Physician, Emergency Department with EDRP

Job description

Summary

This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

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 an institution whose accreditation was in place for the year in which the course of study was completed

Approved schools are: (1) Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted - or (2) Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted

For foreign medical graduates not covered in (1) or (2) above - facility officials must confirm that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirements for the year the candidate graduated

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 successfully completed residency training - approved by the Secretary of Veterans Affairs - in an accredited core specialty training program (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) leading to eligibility for board certification - OR (2) Those approved by the American Osteopathic Association (AOA) leading to eligibility for board certification - OR (3) 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 (4) Non-US residency training programs followed by a minimum of three years of 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 certification or eligibility in emergency medicine preferred

Current employment in emergency medicine

Reference: For more information on this qualification standard - please visit

Physical Examination: May be required - depending on the needs of the organization

Duties

This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until May 7 - 2027 or until positions are filled

Eligible applications received will be referred at regular intervals or as additional vacancies occur

VA offers a comprehensive total rewards package

VHA Physician Total Rewards

Education Debt Reduction Program (Student Loan Repayment): Learn more

EDRP Authorized: Former EDRP participants ineligible to apply for incentive

Contact - 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

The Emergency Department (ED) Physician physicians will provide emergent and urgent medical care for all patients (any age) who present to the ALMD ED requesting care

The medical care includes stabilization - evaluation - diagnosis - and treatment of the full spectrum of conditions that fall within the breadth of Emergency Medicine as well as Occupational Health as it relates to acute work-related injuries and illnesses

The medical care will be provided in the outpatient setting of the ALMD ED

Physicians are expected to document in the Computerized Patient Record System (CPRS) when available

All ED physicians are responsible for adhering to the policies and regulations of the Office of Personnel Management (OPM) - VHA - STVHCS Medical Staff By‑laws - STVHCS Policies - and ED Standard Operating Procedures (SOPs)

All physicians will safeguard Protected Health Information (PHI) in accordance with provisions of the Privacy Act of 1974 and other applicable laws - Federal Regulations - VA statutes - and policy - VHA policy - and STVHCS cyber security

Physicians will order necessary diagnostic studies to include radiographs - laboratory studies - and EKGs

Physicians will make preliminary interpretations of radiographs and EKGs

Physicians will act on physical exam and diagnostic study findings in a timely manner

Physicians are expected to complete an ED Provider Note on each patient prior to the end of that physician's shift

The ED Provider Note will include: a chief complaint

a history of the present illness

a review of systems – if applicable

past medical history

social history and/or family history

pertinent physical exam findings

diagnostic study results

assessment

plan

disposition

Prohibited abbreviations will not be used

Physicians will complete the patient encounter associated with that ED visit at the time of note completion

Physicians are responsible for obtaining and documenting written consent (preferably via iMedConsent) as per the Informed Consent for Clinical Treatments and Procedures Policy

Physicians are responsible for adhering to Universal Protocol policies and procedures to ensure that invasive procedures are performed on the correct patient and at the correct site

Physicians are responsible for documenting procedures in either a separate procedure note or within the body of the ED Provider Note

Except during a code blue - physicians will write prescriptions and enter orders for medications either administered in the ED or dispensed by the pharmacy

Physicians are responsible for completing a medication reconciliation on each patient

Physicians will coordinate care with consulting (if emergent necessity exists) and admitting providers as necessary (involving the bed flow coordinators/utilization management as per local policy)

The ED physician will document when an admitting or consulting provider is called

The ED physician will assist during medical emergencies of admitted patients who remain in the ED

Physicians will transfer patients as medically and administratively necessary

Physicians will complete all documentation required for transfer

Physicians will provide appropriate education to the patient and/or family members regarding the patient's care - illness and its management (discharge instructions)

This requirement includes providing the patient with written discharge instructions

Work Schedule: Full-time

Work hours will be scheduled to accommodate the STX Health Care System Emergency Department's compressed tour hours and will be determined by the supervisor.

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Worksite address

san antonio, TX, 78208, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.