Physician - Emergency Medicine

Summary

The VA Sioux Falls Health Care System is recruiting for a full time Emergency Room Physician in Sioux Falls - SD. The Physician will provide care to patients who present to the Sioux Falls Emergency Department and reports directly to the Chief of Emergency Department. This is an open continuous announcement. Qualified applicants will be considered and referred until filled.

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
• Preferred Experience: 2-3 years Emergency Medicine Experience Reference: For more information on this qualification standard - please visit

Duties

• The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers
• This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest
• As an employee operating in a Whole Health System of care - you will operate in a model with three core elements - seeking to create a personalized health plan for each Veteran
• This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community
• This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being
• The ED Physician provides emergency healthcare for patients in a level 2 emergency room
• Duties of the Provider: Physician is assigned patients to treat who check into the Emergency Department (ED)
• The Physician (Emergency Medicine) will work with patients - non-VA health care - specialists - assigned team members and Primary Care PACT to provide healthcare
• The patients seen in the ED range from 1 to 5 on the Emergency Severity Index (ESI)
• The Physician (Emergency Medicine) will work with the inpatient wards and non-VA facilities performing admissions and transfers
• The Physician (Emergency Medicine) may also function in occupational health performing physicals and evaluations and treating employees for injuries
• Conducts the following: prior record review
• patient history - examination - diagnosis - treatment and education
• documentation in progress note format
• responds to Clinical Reminders
• orders appropriate lab tests and studies
• interpretation and implementation of action from results of studies ordered
• initiates and adjusts medications as medically necessary to include medication refills
• practices & maintains skills in EKG - rhythm strips
• Understands technology and utilization of the above as well as echocardiography
• recommends appropriate follow up
• timely completion of electronic encounter for each patient encounter
• timely electronic signature of electronic documents in medical record
• oversight of emergency medical care
• coordinates care for patients as appropriate between Mental Health inpatient ward - Primary Care - community - and ancillary support clinics
• works as a team with emergency medical doctors - nursing - technicians - primary care - administration - lab - pharmacy - dieticians - and ancillary staff on behalf of patient care
• Required to attend staff meetings - serves on committees - teams - workgroups - and peer reviews as requested
• Completes CME - VA Training - HIPAA - Security training - and other training mandatory trainings
• In additional to the duties listed above the Physician will perform clinical privileges within the Emergency Medicine privileges approved by MEC
• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• Recruitment/Relocation Incentives (Sign-on Bonus): Authorized for highly qualified candidates
• Position(s) listed under this Open Continuous Announcement (OCA) MAY be eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program
• Applicants selected for an EDRP-eligible position will be notified in their conditional job offer
• The selectee must meet specific eligibility requirements per VHA policy and submit an EDRP application within four months of appointment
• Program approval - award amount (up to $200 -000) - and 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 are ineligible to apply
• 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: Shift work