This position is eligible for the Education Debt Reduction Program 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.

Duties

Serve on a Patient Aligned Care Team (PACT) and will be responsible for providing medical care in an outpatient setting following PACT principles. May provide medical care using Telehealth for remote patients or travel to other outpatient clinics to cover provider shortage. The patient population ranges from adult to geriatrics. Diagnose, treat, and manage a panel of patients. Provide comprehensive patient-centered primary medical care. VA offers a comprehensive total rewards package: VHA Physician Total Rewards MAJOR DUTIES: Function as the Physician Team leader of their Patient Aligned Care Team (PACT), Ambulatory Care Services, Community Based Outpatient Clinic (CBOC) setting at (MTVAHCS). May perform additional duties (temporary or permanent) as a float provider (face-to-face or via telehealth) as those duties are assigned. Responsible for providing medical care in an outpatient setting following PACT principles. Will routinely provide medical care using Face-to-Face (F2F), VVC, and/or Telephone appointments. When performing duties as a float provider (F2F or telehealth) for remote patients, will provide care to outreach clinics as needed. Float provider duties (temporary or permanent) may require travel to the supported CBOC(s) periodically to cover a provider vacancy. Assure Veterans receive compassionate, efficient and safe patient care in their respective care line. Assure clinical care provided meets all timeliness and required documentation as required by VA. Providers must review alerts daily and have no more than 200 alerts at any given time. They must encounter their notes with 72 hours. Encounter errors must be completed within 7 days. Participate in multi-disciplinary team meetings to achieve a patient centered, holistic approach for clinical care and needs of the Veteran. This includes daily and weekly huddles with your PACT. Comply with all directives and policies related to space management to achieve optimal resource utilization (space, professional and administration) to maximize clinic utilization within the PACT model. Review available clinical and performance data with the team, focusing on continuous improvement of critical team processes. Participate in PACT performance improvement and sustainment activities to optimize team efficiency and care delivery to veterans. Implement Primary Care operations management processes, as appropriate. Manage communications and facilitate safe transitions of patients between the PACTs site of care and other health care settings, using informal and formal communication methods, as appropriate. Provide health education and health coaching on wellness, disease prevention, chronic care management, and self-management skills to veterans and personal support persons, commensurate with the documented expertise or professional training of the PACT member. Work Schedule: Monday - Friday from 8:00 AM - 4:30 PM May vary depending on deployment and/or assigned facility needs Telework: Ad-Hoc Virtual: This is not a virtual position. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact [email protected], the EDRP Coordinator for questions/assistance Contract Buy Out Program: This position may be eligible for the Physician / Provider Contract Buy Out Program (CBOP), which authorizes VHA to buy out service contracts (Locum agreements, loan repayments, sign-on bonus contracts, Physician-owned practices) in exchange for employment at certain rural or highly rural facilities for a period of obligated service (minimum 4 years). For additional information and eligibility requirements, contact the VHA Contract Buy Out Program Manager at [email protected]. Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of annual paid time offer 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

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. 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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. Preferred Experience and Certifications All Specialties Experience in disaster medicine and/or completed advanced training (i.e. fellowship) in disaster or wilderness medicine. This may include experience in medical deployments. Additionally, training and/or experience in critical care medicine is favored. Advanced Trauma Life Support (ATLS) Certifications from American Heart Association (AHA) or Military Training Network (MTN) are highly preferred: Basic Life Support (BLS) and/or Advanced Cardiac Life Support (ACLS). (AHA certification preferred.) BLS/ACLS certification is recommended, but not required, for candidates who are board certified in Emergency Medicine (VHA Directive 1177, Cardiopulmonary Resuscitation, January 4, 2021). The selected employee will be required to receive these certifications prior to assuming clinical responsibilities and ensure current certifications after employment is maintained. Preferred Experience: Minimum of 2 years of PACT experience is preferred, but not required. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Moderate lifting, 15-44 pounds; Light carrying, under 15 pounds; Straight pulling; Reaching above shoulder; Use of fingers; Both hands required; Walking Standing Repeated bending; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of color; Hearing (aid permitted); Emotional/Mental stability under stress; Typing/Computer work.

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 Montana VA Health Care System 3687 Veterans Drive Fort Harrison, MT 59636 US
• Name: VISN 19 HR Contact Center
• Phone: 719-227-4600
• Email: [email protected]