Physician (General Surgery)

Summary

The surgeon will provide direct surgical care to inpatient and outpatients; assist in the clinical education of surgical residents and students and pursue research opportunities (if available or desired) - and participate in administrative assignments - such as committee membership.

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 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
• Preferred Experience: Board certified or eligible in General Surgery - board certified or eligible in critical care and robotics preferred Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Long periods of standing or walking in the operating room setting and outpatient clinic will be encountered
• The surgeon may be required to return to the facility after the administrative workday and on weekends to fulfill the requirements associated with on-call coverage and resident supervision
• The mental/sensory requirements include recall - reasoning - problem-solving - hearing - speaking clearly - writing legibly - reading - and logical thinking
• The environment's pace can vary from steady to a sometimes-fast pace requiring handling of multiple priorities - frequent - sometimes intense customer - intense customer interactions - and the ability to adapt to frequent changes in a sometimes-noisy environment
• There may be an occasional need to use personal protective equipment to prevent exposure to disease - illness - and hazardous materials.
  
  

Duties

• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• COLLABORATIVE RELATIONSHIPS: *Members of your specialty care team - CRNAs - RNSAs - Anesthesiologists - Chief of Surgery - O.R
• personnel - staff supporting Inpatient/Outpatient environment and wide range of various other professionals and support staff throughout the medical center and community-based outpatient centers (CBOC's)
• Direct patient care will include veteran patients and interaction with family members or those identified as guardians or significant others
• PURPOSE OF POSITION: *The surgeon will provide direct surgical care to inpatient and outpatients
• assist in the clinical education of surgical residents and students and pursue research opportunities (if available or desired)
• and participate in administrative assignments - such as committee membership
• *Practice elements will include the full range of adult general surgery - including inpatient management - outpatient clinic care and telemedicine - with VA referral sites throughout Southcentral Ohio
• The Cincinnati VA Medical Center has a comprehensive general surgery team
• surgeries to remove gallbladders and appendixes
• colonoscopies and thyroidectomies
• Our team also specializes in colorectal cancer
• concurrent surgeries with orthopedics - urology and vascular surgery
• breast cancer
• and liver resections
• *The facility has also developed a multidisciplinary team committed to the use of advance techniques for the salvage of extremities threatened by Diabetic Foot Disease
• SCOPE OF ASSIGNED DUTIES: *Provide resident supervision and clinical instruction in the operating room - outpatient clinic and inpatient settings
• *Attend - participate and supervise residents/students in outpatient clinics and take an active role in the evaluation of the patient - decision for treatment/care - and documentation in the patient electronic records
• *Follows the VA Guidelines established for resident supervision - including those documentation requirements in the electronic patient healthcare record
• *Conduct postoperative follow-up
• Accompany the patient to the PACU assuring that the patient's condition is optimal
• If admitted - visit in-house patient within 24-48 hours following anesthesia to assess post-surgical recovery
• *Supervise Residents/students in clinical instruction and the performance of any bedside procedures appropriate to their level of graduate responsibility
• *Participate in call coverage to advise and supervise residents
• An on-call response time of 15 minutes by phone and 60 minutes in person is expected of Staff Surgeons at VAMC Cincinnati
• This includes night - weekend and holiday hours
• *Maintains professional competency - courtesy and flexibility to provide the necessary services of this specialty
• *Provide regional level specialty support to VA facilities located in South-central Ohio through such means as tele-medicine and referral-based consultations and treatment
• *Meet annual and mandatory training requirements that are specific to the Veterans Healthcare Administration
• *In order to support Graduate Medical Education - applicants must be competitive for faculty appointment in the Division of Vascular Surgery at the University of Cincinnati in order to be considered for selection
• *Staff may be assigned to committee membership to represent the surgical service or the hospital medical staff - and actively participate in carrying out assignments by that committee
• *The surgeon must be able to function as an independent clinical provider
• Initiative - diplomacy - and confidentiality are employed when dealing with patients - staff and trainees
• Recruitment/Relocation Incentives (Sign-on Bonus): Recruitment Incentive approved for qualifying applicants
• 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 - 8:00a.m.-4:30p.m.