Physician (Pulmonary/Sleep Medicine)

The Pulmonary Doctor will provide specialized care in the assessment, diagnosis, and treatment of patients with pulmonary diseases and conditions. The role involves both outpatient and inpatient services, including consultation and ongoing care for veterans with respiratory disorders.

Duties include but not limited to:

1. Clinical Care:

• Provide comprehensive pulmonary care to veterans diagnosed with respiratory conditions.
• Diagnose and treat pulmonary diseases, including but not limited to, COPD, asthma, interstitial lung disease, pulmonary hypertension, and lung cancer.
• Perform and interpret diagnostic tests such as chest X-rays, CT scans, pulmonary function tests, and bronchoscopy procedures.
• Develop treatment plans based on the best available scientific evidence and clinical guidelines.
• Conduct follow-up appointments and ongoing management of chronic respiratory conditions.

2. Inpatient Services:

• Provide inpatient care in the ICU and general medical wards for patients with respiratory and related conditions,
• Participate in on-call duties and provide consultations to other services within the Robley Rex VA Medical Center.
• Assist in the management of mechanically ventilated patients and participate in multidisciplinary rounds.

3. Outpatient Services:

• Conduct outpatient clinics, including new patient evaluations and follow-up visits.
• Educate patients and families on disease prevention, management, and treatment plans.

4. Collaboration and Communication:

• Work collaboratively with a multidisciplinary team including primary care physicians, specialists, nurses, and other healthcare professionals.
• Participate in case conferences, departmental meetings, and quality improvement initiatives.
• Provide advice and consultation to colleagues within the VA Medical Center and associated outpatient clinics.

5. Research and Education:

• Engage in clinical research projects and contribute to the advancement of pulmonary medicine.
• Provide education and training to medical residents, fellows, and other healthcare staff.

6. Administrative Duties:

• Maintain accurate, timely, and complete documentation in the electronic medical records system.
• Comply with all VA regulations and guidelines, including privacy and security policies.
• Participate in the development and implementation of departmental policies and procedures.

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

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 to Friday, 8:00 AM to 4:30 PM (Participation in the on-call schedule for inpatient and ICU coverage)

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.

Additional Requirement:

• Board certification in Sleep Medicine, Board eligible candidates will be considered as well.
• Advanced knowledge and clinical skills in diagnosing and treating sleep disorders.
• Excellent communication, interpersonal, and organizational skills

Preferred Experience: Minimum of 2 years of post-residency experience in pulmonology. Additional certification in Critical Care Medicine is preferred.

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

Physical Requirements: Ability to perform physical examinations and diagnostic procedures. Capability to work in a hospital and clinical setting, including standing, sitting, and walking for extended periods. Occasional lifting and carrying of medical supplies and equipment

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.