Emergency Medicine Physician

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 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/.

Physical Requirements

Moderate lifting (under 15-44lbs); Moderate carrying (Under 15-44lbs); Straight pulling (1 hour); Reaching over shoulder; Use of fingers; Both hands required; Walking (approx. 5 hours); Standing (approx. 4 hours.); Kneeling (approx. 1 hour); Repeated bending (approx. 4 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Mental/Emotional Stability.

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

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 Duties for this position include, but are not limited to the following: Perform assessments/examinations on encounters with all presenting patients.

Order and interpret appropriate diagnostic tests necessary to complete the ED evaluation. Stabilize all critically ill or injured patients. Provide Attending Physician oversight to residents, mid-level providers, and students. Admit patients to the hospital or discharge them from the ED with appropriate follow-up. Discuss treatment plan with patient and or family/caregiver. Perform medication reconciliation with all discharged patients.

Participate in Quality Assurance, chart reviews, and support applicable ED performance measures. Coordinate patient care with consultants as deemed appropriate. Direct patient care focused on the immediate decision making and action necessary to prevent death or any further disability both in the ED and the out-of-hospital setting by interacting with emergency medical technicians and in the emergency department.

Emergency Department physician will support the safety, occupational health, and fire protection program by the application of approved standards, regulations, practices, and work methods.

Asses, evaluate, diagnose, and provide initial treatment to patients who present in the Emergency Department with any symptom, illness, injury, or condition; to provide services necessary to ameliorate minor illnesses or injuries and stabilize patients with major illnesses or injuries; and to assess all patients to determine whether additional care is necessary.

Perform procedures related to Emergency Department such as but not limited to: basic and advanced airway management, rapid sequence intubation, management of mechanical ventilation, administration of moderate sedation, EKG interpretation, cardiopulmonary resuscitation, cardioversion, defibrillation, venous central line placement, intraosseous access, peripheral arterial puncture for ABGs, NGT placement, gastric lavage, gastrostomy and tracheostomy tube replacement, reduction and immobilization of fractures and dislocations, wound care and closure (suture), abscess incision/drainage, lumbar puncture, knee arthrocentesis, anterior nasal packing, peripheral vein catheterization, vaginal pelvic exam and Foley Bladder Catheterization.

Also, emergency surgical procedures indicated by emergency medical conditions or injuries such as emergent cricothyrotomy, and chest tube placement. Work Schedule: Full-time, Monday through Friday 8am-4:30pm. Schedule is subject to change based on service needs.