The Salisbury VAMC is seeking an Invasive Cardiologist to provide quality care under the Chief of the Cardiology Section of Medical Service. The physician will establish and maintain professional relationships within Medicine Service, and with other services and facility management, which result in improved patient care. This is an open continuous announcement, applications will be accepted on an ongoing basis. Recruitment or Relocation Incentive authorized for qualified candidates.

Duties

Duties include but are not limited to: Know the principles of radiation safety in the cardiac catheterization laboratory, including strategies to minimize exposure of patients, operators, and staff. Know the use and complications of radiographic contrast media and the measures available for renal protection. Know the indications and potential complications of cardiac catheterization for assessment of patients with coronary, valvular, myocardial, peripheral vascular angiography and basic adult congenital heart diseases. Know the indications for, and clinical pharmacology of, antiplatelet and anticoagulant drugs, vasopressor and vasodilator agents, and inotropic drugs used in the cardiac catheterization laboratory. Know the principles of waveforms, pressure, flow, resistance, and cardiac output measurements obtained by cardiac catheterization. Know normal cardiovascular hemodynamics and the characteristic changes associated with myocardial, valvular, pericardial, and pulmonary vascular diseases. Know the methods to detect and estimate the magnitude of intracardiac and extracardiac shunts Know coronary anatomy, coronary blood flow physiology, and common coronary anomalies. Know the characteristic angiographic features associated with coronary artery disease and the methods available to assess its anatomic and physiologic severity. Know the characteristic angiographic features associated with peripheral artery disease and the methods available to assess its anatomic and physiologic severity. Know the indications for and potential complications of percutaneous interventions for coronary and peripheral artery and valvular and nonvalvular structural heart disease along with contraindications to, and potential complications of endomyocardial biopsy and pericardiocentesis. Know the physiologic basis and indications for mechanical circulatory support devices. Know the indications for and complications of vascular access and closure strategies and devices, fluid challenge, vasodilator testing, and post-exercise measurements during right heart catheterization. Possess skills to conduct preprocedural evaluations for patients undergoing cardiac catheterization and angiography. Possess skills to perform venous and arterial access and obtain hemostasis in patients undergoing cardiac catheterization and angiography, right heart catheterization, integrate hemodynamic, ventriculographic, endomyocardial biopsy, and angiographic data in patient evaluation and management and coordinate post-procedural management for patients undergoing cardiac catheterization, including recognition and treatment of complications. Skills to perform diagnostic left heart catheterization, contrast ventriculography, and coronary angiography and the ability to place an intra-aortic balloon pump. Clinical: Demonstrate sound decision making skills, both clinical and administrative, which bring credit to the profession and serve to enhance the distinctive and contributory role of physicians. Successfully integrates patient care activities on Medicine Services and other patient care programs at the medical center and in the community, such as Social Work, Prosthetics, Home Based Health Care (HBHC), and private nursing homes. Completes all medical record documentation in CPRS in a timely manner, including view alerts and encounter completion. Develops the initial plan of care and updates the plan, serving as a resource person to less experienced staff, and acts as a leader in developing standards of care. Academic, administrative and research duties as assigned. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized for qualified candidates Permanent Change of Station (Relocation Assistance): May be authorized for qualified candidates 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: 7:30-4:00PM M-F

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. Preferred Experience: Possess subspecialty board certification and/or eligibility in Cardiovascular Diseases from the American Board of Internal Medicine or Family Practice. 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: The Physical Requirements of this position are concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and may include requisite laboratory and other screening as required by Federal regulatory agencies. See VA Directive and Handbook 5019.

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 WG Bill Hefner Salisbury VA Medical Center 1601 Brenner Avenue Salisbury, NC 28144 US
• Name: Ashley Webb
• Phone: (443) 713-8966
• Email: [email protected]