Deputy Chief of Medicine / Hospitalist

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.

The Deputy Chief, Medicine Service, provides administrative, programmatic, operational, and clinical leadership under the direction of the Chief, Medicine Service, to ensure achievement of clinical, operational, research, educational, quality, and performance improvement goals throughout Medicine Service outpatient programs and clinics. The position is comprised of approximately 50% clinical responsibilities and 50% administrative and leadership responsibilities.

The incumbent serves as a senior physician leader and advisor regarding the effective and efficient management of outpatient medicine programs and services and works collaboratively with Associate Chiefs of Medicine, Section Chiefs, nursing leadership, administrative officers, and interdisciplinary teams to ensure delivery of high-quality, Veteran-centered healthcare services.

The Deputy Chief functions in a strategic leadership role supporting the Chief, Medicine Service, in optimizing outpatient clinical operations, improving access to care, enhancing quality and patient safety initiatives, supporting staff engagement, and leading transformative operational improvement efforts. Oversight responsibilities include outpatient medicine clinics and related patient care services located at the main medical center campus and associated Community Based Outpatient Clinics (CBOCs).

The incumbent assists in coordinating interdisciplinary care delivery among providers, nurses, pharmacists, social workers, behavioral health clinicians, MSAs, nutritionists, rehabilitation staff, and ancillary services to improve operational effectiveness and patient outcomes. The Deputy Chief may act on behalf of the Chief, Medicine Service, during periods of absence and serves as a key clinical and administrative resource to Medicine Service leadership and executive management.

The Deputy Chief, Medicine Service, is responsible for assisting in the oversight, administration, coordination, and supervision of outpatient medicine clinics and associated clinical programs. Responsibilities include approximately 50% direct clinical care activities and 50% administrative leadership responsibilities, including operational oversight, administrative management, quality improvement, staff development, education support, and strategic planning activities.

Major duties and responsibilities include, but are not limited to:

• Clinical and Operational Leadership
• Quality Improvement and Patient Safety
• Research and Education (if applicable)
• Budget and Fiscal Management
• Organizational Stewardship and Team Building
• Human Resource Management
• Other Duties as Assigned

The Deputy Chief, Medicine Service, reports directly to the Chief, Medicine Service. The incumbent exercises delegated authority for oversight of outpatient clinical operations and administrative functions within Medicine Service. Work is performed independently with wide latitude for judgment, decision-making, and initiative within established VHA regulations, medical center policies, and professional standards.

The incumbent collaborates closely with Associate Chiefs, Section Chiefs, nursing leadership, and administrative management to accomplish organizational goals and improve outpatient operations. The work is reviewed through performance measures, quality outcomes, operational effectiveness, compliance monitoring, and achievement of strategic objectives.

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

Recruitment Incentive (Sign-on Bonus): Available to highly qualified candidates
Relocation Incentive: Available to eligible candidates.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact the EDRP Coordinator, Cheryl Lahair, at cheryl.lahair@va.gov for questions/assistance. Learn more.

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 / Variable schedule.

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: Must be board certified.

Preferred Experience: Three to 5 years of leadership experience, supervising, mentoring, or training medical residents, trainees, or interdisciplinary staff as well as budget planning, resource allocation and staff decision making.

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

Physical Requirements: The incumbent must be capable of prolonged sitting, standing, walking, computer use, and occasional lifting or carrying of light materials associated with clinical and administrative activities. The position requires the ability to function effectively in stressful environments with frequent interruptions, urgent situations, and competing priorities while maintaining professionalism, effective communication, and sound clinical and administrative judgment.

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.

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 2-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the Agency;
• whether your continued employment would advance organizational goals of the Agency or the Government; and
• whether your continued employment would advance the efficiency of Federal service.

Upon completion of your probationary period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.