Physician (Home Based Primary Care Medical Director)
Veterans Affairs, Veterans Health Administration
Location: Honolulu, Hawaii
Internal Number: 616629600
This position is eligible for the Education Debt Reduction Program (EDRP), 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. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more. 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. 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. 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: The position will require walking, standing, or sitting for periods of up to or beyond 10 to 12 hours each day. Delivery of care in the home settings may also require excessive bending, lifting, and twisting. Under urgent or emergency situations, the incumbent may need to run and/or sprint. The incumbent may also be required to drive at night and in inclement weather. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Not Authorized\nPermanent Change of Station (Relocation Assistance): Not Authorized\nAppraised Value Offer (AVO): Not Authorized\nEducation Debt Reduction Program (Student Loan Repayment): Position Eligible\nEDRP Authorized: Contact Susan.Bringle@va.gov, the EDRP Coordinator for questions/assistance Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid Time Off: 49-54 days of annual paid time offer per year (26 days of annual leave, 13 days of sick leave, 10 paid Federal holidays per year and possible 5 day paid absence for CME)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory\nCME: Possible $1,000 per year reimbursement\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting The incumbent must meet the VA professional and physical standards including citizenship, education, licensure, English language proficiency and references. Evidence of experience related to home care, interdisciplinary team care, and program development is required. Desirable attributes include: geriatric medicine +/- palliative care fellowship training. A general internist or family physician may be appointed to the Medical Staff of the VA Pacific Islands Healthcare System (PIHCS) under the following conditions: 1) is a recipient of a degree of doctor of medicine 2) is a licensed independent practitioner who holds a current, full and unrestricted license to practice medicine in any state and 3) has completed a three-year internal medicine or family medicine residency and has successfully completed the Certifying Examination of the American Board of Internal Medicine or the American Board of Family Practice. The incumbent must be proficient in history taking, physical examinations, test interpretation, patient counseling, differential diagnosis, and medical therapeutics. The incumbent will evaluate and manage adults who have single or multiple disorders in all the subspecialties in the broad field of family or internal medicine. Prior experience providing care to patients in primary, secondary, and tertiary care settings is necessary. Accountable to: GREC Chief of Home Care programs and GREC Associate Chief of Staff. Position Summary: The HBPC Medical Director position encompasses both administrative and clinical duties in Home Based Primary Care (HBPC). The HBPC program provides longitudinal, comprehensive, interdisciplinary primary care services in the home to Veterans with complex, chronic, and disabling diseases. The HBPC Medical Director is a physician who is responsible for the overall medical care delivered by the HBPC team. The Medical Director is encouraged to have a clinical faculty appointment and be involved in academic activities. The HBPC Medical Director is responsible for collaborating with the HBPC Program Director(s) to provide leadership to the HBPC Program with respect to clinical activities and approval of local HBPC Standard Operating Procedures. The HBPC Medical Director assumes a leadership role in the development and implementation of HBPC's process for continuous performance improvement, advocates for HBPC with VHA leadership and the medical community, develops partnerships and coordination with other clinical services across PIHCS and participates in selecting HBPC team members. The HBPC Medical Director collaborates with other HBPC Medical Directors, VISN leadership, and VA Central Office staff members on program development issues. Through the attendance of weekly interdisciplinary team meetings, the HBPC Medical Director is responsible for informing the HBPC team of advancements in medical care and practice standards. He/she provides clinical input and oversight for all patient treatment plans unless delegated to an HBPC team physician, is readily accessible and promptly responsive to calls from team members currently in a Veteran's home with urgent need for consultation or physician orders, and ensures Physician Medical Care Plan oversight at HBPC team meetings by either actively participating in HBPC team meetings or delegating an HBPC Team Physician to participate at team meetings. Additionally, the HBPC Medical Director arranges physician coverage and communicates the plan of coverage to the HBPC team and serves as back-up for other HBPC primary care providers. Work Schedule: Monday - Friday, 7:30am - 4:00pm"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.