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. 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. Additional Requirement: Board Certification in Internal Medicine (ABIM) and Pulmonary Disease and Critical Care 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Education Debt Reduction Program (Student Loan Repayment): Authorized Learn more. EDRP Authorized: Contact 21CCOEEDRP@va.gov, the EDRP Coordinator for questions/assistance 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 Staff Physician in the Pulmonary/Critical Care Section in Medicine Service of the Veterans Affairs Central California Health Care System (VACCHCS) is responsible for all aspects of pulmonary and critical care to veteran patients. The incumbent is involved in clinical, educational, and research programs which will involve the supervision and teaching of fellows and residents through the UCSF Fresno Medical Education Program. The Staff Pulmonologist will participate in quality assurance/performance measures, research development, and maintaining internal/external organizational liaisons. The incumbent is responsible for participating in a variety of meetings and/or committees within and related to the Medicine Service, facility-wide committees, VISN 21, and our university affiliate UCSF Fresno. The Staff Pulmonologist will have a faculty appointment with UCSF Fresno. The Pulmonologist physician is board-certified in Internal Medicine (ABIM), and Pulmonary Disease and Critical Care Medicine. Major duties and responsibilities include, but are not limited to: Provides care for the full spectrum of pulmonary disorders, is comprised of general and subspecialty pulmonary disorders clinics, inpatient consultative services. Practices independently, using professional judgment and expertise to make decisions about services and treatment provided to veterans and their significant others/family members. Incumbent is given authority to make his/her own work assignments within the program area to which assigned. Consults with the Chief Pulmonologist and the Chief of Medicine as needed and with colleagues to develop knowledge and apply agency policies and practices to new matters. His/her work is reviewed for technical adequacy and conformance with procedures and practices applicable to the subject. Uses initiative and resourcefulness in deviating from traditional methods or trends and patterns to develop new methods, criteria, and proposed new policies. Practices at an advanced level and independently gathers relevant information to guide practice. Participates and is responsible for ongoing professional performance evaluations in collaboration with the Chief of medicine service (e.g. Ongoing Professional Evaluations (OPPE), Focused Professional Practice Evaluations (FPPE), etc.). Coordinates the clinical care of the medicine patients and collaborate with the other service(s) on the care of their patients. Facilitates communication among primary care physicians, hospitalists, specialists, patients and their families. Provides inpatient consultations and attending responsibilities in pulmonary/critical care/sleep medicine and bronchoscopic procedures in appropriate cases; conduct general pulmonary/sleep outpatient clinics. Responsible for appropriate documentation of clinic notes, consultations and procedures using the computerized patient record; and performing routine/emergency diagnostic and therapeutic procedures. Admits, examines, treats, transfers and discharges patients referred to your service that require inpatient care and when appropriate - Perform daily rounds on all assigned inpatients and write daily progress notes. May perform other duties as assigned/required. Work Schedule: 8:00am to 4:30pm, Monday through Friday"]

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