Physician - Dermatology (Micrographic Surgeon)

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Recruitment/Relocation Incentives (Sign-on Bonus): May be authorized to a highly qualified candidate
Education Debt Reduction Program (Student Loan Repayment): Authorized Learn more.
EDRP Authorized: The selectee must meet specific eligibility requirements per VHA policy and submit an EDRP application within four months of appointment. Former EDRP participants ineligible to apply for incentive. Contact visn7edrpfacilitycoordinators2@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

We are seeking an American Board of Medical Specialties (ABMS) certified Dermatologist, board certified or eligible Micrographic surgeon (MOHS) surgeon, to provide high-quality, compassionate care to our nation's Veterans. This role offers the opportunity to practice medicine with purpose-addressing complex dermatologic needs while making a meaningful impact on the lives of those who have served our country. Our Veterans deserve exceptional care, and we are committed to supporting physicians with a collaborative environment, manageable schedules, and the resources needed to focus on patient care

Duties Include but are not limited to:

• Administrative duties
  1. Leadership responsibilities: participate in peer review process, participate in staff meetings, effectively communicate both down to staff and up to leadership, collaborate with PLMS to maintain lab requirements
  2. Human resources: maintain VA training requirements, ensure timely completion of documentation and upkeep of credentials including state license and DEA registration
  3. Staff management: participate in the FPPE/OPPE process, adhere to employee health requirements, participate in Clinical Pertinence Reviews (routine medical record reviews)
  4. Time/leave management: adhere to tour of duties, submit timely requests for leave in current time management system and for clinic cancellations
  5. Clinical management including direct and indirect patient care: open encounter, open consult management, adhere to EHR documentation rules and requirements, adhere to clinic procedures for patient scheduling and access, ensure staff productivity, oversee relevant performance measures, participate in process improvement

• Clinical duties
  1. Patient care: provide patient care that is compassionate, appropriate, and effective
  2. Dermatologic procedures: perform basic dermatologic procedures (cryotherapy, intralesional injection, incision and drainage, excision of benign and malignant skin lesions, biopsy of skin lesions), perform complex dermatologic procedures (excision of malignant lesions using Mohs technique, complex deficit repairs including but not limited to flaps and grafts)
  3. Medical knowledge: demonstrate knowledge of and practice up-to-date evidence regarding the use of Mohs technique including a command of NCCN guidelines for the medical and surgical treatment of skin cancers and Mohs Appropriate Use Criteria to ensure Mohs technique is only used when necessary and appropriate and to ensure patients receive any necessary pre-operative and follow up care (referral for consideration of radiation, imaging, lymph node sampling, etc)
  4. Interpersonal and communication skills: demonstrate interpersonal and communication skills that enable establishing and maintaining professional relationships with patients and other members of the health care team
  5. Professionalism: demonstrate behaviors that reflect a commitment to continuous professional development, regard for patients and their individual needs, ethical practices, and diversity
  6. Resident/Fellow supervision: foster a welcoming learning environment for residents, provide direct oversight of residents/fellows in compliance with trainee supervisions requirements, sign resident documentation in timely fashion

Work Schedule: Thursday and Friday 7:30 a.m. - 5:30 p.m. This position has the potential to be full time and may be discussed during the interview or upon selection. Subject to change based on agency Needs.

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: American Board of Medical Specialties (ABMS) certified Dermatologist, board certified or eligible Micrographic surgeon (MOHS).

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

Physical Requirements: Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others. Depending on the essential duties of a specific position, usable vision, color vision, hearing or speech may be required. However, in most cases, a specific physical condition or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid.

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.