Summary

The Marion VA Medical Center is seeking a full-time Emergency Medicine Physician to join Specialty Service! If you would like to explore this opportunity further - please email Physician/Provider Recruiter (PPR) Joanne.Miller2@va.gov for additional information.

Qualifications

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
• Preferred Experience: Board certification or eligibility in emergency medicine preferred - current employment in emergency medicine
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: This position requires a pre-employment physical
• Requires lifting 15-44 pounds
• pushing (approx
• 2 hours)
• reaching above shoulder
• use of fingers and both hands
• walking and standing from 3-5 hours and kneeling
• Ability for rapid mental and muscular coordination simultaneously
• Near vision correctable at 13" to 16" to Jaeger 1 to 4
• Far visions correctable in one eye to 20/20 and to 20/40 in the other
• Must have depth perception and ability to distinguish basic colors and shades of colors
• Hearing aid is permitted.

Duties

• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• Duties include but are not limited to: Perform a medical screening examination to determine the presence of an emergency medical condition - treating and stabilizing all patients who come to the emergency department consistent with EMTALA/COBRA requirements Order - interpret - and apply diagnostic laboratory and imaging results into real-time clinical decision-making necessary to complete the ED evaluation Prescribe and administer therapeutics - devices - and procedures within licensure and privileging
• Provide resuscitation and life-saving interventions to stabilize critically ill or injured patients Determine patient disposition efficiently and safely - including admission - transfer - referral to specialty clinics - or discharge with appropriate follow up and return instructions
• Coordinate care and consult specialty services when an acute condition needs higher-level evaluation or co-management - with timely escalation per on call expectations
• Provide clear communication of the diagnosis - results - and treatment plan to the patient and/or family/caregiver - following applicable EMTALA/COBRA screening and stabilization principles before transfer
• Document all encounters contemporaneously in EDIS and the VA electronic health record (CPRS) per policy - ensuring accurate - complete - and legible records
• Perform ED procedures as privileged - including but not limited to: basic and advanced airway management - rapid sequence intubation - mechanical ventilation management in conjunction with a respiratory therapist - moderate sedation - EKG interpretation - CPR - cardioversion/defibrillation - central venous access - intraosseous access - NGT placement - gastric lavage - emergency cricothyrotomy /tracheostomy - non-elective chest tube placement - immobilization and / or reduction of fractures - reduction and or stabilization of dislocations - laceration repair - abscess I&D - measuring intra-ocular pressure using a tonopen - anterior /posterior nasal packing - pelvic examination - and urinary catheterization
• Promote continuity of care through direct SBAR communication with inpatient teams - consultants - EMS - nursing - and other interprofessional staff to ensure safe handoffs and transitions
• Participate in Quality Assurance - peer review - chart review - performance improvement - and committee work
• support ED performance measures and process optimization
• Support safety - occupational health - infection control - and fire protection programs by applying approved standards - regulations - and work methods
• Maintain compliance with EMTALA/COBRA principles regarding timely medical screening examination - stabilization - on call engagement - transfers - and documentation
• Complete accurate - timely documentation for all encounters in EDIS/CPRS
• ensure coding and clinical narratives meet policy standards
• Perform medication reconciliation for all patients at disposition to prevent adverse events and ensure continuity
• Disposition patients in a timely - organized manner to reduce ED length of stay while ensuring safety - completeness of evaluation - and appropriate follow-up instructions
• Escalate and collaborate to resolve barriers to admission - transfer - or specialty evaluation in accordance with policy
• Utilize a fully computerized environment
• maintain proficiency in EDIS and CPRS workflows and clinical decision support tools
• Other than emergency orders - physicians and nurse practitioner will enter all orders in CPRS Assist with pandemic - emergency - disaster - and mass casualty response planning and execution in coordination with facility incident command and EMS partners
• Participate in staff meetings - morbidity and mortality conferences - mandatory trainings - and peer review activities - with non-clinical on duty time allotted per local policy
• Work Schedule: Work variable 8-12-hour shifts including nights - weekends - holidays - and weekdays
• Participate with the ED on-call coverage schedule for unscheduled open shifts
• 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