Physician - Emergency Medicine

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.

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

Recruitment/Relocation Incentive (Sign-on Bonus): Not authorized.
Education Debt Reduction Program (Student Loan Repayment): Authorized for this position. Learn more.
EDRP Authorized: Former EDRP participants are ineligible to apply for incentive. Contact joshua.titensor@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

Duties include but not limited to:

• Evaluation and management of acute and urgent medical, surgical, psychiatric, and behavioral conditions in adult patients.
• History and physical examinations appropriate for emergency assessment
• Order, interpret, and perform diagnostic tests including but not limited to: laboratory studies, electrocardiograms, radiographic imaging (e.g., plain films, CT scans, ultrasounds as needed for emergency diagnosis)
• Formulate treatment plans, initiate therapy, and monitor responses
• Perform and supervise emergency procedures including, but not limited to:
• Advanced airway management (including intubation)
• Cardiopulmonary resuscitation and advanced cardiac life support
• Central and peripheral venous access
• Thoracentesis, paracentesis, lumbar puncture
• Wound management and laceration repair
• Fracture/dislocation reduction and splinting
• Incision and drainage of abscesses
• Chest tube placement and needle thoracostomy
• Cricothyrotomy
• Emergency cardiac pacing
• Procedural sedation and analgesia
• Triage and prioritize patient care based on acuity
• Consult with and refer to specialty services as clinically indicated
• Initiate and coordinate patient admission, transfer, or discharge
• Order and prescribe medications including controlled substances within the scope of emergency medicine
• Provide oversight and supervision to Physician Assistants, Nurse Practitioners, residents, medical students, and nursing staff as assigned
• Participate in quality assurance, patient safety, and process improvement activities

Work Schedule: Full-time. Shifts will include rotating on-call schedule. Coverage may include day, evening, weekend and holiday coverage.

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 Requirements:
Board Certified: American Board of Emergency Medicine. Position will Supervise Residents/Students.
University of Utah staff appointment or University verification of appointment eligibility (in process of acquiring staff appointment).

Preferred Experience: 2 years' experience in Emergency Medicine preferred.

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

Physical Requirements:
Candidates must successfully complete a pre-employment physical. Position requires walking, standing, reading typewritten material without strain, ability to hear conversational voice, emotional and mental stability, and working closely with others. Incumbent may be exposed to blood and body fluids. Must be able to physically respond when needed by prompt appearance at required location.

Work Environment:
Work is performed in a health care setting with adequate lighting, heating and cooling. Work may involve exposure to infection and possible contagious diseases. Standard precautions and isolation techniques will be employed as indicated. There may be occasion where response to physical and/or verbal abuse by patients requires knowledge gained from ongoing violence in the workplace training.

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.