Physician (Home Based Primary Care)

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

Home Based Primary Care Experience Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements

Must pass a pre-employment physical examination as required by VA Handbook 5019. This examination is administered by VA Occupational Health. This position requires moderate lifting up to 44 lbs., carrying objects up to 15 lbs., frequent reaching above shoulder, use of fingers, hands and legs, use of cranes and motor vehicles, walking & standing up to 8 hours, bending and climbing and able to hear whisper. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity.

Potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. May be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. May occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.

Must be a mature, flexible, sensible individual capable of working effectively in stressful situations and able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. Must be physically, emotionally and mentally competent and able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to yourself or others.

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

Contact the VISN 8 Compensation Center of Excellence at [email protected] for questions/assistance. 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 include but are not limited to: Selected candidate spends 70% of time with clinical responsibilities and 30% administrative responsibilities Provide supervision, as appropriately, of residents and students conducting direct clinical care Diagnose and treat medical and geriatric disorders using the most appropriate techniques in providing quality care Ensure Medical Care Plan oversight at HBPC team meetings by either actively participating in HBPC team meetings or delegating an HBPC Provider to participate at team meetings Provide cross coverage for other HBPC Physicians during absences, as well as night on-call coverage of patients in Community Living Center (CLC).

This includes occasional weekend and holiday coverage Provide readily accessible and prompt response to calls from team members currently in a Veteran's home with urgent need for consultation or physician orders. Provide clinical oversight of HBPC providers. This includes supervisory visits to ensure that the HBPC staff meet joint commission requirements for home visits and that standards of medical care are being met Maintain full clinical privilege as a member of the Medical Staff.

Is responsible for timely completion of all program evaluations and documents required by the Joint Commission, ensuring compliance and monitoring entities as appropriate. Participates with leadership team to prepare for and participate in Joint Commission surveys.

Monitoring and reporting to the Rehabilitation and Extended Care Integrated Clinical Communities (REC ICC) Committee regarding status of HBPC Quality Measures, with implementation of needed action plans regarding QM Assists the HBPC Medical director on the coordination of HBPC services response in the event of critical occurrences of violence at the facility, disasters, and/or mass casualty occurrences.

The incumbent participates in planning, developing, and maintaining a comprehensive program to ensure compliance with applicable standards Collaborate with the Program Director and Medical Director to advise the Chief of GEC about the adequacy and appropriateness of the scope of services, space, and staffing levels to the needs presently and in the future The HBPC Assistant Medical Director will cross cover the duties of the Medical Director in his/her absence to include arranging physician and provider coverage in the event of an unplanned absence.

Ensures the implementation and maintenance of standards for medical providers and forecasts requirements necessary to maintain and increase the efficiency and effectiveness of clinical care. This includes participation in establishing policies, procedures, and guidelines for the delivery of services. Selected candidate will be expected to drive anywhere within the Bay Pines HBPC coverage area. Selected candidate will not have a private office and will need to share space.

Work Schedule: Monday- Friday, 8::00 am - 4:30 pm(Note: Work schedules are determined and approved by the supervisor. The incumbent may be required to work various shifts on a permanent or temporary basis based on facility/patient care needs).