Physician (Dermatology) w/Recruitment-Relocation Incentive/EDRP

The Dermatologist will provide services to VA North Texas Health Care System - Dallas VA Medical Center, Fort Worth Outpatient Clinic, and Sam Rayburn Memorial Veteran Centers. The responsibility of the physician includes but is not limited to:

• Core privileges include: history and physical, occult blood testing, preparing treatment plans, treatment and/or consulting for diagnosis and treatment of conditions affecting the skin, mucous membranes, hair, and nails.
• KOH smear, biopsy, cryotherapy, excision of skin lesions, and electro-desiccation of skin lesions. Skin grafts and flaps.
• Focuses on researching, diagnosing and treating skin disorders and diseases.
• Complete patient examinations and may perform minor skin surgeries. Job duties also entail prescribing topical medication for skin problems.
• Performs dermatological procedures as there are many factors influencing the choice of treatment:
  • 1. Type of skin cancer or noncancerous or precancerous growth
  • 2. Location, size, number, and aggressiveness of the tumor
  • 3. Patient's general health
  • 4. Side effects, possible complications, benefits, and cure rate of a procedure
  • 5. Dermatologist's experience and familiarity with a particular procedure

• Examinations-Evaluates patients by examining thoroughly. Appropriate clinical, laboratory and other pertinent data is obtained to determine care the patient is provided.
• Therapeutic Ability--Prescribes appropriate and timely treatment; applies indicated therapeutic procedures; recognizes and assesses changes in behavior, symptoms, signs, and other pertinent facts about the patient and modifies plan of treatment when indicated. Recognizes own capabilities and limitations.
• Effectiveness in Emergencies--The incumbent is readily available; and quick in recognizing emergency situations and taking timely necessary action. Has active certification in BLS, ACLS, or both as required by facility Bylaws.
• Consultations and Specialty Skills--Recognizes the need for consultation and utilizing facility or clinic specialty skills in diagnosis and treatment. Responds to inpatient/outpatient consultations in a timely manner, documents consultations according to procedure and is actively engaged with the primary team or clinician in collaborating on the patient's care and management.
• Record keeping-records the History/Physical and other examinations and changes in patient's status promptly. Clear, accurate, and adequate clinical records are kept current and completed at time of discharge. The treatment plan is clearly stated. The physician is fully knowledgeable of and utilizes the Computerized Patient Record System. All progress notes, orders are to be completed and signed daily.

• 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.

• Supervisory/Precepting Experience
• Prior experience supervising or precepting Advanced Practice Providers (Nurse Practitioners and/or Physician Assistant) in a clinical dermatology setting.
• Prior experience supervising or teaching dermatology residents and/or fellows, including direct observation, chart co-signature, and case-based teaching.
• Demonstrated ability to provide graduated levels of supervision appropriate to trainee/provider experience level (i.e., closer oversight for early learners, more autonomy for advanced trainees/experienced APP's).
• Experience conducting or participating in formal competency assessments, FPPE/OPPE-type evaluations, or clinical performance reviews (preferred for VA/credentialed settings).

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.

• 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 evaluation/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.