Nahse
Summary
Education and length of practice are considered through a formal pay-setting process to determine the final compensable salary (Base Pay + Market Pay).
Qualifications 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.
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: For more information on this qualification standard – please visit https://www.va.gov/ohrm/QualificationStandards/
Physical Requirements: The incumbent must – be able to walk – stand or sit for prolonged periods of time each day
Be able to run and/or sprint under urgent or emergency situations – be physically able to perform CPR – if needed.
Duties
Supervising clinical and administrative activities of the GPC physicians and nurse practitioners
Provide comprehensive assessment – diagnostic work‑up and clinic intervention – including comprehensive patient assessment – health history – physical examination – and patient education to Veterans in the GPC setting
Function as an integral part of a GPC multi‑disciplinary team to coordinate – facilitate – and provide patient care and services
Discriminate between normal and abnormal findings to establish a diagnosis and initiate appropriate response to emergency health problems
Initiate appropriate referrals and consultations to other clinical services
Order and evaluate diagnostic tests as appropriate – recommend treatment and/or referral
Validate the effectiveness of previously implemented medical treatment
Initiate – evaluate – and change orders for medications
Include patient and family in planning care and establishing realistic measurable goals for health maintenance/improvement
Record/document health appraisal information – clinical assessments – treatment decisions – plan of care – ongoing management and therapeutic outcomes – order medications – diagnostic tests and referral consultations where needed for every patient encounter
Recording will be accomplished using the electronic comprehensive patient record system (CPRS) and will be completed on the day of the encounter
Respond to computerized "alerts" indicating diagnostic test abnormalities and to health line requests from Veterans/family members on the day of receipt (weekends excepted)
Follow Performance Measure guidelines – including completion of clinical reminders in CPRS – access and timeliness standards – prescription order entry – National VA formulary requirements – and customer service standards
Work effectively with patients – families – members of the multi‑disciplinary team – and other CAVHCS staff
Demonstrates flexibility in responding to clinical demands – adhere to personal and professional obligations and responsibilities – practice and maintain ethical standards – and sustain a work environment that is harmonious and customer service oriented
Promote all CAVHCS initiatives – assigning – directing – and reviewing work – to include Physicians and Nurse Practitioners
Establishing performance standards and work review and reporting requirements
Rating and rewarding staff
Approving leave – hearing/resolving staff complaints and grievances – investigating instances of misconduct and affecting disciplinary and adverse actions
Identifying staff training and development needs
Incumbent maintains close liaison with subordinate supervisors
Coordinating Academic/Teaching/Training opportunities with residents and/or medical students
Participation in Peer Review process
Work Schedule: 8:00am – 4:30pm – Monday – Friday (Subject to change based on the needs of the agency)
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Qualifications 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.
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: For more information on this qualification standard – please visit https://www.va.gov/ohrm/QualificationStandards/
Physical Requirements: The incumbent must – be able to walk – stand or sit for prolonged periods of time each day
Be able to run and/or sprint under urgent or emergency situations – be physically able to perform CPR – if needed.
Duties
Supervising clinical and administrative activities of the GPC physicians and nurse practitioners
Provide comprehensive assessment – diagnostic work‑up and clinic intervention – including comprehensive patient assessment – health history – physical examination – and patient education to Veterans in the GPC setting
Function as an integral part of a GPC multi‑disciplinary team to coordinate – facilitate – and provide patient care and services
Discriminate between normal and abnormal findings to establish a diagnosis and initiate appropriate response to emergency health problems
Initiate appropriate referrals and consultations to other clinical services
Order and evaluate diagnostic tests as appropriate – recommend treatment and/or referral
Validate the effectiveness of previously implemented medical treatment
Initiate – evaluate – and change orders for medications
Include patient and family in planning care and establishing realistic measurable goals for health maintenance/improvement
Record/document health appraisal information – clinical assessments – treatment decisions – plan of care – ongoing management and therapeutic outcomes – order medications – diagnostic tests and referral consultations where needed for every patient encounter
Recording will be accomplished using the electronic comprehensive patient record system (CPRS) and will be completed on the day of the encounter
Respond to computerized "alerts" indicating diagnostic test abnormalities and to health line requests from Veterans/family members on the day of receipt (weekends excepted)
Follow Performance Measure guidelines – including completion of clinical reminders in CPRS – access and timeliness standards – prescription order entry – National VA formulary requirements – and customer service standards
Work effectively with patients – families – members of the multi‑disciplinary team – and other CAVHCS staff
Demonstrates flexibility in responding to clinical demands – adhere to personal and professional obligations and responsibilities – practice and maintain ethical standards – and sustain a work environment that is harmonious and customer service oriented
Promote all CAVHCS initiatives – assigning – directing – and reviewing work – to include Physicians and Nurse Practitioners
Establishing performance standards and work review and reporting requirements
Rating and rewarding staff
Approving leave – hearing/resolving staff complaints and grievances – investigating instances of misconduct and affecting disciplinary and adverse actions
Identifying staff training and development needs
Incumbent maintains close liaison with subordinate supervisors
Coordinating Academic/Teaching/Training opportunities with residents and/or medical students
Participation in Peer Review process
Work Schedule: 8:00am – 4:30pm – Monday – Friday (Subject to change based on the needs of the agency)
#J-18808-Ljbffr