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The VA Columbia Missouri Healthcare System provides you with outstanding health care, trains America's future health care providers, and conducts important medical research. We provide you with health care services at 9 locations in Missouri and Pike County, Illinois. Facilities include our Harry S. Truman Memorial Veterans' Hospital in Columbia and 8 community-based outpatient clinics located in Jefferson City, Kirksville, Marshfield, Mexico, Osage Beach, Sedalia, St. James, and Waynesville. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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 Certified 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: Applicants must meet physical standards for 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. 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. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted. ["VA offers a comprehensive total rewards package. 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 Physician Anesthesiologist duties and responsibilities include, but are not limited to: Performing and documenting a preanesthetic assessment and evaluation of the patient, including requesting consultations and diagnostic studies, selecting, obtaining, ordering, or administering preanesthetic medications and fluids, and obtaining informed consent for anesthesia. Developing and administering an anesthetic plan, which may include General, Regional, or Local anesthesia and intravenous sedation (monitored anesthesia). Selecting, obtaining, or administering the anesthetics, adjuvant drugs, accessory drugs, and fluids necessary to manage the anesthetic, to maintain the patient's physiologic homeostasis, and to correct responses to the anesthetic or surgery. Selecting, applying or inserting appropriate noninvasive and invasive monitoring modalities for collecting and interpreting patient physiological data. Appropriately managing a patient's airway. Managing emergence and recovery from anesthesia by selecting, obtaining, ordering, or administering medications, fluids, or ventilatory support in order to maintain physiologic homeostasis, to provide relief from pain, anesthesia side effects, and to prevent or manage complications. Releasing or discharging patients from a post anesthesia care area, and providing post-anesthesia follow-up evaluation and appropriate care. Ordering, initiating or modifying pain relief therapy, through the utilization of appropriate diagnostic and therapeutic modalities. Responding to cardio-pulmonary emergency situations. Consultative care for the critically ill. Anesthesiology Service collaborates with other Services to establish guidelines for the safe administration of anesthesia and provides consultation on the monitoring and evaluation of anesthesia care management throughout the organization. Interdisciplinary collaboration with appropriate Services through a continuous quality improvement (TQ) program to improve the efficiency and effectiveness of patient care. The same quality of anesthetic care should be available for all patients: 24 hour a day, seven days a week o Emergency as well as elective patients o Medical and surgical patients. Pre-Anesthesia Evaluation and Preparation Expected to be on-call as necessary."]

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