The Cincinnati, OH VA Medical Center is seeking well-qualified, highly energetic Physicians to join our Primary Care team. If you are interested in a career that offers professional/work life balance in a supportive clinical learning environment, providing integrated patient-centered, state-of-the-art care to Veterans, we welcome you to apply to be part of the Cincinnati VA team! Cincinnati is a family friendly, affordable, metropolitan city with great parks, fine arts, and food scene. 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 Eligibility or Board Certification by the American Board of Internal Medicine or Family Medicine is preferred. Unrestricted DEA license. Previous experience as a Primary Care physician providing direct patient care. 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: Per VA Directive and Handbook 5019 - a physical examination will be conducted based on the physical requirements of the position. A physical examination prior to placement is required. This is a designated drug testing position. After appointment, you will be subject to random testing for illegal drug use. Applicants must meet physical standards for the position. Heavy lifting, 45 pounds and over; light carrying, reaching above shoulder; use of fingers and both hands required; walking and standing (4-8 hours); ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision 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 permitted); mental and emotional stability; clear speech. The employee may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative/invasive procedures. The employee may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The employee must be capable of working effectively in stressful situations and able to shift priorities based on patient needs. Note: Must have Basic Life Support (BLS) certification prior to assuming clinical duties. The BLS requirement is satisfied by successfully completing an American Heart Association (AHA) BLS Healthcare Provider Course or Military Training Network (MTN). BLS courses are normally offered within 1-5 days of entry on duty. No online certifications will be accepted. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Appraised Value Offer (AVO): Not Authorized Education Debt Reduction Program (Student Loan Repayment): Not Authorized 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 The Primary Care Physician is the leader of a Patient Aligned Care Team (PACT) (physician, RN, LPN, and clerical associate) providing a full range of primary care services. The physician will be providing direct care for Veterans enrolled in Primary Care at the Cincinnati VAMC main hospital or at one of its 6 CBOC's. This physician is assigned responsibility for a panel of patients at a specific location. However, the physician may be asked on some occasions to assist in patient care or administrative duties at the main hospital or another sites. The physician should have competence in the effective teaching, monitoring and coordinating of educational activities including planning, evaluating and documenting. He/she may have the opportunity to serve as an attending physician on the inpatient service which includes teaching residents, fellows or other trainees. The physician may also have administrative responsibilities, including program planning or leadership, committee involvement, and other augmenting duties for the medical center, and making administrative decisions that affect primary care programs. It is important the physician: Provides outstanding customer service Has excellent communication skills and relations with staff and community Is able to elicit cooperation from others. Other duties and responsibilities include, but are not limited to the following: Provides clinical examination, diagnosis, and treatment of acute and chronic diseases, preventive care, and coordination of care for a panel of primary care patients. Provides instruction and/or education concerning treatment/diagnosis/medications. Provides referral to Specialty Clinics as appropriate. Document all medical information in an electronic medical record. Appropriate documentation of patient care in clinical records is expected. All administrative work should be completed in a timely fashion. Refers to specialists when additional input and treatment outside of the scope of the physician's experience and training is required. Monitors PACT team performance to assess adherence to VA standards, assure quality and effectiveness of care, and meet VA performance measures. Leads the team in assisting the patient advocate and administration in resolving patient concerns and inquiries. Adheres to standards of care as they relate to state medical license, professional organization, and the VA; while manifesting strong ethical standards at all times. Provides direct patient care to include, but are not limited to: history and physicals, medication management, evaluation of diagnostic tests and treatment planning, clinical reminder completion as applicable. Performs medication reconciliation. Other duties as assigned. All staff physicians are involved in quality improvement through peer review process; attend/complete VA training requirements and complete continuing education. Work Schedule: Monday-Friday, 8am-4:30pm; may be placed, detailed or temporarily assigned to other services and/or locations during regional/ or national emergencies."]
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.