S. Medical Licensing Examination. d. Licensure and Registration. Physicians must possess a 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. The physician must maintain current registration in the state of licensure if this is a requirement for continuing active, current licensure. NOTE: Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the state for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. § 7402(f)). This requirement does not apply to licensed physicians on VA rolls as of November 30, 1999, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of state license, registration or certification. e. 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), OR (2) Those approved by the American Medical Association, (AMA), 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. NOTE: 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. For more information, see Section 3a below. f. Board Certification: Physicians are generally not required to be board certified for employment in VA; however, three circumstances in VA require physician board certification: (1) If the position being filled is required to be a supervisor for medical students or physician residents (including fellows), the LCME, ACGME or AOA standards requiring a particular board certification credential will apply. (2) If the position being filled will have faculty status with an affiliated medical school (for example, in joint recruitments with affiliated medical schools), then a medical school requirement for board certification will apply to the jointly recruited position. (3) If the position being filled is required to be board certified by virtue of specific VHA policy (for example, as director of a cardiac catheterization laboratory or Director of Clinical Laboratory Medicine), then VHA policy requiring board certification will apply.] g. Physical Requirements: Per VA Directive and Handbook 5019 - a physical examination will be conducted based on the physical requirements of the position. A physical examination prior to placement is required. Day-to-day work is primarily sedentary, although some light physical effort may be required. Typically, the employee may sit comfortably to do a portion of the work. However, there will be some walking, standing, bending, and carrying of light items like papers, books, files, and repositioning of patients. No special physical demands are required to perform the work of this Emergency Department physician. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. VA Regulations, specifically VA Handbook 5005, Part II, Chapter 3 These references can be found in the local Human Resources Office. ["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 4% 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 duties of this position include but are not limited to: Provide evaluation and treatment consistent with hospital policy to ill and injured veterans presenting to the Emergency Department Refer to specialty care when a higher level of evaluation and care is needed Document details of the patient visit in EDIS (Emergency Department Integrated Software) and clinical evaluation and treatment of the patient in the patient record (Computerized Patient Record System). Disposition patients (discharge home, refer to specialty clinic, admission) in a timely and organized manner Demonstrate flexibility in working a rotating schedule which may include 8, 10 or 12 hour shifts on nights, weekends, and occasionally holidays and weekdays. Maintain appropriate training, skills, and credentials to include Medical License, Board Certification, BLS, ACLS, minor procedures, airway management, and other training as required by the VA Supervise mid-level providers (PA/NP) who provide patient care in the Emergency Department Participate in administrative duties including peer review, hospital committees, performance improvement and other duties as assigned Promote continuity of care through communication (face to face, telephone, patient record) with other healthcare providers as appropriate Specialized Experience: Specialized experience considered as it pertains to the position of Emergency Department Physician includes, but is not limited to, a broad background in intensive care and/or emergency medicine, familiarity with the VA system, skill in performing minor procedures, treatment of complex lacerations, and treatment of minor orthopedic issues. Additional considerations include the ability to read plain radiographs and EKGs, enact ACLS protocol, and perform conscious sedation and intubation. Computer literacy is required. Formal training and/or experience in Emergency Medicine or Internal Medicine is required. Selective Placement Factor: Must be board certified or eligible in Emergency Medicine, Internal Medicine, or Family Medicine with at least two years of Emergency Department practice experience. Must have American BLS and ACLS Certifications. Work Schedule: The Emergency Department Physician will work a 40-hour week in the context of 24/7 Emergency Department coverage and as part of a collaborative physician team. Shifts will include off tour, nights, weekends, holidays in addition to days."]
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.