Physician - Emergency Medicine

This position is eligible for 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.

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Recruitment Incentive (Sign-on Bonus): May be authorized for highly qualified individual
Education Debt Reduction Program (Student Loan Repayment): Authorized Learn more.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VISN7EDRPFacilityCoordinators2@va.gov, 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

Serves as Emergency Department physician of the operation, Emergency Medicine Service and has programmatic responsibilities for the delivery of emergency care at Columbia VAHCS. The incumbent reports to the Chief of the Emergency Medicine Service for all clinical, administrative, and quality performance matters. The incumbent must be able to develop interpersonal relations within and between departments as well as display skill in problem solving and conflict resolution. Duties include but not limited to:

FUNCTIONS:
Clinical Responsibilities:
(100% of time) The incumbent will be fully qualified and certified to function in a clinical role in accordance with the guidelines and policies of the Columbia VA Medical Center and National VHA. The focus will be to evaluate, stabilize, treat, discharge, admit or transfer patients with acute medical, psychiatric or surgical needs in the Emergency Department (ED) and Fast Track (FT) Unit of the Emergency Medicine Service. The Emergency Medicine Physician (EMP) may also be involved in ongoing quality and performance improvement activities such as peer review, committee participation, teaching of residents and Physician Assistants/Nurse Practitioner students and working to improve the overall efficiency of the ED/FT flow and function. EMP will work as a team with nursing, administrative and ancillary staff in providing patient care.

Routine procedures:
Intubation, vascular access, LP, thoracentesis/paracentesis, chest tube and splints and all other Emergency Medicine procedures.

Clinical duties and Responsibilities:
Clinical: Provide direct patient care in the Emergency Department and Fast Track under the guidance of the Emergency Medicine Service Chief/Director. Respond to disaster events as part of the emergency management response system.
Certification: Board certification or Board eligible in Emergency Medicine. Maintain certification in BLS and ACLS, educational requirements, and proficiency in Core requirements for work in the Emergency Department and Fast Track.

Academic/Teaching/Training:
a) Participates in the formal education of the residents, fellows, medical students, physician assistant residents and physician assistant students by presenting teaching rounds, lectures, conferences, etc.
b) Demonstrates and trains residents, fellows, medical students, physician assistant residents and physician assistant students in medical procedures that are required to provide optimal patient care appropriate to their expertise while doing clinical care.
c) Attend committee or conference meetings as required. Participate in a peer review process for the Emergency Medicine Service and the facility. Be responsible for maintaining all the certifications and educational requirements to work in the ED and Fast Track. EMP will participate in activities of the Columbia VAHCS that are designed to meet the requirements of the Joint Commission on Accreditation of Healthcare Organizations (The Joint Commission) as they apply to the position.


Work Schedule: Monday thru Sunday, rotating 12 hour shifts. Subject to change based on the needs of the facility

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 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 Accreditation Council for Graduate Medical Education (ACGME), b) OR
  [(2) Those approved by the American Osteopathic Association (AOA),OR
  (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), 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.
  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 or fee-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.
• Proficiency in spoken and written English.

Preferred Experience: Board certified or board eligible in Emergency Medicine by the American Board of Emergency Medicine.

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

Physical Requirements: Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others. Depending on the essential duties of a specific position, usable vision, color vision, hearing or speech may be required. however, in most cases, a specific physical condition or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid.

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.
3. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate 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.