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Physician (Nocturnist)

Department of Veterans Affairs
Veterans Health Administration
South Texas Veterans Health Care System
This job announcement has closed

Summary

The Medical Service Mission is to lead satisfied staff dedicated to providing high quality patient centered care here at STVHCS, a great tertiary training and research Veteran's Hospital. Nocturnist Physician will serve as the supervisory hospitalist physician for house staff on-call for the General Medicine wards services overnight and on the weekends and be primary admitting physician for adult patients who are admitted after the medicine teaching service for the day has exceeded capacity.

Overview

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Job canceled
Open & closing dates
03/12/2020 to 04/12/2021
Salary
$185,000 to - $282,480 per year

Education and length of practice will be considered by a Compensation Panel in determining the final compensable salary (Base Pay + Market Pay).

Pay scale & grade
GS 15
Location
San Antonio, TX
2 vacancies
Telework eligible
No
Travel Required
Not required
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-Time
Service
Excepted
Promotion potential
15
Job family (Series)
Supervisory status
No
Security clearance
Other
Drug test
Yes
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
Announcement number
CBAR-10748964-20-KA
Control number
562641100

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Duties

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In addition to observance of Federal national and local regulatory, policy, and accreditation requirements governing this Health Care System, this position encompasses the following examples of responsibilities overseen by their Section Chief. Staff physicians require appropriate time mapping and resources to ensure they are empowered to meet expected proficiencies in administration, clinical practice, education, and research. Duty hours are subject to change based on the needs of patient care.


Clinical Duties:
The staff Hospitalist is expected to remain privileged and practicing in their specialty field. The exact privileges and procedures for a particular provider will be approved by the Professional Standards Board. The Medical Service Nocturnist Staff is a hospitalist responsible for providing care to hospitalized adult patients, identifying health problems, and designing diagnostic and therapeutic plans to meet these needs during overnight hours.
  1. Hours of coverage (subject to change based on needs of patient care):7pm-7am
  2. Specific duties include the following:
    1. Staffing patients seen by the house staff for admission and consultation if it is urgently needed to guide surgical treatment.
    2. Being available to staff procedures done during the tour of duty.
    3. Being available for acute medical issues that arise on any patient admitted to the general medicine / PCU services.
    4. Completing educational evaluations for the night float house staff as required by the Internal Medicine Residency Program.
    5. Adherence to VA policies and procedures regarding documentation, patient safety, and utilization.
    6. Independently assess patients for admission and disposition when dictated by house staff schedule and regulations.
Administrative Duties:
  1. Leadership responsibilities: Participate in staff meetings, hospital committees, and peer review process. Demonstrate effective communication to staff and leadership, to include heads up (for acute patient bad outcomes) and issue briefs, acting as Section Chief when the Section Chief is on leave
  2. HR: Maintain VA training requirements, complete documentation in a timely manner and maintain credentials required for privileging and re-privileging
  3. Staff Management: Participate in the FPPE/OPPE process. Adhere to employee health requirements. Participate in peer review process.
  4. Time/Leave Management: Adhere to Tour of Duty and request leave in advance through VISTA
  5. Clinical Management including indirect patient care: Encounter & consult management, document properly in CPRS, ensure staff productivity, oversee relevant performance measures, and participate in quality improvement and process improvement projects
All physicians must meet the following standards:
  1. Professionalism: Practitioners are expected to demonstrate behaviors that reflect a commitment to continuous professional development and ethical practice. In addition, they should show an understanding and sensitivity to diversity
  2. Interpersonal & Communication Skills: Practitioners are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of the health care team.
  3. Clinical Judgment: To ensure practice-based learning and improvement, practitioners are expected to use scientific evidence and methods to investigate, evaluate, and improve patient care.
  4. Medical/Clinical Knowledge: Practitioners are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences, and to apply their knowledge to patient care and the education of others.
  5. Patient Care: Practitioners are expected to provide patient care that is compassionate, appropriate, and effective for the promotion of health, prevention of illness, treatment of disease, and care at the end of life.
  6. Systems-Based Practice: Practitioners are expected to demonstrate an understanding of the contexts and systems in which health care is provided and be able to apply this knowledge to optimize health care

Work Schedule: 7:00pm-7:00am (The stated times are Subject to change based on needs of patient care.)
Financial Disclosure Report: Not required
Relocation/Recruitment Incentive: Maybe Authorized for Highly Qualified Applicants.

Requirements

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Conditions of employment

  • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Designated and/or random drug testing required
  • Selective Service Registration is required for males born after 12/31/1959
  • You may be required to serve a probationary period
  • Subject to a background/security investigation
  • Must be proficient in written and spoken English
  • Selected applicants will be required to complete an online onboarding process
  • Must pass pre-employment physical examination

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

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.
  • Completion of residency training, or its equivalent, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification.
  • Proficiency in spoken and written English.
  • Physical requirements outlined below.
Preferred Experience: Board eligibility/certification in Internal Medicine; successful completion of ACGME accredited training in Internal Medicine; added qualifications in trainee supervision; active patient care duties within the last 2 years; experience with inpatient care and teaching in a internal medicine residency program; teaching experience within last five years; evidence of form of scholarly activity (poster/meeting presentation/educational lectures/equivalent); experience in admissions and inpatient acute care procedures and electronic medical records.

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: Moderate lifting, 15-44 pounds, Light lifting under 15 pounds, moderate carrying 15-44 pounds, light carrying under 15 pounds, Reaching above shoulder, Both hands required, Walking up to 6 hours, Standing up to 6 hours, Repeated bending 2-4 hours, Ability for rapid mental and muscular coordination simultaneously, Far vision correctable in one eye to 20/20 and to 20/40 in the other far vision 20/30, Ability to distinguish basic colors, Hearing (aid permitted), Mental and emotional stability. Ability to perform privileges, Independently performs physical exam as appropriate to position, Cognitive stability.

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional information

VA offers a comprehensive benefits package. This link provides an overview of the benefits associated with a VA practice: VHA physician brochure.

Annual leave shall accrue for full-time physicians at the rate of eight (8) hours per biweekly pay period.

This job opportunity announcement may be used to fill additional vacancies.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

If you are unable to apply online view the following link for information regarding an Alternate Application.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

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