Physician (Primary Care)-Orange Team

The Physician provides direct patient care full time and works as a member of an expanded healthcare team - including social workers, dieticians, clinical pharmacists, behavioral health clinicians, and care managers - to oversee and coordinate medical care for a population of Veterans in a group practice setting utilizing the Patient Aligned Care Team (PACT) model. The team consists of the provider, an RN, an LPN or MA, and a scheduler who together take care of a panel of 900 patients. Orange Team has about 6 teams comprised of physicians, NPs and PAs. The practice emphasizes evidence-based medicine, primary and secondary preventative medicine, the use of a computerized medical record system, and continuous quality improvement based on individualized provider data. Duties and responsibilities include, but are not limited to:

Clinical Practice & Patient Care

• Performs initial histories and physical examinations on outpatients.
• Provides ongoing outpatient and inpatient care for assigned patients.
• Screens outpatients to determine need for further care.
• Prescribes medications within defined scope of practice.
• Orders diagnostic studies such as laboratory tests, x-rays, and electrocardiograms (EKGs).
• Reviews need for and orders health promotion and disease prevention activities.
• Initiates, responds to, and expedites requests for consultations, special tests, and studies.
• Provides education and counseling of patients and families in preventive care, medical conditions, and use of prescribed treatments and drugs.
• Provides age-specific care including knowledge of changes associated with aging and principles of growth and development relevant to adult and geriatric age groups; assesses and interprets data about the patient's status and identifies age-specific needs to provide appropriate care.

Team Collaboration & Access

• Works as a member of an expanded healthcare team to oversee and coordinate medical care for a population of Veterans in a group practice setting utilizing the PACT model.
• May occasionally need to work alone but can request assistance from other medical staff, including staff in the Emergency Room or inpatient service at the nearest VA medical center when needed.
• Health Administration Service (HAS) and nursing staff will usually be provided by the remote clinic location/facility.

Administrative Responsibilities

• Attends staff meetings, team meetings, and some committee meetings, and completes peer review evaluations; time will be provided outside of assigned shifts to complete this work.
• Keeps the supervisor informed of progress and potentially controversial matters.

Physical Requirements

• The work is mostly sedentary and requires some standing, bending, and carrying light items.
• Must have the ability to stand and walk for prolonged periods of time to interact with patients and other services.

Customer Service

• Meets the needs of customers while supporting VA missions.
• Consistently communicates and treats customers - Veterans, their representatives, visitors, and all VA staff - in a courteous, tactful, and respectful manner.
• Provides customers with consistent information according to established policies and procedures and handles conflict and problems constructively and appropriately.

ADP Security & Data Protection

• Protects printed and electronic files containing sensitive data in accordance with the Privacy Act of 1974 and other applicable laws, federal regulations, VA statutes and policy, and VHA policy.
• Protects data from unauthorized release, loss, alteration, or unauthorized deletion and follows applicable regulations regarding access to computerized files and release of access codes as set out in the computer access agreement.

• 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.

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.
• 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.