Physician (Cardiology-Interventional)

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.

01Basic 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 allopathic 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 accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency, or fellowship if applicable, was completed; OR (2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States; OR (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement), 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.

Exceptions: 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 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.

In rare and unusual circumstances, the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer, who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience, accomplishments, performance, and qualifications warrant such action. Proficiency in spoken and written English. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

02Physical Requirements

See VA Directive and Handbook 5019

General duties include, but are not limited to: Responsible for providing consultation on various forms of cardiovascular disease states, both for diagnosis and treatment in the inpatient and outpatient settings. Share attending call responsibilities with the other cardiologists in covering some night, weekend and holiday calls as needed. Co-direct a robust clinical program in structural heart disease, and peripheral arterial intervention.

Responsible for building and directing the structural program if he/she has appropriate credentials. Lead and manage the Cardiology/Coronary Care Unit (CCU) team consisting of Cardiology fellows, Internal Medicine Residents, Medical students, Pharmacists, Mid-level providers etc. while on the inpatient service. Give didactic lectures to Cardiology fellows and also participate in academic activities such as journal review, Grand rounds, conferences and lectures.

Administratively responsible to the Chief, Medical Service within Cardiology section- Cath Lab. Clinical oversight and supervision will be provided by the collaborating and supervising physician. Recognizing patients appropriate for referral or consultation with the collaborating physician. Consultations with collaborating physicians may occur through personal, telephone, or electronic media contact.

Physician co-signature will be required for the admission history, physical examination and admission plan for new patients as well as daily plan care/progress note for established patients. Discharge notes and discharge summaries will be electronically co-signed. Responsible for determining patients suitable for percutaneous coronary intervention. Any patient with more than one vessel coronary disease especially involving the proximal LAD will be discussed in the Cath conference.

Patients with left main or ostial LAD lesion when assigned for PCI in the Cardiology Cath Conference will undergo PCI with Surgical standby. Provide comprehensive patient care in the form of invasive, non-invasive, consultative, and inpatient/outpatient cardiology care. Moderate Sedation Privileges and certification required. Fluoroscopy privileges and certification. Central venous line insertion and management. Intra-arterial lines insertion and management. Interpret EKGs. Interpret holter monitors.

Use of thrombolytic agents. Pericardiocentesis. Arterial puncture. Temporary trans venous pacemaker placement. Intra-aortic balloon pump insertion and management. Percutaneous coronary intervention, cardiac catheterization and angiography. Peripheral arterial interventions. Stress test interpretation. Debulking devices including CSI atherectomy, rotablator, laser Angiojet for intervention for cardiovascular diseases. Clinical assessment and evaluation - Inpatients and Outpatients.

Health care management of assigned veteran patients with acute and chronic illnesses. Ordering and interpreting laboratory and diagnostic studies. Consultation and referrals; Inpatients and Outpatients. Patient follow-up, as appropriate. Health promotion and disease prevention. Patient, family, and staff education and counseling. Clinical research. Outpatient Clinics for general and interventional Cardiology Patients.

Inpatient Services including CCU and consultative services, rounding with a team of Cardiology fellows, Internal Medicine Residents, Medical students, Pharmacists etc. Any other duties as assigned. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentives (Sign-on Bonus): May be eligible for highly qualified applicants.

Contract Buy Out Program: This position may be eligible for the Physician / Provider Contract Buy Out Program (CBOP), which authorizes VHA to buy out service contracts (Locum agreements, loan repayments, sign-on bonus contracts, Physician-owned practices) in exchange for employment at certain rural or highly rural facilities for a period of obligated service (minimum 4 years). For additional information and eligibility requirements, contact the VHA Contract Buy Out Program Manager at [email protected].

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: Monday-Friday 8:00AM - 4:30PM