Physician (Regular Ft) - Anesthesiologist

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.

Anesthesia and Pain Management Service Core Privileges comprise the types of clinical activity normally performed by an Anesthesiologist and/or Pain Management Specialist as supported and evidenced by state licensure, completion of an approved residency, board eligibility or certification in an appropriate field, and review of all pertinent individual data by the VANTHCS Chief of Anesthesia and Pain Management Service. Privileges listed under "core" paragraphs are a representative sample of the types of clinical activities and procedures that can be performed under that level of training and is not an inclusive list.

Approved privileges for Anesthesia and Pain Management Service Physicians include performance at the Dallas VA Medical Center Operating Room Suites, all Intensive Care Units, Pre-Operative area, and the Pain Clinic, inpatient and outpatient treatment areas, telemedicine for staff trained in the use of the telemedicine modality, and receiving, reviewing, and acting upon consults and E-consults.

Anesthesia General Core Privileges include: history & physical including preoperative evaluation, preparing treatment plans, administration of parenteral fluids, medications, & blood products, application of specific methods of respiratory therapy, application of restraints, arterial blood gas sampling, bronchoscopy, clinical management of the patient unconscious from whatever cause, clinical management of various fluid electrolyte & metabolic disturbances, ECG interpretation, endotracheal intubation, cultures, femoral puncture, interpretation of pulmonary function tests, intravenous catheterization (peripheral and central), local and topical anesthesia, management of problems in multiorgan resuscitation including cardiac & respiratory, management of problems in pain relief, management of procedures for rendering patient insensible to pain & emotional stress during surgical, obstetrical & certain medical procedures, nerve blocks with and without ultrasound guided assistance, support of life functions under the stress of anesthetic & surgical manipulations, pulmonary artery catheterization, temporary pacemaker placement, ultrasound-guided catheter placement, and insertion of trans-esophageal echocardiography probe.

Anesthesia Critical Care Core Privileges include: admitting, diagnosis and treatment of medical conditions of the following body systems: cardiovascular, circulatory, dermatologic, endocrine, gastrointestinal, gynecologic, hematological, immune, infectious, metabolic, musculoskeletal, neurological, psychiatric, pulmonary, renal, rheumatologic, arthrocentesis, bronchoscopy, cleaning & dressing wounds, critical care medicine, incision & draining of superficial abscess, lumbar puncture, and cricothyrotomy (emergent).

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

Recruitment Incentive: Authorized
Permanent Change of Station: Not authorized
Appraised Value Offer (AVO): Not Authorized
Education Debt Reduction Program (Student Loan Repayment): Authorized Learn more.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact vhaedrpprogramsupport@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
Work Schedule: Full Time, Monday - Friday, 0700 - 1530 (CST)

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.
• Education: 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.
• Licensure and Registration: 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.

• English language Proficiency: Physicians appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7402(d) and 7407(d).

Preferred Experience:

• Board Certified Anesthesiologist
• Significant experience in managing anesthesia for major surgeries on patient
  with ASA 3 and above
• Fellowship training in acute pain management is desirable but not required.
• Significant experience in supervising CRNAs
• Eligible to hold a faculty position in the Department of Anesthesiology at UT
  Southwestern Medical Center
• Significant experience in teaching trainees
• Significant experience in providing regional anesthesia

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

Physical Requirements: Moderate lifting, 15-44 pounds; Moderate carrying, 15-44 pounds; Reaching above shoulder; Use of fingers; Both hands required; Walking (4-8hrs); Standing (4-8hrs); Both legs required; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid permitted); Mental and emotional stability.

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.