Physician (Primary Care-Complex Patient Aligned Care Team-PACT)
Veterans Affairs, Veterans Health Administration
Location: Orlando, Florida
Internal Number: 695498800
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 (Primary Care): 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: 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: Must pass a pre-employment physical examination as required by VA Handbook 5019. This examination is administered by VA Occupational Health. This position requires: light to moderate lifting (15 - 44 lbs.); light carrying (15 lbs. and under); reaching above shoulder; use of fingers; both hands required; walking (up to 2 hours); standing (up to 2 hours); kneeling (up to 1 hour); ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16"; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted); emotional stability; mental stability; working closely with others; and working alone. ["The incumbent will serve as a Primary Care Physician (Complex-PACT) located within the Orlando VA. Assignments to other facilities within the Orlando VA may be required to meet the needs of the service. Orlando VA is currently seeking an outstanding full-time Family Practice or Internal Medicine trained physician with experience in VA outpatient PACT panel management within the last 2 years to join our Primary Care Clinic team as a Complex PACT. This incumbent will be responsible to provide comprehensive gender specific care, under the PACT model & intensive case management to a panel of patients with complex chronic medical conditions managed under PCMM guidelines to reduce recurrent ED visits and hospital readmissions. The incumbent is expected to be attentive to patient education, preventive care and be able to work well in an interdisciplinary team. Duties/responsibilities include, but are not limited to: Manages chronic conditions, evaluate and treat inter-current medical conditions. Determine medical assessment and develop treatment plans according to accepted guidelines. Collaborates with a Patient Aligned Care Team (PACT) to provide accessible, comprehensive, coordinated, continuous care to an assigned panel of patients. The adjusted panel size will allow the PACT team to closely follow their patients through care coordination and intensive case management utilizing a multi-disciplinary team approach to work towards improving patient care outcomes. The team will strive to prevent recurrent emergency department visits as well as frequent readmissions for this population. The COM-PACT will carry a team cell phone from 7am-9pm Monday-Friday. The patients are instructed to call this number if their condition deteriorates or prior to any planned trip to an urgent care or ED (VA or Non-VA). The COM- PACT RN will carry the phone during business hours and the phone will be held by the provider 7-8 am and 4:30-9 pm Monday - Friday. Performs a variety of disease prevention related activities including gender and age specific screenings, mental health screenings, and health promotion activities. Screens for, evaluates and treats uncomplicated common mental health disorders, including depression and common addictions, with referrals made to mental health providers for further evaluation and treatment as appropriate. Physicians are expected to provide clinical oversight and to participate in peer review of other primary care providers through periodic chart reviews. Primary care physicians will act as surrogates for absent primary care providers when needed, to include review of CPRS view alerts. Primary care physicians will regularly attend primary care staff meetings, departmental meetings, and medical staff meetings. Timely documentation (notes and encounter forms) is necessary in all areas in accordance with facility policy. All administrative work should be completed in a timely fashion. Clinical reminders should be addressed as medically appropriate. Quality of care should meet professional standards. Utilization of all Virtual Care modalities is an expectation of this position. Provide timely follow-up on results, including completion of view alerts. Prescribe medication according to approved formulary, and in accordance with Federal and State Law. Consults other specialties as appropriate, according to service agreements. Demonstrates flexibility in responding to clinic demands, adhere to personal and professional obligations and responsibilities, practice and maintain ethical standards, and sustain a positive work environment. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentive (Sign-on Bonus): An Incentive is Authorized Education Debt Reduction Program (Student Loan Repayment): Authorized (See the 'Additional Information' section for more information) 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) Work Schedule: Monday - Friday, 08:00 AM - 04:30 PM. (The incumbent may be required to work various shifts on a permanent or temporary basis based on patient care needs, including weekends, holidays, and nights. The candidate must be willing to be placed, detailed or temporarily assigned to other services and/or locations, if necessary, during regional or national emergencies)"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.