Physician- Emergency Medicine

The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest.

As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community.

This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

Emergency Department - Perform appropriate medical screening exam on all patients checked-in to be seen in the ED using assessment skills to examine patients thoroughly using appropriate clinical, laboratory, and other pertinent data. Provide continuity of care by performing patient hand-off when transferring care of a patient to another physician.

Initiate appropriate and timely treatment. Recognizes changes in behavior, symptoms, signs, and other pertinent facts about a patient and has the knowledge to modify, in real time, the plan of treatment. Should be cognizant of capabilities and limitations of the ED and of oneself. 1.

Evaluation, stabilization and movement to definitive care of acute medical, surgical, and trauma conditions that present to the ED. 2. Assessment and initiation of treatment of ongoing or chronic conditions that present to the ED while facilitating delivery of the patient to the appropriate level of follow up care. 3.

Provide patient first focused care while practicing evidence based cost effective medicine. 4.

Ensure practice consistent with Joint Commission, CARF, VA policies and procedures, clinical practice emergency medicine guidelines, VISN standards, national statutes and regulations, medical record documentation, mandatory continuing education, and HIPPA policies 5.

Education of any students of medicine and residents within the teaching facility. 6. Participation in facility and university conferences, committees, administrative duties, and research to ensure continuous quality improvement in patient care and medical advances 7. Provide tele-emergency care for veteran patients 8.

Provide in person physician coverage to VISN 23 emergency departments in the event of acute physician staffing crisis that would result in emergency department closure or similar degree of operational impairment. 24/7 shift work scheduling which encompasses proportional day, evening, night shifts and holidays as dictated by the published accepted emergency department operating procedures Participation in emergency call schedule (day/night) Participation in the academic and training mission of the facility and department.

Participation in education and administrative tasks as required by the department. VA offers a comprehensive total rewards package: VHA Physician Total Rewards Recruitment Incentive (Sign-on Bonus): Recruitment/Relocation Incentive NOT authorized.

Education Debt Reduction Program (Student Loan Repayment): This position may be eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment.

Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more EDRP Authorized: Former EDRP participants ineligible to apply for incentive.

Contact VHAVISN23EDRP@va.gov, the EDRP Coordinator for questions/assistance.

Pay: Competitive salary, annual performance bonus, regular salary increases Paid 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) 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 Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: day, evening, night shifts & holidays / ***Call Schedule***

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. 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.

English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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 accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency, or fellowship if applicable, was completed; OR (2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States; OR (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement), 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.

Exceptions: 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 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.

In rare and unusual circumstances, the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer, who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience, accomplishments, performance, and qualifications warrant such action.

Preferred Experience and Certifications All Specialties BLS/ACLS certification Emergency Department Board certified in Emergency Medicine. Board certified in Family or Internal Medicine. At least 5 years of recent experience in an Emergency Department.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others.

Depending on the essential duties of a specific position, usable vision, color vision, hearing or speech may be required. however, in most cases, a specific physical condition or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid.