Physician - Chief of Primary Care

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.

This is an Open Continuous Announcement and may be extended beyond the current closing date until the position is filled. Eligible applications will be referred at regular intervals, as additional vacancies occur and/or on an as-needed basis during the duration of the announcement. Once a selection is made and offer is accepted the announcement may close pending no additional vacancies.

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

Recruitment Incentive (Sign-on Bonus): May be eligible for highly-qualified applicants.
Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact Robert.Knudsen@va.gov, the EDRP Coordinator for questions/assistance
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

Major Duties/Responsibilities:
The Chief, Primary Care Service is responsible for developing a comprehensive Primary Care/Patient Aligned Care Team (PACT) program for the medical management and education of patients. The Chief is also responsible for the training program for all phases of Primary Care approved for this Medical Center. The incumbent plans, implements, directs, and evaluates the activities of the Service, including requirements for staffing, budget, equipment, and supplies. Although activities are carried out with the assistance of subordinates, the Chief is ultimately responsible for the success and fulfillment of the overall vision and mission of the program. The incumbent is responsible to the Chief of Staff for the overall management of Primary Care.

Core Duties

• Accurately interprets and evaluates clinical data to determine diagnoses and clinical status. Provides guidance as supervising physician for determining diagnosis and clinical status.
• Recognizes changes in behavior, symptoms, signs, and other pertinent aspects of patient status and modifies treatment plans when indicated. Demonstrates awareness of personal capabilities and limitations.
• Demonstrates leadership in planning, organizing, and coordinating administrative, clinical, and educational programs.
• Demonstrates the ability to make appropriate decisions based on available information and accepts responsibility for these decision.
• Demonstrates adherence to professional responsibilities. Completes assignments and keeps appointments reliably.
• Completes clinical documentation promptly and thoroughly. Maintains clear, accurate, and current clinical records in accordance with hospital regulations.
• Serves as a mentor and teacher for Primary Care staff, residents, trainees, students, and other employees. Plans and guides educational activities to meet individual learner needs.
• Encourages staff to identify researchable problems. Selects, develops, and conducts literature reviews on topics relevant to Veterans' healthcare with reasonable expectation of successful outcomes.
• Ensures acceptable standards of patient care. Directs and implements processes and programs necessary to maintain accreditation and other standards.
• Communicates respectfully. Ensures patient/family understanding. Explains policies and procedures clearly. Involves patients in care planning as appropriate.

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.
• 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.

Preferred Experience: Board Certification in area of training and previous supervisory experience.

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

Functional Requirements:

• Light lifting, and light carrying under 15 pounds
• Use of fingers
• Both hands required
• Walking 1 hours
• Standing 4 hours
• Ability for rapid mental muscular coordination simultaneously
• Ability to distinguish basic colors
• Hearing (aid may be permitted)
• Emotional/Mental Stability under Stress

Environmental Factors:

• Radiant energy
• Electrical energy
• Slippery or uneven walking surfaces
• Working with hands in water
• Working closely with others
• Working alone
• Protracted or irregular hours of work

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.