Physician - Nephrology (Without Compensation)

Summary

Without compensation (WOC) physicians provide coverage during weekends - holidays - and evening hours for inpatient patient care and the outpatient clinic for direct patient care when regular VA providers may be unavailable. They may also be utilized at times when VA providers are out unexpectedly to provide continuous patient care coverage.

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 in Nephrology Experience directing dialysis care to include hemodialysis and continuous renal replacement therapy Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.
  
  

Duties

• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• Duties include - but are not limited to: Conduct Daily Administrative/Clinical tasks which include: Completing daily encounters - progress notes - consults - procedure notes if necessary timely
• Adhere to all HIPPA requirements
• Timely responsiveness to any alerts/messages in CPRS as needed
• Address any patient or family concerns or complaints
• Handle Acute Medical issues and patients in the critical care unit: Oversight: Oversee and Direct Dialysis Care to include hemodialysis and Continuous Renal Replacement Therapy
• Examinations: Evaluates patients by examining thoroughly
• Appropriate clinical - laboratory - and other pertinent data is obtained to determine care the patient is provided
• Diagnosis: Ability to interpret and evaluate clinical data for the purpose of determining diagnosis and clinical status
• Therapeutic ability: Prescribes appropriate and timely treatment
• applies indicated therapeutic procedures
• recognizes and assess changes in behavior - symptoms - signs - and other pertinent facts about the patient and modifies the plan of treatment when indicated
• Effectiveness in Emergencies: The incumbent is readily available in emergencies
• and quick in recognizing emergency situations and taking timely necessary action
• Has active certification in BLS as required by facility bylaws
• Patient Management: Develops and maintains rapport and gains the confidence of patients and relatives through competence and interpersonal skills to the end that patients and others are informed participants in the treatment effort
• Consultations: Recognizes the need for consultation and utilizing facility or clinic specialty skills in diagnosis and treatment
• Responds to outpatient consultations in a timely manner - documents consultations according to procedure and is actively engaged with the primary team or clinician in collaborating on the patient's care and management
• Record keeping: History/physical and other examinations and group learning experiences where on services as the learning facilitator in the role of mentor or teacher for residents - trainees - or employees
• Work Schedule: Alternate work schedule/as needed.