Physician - Hospitalist

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.

02Preferred Experience

Board-certified or board-eligible in Internal Medicine or Family Practice. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

03Physical Requirements

Position requires a pre-employment evaluation. See VA Handbook and Directive 5019 for more information.

The Hospitalist provides comprehensive, high-quality inpatient medical care to hospitalized Veterans within an interdisciplinary team structure. The Hospitalist serves as the primary attending physician for general medicine ward patients, coordinates continuity of care across transitions, supervises clinical trainees, and contributes to quality improvement and patient safety initiatives. VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Duties Include but are not limited to: Admit and evaluate patients on medical service and intensive care units for diagnosis, treatment planning, and disposition decisions Provide primary attending physician coverage for hospitalized Veterans (varying shifts: 12-hour, and overnight MOD assignments) Manage acute and chronic medical conditions, medication optimization, and complex medical-surgical co-management patients Coordinate care transitions with consultants, specialists, primary care physicians, and post-acute care facilities Implement evidence-based protocols and clinical pathways to optimize patient outcomes and length of stay Maintain comprehensive, timely documentation in the Veterans Health Information Systems and Technology Architecture (VistA) and compliance with all clinical documentation standards Respond to rapid response calls and code blue resuscitations as clinically indicated Serve as Medical Officer of the Day (MOD) to oversee general medicine service operations, triage transfer requests, manage patient flow, and ensure balanced workload distribution Participate in interdisciplinary rounds, case conferences, and care coordination meetings Contribute to quality improvement initiatives, clinical pathway development, and performance improvement projects Monitor and address patient safety events and provide feedback on process improvements Participate in service scheduling, call coverage, and operational planning Serve on clinical committees and quality improvement initiatives as assigned Contribute to credentialing, privileging, and peer review processes Maintain current ACLS and BLS certifications Participate in continuing medical education and professional development Engage in faculty development activities and academic responsibilities as appropriate to facility structure and mission Work collaboratively with nursing, pharmacy, social work, case management, and specialty services Coordinate with Veterans integrated care teams for discharge planning and post-acute disposition Communicate effectively with primary care physicians regarding ongoing patient management and follow-up Participate in huddles and team meetings to align care planning and ensure safe transitions of care Work Schedule: Full-time.

Shifts include 12-hour days, and overnight Medical Officer of the Day assignments.

Participation in on-call schedules as determined by facility staffing model 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