Physician - Hospitalist

Summary


The VA Fargo Healthcare System is recruiting for (4) Full-time Hospitalists. The Hospitalist is assigned to the Fargo VA HCS, Specialty Care ICC, providing comprehensive, efficient, compassionate, high-quality healthcare to all patients, functioning as a member of the inter-disciplinary team providing clinical care to the patients at FVAHCS in inpatient setting.


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Duties


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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 theirhealth and well-being.


The Hospitalist will serve as the supervisory inpatient attending / hospitalist physician for house staff on call for the Medicine services overnight and on the weekends, as well as serve as primary admitting physician for adult patients who are admitted facilitating patient flow and teaching service capacity.


Duties include, but are not limited to:

• Provide trainee supervision, and training of internal medicine residents and medical students in all their clinical activities overnight if applicable.
• Admits and manages inpatients including patients, general adult medical illnesses. This includes admitting patients and performing histories and physical examinations; rounding on patients and writing progress notes; discharge / transfer planning and timely completion of discharge summaries.
• Assist with patient flow and co-care services for inpatients.
• Provides inpatient internal medicine consultations at night to other services, including but not limited to, Emergency Department, Mental Health and Surgery.
• Serve as a Rapid Response and Code team member.
• Participation in educational activities related to the internal medicine residency program including trainee evaluation if applicable.
• All attending physicians are expected to participate in ongoing process improvements within their specific areas of expertise thereby promoting quality, efficiency, patient safety, and timely access to care for our veteran patients.
• Communicates with incoming and off going Hospitalists to ensure continuity of care.
• Collaboration with ancillary staff, specialists, and physician extenders to ensure that inpatients receive continuous high-quality care.
• Participates effectively in team meetings and treatment planning conferences and collaborates with multidisciplinary team members in a manner that enhances coordination of comprehensive patient care.
• Perform and supervise minor bedside procedures; refresher training is available in our excellent simulation laboratory. Ideally should have some bedside point of care ultrasound skills. There will be training opportunities to ensure competency. The candidate can also elect to acquire our facility certification in airway management after completing local on-line, simulation laboratory, and hands-on training.
• Adherence to VA policies and procedures regarding documentation, patient safety, and utilization.
• Completes all medical records (including discharge summaries) in accordance with Bylaws, Rules, and Regulations of the Medical Staff.

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


Recruitment/Relocation Incentive: 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: Varying rotating shifts, including weekends and holidays.


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 dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical 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.

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


Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.


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


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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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.