Summary

We are looking for a skilled Physician to provide patient care in Geriatrics clinics and Community Living Center (equivalent to nursing home care). Physician will serve patient population with medical and psychiatric comorbidities. Physician will lead the interdisciplinary team to achieve patient-centered goals. Physician may practice in all patient demographics, provide trainee education, participate in scholarly activity, and is required to participate in quality improvement activities.

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: Must have completed ACGME accredited fellowship training in Geriatrics / HPM
• Board Certification in Internal Medicine/ Family Medicine
• 2+ years of Geriatrics practice experience
• Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: The physician needs to be mobile in that the job requires: sitting, walking, standing, and bending
• Selected applicant will be required to complete an online on-boarding process.

Duties

• The Richmond Veterans Affairs Medical Center is searching for a Physician - Geriatrics & Extended Care
• The GEC Physician may practice in either outpatient or Community Living Center (CLC), and utilize telehealth modalities
• Patient care will be provided as a consultant and as a primary care provider for the assigned panel of patients
• The Richmond Veterans Affairs Medical Center, located in Richmond, Virginia, is a level 1a 349-bed facility offering primary, secondary, and tertiary health care in medicine, surgery, neurology, rehabilitation medicine, intermediate care, acute and sustaining spinal cord injury, skilled nursing home care, and palliative care
• The medical center has community-based outpatient clinics located in Charlottesville, Fredericksburg, Emporia, Henrico and Spotsylvania Counties, and a strong and mutually beneficial affiliation with the Virginia Commonwealth University
• Residency programs exist in virtually all general and specialty areas of medicine, rehabilitation, surgery, psychiatry, and dentistry
• The medical center is the host site for one of five Polytrauma Rehabilitation Centers in the VA system of care, and a Parkinson's Disease Research, Education and Clinical Center (PADRECC)
• 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 The incumbent maintains the following responsibilities: 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, all telehealth modalities, e­-consults, Review, approval and focused oversight of Non-Institutional Care programs, and transitional care team
• Collaborates daily with the interdisciplinary team (IDT), referral sources and all stakeholders
• Participates in program development, quality improvement, and systems redesign projects
• required to follow through with projects and show evidence of completed projects
• 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, to include a nurse navigator, nurse practitioner and physician assistant
• Provides collaborative physician coverage in GEC programs including non-institutional care programs and contract community nursing home program
• 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
• Participates in educational activities for all trainees, i.e., curriculum development, bedside teaching, formal didactics, and just-in-time teaching
• Participates in committees, Root Cause Analysis, data analysis and quality improvement projects
• Communicates with patients, family members and treatment teams, including community partners and vendors
• Work Schedule: Full-time, Monday thru Friday 8:00 am - 4:30 pm
• with shared on call responsibilities for evenings, nights, holidays, and weekends
• Periodic travel to CVHCS clinic locations are required.