The Medical Director of a Durham VA HCS Primary Care Clinic provides administrative, programmatic, and clinical leadership for primary care services to ensure achievement of the clinical, research and education goals. The Medical Director serves as first line direct on-site supervisor for Patient Aligned Care Teams (PACT) primary care physicians, physician assistants, and nurse practitioners.

Duties

The incumbent is an Internal Medicine or Family Medicine trained physician with advanced clinical, administrative and leadership skills and experience. The incumbent reports to the Deputy Associate Chief of Staff or Associate Chief of Staff (Ambulatory Care Service) and serves as a key clinical resource for the Ambulatory Care Service. The position is a dual clinical and administrative role. The incumbent must have: (1) Demonstrated commitment to an interdisciplinary approach to care delivery (2) Documented ability to coordinate broad continuum of programs (3) Management experience with strong administrative and interpersonal skills (4) Demonstrated skills in providing clinical interface with academic affiliates and other key stakeholders. The responsibilities include hands on clinical work, oversight, and administration of the primary care clinic, including research program and guidance for training medical residents and other trainees. The Medical Director serves as first line direct on-site supervisor for all Patient Aligned Care Teams (PACT) primary care physicians, physician assistants and nurse practitioners. The following description covers the most significant duties performed but does not exclude other responsibilities which may be assigned. Clinical: Primary Care Physician will be responsible for delivery of primary care to patients enrolled at the Durham VA HCS. The provider will manage scheduled and unscheduled patients in the outpatient clinic setting. Primary focus of practice is the independent clinical evaluation of Veterans including prevention and patient self-management. Comprehensive primary care will be provided to male and female Veterans. Care may be provided in many modalities including direct face to face care and virtual care (including telephonic, video, secure messaging, and others) Functions as a member or in support of a Patient Aligned Care Team (PACT), collaborating with clinical and administrative support to provide timely, quality, coordinated care for Veterans. Keeps abreast of latest trends, skills, procedures, and protocols relevant in the area of specialty and serves as a resource person for the medical staff. Primary providers in the outpatient setting are typically assigned a panel of patients to manage. Panel size at this time is determined by utilizing VHA software. Physicians need to follow departmental and VHA policies for leave and attendance and work within Title 38 appointment guidelines. Leave should be requested in as much advance as possible to minimize patient cancellations. All unscheduled absences must be properly communicated. Non-Clinical: Interpersonal Effectiveness: Sustain collaborative working relationships with other staff, assist in resolving conflicts, and contribute to the accomplishment of VISN and HCS strategic goals and performance measures. Service: Works effectively within a team environment contributing to the effectiveness of the team to deliver safe, cost effective, quality, timely, and patient-focused care. Systems Thinking: Actively demonstrates the ability to understand the complexity of an integrated medical care delivery system and how change affects the system as a whole. Flexibility/Adaptability: Demonstrates ability to manage multiple tasks/priorities, and productively contributes to the health care delivery team. Education/Research: Educates clinical staff, including but not limited to physicians, physician assistants, nurse practitioners, RNs, LPN and health care technicians in the theory, practice and implementation of team based medical care within the context of the Patient Aligned Care Team. Customer Service: Meets the needs of customers while supporting the HCS and Service missions. Consistently communicates and treats customers (patients, visitors, volunteers, and all staff) in a courteous, tactful, and respectful manner. Provides the customer with consistent information according to established policies and procedures. 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: Mon-Fri, 0800-1630

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: Excellent communication, interpersonal and organizational skills in a team environment. Experience in leadership, supervision and/or process improvement preferred. Preferred Experience: Board Certified in Internal Medicine or Family Medicine with 3 years or more of experience in outpatient primary care. 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: Candidates must successfully complete a pre-employment physical. Position requires standing for extended periods, use of fingers and both hands, ability for rapid mental and muscular coordination simultaneously, ability to distinguish basic colors, emotional and mental stability. Hearing aid is permitted. Incumbents may experience exposure to blood and body fluids. Exerting up to 50 pounds of force occasionally and/or up to 25 pounds of force frequently to move objects. This could include moving objects such as pieces of equipment and assistance in moving clients.

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 Durham VA Medical Center 508 Fulton Street Durham, NC 27705 US
• Name: Brian Watt
• Phone: (906) 396-7485
• Email: [email protected]