Physician; Emergency Medicine

Overview

The Emergency Medicine Physician provides programmatic and clinical support for the Lexington VA Health Care System's Emergency Medicine Service. The incumbent reports to the Chief of Emergency Medicine.

To qualify for this position you must meet the basic requirements as well as any additional requirements 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:
  
  Board Certified Emergency Medicine
• 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 wear 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 be able to perform CPR per ACLS/BLS protocols.

• Duties may include but are not limited to:
  Provide independent care delivery for chronic - acute/same day medical needs
• The type of care is served to the Veteran population - with diseases consistent with those seen in the general population namely diabetes - hypertension - hyperlipidemia - chronic obstructive pulmonary disease - mental health disorders - etc
• A part of your responsibility is to write orders for diagnostic testing - prescribe medications - consult with specialty service - and utilize computerized/electronic medical records
• Major function of the position includes health risk Assessment - goal setting for prevention - and chronic diseases management
• A major focus is in preventive medicine with focus on the achievement of positive outcomes for patients - improve coordination of care - decrease clinic waits or delays - and appropriate use of resources
• Provide direct patient care to include - but are not limited to: history and physicals - medication management - evaluation of diagnostic tests and treatment planning - clinical reminder completion as applicable
• Be proficient in typical emergency department procedures including but not limited to: endotracheal intubations -…