Physician-Anesthesiologist (Regional)

Summary

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 (1 to 5 years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

Qualifications

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
• Staff Must will/have completed a Regional Anesthesia Fellowship by time of start of position
• Preferred Experience: 1 - Board eligible or board certification in Anesthesia
• 2
• Fellowship trained or in current fellowship of regional/Acute pain anesthesia
• 3
• Experience working with Trainees (Anesthesia residents and Student Nurse Anesthetists)
• 4
• Experience working in a collaborative team model of anesthesia care
• 5
• Demonstrates the ability to perform the clinical and technical aspects of anesthesia care and has in-depth knowledge of anesthesia methods and techniques
• 6
• Demonstrates the ability to share expertise within or beyond the facility through leadership or as an active participate in interdisciplinary groups (e.g. - committees - task forces - projects - formal teaching - publications - or other professional activities)
• Reference: For more information on this qualification standard - please visit
• Physical Requirements: Heavy lifting - 45lb and over Light carrying - under 15 lbs Straight pulling (1-2 hours) Pushing (1-2 hours) Reaching above shoulder Use of fingers Both hands required Walking (4-6 hours) Standing (4-6 hours) Kneeling (4-6 hours) Repeated bending (2 hours) Both legs required Near vision correctable at 13' to 16' to Jaeger to 1-4 Far vision correctable in one eye to 20/20 and to 20/40 on the other Both eyes required Depth perception Ability to distinguish basic colors Ability to distinguish shades of colors Hearing (aid may be permitted) Wear Protective Clothing and equipment to include radiation safety - PPE (apron - goggles and thyroid shield) on a frequent basis Environmental Factors: Outside and inside Radiant energy Electrical energy Slippery or uneven walking surfaces Working around machinery with moving parts Working closely with others Working alone Protracted or irregular hours of work

Duties

• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• Recruitment Incentive (Sign-on Bonus): May be authorized for highly qualified applicants
• EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact Demetrius Roberts - (View email address on careers.biausa.org) - 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 $2500 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 The General Anesthesiology Duties: - Translates the principles of anesthesia practice into appropriate patient care
• - Performs the pre-anesthetic patient history and physical - including the collection of preoperative consults and data - performs a patient evaluation and examination from which an appropriate anesthetic plan is formulated
• - Communicates the anesthetic risks - benefits - and options to the patient
• This is done in the perioperative setting or when stationed the Anesthesia Preoperative Clinic
• - Prepares the patient - operating room and/or procedural area for the administration of anesthesia
• - Administers inhalation - regional - intravenous - local - and topical anesthetics and continuously evaluates the patient's physical status and response to anesthesia
• - Performs post-anesthetic management of patients in the post-anesthesia care unit (PACU) in order to optimize the recovery from anesthesia and minimize pain
• The PACU is medically directed by ACL
• - Ensures timely and accurate anesthetic record charting and anesthesia service documentation
• - Provides patient care that is abreast of changing concepts and advancements in the profession while working effectively in an interdisciplinary environment for improvement of services for patient care
• - Practices with colleagues and peers utilizing a collaborative team concept of anesthesia care while demonstrating effective communication skills and professional behaviors that promote cooperation and interdisciplinary teamwork
• This includes guiding and training anesthesia residents - doctoral-level nurse anesthesia students and Medical Students from the Baylor College of Medicine and SRNAs from UT-Houston
• - Demonstrates skill in conducting and managing anesthesia for a broad range of surgical procedures and the ability to adapt and modify anesthesia techniques in order to optimize patient care
• - Demonstrates the ability to perform the clinical and technical aspects of anesthesia care and has in-depth knowledge of anesthesia methods and techniques
• - Provides consultations and assistance for acute and chronic pain problems - difficult invasive line placement - and airway or ventilation concerns
• - Effectively blends technology - skills - and competency for the advancement of anesthesia techniques - pharmacology - and equipment
• The Regional Anesthesiology Duties in addition to General anesthesiology duties : -Emergency-Must be fellowship-trained/would have completed fellowship by the start date of position in Regional Anesthesiology and possess experience in performing and managing a broad range of regional anesthesia procedures
• -Provides comprehensive regional anesthesia services - including the selection - performance - and management of peripheral/truncal nerve blocks - neuraxial anesthesia - and continuous catheter-based techniques
• -Demonstrates proficiency in ultrasound-guided regional anesthesia to ensure accurate block placement - patient comfort - and reduced complication risk
• -Participates in the management of patients receiving regional analgesia and supports multimodal analgesia strategies in collaboration with perioperative surgical teams.-Contributes to the Acute Pain Service (APS) by assisting with post procedure regional analgesia management - catheter troubleshooting - and optimization of pain control
• -Ensures accurate and timely documentation of all regional anesthesia procedures - including assessments - technique details - and patient follow-up- Maintains current knowledge of advancements - safety guidelines - and evidence-based practices in regional anesthesia and integrates them into clinical care.-Provides education - supervision - and hands-on training in regional anesthesia techniques for trainees
• Work Schedule: 7:00am-3:30pm - Monday-Friday

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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