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Veterans Health Administration is Hiring a Physician (Nocturnist) Near Columbia, MO

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.

Physician positions may require board certification if ANY of the following three conditions exist: 1) the position supervises medical students, physician residents, or physician fellows; 2) the position will have faculty status with an affiliated medical school, such as a joint recruitment with affiliated medical schools; or 3) the position being filled is required to be board certified by virtue of specific VHA policy (for example, as director of a cardiac catheterization laboratory or Director of Clinical Laboratory Medicine).

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.

Additional Requirement: Board Certification

Preferred Experience: Prior hospitalist experience and resident education/teaching experience highly preferred

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: This position requires a pre-employment physical. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Near vision correctable at 13' to 16' to Jaeger 1 to 4. Far visions correctable in one eye to 20/20 and to 20/40 in the other. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted.

Responsibilities:

Truman VA Medical Center is committed to Diversity and Inclusion. Together, we strive to create and maintain a working and learning environment that promotes professional growth and teamwork. We offer an inclusive, equitable, and welcoming environment where we celebrate our individual differences and unite as a team toward a common goal of providing outstanding service to our Nation's Veterans.



VA offers a comprehensive total rewards package. VHA Physician Total Rewards.
Recruitment / Relocation Incentive (Sign-on Bonus): A Recruitment or Relocation Incentive may be approved for a highly qualified candidate.
Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Contact visn15edrp@va.gov, 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
Work Schedule: 7pm - 7am

Nocturnist Duties:

The duties and responsibilities of the Hospitalist-Nocturnist include, but are not limited to the following:

• Provide general Internal Medicine care of inpatient services in keeping with good clinical practice and standards of the Hospitalist Section and Medicine Service at the Harry S Truman Memorial Veterans' Hospital
• Participation in educational activities related to the Internal Medicine residency program.
• Collaboration with the physician extenders and nursing care providers throughout the hospital.
• Be a resource for Primary Care providers ensuring a smooth transition of patients from inpatient to outpatient settings.
• Provide expertise in multispecialty and patient care-related discussions.
• Provide inpatient General Internal Medicine consultation services to non-medicine teams, including direct supervision and education of medical consultation house staff.
• Provide inpatient Internal Medicine attending services including clinical procedures within your specialty area of expertise on the general medicine teams
• Nocturnists cross-cover the Intensive Care Unit (ICU) patients with the help of the ICU fellow and attending physician intensivist as needed in the evenings.
• You will be expected to serve on committees as requested by the Medical Center Director, Chief of Staff, or Deputy Chief of Staff.
• You will be expected to follow the Medical Staff bylaws and will complete all medical records timely through CPRS (Computerized Patient Record System) in accordance with VA Policies and Regulations.
• All attending physicians are expected to participate in ongoing process improvements within their specific areas of expertise thereby promoting quality, efficiency, patient safety, and timely access to care for our Veteran patients.
• Will participate in inter-hospital transfers of patients as needed.
• Responsible for the provision of medical diagnostic evaluation and initial assessment of patients to include a minimum of focused history, physical examinations, and pertinent laboratory investigations.
• Responsible for the evaluation of all new admissions to the medicine team with completion of an admission History and Physical (H&P), or completion of the short-form admission note as appropriate.
• Perform, at a minimum, basic procedures expected of any board-eligible Internist. This includes lumbar puncture, thoracentesis, and paracentesis.
• Supervise any residents, students, fellows, or teams assigned to their areas of responsibility.
• Other related duties as assigned, or as prescribed by the Chief of Staff.

Job Summary