Veterans Affairs, Veterans Health Administration Physician (Primary Care) in Des Moines, Iowa
Summary The Primary Care Physician is assigned to the Primary & Specialty Medicine Service Line to perform duties as a Primary Care Physician in the outpatient clinics. Responsibilities The Primary Care Physician provide care with a Patient Aligned Care Team (PACT) that is patient-driven, proactive, personalized, team-based care focused on wellness and disease prevention resulting in Veteran satisfaction, improved healthcare and costs. Duties, but are not limited to the following: The provider will manage scheduled and unscheduled patients in the outpatient clinic setting; Acts as a leader of the PACT team and collaborates with other team members, facility staff and community partners to ensure seamless coordination of care; Assigned a panel of patients to manage. Panel size at this time is determined by utilizing VHA PCMM software. Panel size is determined at the National level, through a complex formula which extracts local information regarding acuity of assigned patients, available support staff, number of exam rooms, etc. Each provider's panel size is specific to their practice and setting; Alternative or collateral duties may include management of a subsection of primary care patients, the subsection may be defined either by a disease status or demographic status (women veterans, OIF/OEF veterans, employees etc).; Participation in special projects pertinent to assigned sub-specialty may be necessary as the projects become available with strategic or other initiatives. Examples of such projects may be palliative care program, multidisciplinary cancer care program, and chronic disease management program; Participate in discharge planning of inpatients assigned to their PACT team and other interdisciplinary patient care plan activities. During this time, information regarding patient status should be discussed with the hospitalists and other team members and ensure proper transition of care; Physicians may be assigned duty as a supervising or collaborating physician for a Physician Assistant. Physicians are expected to provide clinical oversight and review. Supervising or collaborating responsibilities and performance will be noted in the physician's performance evaluation and are outlined in the PA Supervising Agreement; Providers will need to act as surrogates for the patients of their colleagues, when one or more of their colleagues are on leave; Quality of care should be able to meet professional standards at all times; Other duties as assigned. Work Schedule: Administrative Days, Monday through Friday, 8:00 - 4:30 or 7:30 - 4:00 Financial Disclosure Report: Not required EDRP is authorized. Student loan repayment up to $200K for eligible debt. Recruitment or relocation incentives are not authorized for this position Pay: Competitive salary, annual performance bonus, regular salary increases. Paid Time Off: Annual leave at the rate of eight (8) hours per biweekly pay period; Sick leave at the rate of four (4) hours per biweekly pay period; 10 paid Federal holidays per year. 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 stipend + possible 1 week paid authorized absence to attend. Malpractice: Free liability protection with tail coverage provided. Contract: No Physician Employment Contract and no significant restriction on moonlighting. Take a look at VA's Top 20 Reasons Doctors Enjoy Working at VA and VHA Physician's Brochure Requirements Conditions of Employment Qualifications 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 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 Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by the American Osteopathic Association (AOA),OR (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), 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. 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 or fee-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. Proficiency in spoken and written English. Preferred Experience: Board certification or eligibility in Internal Medicine or Family Practice is preferred Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: In accordance with VA Directive and Handbook 5019, this position requires a pre-employment physical. Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others. Education This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more. 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 an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are: Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. § 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area. Additional Information This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. Financial Disclosure Report: Not required If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.