Supervisory Geriatrics & Extended Care Physician

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

The Supervisory Geriatrics & Extended Care Physician may practice in all outpatient, Community-Based Outpatient Clinic, Satellite Clinic and Health Care Center settings, including through telehealth modalities. This physician may practice in all patient demographics, provide trainee education, participate in scholarly activity consistent with academic promotion, and is required to participate in quality improvement activities.

Patient care will be provided as a consultant and as a primary care provider for the assigned panel of patients. The Fredericksburg Veterans Affairs Health Care Center offers a comprehensive range of outpatient services for Veterans in the Northern Virginia and Central Virginia area, including Primary Care, Rehabilitative, Dental, Medical and Surgical specialty care, basic radiology, and Mental Health services. The establishment of this new health care center is part of the Central Virginia VA Health Care System and the Veterans Health Administration's initiative to enhance access to care for Veterans, thereby providing them with more healthcare options within their communities and fulfilling the mission to deliver exemplary care to our Nation's Heroes.

VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Education Debt Reduction Program (Student Loan Repayment): The position is eligible for the EDRP. Learn more. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact Ms. Monique Head at monique.head@va.gov, the EDRP Coordinator for questions/assistance Pay: 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 The duties and responsibilities of the Supervisory Geriatrics & Extended Care Physician include, but are not limited to the following: Performs day-to-day clinical activities, which may include providing patient care in Patient Aligned Care Team (PACT) clinics, Geriatrics consultation and management in outpatient clinics, Home-Based Primary Care (HBPC), all telehealth modalities, e-consults, Hospice & Palliative Care services, Non-Institutional Care programs, and transitional care team.

Collaborates daily with the interdisciplinary team (IDT), referral sources and all stakeholders. Provides effective collaboration and leadership to interdisciplinary teams and administrative staff. Completes home visits independently when assigned to Home-Based Primary Care (HBPC). Supervises clinical staff, including a nurse navigator, nurse practitioner and physician assistant; and administrative staff. Provides collaborative physician coverage in GEC programs including non-institutional care programs and contract community nursing home programs.

Provides guidance and coaching as needed to other Physicians, Nurse Practitioners, Physician Assistants and other interdisciplinary staff in GEC and referral sources. Completes medical records and encounters timely and accurately. Functions as a delegated authority for community care including but not limited to skilled home care and home hospice. Coach and mentor team members Supervisory role to manage leave, annual & quaterly appraisals, clinic schedule,clinical and administrative guidacne for direct reports.

GEC program management to meet organizational goals, ensure quality of care and optimal efficiency. Collaboration/leadership to ensure compliance with accrediting organizations and regulatory authorities. Communicates with patients, family members and treatment teams, including community partners and vendors. Work Schedule: 8:00 AM to 4:30 PM Monday - Friday

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 allopathic 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 accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency, or fellowship if applicable, was completed; OR (2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States; OR (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement), 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.

Exceptions: 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 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. In rare and unusual circumstances, the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer, who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience, accomplishments, performance, and qualifications warrant such action.

Proficiency in spoken and written English. Preferred Experience: Complete ACGME accredited Geriatric/HPM Fellowship training. 2 years experience in Geriatric Primary Care. 2 years of Geriatrics/Palliative Medicine. 2 years of supervisory Physician experience. Physicians must have successfully completed residency training, approved by the Secretary of Veterans Affairs, in an accredited core specialty training program as outlined in the title 38 qualification standard for the Physician, 0602, occupation.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: This position requires comprehensive assessments and complex problem-solving skills, working with patients of many age groups and working with patients who have complex care needs and require care coordination. This role involves working with many stakeholders simultaneously and working often in a fast-paced environment.

To perform in a fully successful manner, the incumbent must have the physical ability to perform job-related duties that require lifting, standing, bending, transferring, stooping, stretching, walking/mobility, pushing, or pulling without assistance from another patient care provider or significant other. This position requires hearing acuity, visual acuity, normal memory and recall, data collection and analysis, independent complex problem solving, using telephone and keyboard, timely and accurate completion of medical records, working with patients and caregivers with stress, patients with communication difficulties, patients with end-of-life care needs, and grief.

Physicians selected or assigned to HBPC must have a valid driver's license to operate a government vehicle and be able to complete home visits independently. Physician selected/assigned to HBPC must be able to drive up to 2 hours one-way to complete home visits independently.