Physician - Pain Management

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 (one to five 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
• Required Experience: Completion of an ACGME-accredited Residency in Physical Medicine & Rehabilitation and a Fellowship training program in Pain Medicine
• Reference: For more information on this qualification standard - please visit
• Physical Requirements: There may be some walking - standing - bending - and carrying light items.

Duties

• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• Work Schedule: Schedule will be coordinated with hiring manager 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 The San Francisco Veterans Affairs Medical Center (SFVAHCS) Anesthesiology Service requires a Pain Medicine Physician - trained in Physical Medicine & Rehabilitation (PM&R) with fellowship training in Pain Medicine - to provide comprehensive diagnostic - therapeutic - and consultative pain management services to Veteran patients - many with multiple co-existing diseases and complex chronic pain conditions
• Duties include outpatient interventional and chronic pain clinic management - inpatient acute pain service consultation - and management of patients with implanted pain-management devices
• The incumbent practices exclusively in pain management and does not provide general operating room anesthesia coverage
• Duties include but not limited to: 1
• Acute Pain Service (Inpatient): a
• Inpatient consultation and management of patients on the Acute Pain Service b
• Placement and management of lumbar or thoracic epidural catheters or peripheral nerve blocks or catheters
• c
• Treatment of acute pain with intravenous or intramuscular injections d
• Coordination of pain management plans with surgical - medical - and nursing teams for hospitalized patients 2
• Outpatient Chronic Pain Management Attendings with board certification in pain management may also have credentials for the following: a
• Assessment of - consultation for - and treatment planning for patients with chronic pain - including performance of history and physical examination b
• Longitudinal management of patients in the outpatient chronic pain clinic c
• Treatment of chronic pain via interventional procedures - and/or use of regional anesthetic techniques
• d
• Development and oversight of multidisciplinary - biopsychosocial pain management plans in coordination with Pain Services - primary care - psychiatry/psychology - and other services as needed 3
• Teaching a
• Supervision and education of Pain Medicine fellows - including direct oversight of fellow-performed procedures - case-based teaching - and evaluation of fellow clinical competency b
• Participation in didactic teaching conferences for the Pain Medicine fellowship program