Physician (Associate Chief of Staff - Primary Care)
Veterans Affairs, Veterans Health Administration
Location: Eugene, Oregon
Internal Number: 700086700
The Associate Chief of Staff (ACOS), Primary Care is responsible for clinical, managerial, and administrative functions within the Primary Care Service and reports directly to the Chief of Staff of the Roseburg VA Health Care System. Broad clinical/administrative expertise is required in order to coordinate Veteran care in collaboration with the other Medical Centers, other VA and Non-VA medical centers, VA Integrated Service Networks (VISN), VA Central Office (VACO), and other stakeholders. 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 eligible or certified and at least one year of Internal and/or Family Medicine experience; 10 years physician experience and at least 3 years of previous supervisory/managerial experience leading/managing multidisciplinary health care professionals in a hospital or large clinic environment. 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); Reaching above shoulder; Use of fingers; Both hands required; Walking (8 hours); Standing (8 hours); Kneeling (8 hours); Repeated bending (8 hours); Both legs required; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid may be permitted )Environmental Factors: Working closely with others and working alone. ["The duties and responsibilities include but are not limited to the following: Clinical Responsibilities (30%) Provide Direct Patient Care - 20% Diagnose and treat medical disorders using the most appropriate techniques in providing quality care. Be responsible for timely completion of all clinical charting and documentation. Maintain full clinical privileges as a member of the Medical Staff. Advise/Consultation - 10% Provide supervision, as appropriate of trainees conducting direct clinical care. Consult with medical center staff on wide array of of patient care issues. Remain involved in program evaluation. Abide by Medical Staff By-Laws. Administrative (70%) - Managing the Primary Care Service including supervising a variety of positions (administrative, physicians, nurse practitioners, therapists, and technicians). Supervises directly, or indirectly, the physicians, physician assistants, nurse practitioners, and other clinical staff as assigned by the Chief of Staff. Responsible for the management and oversight of clinical operations within the clinical services under their responsibility at the hospital and affiliated clinics. These duties include supervising physicians and physician assistants, clinical oversight of nurse practitioners, and other clinical staff as directed, coordination of work schedules, responsibility for clinical performance measures and other functions within the departments. ACOS works closely with other leaders within the service line and facility to ensure optimization of resources in the care delivery model. The ACOS provides physician/clinical/ administrative leadership and serves as an advisor to Chief of Staff and other service line leaders. Provides leadership guidance and consultation to staff. Serves as a consultant to other medical center staff and trainees. Serves as Medical Center, VISN, and/or National VA committees or task forces. Represents the Primary Care service on Medical Center decision-making committees. Represents the Medical Center at professional/program community group/events and committees. Responsible for coordination of Primary Care services response in the event of critical occurrences of violence at the facility, disasters, and/or mass casualty occurrences. Develops responses to controlled correspondence at the Medical Center, VISN, and VACO levels as directed. Oversees the establishment of program monitors and outcome measurements within programs using data-driven quality assurance processes. Responsible for timely completion of all program evaluations and documents required by the Medical Center, VISN, and VACO, ensuring compliance with appropriate bodies (such as JCAHO and LTCI) and monitoring entities as appropriate. Has programmatic oversight and shared responsibility of the services provided in the service. Has supervisory responsibilities noted above, with additional responsibilities including management of Human Resource aspects of Primary Care relations, performance appraisals, and professional boarding procedures for various disciplines. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): A Recruitment or Relocation Incentive may be approved for a highly qualified candidate. Education Debt Reduction Program (Student Loan Repayment): EDRP has been authorized for this position. After a selection is made, the local EDRP coordinator will provide further details. Program eligibility and award amount is determined by the VHA Education Loan Repayment Services office. 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 Work Schedule: Monday - Friday, 8:00 am to 4:30 pm This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application."]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.