Physician - Chief of Pulmonology

The VA Central Iowa Healthcare System is recruiting (1) full-time Physician - Chief of Pulmonology. The Chief of Chief of Pulmonology will provide consultation services and follow up Pulmonary/Critical Care patients, in the inpatient and outpatient setting, at the VA Medical center in Des Moines, or one of the affiliated CBOCs (Community Based Outpatient Clinics). The Chief of Pulmonology may also provide Sleep Medicine services if appropriately credentialed.

• Will directly supervise Pulmonary staff ( to include providers and respiratory therapy chief) and complete all performance appraisals and clinical oversight.
• Supervising or collaborating responsibilities and performance will be noted in the physician's performance evaluation.
• Have procedural expertise including but not limited to Diagnostic and Therapeutic Bronchoscopy, Endobronchial Ultrasound and biopsy, Ultrasound guided Thoracentesis, Chest Tube placement, ThoraVent placement, ECMO management, Mechanical ventilation, Rapid Sequence intubation, Moderate Sedation and may include Percutaneous Tracheostomy, Endobronchial Valve placement among others which will be identified in privileges.
• Provide expert consultation and treatment for patients with Cardiac conditions
• Conduct comprehensive evaluations, including history taking, physical examinations, and the ordering of diagnostic labs and tests and studie.
• Interpret laboratory and diagnostic tests and follow-up on test results in a timely manner.
• Develop and implement individualized treatment plans for patients with Pulmonary conditions
• Provide patient and family education regarding Pulmonary conditions, treatment plans, and self-management strategies, utilizing educational tools and resources to enhance patient understanding and compliance
• Collaborate with other healthcare professionals, including Pulmonary APPs and Respiratory therapy to ensure coordinated and comprehensive care
• Participate in multidisciplinary team meetings and case conferences if indicated, including discharge planning
• Communicate effectively with patients, families, and members of the healthcare team.
• Maintain accurate and timely documentation of patient care in the electronic medical record system
• May be tasked to travel to Community Based Outpatient Clinics as requested/assigned by the ACOS-SC.
• May be asked to participate in facility, VISN or National workgroups and/or committees.
• Provide Electronic Consultation services (E-Consults) and reviews consults for determination if appropriate for Care in the Community or local/regional VA services.
• Ensure compliance with VA policies, procedures, and regulatory requirements.
• Participate in quality improvement initiatives and adhere to clinical guidelines and best practices.
• Engage in continuing education and professional development activities to maintain board certification and clinical competence.
• Participate in research activities, if applicable, and contribute to the academic mission of the VA clinic.
• Provide supervision and education to students and other trainees, as applicable.
• Serve as a resource and mentor to other healthcare providers within the VA clinic.
• Administrative work shall be completed in accordance with facility policy and assigned deadlines.
• Will work within privileges at all times, unless necessitated by an emergency.

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

Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact , the EDRP Coordinator for questions/assistance at VHA.ELRSProgramSupport@va.gov
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 provided
Contract: No Physician Employment Contract and no significant restriction on moonlighting

Work Schedule: Monday - Friday, 7:30am - 4:00pm. Additional information may be provided during an interview.

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 allopathic 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 accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency, or fellowship if applicable, was completed; OR
  • (2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States; OR
  • (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement), 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.
  • Exceptions:
    • 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 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.
    • In rare and unusual circumstances, the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer, who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience, accomplishments, performance, and qualifications warrant such action.
• Proficiency in spoken and written English.

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

Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.

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.
2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted.
3. For foreign medical graduates not covered in (1) or (2) above, confirmation must be made that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirement for year 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.