The Primary Care Physician will provide outpatient primary care treatment to Veterans with acute & chronic illness, with emphasis on preventative medicine. Evaluation & assessment of patients followed by evidence-based treatment of patient's health care needs, in a Veteran centric, team-based model of care deliver. The Physician will provide primary care coverage via face to face or virtual medical care for the Aleda E. Lutz VA Medical Center and Community Based Outpatient Clinics (CBOCs). 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. Education: 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. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, OR Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] Licensure and Registration: 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. he physician must maintain current registration in the state of licensure if this is a requirement for continuing active, current licensure. 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. English Language Proficiency: Physicians appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7402(d) and 7407(d). Grandfathering. 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. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the occupation at the time they were appointed, the following provisions apply: (1) Such employees are considered to have met the basic qualification requirements for the purposes of transferring or reassignment to another physician position within VA. (2) Employees who were appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. (3) If a physician who was retained under this provision leaves the occupation or VA employment, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry or reemployment. Preferred Experience: Board Certified in Internal Medicine. 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: Exerting up to 50 pounds of force occasionally and/or up to 25 pounds of force frequently to move objects. This could include moving objects such as pieces of equipment and assistance in moving clients. Exposure to meeting with patients and relatives needs and expectations. Work with critically ill patients and may observe patient suffering. This position requires the: Ability to read printed material and distinguish colors, such as reading doctor's orders and visualizing the hue of patient's skin, wounds, etc. Ability to conduct visual inspections during patient assessment. Ability to accurately read measurements on patient-related equipment; examples include thermometers, mechanical gauges, IV pumps, computer monitors, etc. Ability to accurately perceive depth so as to move around work space safely and to appropriately make contact with patients and staff. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Education and length of practice are considered through a formal pay-setting process to determine the final compensable salary (Base Pay + Market Pay) 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: Clinical and Administrative Provides medical services to Veterans on an outpatient basis in the primary care setting. Provision of inpatient care or Urgent Care may be seldom required and will be then specifically requested of the primary care provider by the supervisor. Participates in the provision of Pain Management, Mental Health, and End of Life Care to Veterans in the primary care setting as required. Reports quality of care issues promptly through established mechanisms. Maintains timely and complete patient medical records that meet Compliance Program and Joint Commission requirements. Consults specialty physicians as appropriate and collaborates with specialty clinics for appropriate and streamlined patient care. Must be Basic Life Support (BLS) certified. Must be Advanced Cardiac Life Support (ACLS) certified. Communication: Meets with the Assistant Associate Chief of Primary Care, the Associate Chief of Primary Care (ACOS) and/or the Chief of Staff as necessary to ensure that the goals and objectives of the VAMC are met. Communicates with other healthcare providers, as necessary, to ensure the timely access and continuity of care to Veterans. Communicates clearly with the NP or PA that he/she oversee. This entails cosignage of all NP/PA notes when applicable. This communication should be clear, professional, and directly related to medical care provided to patients. Education/Training: Participates in the education/training of personnel as requested. Completes required VA education and annual training in a timely fashion. Maintains CME credits as required by state law. Supervises medical residents and acts as liaison with residency and university training programs at VAMC as appropriate. Quality Assessment (QA)/ Utilization Review (UR)/ Performance Improvement (PI): Participates in all relevant QA/UR/PI activities as required. Cooperates with, and participates in, Risk Management activities as necessary and as required by the service chief. Recruitment: Meets and evaluates potential physician, NP, and PA candidates as asked by the ACOS or Primary Care. Assists in orientation of new practitioners to the practice. Work Schedule: Monday-Friday, 8:00am-4:30pm"]
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. At VA Long Beach Healthcare System, our health care teams are deeply experienced and guided by the needs of Veterans, their families, and caregivers. Our medical center provides primary care and specialty health services, including cardiology, mental health care, treatment for spinal cord injuries and disorders, suicide prevention, women’s health services, and more.