This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. 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 complete review of the EDRP application.

Duties

The Emergency Physician is staffed and equipped to provide initial evaluation, treatment, and disposition for a broad spectrum of illnesses, injuries, and mental health disorders, regardless of the level of severity. Emergency care is provided in a clearly defined area dedicated to this function and operates 24 hours a day, 7 days a week. With-in the Emergency Department proper there is a dedicated area known as the "Fast Track" for the lower acuity patients to be seen. The incumbent will follow EM practice that is consistent and in line with the American College of Emergency Physicians (ACEP) Model for the Clinical Practice of EM and emergent care that is congruent with the facility's capabilities. The following core privileges and core procedures are recommended for physicians granted emergency medicine privileges: Applicants BC/BE in EM, IM or FM meet the requirements for appropriate training based on completion of an accredited residency program in any of these specialties within the last 5 years. All physicians requesting emergency medicine privileges are to be Board Certified/Board Eligible (BC/BE) in EM. Physicians who are 5 years removed from a training program or who are not BC/BE in these specialties must provide evidence of appropriate training and/or current competence to be granted these privileges. Core procedures encompass those treatments and procedures granted to a practitioner in emergency medicine as a result of graduate training, postgraduate training and/or practice experience. Core procedures encompass the list in this section. The ED/UCC Director is responsible for determining if applicants meet the requirements necessary to be granted privileges to perform these core procedures and any other procedures that the local facility feels are necessary for standard emergency care in our acute care units (this listing is not meant to be inclusive): 1. Arterial punctures for blood testing and cannulation for blood pressure monitoring. 2. Emergency Vascular Access. 3. Non-emergent and emergent airway management including mechanical ventilation, subject to the requirements of VHA Directive 2012-032, Out of Operating Room Airway Management (OOORAM) or successor Directive. 4. Lumbar puncture. 5. Cardiopulmonary resuscitation including cardioversion/defibrillation and transcutaneous pacing. 6. Paracentesis. 7. Thoracentesis. 8. Gastric lavage. 9. Wound management including: a. The use of local anesthesia. b. Foreign body removal. c. Incision and drainage. d. Wound repair. 10. Foley catheter placement. 11. Epistaxis control. 1 2. Fracture/dislocation - initial management, including splints. 13. Cervical Spine immobilization. 14. Arthrocentesis. 15. Administration of thrombolytic therapy. All privileged providers working in the Emergency Department must be credentialed in accordance with VHA Handbook 1100.19, Credentialing and Privileging and the facility's Medical Staff Bylaws. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Education Debt Reduction Program (Student Loan Repayment): Learn more. EDRP Authorized: Danielle Mosgrove at [email protected], the EDRP Coordinator for questions/assistance 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: 7p to 7a

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. Additional Requirement: None Preferred Experience: ** Recent substantial experience in provision of Emergency Medicine care (recent practice of the full range of ED procedures and practices) within the last 2 years, preferably in an academic emergency room setting with a Residency Training Program in Emergency Medicine 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: In Accordance With VA Directive and Handbook 5019 Note: Must have Basic Life Support (BLS) certification prior to assuming clinical duties. The BLS requirement is satisfied by successfully completing an American Heart Association (AHA) BLS Healthcare Provider Course or Military Training Network (MTN). BLS courses are normally offered within 1-5 days of entry on duty. No online certifications will be accepted.

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 Wilmington VA Medical Center 1601 Kirkwood Highway Wilmington, DE 19805 US
• Name: Lisa Newton
• Phone: (610) 384-7711
• Email: [email protected]