Physician (Home Based Primary Care)

Summary

This position is 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. Program 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.

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 Certified/Board Eligible in Internal/Geriatric Medicine
• 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: VA Handbook 5019/1, Part II, Pre-Placement Physical Examination and Evaluation.

Duties

"VA offers a comprehensive total rewards package.
VHA Physician Total Rewards.
Work Schedule: 8:00am - 4:30pm (Ad-hoc telework may be available with supervisory approval).
Education Debt Reduction Program (Student Loan Repayment): May be eligible.
Learn more.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive.
Contact [email protected], the EDRP Coordinator for questions/assistance 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 Practices in the outpatient setting in the Phoenix VA Health Care System and in the residence of the client.
The physician is academically and clinically prepared to perform a broad spectrum of patient care services at the expert level.
In addition to providing primary health care, the physican serves as supervisor for designated nurse practitioners and/or physician assistants in the HBPC program.
The physician also serves as a consultant to nursing and other disciplines for patients with complex treatment or care needs in the home and works collaboratively with other interdisciplinary team members in providing quality care and patient education, participating in research activities, and assisting patients in acute and chronic rehabilitation techniques.
The physician may serve on health system, VISN and/or national committees and assists in the development, evaluation and communication of policies and standards of practice.
Major duties include but not limited to the following: Primary care includes assessment, diagnosis, treatment and outcome measures of healthcare problems.
Includes the following: initiating and adjusting therapeutic regimens, performing histories and physicals, ordering diagnostic and therapeutic tests/studies, initiating consults and referrals, and prescribing medications/supplies in accordance with VA policy, VA formulary, Arizona state regulations and scope of practice.
Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care.
Will visit each new patient admitted to the program in their home; provides medical care to patients with acute and chronic health problems; provides preventive medical care including screening and vaccinations; will follow up with additional home visits as appropriate; collaborates with nursing personnel in the care of patients; monitors the program to assure quality of care and meets performance measures.
Duties may in unusual circumstances include weekends, off tours and holiday coverage.
Physician will also provide cross coverage for HBPC.
Serves as supervisor for designated nurse practitioners and/or physician assistants in the HBPC program.
Serves as a consultant to nursing and other interdisciplinary team members in providing quality care and patient education, participating in research activities, and assisting patients in acute and chronic rehabilitation techniques.
May serve on health system, VISN and/or national committees and assists in the development, evaluation and communication of policies and standards of practice."