The staff anesthesiologist administers anesthesia care alone or supervises physicians in-training (residents) or certified registered nurse anesthetists. When working alone, he/she examines the patient before and after anesthesia, writes pre- and post-anesthesia orders, confirms that the patient is ready for anesthesia before induction, manages the anesthetic period, and follows patients as appropriate in the post-anesthesia period. 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. Functions When supervising trainees, an attending anesthesiologist meets the following conditions to demonstrate sufficient personal and identifiable medical services to the patient to exercise full, personal control over the management of anesthetic care. The attending anesthesiologist must as a minimum: (a) Review the patient's history and the record of examination and tests. (b) Personally, will examine the patient. (c) Confirm or revise the course of treatment to be followed. (d) Either performs the anesthesiologist's services required by the patient or supervises the treatment to assure that appropriate services are provided by residents or CRNAs. (e) Be recognized by the patient as his/her attending anesthesiologist. When supervising CRNAs, the anesthesiologist must meet the criteria required for medical direction. The attending anesthesiologist, in providing medical direction of a CRNA must as a minimum: (a) Evaluate the pre-anesthetic examination and evaluation. (b) Prescribe the anesthesia plan. (c) Either personally participate, or be immediately available, in the most demanding procedures in the anesthesia plan, including the induction and emergence. (d) Ensure that any procedures in the anesthesia plan that he/she does not perform are performed by a qualified individual. (e) Monitor the course of anesthesia administration at frequent intervals. (f) Remain physically present and available for immediate diagnosis and treatment of emergencies (g) Provide indicated post-anesthesia care. The attending anesthesiologist may be required to perform these services in the operating room, in radiology, and in some special procedure areas. Except in specific emergency situations, the administration of anesthesia is limited to areas where anesthesia can be given safely. Since attending anesthesiologists in the service are also faculty members of the University of Colorado School of Medicine, they are expected to contribute to the teaching needs of the Department of Anesthesiology. This may include, but is not limited to preparing and delivering lectures, service as a preceptor, and providing one-on-one instruction. Attending anesthesiologists as faculty members are also expected to contribute to the advancement of knowledge in the specialty by way of clinical and/or laboratory research. Qualifications Incumbent is a licensed independent practitioner who is hired directly by the Department of Veterans Affairs. Practitioner should be either in the examination process of the American Board of Anesthesiologists ("board eligible") or a Diplomat of the Board, or to be holding certification of foreign training that is recognized as equivalent to its diploma by the American Board of Anesthesiology. 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); Heavy Carrying (45 lbs and over); Straight Pulling (up to 4 hours); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours); Standing (up to 8 hours); Repeated bending (up to 4 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Hearing (aid permitted). ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid Time Off: 50-55 days of annual paid time offer 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory\nCME: Possible $1,000 per year reimbursement (must be full-time with board certification)\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting The Anesthesiology staff physician independently provides clinical anesthesia services to eligible veterans. Services are provided at the ECHCS in Denver, CO to both inpatients and outpatients. The incumbent is required to interact not only with the veteran, but also family, significant others, community agencies, and other staff. Staff anesthesiologists shall assist the Chief, Anesthesiology Service in carrying out the mission of the Service. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm. Nights and weekends on call are required."]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.