Physician-Primary Care Fee Basis
What you'd do
Note: The utilization of Fee Basis appointments is centered on the service needs rather than a specified tour of duty. The Michael E. DeBakey VA Medical Center is seeking a Fee Basis Physician in Primary Care. The candidate will be responsible for conducting comprehensive patient histories, examinations, diagnoses, and treatments of medical condition
Major duties
This is an open continuous announcement that will remain open until filled. Applications will be accepted on an ongoing basis. Eligible applicants will be referred each week for consideration until a selection is made. Duties include but not limited to the following; Because short-notice; ad hoc, fee-basis work is as-needed at times, the ideal physician must be adaptable and ready to perform clinical duties that may arise on short notice. Provide comprehensive primary care to assigned or walk-in Veterans in accordance with PACT principles. Diagnose and treat acute and chronic medical conditions for adult and geriatric patients. Perform and document histories, physical examinations, and assessments. Order and interpret appropriate laboratory and diagnostic studies. Prescribe medications and treatments as appropriate. Participate in daily team huddles and care planning when present acting as a member of the Patient Aligned Care Team as needed. Communicate effectively with team members about patient status and care plans. Respond to clinical duties as scheduled or requested, which may include coverage for absences, overflow, or urgent/emergent needs. Provide timely assessment and intervention for urgent walk-in or telehealth patients during scheduled shifts. Completes encounters and responds to view alerts in a timely manner, ensuring accurate and prompt documentation in the electronic medical record in accordance to VHA policy. Complete all required clinical and administrative documentation in accordance with VHA policy. Initiate necessary referrals to specialty care, social work, mental health, in-network, or community resources as needed. Ensure test results and consults are addressed and communicated to patients in a timely manner based on clinical indication and VHA policy. Adhere to VA, federal, and state regulations and policies, including those regarding privacy, infection control, and mandatory reporting. Maintain current licensure and complete required training (e.g., BLS/ACLS, TMS modules). Educate patients and family members regarding disease processes, medications, and health maintenance as needed. Other Duties as Assigned. Pay: Based on approved pay rates per task or service. Fee basis annual salary limitation is $200,000 in a calendar year. Rates will be determined based on Medicare fee schedule. Rates can range from $55.00 per procedure to $200.00 per procedure. Licensure: 1 full and unrestricted license from any US State or territory. Malpractice: Free liability protection with tail coverage provided. Contract: No Physician Employment Contract and no significant restriction on moonlighting. Work Schedule: There is no set work schedule. Services are rendered as needed and agreed with the facility.
What you need to qualify
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 allopathic 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 accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency, or fellowship if applicable, was completed; OR (2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States; OR (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement), 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. Exceptions: 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 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. In rare and unusual circumstances, the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer, who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience, accomplishments, performance, and qualifications warrant such action. Proficiency in spoken and written English. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Before you apply
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