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The Home-Based Primary Care (HBPC) program targets frail, chronically ill Veterans who require care by interdisciplinary health care teams, continuity and coordination of care, and the integration of diverse services to cover complex medical, social, rehabilitative, and behavioral care needs. These Veterans need comprehensive, longitudinal home care services, as they age, to maximize function, minimize institutionalization, and maintain quality of life. 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. 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. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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. 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 include but are not limited to: - The incumbent is academically and clinically prepared to perform a broad spectrum of patient care services at the expert level. In addition to providing primary health care for a medically and socially complex panel of patients, the physician serves as a consultant to interdisciplinary team members to ensure the program is providing quality care, and patient and caregiver education. The physician serves on medical center, VISN and/or national committees and assists in the development, implementation, evaluation, and communication of policies and standards to all healthcare disciplines. - The HBPC Physician is the senior clinician and is responsible for the overall medical care delivered by the HBPC team assigned to. The incumbent works in collaboration with the HBPC Medical and Program Director to meet the requirements of the program. The incumbent may have a faculty appointment and be involved in academic activities with affiliated medical schools or residency programs. - The incumbent provides patient care directly and/or through the supervision of mid-level practitioners, residents, fellows and/or medical students in the home setting. The incumbent will also be expected to provide coverage for the HBPC Medical Director. - The incumbent will provide direct patient care which includes assessments, diagnosis, treatment, and outcome measures of medical problems meeting universally accepted quality of care standards. This includes the following: initiating and adjusting therapeutic regimens, performing histories and physicals, ordering diagnostic and therapeutic tests/studies, initiating consults and referrals, and prescribing medications/supplies in accordance with VA policy, VA formulary, federal & state regulations, and working within their scope of practice. The incumbent will need to collaborate with specialty clinics as well as community providers. - The incumbent is academically and clinically prepared to perform a broad spectrum of patient care services at the expert level. In addition to providing primary health care for a medically and socially complex panel of patients, the physician serves as a consultant to interdisciplinary team members to ensure the program is providing quality care, and patient and caregiver education. The physician serves on medical center, VISN and/or national committees and assists in the development, implementation, evaluation, and communication of policies and standards to all healthcare disciplines. Work Schedule: Monday-Friday (8:00am - 4:30pm)"]

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