The VA BHHCS Chiropractic Service provides examination, diagnosis, treatment, and management of non-operative musculoskeletal and neuromuscular conditions. Chiropractors are licensed independent providers who work as part of VA interdisciplinary teams including physical medicine and rehabilitation, primary care, pain management, other relevant medical and surgical specialties, and other relevant associated health disciplines.

Duties

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 their health and well-being. Major Duties and Responsibilities In addition to observance of Federal national and local regulatory, policy, and accreditation requirements governing BHHCS this position encompasses the following examples of responsibilities: A. Clinical Duties: The exact privileges and procedures for a particular provider will be approved by the Professional Standards Board. All chiropractors must provide the following: 1. Patient Care: Chiropractors are expected to provide patient care that is compassionate, appropriate, and effective for the promotion of health, prevention of illness, treatment of disease, and care at the end of life. 2. Medical/Clinical Knowledge: Chiropractors are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. 3. Clinical Judgment: To ensure practice-based learning and improvement, chiropractors are expected to be able to use scientific evidence and methods to investigate, evaluate, and improve patient care. 4. Interpersonal & Communication Skills: Chiropractors are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of the health care team. 5. Professionalism: Chiropractors are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, and understanding and sensitivity to diversity, and a responsible attitude toward their patients, their profession. 6. Systems-Based Practice: Chiropractors are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve optimizing health care. B. Education 1. Chiropractors are expected to show effectiveness in teaching, monitor and coordinate educational activities, and comply with necessary trainee supervision. Work Schedule: Monday-Friday 7:30 AM to 4:00 PM Telework: Not Authorized Virtual: This is not a virtual position. 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 $800 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 Preferred Experience: Experience related to the position Experience in a hospital setting Excellent communication skills (written and verbal) Acupuncture VHA Experience VHA Internship Dry Needling Experience

Requirements

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Chiropractors Basic Requirements Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible Education. Degree of doctor of chiropractic, or its equivalent, resulting from a course of education in chiropractic. The degree must have been obtained from one of the schools or colleges approved by the Secretary of Veterans Affairs for the year in which the course of study was completed. Approved schools are: United States schools or colleges of chiropractic listed as accredited by the Council on Chiropractic Education, at http://www.cce-usa.org/, or equivalent agency, in the list published for the year in which the course of study was completed. Schools (including foreign schools) accepted by the licensing body of a State, Territory, or Commonwealth of the United States (i.e., Puerto Rico), or in the District of Columbia as qualifying for full or unrestricted licensure. Licensure or Registration. Doctor of Chiropractic (Except Residents). Current, full and unrestricted license to practice chiropractic in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. Impaired Licensure. A doctor of chiropractic who has, or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed on a probationary status may be appointed only in accordance with the existing VA provisions applicable to other independent licensed practitioners. NOTE: Licensure may be waived by the Under Secretary for Health or designee in Central Office, for individuals in research or academic assignments involving no direct patient care in accordance with current regulations. English Language Proficiency. Chiropractors appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Grade Determinations: In addition to the basic requirements above, all applicants must meet one of the following requirements to qualify for a specific grade level: Associate Grade. None beyond the basic requirements. Full Grade. Two years of full-time chiropractic practice or its equivalent. One year of full-time post-graduate residency specialty training from a chiropractic school or college accredited by the Council on Chiropractic Education, or equivalent agency approved by the Secretary of Veterans Affairs, is acceptable in lieu of the 2 years of practice. Candidate must have demonstrated the professional competence and performance necessary to provide independently the full range of clinical diagnosis and chiropractic treatment for the most prevalent neuro-musculoskeletal conditions including subluxation complex. Intermediate Grade. A doctor of chiropractic at the Intermediate grade meets the requirements for Full grade listed above and must meet these requirements: A total of 4 years of chiropractic practice or its equivalent. Acceptable in lieu of 4 years of practice is completion of a 3-year full-time post-graduate residency program from an accredited U.S. chiropractic college, as evidenced by documentation of completion (e.g., transcript), which renders the doctor of chiropractic eligible for certification by a specialty board recognized by the American Chiropractic Association, the International Chiropractors' Association, or the American Board of Chiropractic Specialties to obtain Diplomate status. Demonstrates a high level of professional attainment. Examples of such attainment are: (a) Is a recognized expert in dealing with a variety of unusually difficult chiropractic cases which are referred by other facilities for resolution and recommended courses of action to provide for maximum rehabilitation. Typically, in this capacity serves as a consultant to doctors of chiropractic or other professionals in other health care facilities. (b) Has assumed responsibility for a multi-faceted chiropractic program including clinical research and/or training requiring a high degree of competence and skill in developing innovative, new and advanced diagnostic and treatment techniques. Typically, the program is in an educationally affiliated health care facility having a chiropractic training program of moderate scope involving liaison with other medical services and affiliated schools. (c) Played a significant part in the conduct of research in a problem area of considerable scope and complexity that required novel approaches and which resulted in answers to important questions or important changes in existing methods and techniques. Publications authored by the doctor of chiropractic are of considerable value to others in the individual's field. Typically, overall contributions are recognized by serving on important committees or other bodies in the profession. (d) Has full responsibility for carrying out a chiropractic training program of significant size in which the doctor of chiropractic is responsible for maintaining liaison with the affiliated school and other educational institutions and professional or scientific organizations. The individual has displayed innovative approaches in development of curriculum and course content and in expanding and improving the educational program. Senior Grade. Is restricted to selected leadership positions. The individual's qualifications, as well as the scope and complexity of the assignment, are considered. A doctor of chiropractic at the Senior grade meets the requirements for Intermediate grade and the following: The doctor of chiropractic at this grade will meet one or more of the following: (a) Possesses such academic stature as would warrant a faculty appointment of a professorial level (i.e., full professor) in a school or college of chiropractic or other appropriate affiliated school or college. (b) Has been awarded Diplomate status by a specialty board recognized by the American Chiropractic Association, the International Chiropractors' Association, or the American Board of Chiropractic Specialties and is currently in good standing with the specialty board. Demonstrates superior professional attainment. Examples of such attainment are: (a) Serves as a team leader in addressing major chiropractic problems affecting the continued provision of quality care health services at a Veterans Integrated Service Network or national level. The recommendations and conclusions of the doctor of chiropractic are highly regarded (b) Has assumed responsibility for carrying out a major chiropractic program segment on a national level. (c) Conducts research in a difficult area of major scientific interest that has contributed to a substantial advance in the chiropractic health field with important professional publications. References: VA Handbook 5005, Part II, Appendix G-16 Chiropractors Qualification Standard. Physical Requirements: Long periods of continued sitting, standing, walking, reaching, bending, climbing, lifting (45 pounds or more). Possible exposure to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Must be a mature, flexible, sensible individual capable of working effectively in stressful situations and able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as TB screening. Must be able to assist with positioning of patients. Must be physically, emotionally and mentally competent and able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to yourself or others.

Education

Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address VA Black Hills Health Care System 113 Comanche Road Fort Meade, SD 57741 US
• Name: Todd Otterberg
• Phone: 605-347-2511 X7380
• Email: [email protected]