Physician - Primary Care, Site Medical Director

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/.

Duties include but not limited to: Evaluates, diagnoses and treats patients appropriate to the specialty of Internal Medicine or FamilyPractice, or as specified in their clinical privileges. Engages in direct and indirect patient contact or performs tasks defined by statute or recognized custom of medical practice within the bounds of state law as defined by the board of professional licensure for internal medicine or family practice, or as specified in their clinical privileges.

Acts as supervisor including the handling of administrative tasks, human resources issues, and performance evaluation for their supervisees. Engages in population health and quality improvement efforts related to care of Veterans within the bounds of state law as defined by the board of professional licensure. Takes part in continuing medical education (as defined by licensure), and quality assurance activities. Follows Medical Staff By-Laws.

Works collaboratively with the Patient Aligned Care Team "triad" consisting of an administrative lead, a nursing lead, and the incumbent as the Primary Care Provider (PCP) lead. This includes shared leadership of clinical operations. Optimizes the clinical environment in their work unit by collaborating with "Extended PACT" services including pharmacy, social work, nutrition, telemedicine, laboratory services, radiology services, and Primary Care Mental Health Integration.

Works collaboratively with non-GMS service lines to facilitate care within the work unit as needed. Leads according to the foundational principles of a highly reliable organization (HRO).

Participates in strategic and operational planning for their work unit; ensure that all staff are following VHA, Facility, and GMS policies and procedures; review staffing and resource utilization; monitor clinical performance measures and veteran satisfaction metrics; review staff satisfaction metrics; and contribute to the governance of the work unit. Supports staff engagement in emergency planning, drills, and emergency communications. VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized 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, 8am-430pm