Physician (Attending Surgeon) Vascular Surgery

The role of the staff vascular surgeon is to provide comprehensive care to patients with disorders of the Vascular System. This includes conditions of the abdominal aorta, lower and upper extremity vasculature, and extracranial cerebral circulation. The care to be provided includes consultations, nonoperative management, open surgical operations, and endovascular procedures.

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Duties include but are not limited to the following:

Consultations:

• Reviewing and providing consultations promptly.
• Seeing new outpatients with nonemergent problems within 30 days.
• Seeing inpatient consultations and patients with urgent conditions promptly.

Patient transfer requests:

• Evaluate and response promptly by direct communication with referring providers and transfer coordinators at CGVAMC.

Evaluate outpatients in:

• The Vascular Surgery clinic and Vascular surgery post operative clinic.
• Work with wound therapy nurses in inpatient and outpatient settings.
• Read and interpret studies generated in the Noninvasive Laboratory promptly.
• Prepare patient for operative management.
• Follow the standard of care and established policies including the marking of operative sites, performing preoperative briefings and Time-Out assessments prior to the commencement of any operation.
• Keep patients' families or designated surrogates well informed of the patients condition and progress. This is to include a postoperative conversation informing them of the findings, conduct of the operation, expected results and areas of concern.
• Care for inpatients on the Vascular Surgery Service in the operating room, intensive care unit and ward.
• Arrange dispositions for follow up appointments for patients prior to discharge.
• Attend and present at morbidity and mortality conferences.
• Provide summaries of all deaths using the required reporting format.

Medical Record Duties:

• Outpatient consultation reports and progress notes.
• Inpatient progress notes- daily notes on patients in the intensive care unit.
• History and Physical examinations.
• Operative Reports
• View alerts
• Keep up with new developments in the vascular literature, and maintain the required CME activities.
• Participate in performance improvement projects.

Participate in resident education and supervision in the:

• Outpatient clinics.
• Emergency Department.
• Inpatient settings.
• Operating room.

Participate in Surgical Resident Preparation and Evaluation:

• At the beginning of the rotation, this includes a review of duties and expectations.
• Review of performance at mid-rotations and provide feedback.
• Exit interview and final evaluation at the end of the rotation.

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: Intermittent Weekends, Days, Nights & Holidays (According to the needs of the facility)

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 certified or eligible Vascular Surgeon, able to perform the typical range of open and endovascular Vascular surgery

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

Physical Requirements: Applicant must meet the physical standards established for this position. The physical requirements for this position may include the following tasks which may be performed intermittently: moderate lifting (15-44 lbs.); moderate carrying (15-44 lbs.); Reaching above shoulders; use of fingers; walking (up to 6 hours); Standing (up to 2 hours); Near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and 20/40 in the other; hearing aid permitted; mental and emotional stability required.

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.