Physician - Anesthesiology (Cardiac)

The Eastern Colorado Health Care System is currently looking for a Physician - Anesthesiologist (Cardiac)

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This position is a blend of general anesthesia and cardiac anesthesia.

FUNCTION/SCOPE OF THE POSITION: The staff anesthesiologist administers anesthesia care alone or supervises physicians in-training (residents) or certified registered nurse anesthetists. When working alone, he/she examines the patient before and after anesthesia, writes pre- and post-anesthesia orders, confirms that the patient is ready for anesthesia before induction, manages the anesthetic period, and follows patients if is appropriate in the post-anesthesia period.

DUTIES/TASKS AND RESPONSIBLITIES: When supervising trainees, an attending anesthesiologist meets the following conditions to demonstrate sufficient personal and identifiable medical services to the patient to exercise full, personal control over the management of anesthetic care. The attending anesthesiologist must as a minimum:

• Review the patient's history and the record of examination and tests.
• Personally, will examine the patient.
• Confirm or revise the course of treatment to be followed.
• Either performs the anesthesiologist's services required by the patient or supervises the treatment to assure that appropriate services are provided by residents or CRNAs.
• Be recognized by the patient as his/her attending anesthesiologist.

The attending anesthesiologist, in providing medical direction of a CRNA must as a minimum:

• Evaluate the pre-anesthetic examination and evaluation.
• Prescribe the anesthesia plan using appropriate techniques of the plan such as, but not limited to insertion of intravenous lines, arterial lines, centra lines, insertion of other invasive monitoring catheters, regional anesthesia, and transesophageal echocardiogram (TEE).
• Either personally participate, or be immediately available, in the most demanding procedures in the anesthesia plan, including the induction and emergence.
• Ensure that any procedures in the anesthesia plan that he/she does not perform are performed by a qualified individual.
• Monitor the course of anesthesia administration at frequent intervals.
• Remain physically present and available for immediate diagnosis and treatment of emergencies
• Provide indicated post-anesthesia care.

Attending anesthesiologists in the service are also faculty members of the University of Colorado School of Medicine, they are expected to contribute to the teaching needs of the Department of Anesthesiology. This may include, but is not limited to preparing and delivering lectures, service as a preceptor, and providing one-on-one instruction. Attending anesthesiologists as faculty members are also expected to contribute to the advancement of knowledge in the specialty by way of clinical and/or laboratory research.

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

Recruitment/Relocation Incentive (Sign-on Bonus): Authorized
Education Debt Reduction Program (Student Loan Repayment): 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.
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 providedContract: No Physician Employment Contract and no significant restriction on moonlighting

Work Schedule: Monday-Friday 7:00am - 3:30pm

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:
  • Those approved by the Accreditation Council for Graduate Medical Education (ACGME), OR
  • Those approved by the American Osteopathic Association (AOA), OR
  • 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:

• Board Certification

Preferred Experience:

• Transesophageal Echocardiogram (TEE)
• Cardiac experience

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

Physical Requirements: Heavy Lifting (45 lbs and over); Heavy Carrying (45 lbs and over); Straight Pulling (up to 4 hours); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours); Standing (up to 8 hours); Repeated bending (up to 4 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Hearing (aid permitted).

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.