The position is specific to physicians assigned to a medical subspecialty section under the Specialty Medicine Service Line to perform duties as a subspecialist, in the inpatient and/or outpatient setting. Location: Central Iowa VA, Des Moines, IA. This is an open continuous announcement until September 30, 2023. Qualified applicants will be considered and referred as vacancies become available. 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. Additional Requirement: Physicians must be board certified or board eligible in Internal Medicine and Cardiology and maintain professional competency as indicated in their delineation of privileges. All physicians must maintain current BLS certification, and ACLS certification if indicated per medical center policies. Preferred Experience: Board Certified in Cardiology. Invasive Cardiologist - non-interventional cardiac catheterizations, pacemakers, TEE's. 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: The work is generally sedentary in nature with some daily intermittent walking, standing, bending, stooping, reaching, and carrying of lightweight items required. Rigid deadlines and need for high degree of accuracy periodically becomes stressful. ["The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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. EDRP Authorized: Contact VHAVISN23EDRP@va.gov the EDRP Coordinator for questions/assistance Recruitment Incentive (Sign-on Bonus): Authorized. 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 Duties of the provider: Physician will provide consultation services and follow up of medical subspecialty patients, in his or her designated field, in the inpatient and outpatient setting, at the VA Medical center in Des Moines, or one of the affiliated CBOCs (Community Based Outpatient Clinics).Cardiologists will contribute time to the VISN 23 clinical resource hub as requested by the Associate Chief of Staff for Primary and Specialty Care. Physician should have expertise in invasive, non-interventional cardiology, including echocardiography, TEE, diagnostic cardiac catheterization and nuclear cardiology skills and stress testing. On call duties would be assigned as necessary, primarily for coverage of inpatients and emergency room questions that may arise after hours. During the course of employment, participation in special projects pertinent to assigned sub-specialty may be necessary as the projects become available with strategic or other initiatives. When working with inpatients provider is expected to participate in discharge planning and other interdisciplinary patient care plan activities. During this time, information regarding patient status should be discussed with the hospitalists and other team members and ensure proper hand off at the end of the shift as necessary. Physicians may be assigned duty as a supervising or collaborating physician for a mid-level provider. Physicians are expected to provide clinical oversight and review. Most providers will need to act as surrogates for the patients of their colleagues, when one or more of their colleagues are on leave. All physicians need to follow departmental and VHA policies for leave and attendance and will work within Title 38 appointment guidelines. Currently VHA guidelines do not permit comp time or overtime pay for physicians. However, physicians who are asked to work outside their normal assigned tour of duty may request administrative leave for rest and relaxation. Leaves should be requested in as much advance as possible to minimize disruption to patient care services. All unscheduled absences must be properly communicated. A progress note must be entered on all inpatients on which the physician rounds during day tour on a weekday, and on weekends or holidays. Timely documentation is necessary in all areas in accordance with departmental policy. All administrative work should be completed in a timely fashion. The discharge summary may be dictated, all other inpatient documentation should be entered by the physician into the medical record directly. Prohibited abbreviations should not be used. Work Schedule: 7:30 am to 4:00 pm OR 8:00 am to 4:30 pm."]
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.