The Medical Service is looking to a STAFF GASTROENTEROLOGIST to work Part time .4 FTE at the Portland Maine Community Outpatient Clinic 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 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. Additional Requirement: Preferred Experience: Board Certification or eligibility in Gastroenterology by the appropriate accrediting agencies. Current BLS and ACLS certification. 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: Heavy lifting (45 lbs. and over); reaching above shoulder; pulling (4 hours); pushing (4 hours) use of fingers; both hands required; walking (3 hours per day); standing (6 hours per day); kneeling (2 hours per day); both legs required; ability for rapid mental and muscular coordination simultaneously; ability to distinguish basic colors; hearing (aid permitted); mental and emotional stability required. ["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 Provides comprehensive patient care in the form of consultative inpatient and outpatient Gastroenterology patient care at the VA Maine Healthcare System, Togus campus and select Community Based Outpatient Clinics (CBOCs). The staff gastroenterologist will work under the general supervision of the Chief, Gastroenterology Section and/or designee. The VA Maine Healthcare System is an acute care facility operating 24 hours per day, 7 days per week. While most tours of duty are scheduled during the day, the possibility of working evenings, nights and weekends does exist. On-call and shift changes will be considered based on patient and facility needs. The typical work schedule is Monday-Friday, 08:00 a.m. - 4:30 p.m., excluding recognized Federal holidays. In addition, the incumbent will participate in after hours on call responsibilities (no more than one in four rotation). This will require carrying a hospital pager and the ability to respond by phone within 15 minutes and in person within 1 hour SCOPE OF ASSIGNED DUTIES (INCLUDE BUT ARE NOT LIMITED TO) The staff Gastroenterologist works within her or his privileges at all times. Must be qualified to diagnose, treat, and manage patients with gastrointestinal diseases according to standard, usual, and acceptable methods, and techniques. The Gastroenterologist is expected to maintain current knowledge and skills. She or he must be able to deliver interventions throughout the full spectrum of gastroenterology care, i.e., she or he is expected to maintain good diagnostic and therapeutic acumen. Primary duties are to perform full general gastrointestinal examinations on established or newly consulted patients, including electronic consultations (eConsults) in the Gastroenterology clinics, inpatient wards or Emergency Department for signs or symptoms of gastrointestinal dysfunction. The Gastroenterologist will ensure communication with the hospitalists regarding inpatients and/or potential admissions. The staff Gastroenterologist will perform gastroenterology procedures including: EGD (gastroscopy) Paracentesis EGD with Peg Esophageal manometry ERCP Liver biopsy Colonoscopy 24 hr. pH monitor Oversees the administration of moderate sedation. Provides oversight to Gastroenterology Nurse Practitioners and Nurses. Ensures communication with the incoming evening Medical Officer of the Day regarding patient care issues. Responsibilities will include completing medical records in accordance with Medical Staff Bylaws, Rules and Regulations, including (but not limited to): history and physical exams within 24 hours of admission progress notes daily for inpatients and for each encounter on outpatients consult notes within 24 hours of evaluating patient discharge summaries within 10 days of hospital discharge new or renewal of prescriptions, transfer summaries and/or discharge instructions Participation in quality assurance programs and chart reviews; demonstrates knowledge of and promotes performance improvement in meeting organizational goals. Conducts point of care audits and peer reviews when requested by Chief of Medicine. Exercises corporate citizenship by serving as a leader and/or active member on Medical Center committees as requested and attending Medical Service Staff meetings and meetings of the Medical/Dental staff. Teaches effectively and creatively and provides guidance to others involved in the delivery of the educational program. Maintains Advanced Cardiac Life Support (ACLS) Certification and completes all mandatory training by due date. The staff Gastroenterologist provides expanded access to services via off normal tour or on-call periods Work Schedule: TBD by Service and Provider"]

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