Physician - (Diagnostic Radiologist)

NOTE: The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below.

Duties include but not limited to:
Provide expertise and support in various facets of Diagnostic Radiology and patient care.

Oversight of quality and safety:

• Review exam requests for appropriateness.
• Prescribe exam protocols and modify as needed for specific clinical indications.
• Provide oversight of technical image quality with feedback to technologist.
• Provide clinical oversight of medication administration, including contrast, preps, and other medications relevant to the Imaging Service.
• Provide oversight and serve as resources for radiation and MRI safety.
• Provide oversight and serve as resource for infection control practices.
• Participate in various aspects of quality assurance such as peer, review, protocol review, appropriateness criteria and performance improvement.

Image Interpretation and Consultation:

• Interpret imaging exams including relevant exam comparison and correlation with clinical information in CPRS. Generate reports that contain pertinent findings and measurements, a description of normal and abnormal structures, discussion of differential diagnoses, recommendations, and impression.
• Support patient care services with reports timely to the care being delivered with the method of communication appropriate to the level of clinical importance or acuity.
• Consult with providers on various aspects of imaging such as exam selection, review of result as and other support functions.
• Participate in clinical conferences such as Tumor Board and others.

Patient Care:

• Interact with patients to obtain relevant clinical history and physical exam findings within the scope of radiology practice, provide education to patients and support, obtain informed consent, issue disclosures when appropriate, document in CPRS, enter orders in CPRS, and other aspects of physical practice.
• Participate in the coordination of patient care: Contact clinical providers as relevant to assure effective patient care, discuss evaluation, management, follow-up, and other aspects of coordinated, patient-centered care. Make timely and definitive notification of time-sensitive results and/or results that have major clinical significance.
• Integrate resources to provide current, optimal care: consult colleagues, research literature, maintain continuing education and other sources of current practice.

Medical Staff Functions:

• Participate in Imaging and general medical staff meetings, committee assignments, compliance and other components of an organized medical staff.

Education:

• Support academic affiliations in technologist, radiologic assistant, medical student, resident, and other teaching programs that involve the Imaging Service. Provide clinical experience, cognitive development, and other aspects of effective teaching.

Research:

• Research is not required. Research is encouraged by the VA and supported as feasible to allow the opportunity for study design, data collection, analysis, publication, and other aspects of research.

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

Recruitment Incentive (Sign-on Bonus): May be Authorized for highly qualified candidates.
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; 8:00AM - 4:30PM

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.
• 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.
• License: 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. (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) leading to eligibility for board certification, OR
  • (2) Those approved by the American Osteopathic Association (AOA) leading to eligibility for board certification, OR
  • (3) 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 or post-training independent practice (performing under a full and unrestricted license) in the United States, OR
  • (4) Non-US residency training programs followed by a minimum of three years of independent practice int he 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.
  • (5) Exceptions:
    • (a) 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 (that is, 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.
    • (b) 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.

Preferred Experience: Diagnostic Radiology

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

Physical Requirements: Lifting up to 35 pounds, intermittently; moderate carrying (15-35 pounds), intermittently; lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care; pulling, intermittently; pushing, intermittently; reaching above the shoulders, intermittently, both hands required; walking, intermittently; standing, intermittently; kneeling, intermittently; and repeated bending.

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.

For foreign medical graduates not covered in (1) or (2) above, facility officials must confirm that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (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.