Physician-Emergency Department Fee Basis

This is an open continuous announcement that will remain open until filled. Applications will be accepted on an ongoing basis. Eligible applicants will be referred each week for consideration until a selection is made.

Fee Basis Emergency Department (ED) must be qualified to diagnose, treat, stabilize, and manage patients according to standard, usual, and acceptable methods, and techniques.

Duties to be performed include, but are not limited to: 1) Perform assessments/examinations on encounters with all presenting patients 2) Order and interpret appropriate diagnostic tests necessary to complete the ED evaluation 3) Provide attending physician oversight to residents, mid-level providers, and students 4) Stabilize all critically ill or injured patients 5) Admit patients to the hospital or discharge them from the ED with appropriate follow-up 6) Discuss treatment plans with patient and/or family/caregiver 7) Perform medication reconciliation with all discharged patients 8) Participate in Quality Assurance, chart reviews, and support applicable ED performance measures 9) Coordinate patient care with consultants as deemed appropriate 10) ED physician will support the safety, occupational health and fire protection programs by the application of approved standards, regulations, practices and work methods Pay: Based on approved pay rates per task or service.

Fee basis annual salary limitation is $200,000 in a calendar year. Rates will be determined based on Medicare fee schedule. Rates can range from $2,400.00 per procedure to $3,600.00 per procedure.

Licensure: 1 full and unrestricted license from any US State or territory Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: There is no set work schedule. Services are rendered as needed and agreed with the facility.

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 allopathic 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.

Proficiency in spoken and written English. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.