Physician (MD/DO) - Endocrinology

SummaryEndocrinologists perform services in the subspecialty practice of endocrinology in the context of the VA system and their clinical privileges. They document in the electronic medical record. Educational experiences are provided to health care personnel who are involved in inpatient care (admitting/consultative service team members‑fellows, residents, medical students, nurse practitioners, social workers, physician assistants, nursing students, utilization management personnel, and ED staff).Basic RequirementsUnited States Citizenship: Non‑citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA policyDegree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicineThe 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 completedCurrent‑full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of ColumbiaResidency and Training RequirementsResidency 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 experiencesResidents currently enrolled in ACGME/AOA accredited residency training programs 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‑basisPRPs 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 supervisionAdditionally, surgery residents in gap years may also be appointed as PRPsBoard Certification and English ProficiencyProficiency in spoken and written EnglishAdditional Requirement: Board Certified/Board Eligible. Reference: For more information on this qualification standard – https://www.va.gov/ohrm/QualificationStandards/Physical RequirementsHeavy Lifting (45 lbs and over)Heavy Carrying (45 lbs and over)Straight Pulling (up to 4 hours)Pushing (1–2 hours)Reaching above shoulderUse of fingersBoth hands requiredWalking (up to 8 hours)Standing (up to 8 hours)Repeated bending (up to 4 hours)Ability for rapid mental and muscular coordination simultaneouslyNear vision correctable at 13 to 16 inchesHearing (aid permitted)DutiesVA offers a comprehensive total rewards packageVHA Physician Total RewardsPay: Competitive salary – annual performance bonus – regular salary increases Paied 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 moonlightingStaff Endocrinologists are ultimately responsible for the oversight of all aspects of endocrine care delivered to their assigned patientsStaff endocrinology physicians provide care to patients and/or assist fellows, residents, medical students, and nurse practitioners in the proper evaluation and treatment of the patient – as well as actively participate in corrective actions when complications occur related to indicated endocrine interventions/proceduresThey should also recognize the need for palliative and/or hospice care consults and be active in addressing advance directives in the appropriate clinical settingsStaff endocrinologists directly assess hospitalized ward and ICU patients for changes in joint and endocrine‑related conditionsA history and physical note—with the appropriate level of detail—will be entered into the electronic medical record along with an appropriate assessment and treatment plan for acute and ongoing care as well as when the time comes for discharge/discharge planning—and all should occur within 24 hrs of patient contactA progress note is entered in the patient’s EMR daily—also within 24 hours of patient contactNotes also may include concurrence with notes written by fellows, residents, or students supervised by the appropriate endocrinology attending physicianStaff endocrinologists will also assess (in a timely manner) and recommend treatment for medicine ward patients they are consulted to evaluate for various endocrine disease statesThe assessment and treatment recommendations should be clearly communicated to the consulting inpatient physician/team in both direct verbal and written (via the electronic medical record) manner—in the appropriate level of detail for the question at handStaff endocrinologists will also assess (in a timely manner) and recommend treatment for primary‑care patients that are referred to them in a specialty clinic setting regarding various endocrine conditions/disease statesThe assessment and treatment recommendations should be clearly communicated to the consulting physician/practitioner in either e‑Consult or CPRS note template formatStaff endocrinologists will maintain all VA‑mandated certifications—including BLS, ACLS & airway management (as part of consciousness sedation protocol if necessary and requested for privileging)—and complete all required TMS modules and other mandatory VA training requirements per hospital regulationsThey will also code encounters/notes as required by the coding and billing office and comply with efforts to close all open encountersStaff endocrinologists with research 8ths and/or VA grants will be expected to follow all VA policies and procedures related to research—have all studies opened at the RLR V AMC—and conduct their research on VA property while on VA timeThey are required to strictly adhere to MOU time requirements when they are part‑time VA employed physician researchersDuring scheduled tour hours—staff endocrinologists shall be available for all urgent assessments and interventions as part of the inpatient care teamStaff endocrinologists participate in various hospital committees—Medicine Service and hospital in‑service programs—and education programs of the medicine service and hospitalThey are also involved in continuous quality improvement through the VA peer review processStaff endocrinologists shall be responsible for graduate and undergraduate medical education and scientific research—as their credentials and privileges allowWork Schedule: Monday‑Friday 8:00 am–4:30 pm #J-18808-Ljbffr