Physician - Emergency Medicine Fee Basis

The Northern Arizona VA is seeking two Emergency Medicine Physicians to serve as Fee Basis providers on an intermittent schedule.

What is Fee Basis:

Fee Basis appointment are temporary appointments for professional and technical occupations under Title 38 of the United States Code, Section 7405(a)(2). These appointments are suitable only for work compensated per task or procedure, not based on time. Individuals under this authority are subject to standard pre-employee hiring processes. EDUCATION: 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 an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:

Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted.

Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted.

For foreign medical graduates not covered in (1) or (2) above, confirmation must be made that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirement for year graduated.

NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area. RESPONSIBILITIES: The Northern Arizona VA Health Care System (NAVAHCS) is one of the leading health care systems serving Veterans in the VA Desert Pacific Network. We're an innovative care center within the Veterans Integrated Service Network 22 (VISN 22). NAVAHCS is seeking Fee Basis Physicians (Emergency Medicine) to provide quality service in our health care system for our Veteran hospital population.

Duties include but are not limited to the following:

Performing and recording clinical history and its components.

Performing and recording physical examinations.

Providing patient care, completing related documentation, and carrying out routine diagnostic exams, procedures, and therapeutic interventions.

Interview, evaluation, diagnosis, provision of treatment, rendering of opinion, completion of medical record.

Documentation of care.

Communication with patients and family regarding treatment and communication with other care providers in accordance with service privileges and within scope of licensure.

Requesting consultations and technical procedures to be performed by other physicians and qualified consultants/technicians.

Arterial punctures for blood testing and cannulation for blood pressure monitoring.

Non-emergent and emergent airway management including mechanical ventilation, subject to the requirements of VHA Directive 1157: "Non-Operating Room Airway Management" (NORAM) or successor directive.

Moderate sedation, subject to the requirements.

Wound management including use of local anesthesia, foreign body removal, incision, and drainage, wound repair.

Assess, stabilize, and determine the disposition of Veteran patients with emergent conditions.

Women's Health Examinations.

ECG interpretation.

Malpractice: Free liability protection with tail coverage provided

Work Schedule: 12-hour shifts - nights, evening, weekends, and holidays 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:

- Emergency Medicine Residency

- Board Certified in Emergency Medicine

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/ .

Physical Requirements: VA Handbook 5019/1, Part II, Pre-Placement Physical Examination and Evaluation SALARY: QuantitativeValue EMPLOYMENT TYPE: Other