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The VA North Texas Health Care System is currently recruiting for a Psychiatrist to provide comprehensive psychiatric medical care (assessment, consultation, treatment) to patients in the Intensive Community Mental Health Recovery Program. 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. Education: 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. Licensure and Registration: 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: Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR Those approved by the American Osteopathic Association (AOA),OR 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. Physical Requirements: See outlined below. English Language Proficiency. Physicians appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7402(d) and 7407(d). Preferred Experience: ABPN Board Certified/Board Eligible in Psychiatry Buprenorphine certification and treatment experience Experience in treating patients in psychiatric specialization of work area Experience in treating patients in general psychiatry Experience providing care via Telehealth Methadone and detox treatment experience 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: Moderate lifting, 20 pounds and over; moderate carrying 15-44 pounds straight pulling (1 hour); pushing (1 hour); reaching above shoulder; use of fingers; both hands required; walking (3 hours); standing (3 hours); kneeling (1 hour); repeated bending (1 hour); Ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; and hearing (aid permitted). ["The ICMHR psychiatrist will serve as a clinical leader, consultant, and collaborator on complex polypharmacy, ethical dilemmas and capacity evaluations. It is necessary that the ICMHR psychiatrist has experience with or interest in evaluating and interacting with chronically, severely ill Veterans. The ICMHR Program needs include the ability for evaluating and treating new onset psychosis as well as treatment resistant illnesses. Typically, complex pharmacologic treatments are required including some antipsychotic polypharmacy. The ICMHR psychiatrist must be skilled in general outpatient psychiatry, including diagnostic evaluations, pharmacotherapy and psychotherapy. individualized care to Veterans with severe and persistent mental health disorders, including but not limited to bipolar disorder, schizoaffective disorder, schizophrenia, post-traumatic stress disorder, mood, anxiety and substance use disorders. Expertise in utilizing long-acting injectable antipsychotics and clozapine will be helpful. Collaboration with the ECT service is not an uncommon situation. This collaboration does not involve providing ECT but rather managing outpatients who are also being maintained on ECT. As is common with serious mental illnesses, the Veterans we treat often have complex medical comorbidities that impact their psychiatric care. The reduced panel size allows time for in-depth clinical consultation, treatment team involvement and care coordination across the facility and with community providers. The evaluation and treatment of ICMHR Veterans take place in the context of a robust interdisciplinary team and, as such, the ICMHR psychiatrist(s) will have extensive opportunities for collaborative care. The program is recovery oriented and the use of whole health and shared decision-making principles are important for successful outcomes. Services will be provided by in-person face to face encounters, utilizing VVC, collaborative community care visits, and telephone care for Veterans at satellite locations. The psychiatrist will travel one time per month to the Bonham and Tyler VA clinics to provide services to the rural health Veterans. The ICMHR Program serves as a fixed point in care, and follows Veterans through the continuum of outpatient and inpatient services at the VA and in the community. VANTHCS MHS provides a full range of mental health services including general adult psychiatry, geriatrics, psychosomatic medicine, substance abuse sub-specialty services, trauma services, psychosocial rehabilitation and recovery programs, comprehensive homeless programs, peer support services, opiate replacement programs, Intensive Community Mental Health Recovery (ICMHR), vocational rehabilitation programs, domiciliary based programs and inpatient services. There is ongoing active research in addiction psychiatry, Post Traumatic Stress Disorder, mood disorders, and homelessness. Clinical training programs exist for medical students, psychiatry residents and fellows, clinical psychologists, social workers and nurses. VA North Texas Health Care System has an active relationship with the University of Texas Southwestern Medical Center as our primary affiliate, as well as other local teaching institutions. DIVERSITY/INCLUSION STATEMENT FOR MH SERVICE RECRUITMENT: The Mental Health Service of the VA North Texas Health Care System values cultural diversity across our staff and training programs. Mental Health Service leaders are deeply committed to fostering an environment that is highly sensitive to and appreciative of all aspects of diversity. Our staff represent a variety of cultural backgrounds, competencies, interests, and theoretical orientations. We believe that increased self-awareness and appreciation for other viewpoints and cultures makes our service stronger and strengthens our ability to provide the highest quality of mental health care; Work Schedule: Monday - Friday (8:00 a.m. - 4:30 p.m.) 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) Paid Parental Leave: 12 weeks of paid time off for birth of a child, adoption, and foster care. 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"]

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