Physician - Staff Psychiatrist (Behavioral Health Interdisciplinary Program)

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.

Preferred Experience

Completion of four year ACGME approved Psychiatry Residency Program. Prefer prior VA experience. Prefer Board Certification by American Board of Psychiatry& Neurology. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements

The physician needs to be mobile in that the job requires: sitting, walking, standing, and bending. Selected applicant will be required to complete an online on-boarding process. The job is primarily sedentary, and requires sitting, walking, standing, and Page 5 of 5 bending. Incumbent is required to respond with time- sensitive reports while balancing multiple competing demands. Work is typically performed in an adequately lighted and climate- controlled office and/or home space.

The staff psychiatrist serves as a member of an interdisciplinary treatment team with specialized expertise in medication management of mental disorders. The areas which the psychiatrist has clinical privileges to practice may include depression, anxiety, psychotic disorders, post-traumatic stress disorder (PTSD), substance use disorder, personality disorders, and other psychiatric disorders in primarily outpatient clinical settings.

The Behavioral Health Interdisciplinary Program (BHIP) team for the Mental Health Service's located at the Fredericksburg Health Care Center (FXHCC) located in Fredericksburg, Virginia, which is part of the Central Virginia VA Health Care System. This incumbent is a member of an interdisciplinary team that provides care for our Veteran population.

The Fredericksburg Veterans Affairs Health Care Center offers a comprehensive range of outpatient services for Veterans in the Northern Virginia and Central Virginia area, including Primary Care and Mental Health services.

The establishment of this new health care center is part of the Central Virginia Veterans Affairs Health Care System and the Veterans Health Administration's initiative to enhance access to care for Veterans, thereby providing them with more healthcare options within their communities and fulfilling the mission to deliver exemplary care to our Nation's Heroes. VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Recruitment/Relocation Incentive (Sign-on Bonus): Authorized to a qualified applicant. Education Debt Reduction Program (Student Loan Repayment): The position is eligible for the EDRP. Learn more. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact Ms.

Monique Head at [email protected], 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 The duties and responsibilities of the Physician - Psychiatrist include, but are not limited to the following: Provides care via multiple modalities including in-person, telehealth (VA Video Connect), and telephone.

Provides a full range of diagnostic and therapeutic interventions including diagnostic assessment, medication evaluation and management, psychotherapy, suicide risk assessments, crisis intervention, expert opinions for civil commitment proceedings, response to emergency clinical situations, and in the overall care of patients in the assigned clinical outpatient setting. Maintains the ability to prescribe Suboxone and Clozapine.

Orders diagnostic tests, imaging studies, consultations, discriminates between normal and abnormal findings and makes appropriate treatment decisions. Obtains information from the medical record and collateral sources; completes clinical reminders and screens; documents in the electronic health record (CPRS); formulates treatment plans including safety plans; and serves as mental health team member with responsibilities for coordinating consults and triage of specialty clinic referrals.

Ensures practice of psychiatric medicine is consistent with TJC, CARF, HIPPA, VA policies and procedures, clinical practice guidelines, national statutes and regulations, medical record documentation, and mandatory continuing medical education. Maintains clinical privileges, conducts peer review, and attends required mental health service (MHS) meetings. Submits leave requests, clinic modification requests, communicates coverage needs and issues or problems to management and performs other duties as assigned.

Participates on a variety of service and facility committees, tasks groups or special projects groups to assure compliance with agency directives and goals and contributes to the delivery of health care services to Veterans. Provides staff development, training, and provides educational presentations to staff on topics relevant to the care and management of patients with mental disorders in the primary care environment. Work Schedule: Monday through Friday, 8:00 AM to 4:30 PM