Physician (Sleep And Pulmonary Medicine)

Sleep And Pulmonary Medicine

All staff physicians assigned to Medicine Service will meet basic requirements and accept and carry out work assignments, including specialty care coverage assignments, when issued by the Service Chief of Medicine and the Chief of Staff. Duties include but are not limited to:

• Participate in administrative work assignments, including program building as assigned
• Provide guidance and support to the nurse practitioners assigned to Medicine Service in their respective areas of expertise
• Participate in and attend medical center committees as assigned
• Participate in various facility programs designed to enhance and improve the delivery of patient care services, such as Continuous Quality Improvement (CQI) teams
• Give Medicine Grand Rounds and other lectures for staff education.
• Take a sleep and/or pulmonary history and perform physical examination that identifies elements pertinent to sleep and pulmonary diagnoses
• Provide accurate sleep and pulmonary diagnosis for undifferentiated patient symptoms and/or other findings.
• Provide long term treatment and monitoring of patients with a broad range of sleep and pulmonary disorders
• Participate in multidisciplinary activities for optimal care with respect to pulmonary and sleep conditions.
• Order appropriate sleep and pulmonary testing to diagnose and monitor sleep and pulmonary conditions, respectively
• Integrate patient care activities on Medicine Services and other patient care programs at the medical center and in the community such as Social Work, Prosthetics, Home Based Health Care (HBHC), and private nursing homes
• Demonstrate expertise in diagnosing and treating a broad range of pulmonary, critical care and sleep medicine patients
• Demonstrate skill in implementation of clinical practice guidelines and protocols for patients with complex pulmonary and sleep medicine care needs
• Order durable medical equipment therapies routinely used in pulmonary and sleep medicine specialty
• Serve as expert specialist in interpreting pulmonary and sleep tests, including but not limited to home sleep tests, attended in lab sleep studies, pulmonary function tests, and oximetry testing
• Provide pulmonary and sleep care through non face to face encounters, including e-consults, telephone and video clinics
• Provide invasive ventilator management if providing ICU coverage.

Sleep Medicine:

• Identify excessive daytime sleepiness and initiate a basic evaluation of patients with this complaint
• Diagnose, treat, and manage patients longitudinally with sleep disordered breathing
• Identify patients with sleep disordered breathing who have co-existing sleep disorders and manage appropriately
• Order and interpret laboratory tests within the context of a sleep evaluation
• Prescribe medications used to treat patients with sleep disorders, including but not limited to hypnotics, stimulants, as well as Xyrem and Xywav
• Interpret data from CPAP devices and manage appropriately to optimize efficacy and compliance of the therapy
• Counsel, instruct and educate patients on respective risks, indications and limitations, benefits, complications and proper use of therapy
• Prescribe and manage different PAP modalities as appropriate, including but not limited to auto-CPAP, fixed CPAP, BiPAP, BiPAP ST, ASV, and iVAPs
• Consider and prescribe alternative therapies to CPAP when appropriate, including but not limited to the Inspire device, an oral appliance (mandibular advancement device), and oral surgery

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

Recruitment Incentive (Sign-on Bonus): May be Authorized for Highly Qualified Applicants

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: 7:30am -4:00pm, Mon- Fri

US Department of Veterans Affairs