Physician-Primary Care

Summary


*****A recruitment/relocation incentive may be offered to highly qualified candidate(s).*****


The incumbents will serve as a Primary Care Physician located within the Orlando VA Healthcare System (OVAHCS) assigned to the Ambulatory Care Service. Assignments to other facilities within OVAHCS and travel to the site, may be required to meet the needs of the service.


This position is eligible for the Education Debt Reduction Program (EDRP) - Please see below.


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Duties


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Relocation/Recruitment Incentives: Authorized - As determined by Facility/Agency


EDRP Authorized: Former EDRP participants ineligible to apply for incentive.Contact View email address on click.appcast.io, the EDRP Coordinator for questions/assistance. Learn more


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 daysof 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


The incumbent will be responsible to provide comprehensive medical care, under the Patient Aligned Care Team (PACT) model, to a panel of patients managed under PCMM guidelines. The incumbent is expected to be attentive to patient education, preventive care and be able to work well in an interdisciplinary team to provide high quality primary care. The incumbent will be responsible for providing comprehensive medical care.


Duties and responsibilities include, but are not limited to:

• Manages chronic conditions, evaluates and treats inter-current medical conditions. Determine medical assessment and develop treatment plans according to accepted protocols.
• Collaborates with a Patient Aligned Care Team (PACT) to provide accessible, comprehensive, coordinated, continuous care to an assigned panel of patients.
• Must provide comprehensive care for female veterans as a Women's Health PCP including age appropriate cervical and breast cancer screening, menopause and contraceptive management, and initial evaluation of basic gynecological concerns.
• Performs a variety of disease prevention related activities including sex and age specific screenings, mental health screenings, and health promotion activities.
• Screens for, evaluates and treats uncomplicated common mental health disorders, including depression and common addictions, with referrals made to mental health providers for further evaluation and treatment as appropriate.
• Provide Buprenorphine treatment in the management of Opioid Use Disorder per DEA guidance.
• Primary care physicians will have responsibility for supervision of or collaboration with primary care mid-level providers.
• Physicians are expected to provide clinical oversight and to participate in peer review of other primary care providers through periodic chart reviews.
• Primary care physicians will act as surrogates for absent primary care providers when needed, to include review of CPRS view alerts.
• Primary care physicians will regular attend primary care staff meetings, departmental meetings and medical staff meetings.
• Timely documentation (notes and encounter forms) is necessary in all areas in accordance with facility policy.
• All administrative work should be completed in a timely fashion.
• Clinical reminders should be addressed as medically appropriate.
• Quality of care should meet professional standards.
• Utilization of all Virtual Care modalities is an expectation of this position.
• Provide timely follow-up on results, including completion of view alerts.
• Prescribe medication according to approved formulary, and in accordance with Federal and State Law.
• Consults other specialties as appropriate, according to service agreements.
• Demonstrates flexibility in responding to clinic demands, adhere to personal and professional obligations and responsibilities, practice and maintain ethical standards, and sustain a work environment that is harmonious and customer service oriented.
• Cover unassigned/unscheduled patients or clinic when a provider is on leave or when there is a provider vacancy, urgent need.
• Assignments may include management of specialty PACT such as Women's health PACT, SCI PACT, OEF/OIF PACT, Homeless or GERI PACT.
• Travel to other sites within the Health Care System to cover provider shortage.

Work Schedule: Monday through Friday 8am-4:30pm (Note: Work schedules are determined and approved by the supervisor, the incumbent may be required to work various shifts on a permanent or temporary basis based on facility/patient care needs) The candidate must be willing to be placed, detailed or temporarily assigned to other services and/or locations for operational needs or during regional or national emergencies)


Travel/Driving: You may be required to travel for this position


Requirements


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Conditions of employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical evaluation/examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

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

• Experience within the adult primary care outpatient setting within the last 2 years.
• Board Certification in Internal Medicine or Family Medicine is preferred.
• Family Medicine or Internal Medicine residency training.

Reference: For more information on this qualification standard, please visit


Physical Requirements: This position requires light to moderate lifting (15 - 44 lbs.); light carrying (15 lbs. and under); reaching above shoulder; use of fingers; both hands required; walking (up to 2 hours); standing (up to 2 hours); kneeling (up to 1 hour); ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16"; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted); emotional stability; mental stability; working closely with others; and working alone. Ability to drive/operate government vehicle.


Education


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.


Additional information


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.


This job opportunity announcement may be used to fill additional vacancies.


It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.


This position is in the Excepted Service and does not confer competitive status.


VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.


If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.


Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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