The Assistant Chief of the Emergency Department (ED) reports directly to the Chief of Medicine and will assist with clinical and administrative functions of the ED. Will participate in and oversee of staff physician and NP patient care performance measures, compliance, training/performance improvement, recruitment and retention of highly qualified/experienced providers, participate in committees and comply with rules and regulations. Will serve as a staff Emergency Department physician.

Duties

Assistant Chief of the Emergency Department (ED) will perform the following functions in the absence of and/or at the discretion of the Chief of Emergency Medicine (Section Chief) Assist the Section Chief in representing ED at applicable hospital administrative/patient care meetings: UM Committee, Systems Redesign, Medicine Service Section Chief meetings, ED huddles, RPIWs related to the ED, Cardiology Performance Improvement Workgroup, Peer Review Committee, and participate in the VA EMFAC (Emergency Medicine Field Advisory Committee). Assist the Section Chief in meeting with all ED providers to review protocols, procedures, expectations for transported/transferred patients, including minor trauma victims. Assist the Section Chief in monitoring established VA/VISN/Joint Commission, performance measures and identified goals for the ED, and provide physicians with group and individual feedback on how to improve and/or sustain achieved success in such metrics/measures, including faculty development programs. Regularly huddle to discuss departmental performance and barriers to achieving performance measure/workflow success. Develop solutions at the lowest level whenever possible, employing LEAN management principles and thinking. Work to eliminate wasted efforts/work/testing in the ED, develop and/or utilize pre-existing patient care protocols (Acute Coronary Syndrome, Stroke, Sepsis) and develop tools to monitor the success of those efforts. Assist the Section Chief in developing, implementing, and sustaining an orientation/standard work manual/and-or process for all providers in the ED. Work with VA Utilization Management (UM) dept staff to monitor the preadmission screening process and its success in impacting InterQual appropriate inpatient admission/observation status utilization performance measures. Assist the Section Chief in monitoring performance of all providers' in the ED and provide performance improvement opportunities and/or interventions as appropriate. This includes, but is not limited to performing FPPE/OPPEs and ensuring the RVU tool reflects appropriate data. Assist the Section Chief in conducting Peer Reviews of ED providers and attend the Peer Review Committee on a monthly basis. Assist the Section Chief in reviewing and responding to all ED ePIR and eROCs in a timely manner. Monitor ED workforce needs and budget. Collaborate with the Medicine Service Group Practice Manager to develop budgets and conduct a yearly needs assessment Assist the Section Chief in maintaining an up-to-date schedule which provides appropriate provider coverage in the ED and the Urgent Visit Center (UVC). Assist the Section Chief in all recruitment efforts for providers in the ED. Emergency Department Physician Ultimately responsible for all aspects of medical care delivered to patients in the ED. Provide or assist residents and/or the nurse practitioner in the process of evaluation and treatment of the ED patient, and actively participate in corrective actions against untoward responses to medical interventions. Evaluate the patient to assess changes in the physical and mental status during their stay in the ED. A note is written in the patient's chart. Notes also include the concurrence with notes written by the resident or Nurse Practitioner, and attending notes as appropriate. Perform outpatient medical evaluations and treatment. During scheduled tour hours, shall be available for all emergency interventions as part of the ED staff team. Appropriately credentialed and privileged. They participate in various hospital committees, Medicine or Ambulatory Service and hospital in-service programs, and education programs of the Medicine Service and the hospital. They are also involved in continuous quality improvement through the VA peer review process. Shall be responsible for outpatient care, and graduate and undergraduate medical education, and scientific research as appropriate. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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: Full-time. Rotating to include some holidays

Requirements

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 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 Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by the American Osteopathic Association (AOA),OR (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), 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. 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 or fee-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. Proficiency in spoken and written English. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Physical Requirements: Heavy Lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 4 hours); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours); Standing (up to 8 hours); Repeated bending (up to 4 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Hearing (aid permitted).

Education

1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or
2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted.
3. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.]

Contacts

• Address Richard L Roudebush VA Medical Center 1481 West Tenth Street Indianapolis, IN 46202 US
• Name: Rebecca Plath
• Phone: 757-291-4670
• Email: [email protected]