Summary

The Geriatrics and Extended Care Service (GEC) Community Living Center (CLC) physician independently provides patient care to Residents of the GEC inpatient program of the Salisbury Health Care System (SVAHCS). This includes Veterans residing in the CLC and Hospice House as well as Geriatric Medicine consultations in the acute care hospital and mental health programs. The Staff Physician is responsible for being an attending of record for inpatients in the SVAHCS CLC.

Qualifications

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 Certification in either Internal Medicine or Family Practice with a preference for subspecialty certification in Geriatric Medicine and/or Palliative Medicine
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Must be able to physically and mentally perform the duties of Physician under normal and emergent conditions
• Bending - pushing - pulling - reaching and occasional kneeling - crawling and squatting
• lifting - carrying - bending - and manipulation of equipment
• patient assistance and positioning
• walking and prolonged standing
• the ability to read written orders - computer screens - patient records - and equipment controls
• and the ability to communicate with patients - physicians - and coworkers
• Near visual acuity to assess patient's physician condition when performing exams and evaluating images for diagnostic quality
• Must be able to speak and hear to communicate with patients
• ability to make critical decisions - interact with patients of different ages and health conditions - maintain patient confidentiality - work under stressful conditions - such as operating or emergency rooms
• See VA Directive and Handbook 5019

Duties

• A
• Clinical: The CLC Staff Physician is primarily assigned inpatient attending responsibilities in the CLC
• The Staff Physician is responsible for providing admission H&P - assessment - diagnosis & referral for consultation - evaluating CLC referrals and participating with admission decisions - leading and participating in family conferences - and being an active member of the inter-professional team
• The Staff Physician serves as a resource to GEC nurse practitioners
• The incumbent is an integral part of the CLC inter-professional treatment team - and participates in all activities pertinent to the inpatient unit
• The incumbent also participates in and directs activities pertaining to the quality improvement - strategic planning - continuous readiness for the annual unannounced CLC survey and The Joint Commission accreditation process
• The incumbent also participates in the training of rotating trainees from multiple disciplines
• B
• Administrative: The CLC Staff Physician participates in: GEC and SVAHCS Hospital Committees GEC Medical Staff Meetings GEC Journal Club Meetings SVAHCS Medical Staff Meetings And other duties as assigned C
• Education: The CLC Staff Physician may hold a faculty appointment at Wake Forest School of Medicine with the department of their training
• The incumbent will participate in the educational activities of rotating medical residents and fellows of Geriatrics and Palliative care
• In addition - the provider is expected to participate in the educational activities of providers and learners of multiple disciplines
• D
• Research: Participation in opportunities as available and as time allows are encouraged
• Responsibilities include providing primary care to the Residents of the CLC working in concert with the inter-professional team delivering Veteran centered care
• Supervisory Controls: The Staff Physician is clinically and administratively responsible to the GEC Associate Chief of Staff (ACOS)
• Customer Service: The Incumbent must meet the needs of customers while supporting VHA missions
• consistently communicate and treat internal and external customers (Veterans - their families - representatives - visitors - and all VA staff) in a courteous - polite - tactful - and respectful manner
• Provide customers with consistent information according to established policies and procedures
• and handle conflict and problems in dealing with customers constructively and appropriately
• Routinely identifies the customer's situation properly and performs the tasks required to resolve the customer's questions/issues accurately and in a timely manner
• Follows-up - as necessary - to ensure a satisfactory resolution
• Consistently responds to customer requests for assistance promptly and in a friendly and professional manner
• Listens actively to customer feedback - positive and/or negative - and acts to resolve matters/situations within their control
• Questions/issues not within the employee's control are referred in a timely manner to appropriate staff able to assist with the customer's situation
• Meets customer expectations in most cases as determined through established customer surveys or other appropriate feedback systems
• Professional relationships with supervisors - co-workers - and others in the organization are consistently courteous and cooperative in nature and - overall - contribute to the effective operations of the workplace and the development of a collaborative working relationship
• In most instances - demonstrates the ability to adjust to change or work pressure in a pleasant and constructive manner
• handles differences of opinion in a businesslike fashion
• and functions as an effective team member through active participation in working towards team objectives and assisting in the group effort whenever and wherever possible
• 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) 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 Work Schedule: Monday-Friday: 8am-4:30pm