Southeastern Louisiana Veterans Health Care System is looking for a part time Nephrologist. 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: Board Certification or Board Eligibility in Nephrology. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: - Standing 2 hours - Walking 1 hour - Sitting up to 3 hours Environmental factors: - Protracted or irregular hours of work ["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 $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 Duties are but not limited to the following: Clinical Duties: Oversight: Clinically supervises the training of Nephrology fellows, residents, and medical students to provide quality patient-centered patient care in inpatient and outpatient settings. Ensures resident documentation, with required documented of supervision of all care by the attending physician, is completed in a timely manner per facility bylaws. Examinations: Evaluates patients by examining thoroughly. Appropriate clinical, laboratory, and other pertinent data is obtained to determine care the patient is provided. Assess needs for renal replacement therapies. Diagnosis: Ability to interpret and evaluate clinical data for the purpose of determining diagnosis and clinical status. Able to manage patients with kidney diseases, including but not limited to Chronic Kidney Disease, electrolyte disorders, glomerulonephritis (both primary and secondary), resistant hypertension, recurrent nephrolithiasis, and renal transplantation. Therapeutic ability: Prescribes appropriate and timely treatment; applies indicated therapeutic procedures; recognizes and assess changes in behavior, symptoms, signs, and other pertinent facts about the patient and modifies the plan of treatment when indicated. Be proficient in various dialysis modalities, including Continuous Renal Replacement Therapies. Effectiveness in Emergencies: The incumbent is readily available in emergencies; and quick in recognizing emergency situations and taking timely necessary action. Able to recognize severe electrolyte abnormalities, toxicities and urgent/emergent need for renal replacement therapy. Patient Management: Develops and maintains rapport and gains the confidence of patients and relatives through competence and interpersonal skills to the end that patients and others are informed participants in the treatment effort. Provide face to face ambulatory care, telemedicine management, and compete electronic consultations for patients with kidney disease. Consultations: Recognizes the need for consultation and utilizing facility or clinic specialty skills in diagnosis and treatment. Response to consultations in a timely manner, documents consultations according to procedure and is actively engaged with the primary team or clinician in collaborating on the patient's care and management. Record keeping: History/physical and other examinations and group learning experiences where on services as the learning facilitator in the role of mentor or teacher for residents, trainees, or employees. Completes all medical record documentation in CPRS in a timely manner. History, physical, and treatment plan are accurate and clearly stated. All ambulatory notes and orders are to be completed and signed on same day. All encounters completed with proper level of service and/or procedure and related diagnosis Participates in education and/or training of the residents, fellows and medical students in ambulatory setting or with inpatient teaching rounds. Work Schedule: To be determined and include designated rotations or consult service nights and weekends."]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.
