The Physician (Hospitalist) is responsible for the evaluation, management and care for patients on the acute inpatient ward, intensive care unit, emergency department and/or urgent care at both Fort Meade and Hot Springs campuses, depending on shift assignment.

Duties

Duties and Responsibilities include: Manages inpatients with general adult medical illnesses. This includes performing histories and physical examinations, rounding on patients, writing progress notes, discharge planning and timely completion of discharge summaries. Performs inter-professional rounds on assigned medical wards, managing, and participating in the patients' care. Participates in quality management/assurance and chart review activities. Performs medical consultation and pre-operative risk assessment on inpatient med/surg patients. Provides patient care, including decisions regarding admissions, discharges, transfers to a higher level of care, referral for admission to VA from outside facilities, etc. Perform history and physicals, establish medical diagnoses, order laboratory and radiographic tests, order appropriate consults, and develop assessment and plans for all assigned patients. Provide inpatient coverage of internal medicine patients on the Acute Medical ward and the Intensive Care Unit. Coordinates medical care of patients with the emergency department and other services as indicated. Functions within the parameters of CPRS (the electronic medical record) for order sets, documentation, administrative requirements, cyber security, privacy rules, etc. Provides teaching medical students, advanced practice nurse practitioner students, and physicians assistants students as assigned. Participates in peer review, process improvement activities. Demonstrates personal integrity and commitment to professionalism. Evaluation and management of patients during assigned shifts in the Emergency Department and Urgent Care. Admits and manages inpatients with general adult medical illnesses. This includes performing histories and physical examinations, rounding on patients, writing progress notes, discharge planning and timely completion of discharge summaries. Works closely with specialists and primary care physicians to ensure that inpatients receive continuous high-quality care. Takes an active role in optimizing the efficiency and effectiveness of the inpatient care process from admission through discharge. Discusses all medical admissions with emergency room, ICU, and clinic physicians to ensure clinical appropriateness of admission to general medical floors. Discusses with external attending providers, the possible transfer of appropriate Veterans from outlying hospitals/Emergency Departments 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 Malpractice: Free liability protection with tail coverage provided Work Schedule: Monday to Friday, 7:30 to 4:00 pm will be on a floating schedule between the two locations on Forte Meade and Hot Spring VA Medical Center.

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: 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: 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. You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.

Education

Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:

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.]

NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.

Contacts

• Address VA Black Hills Health Care System 113 Comanche Road Fort Meade, SD 57741 US
• Name: Stephanie Cunningham
• Phone: 2058873405
• Email: [email protected]