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. Preferred Experience: Board certification in Hospice and Palliative Medicine and/or Fellowship training leading to certification eligibility in Hospice and Palliative Care. 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: Applicants must meet physical standards for the position. A physical examination prior to placement is required. This is a designated drug testing position. After appointment, you will be subject to random testing for illegal drug use. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted. ["**This is an OPEN CONTINOUS ANNOUNCMENT and will remain open until filled or September 29, 2023. The initial cut-off date for referral of eligible applications will be June 23, 2023. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available. *** VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Education Debt Reduction Program (Student Loan Repayment): Position Eligible Learn more. EDRP Authorized: Contact Susan.Bringel@va.gov, the EDRP Coordinator for questions/assistance Work Schedule: Monday - Friday, 8:00am - 4:30pm 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 This positions is assigned to the Palliative Care Section of Medicine Service, VA Central California Healthcare System (VACCHCS). VA provides patient centered care, delivered by engaged, collaborative teams in an integrated environment that supports learning and continuous improvement. The Veteran's experience and health outcomes are improved with an emphasis on prevention through healing relationships in an optimal healing environment. The incumbent must have outstanding clinical and interpersonal skills as a member of the VA professional health care team, and providing continuous veteran-centered care and services to family members. The incumbent provides outpatient and inpatient consultation services to patients. Provide clinical support to the Palliative Care Team Member under the facility Hospice/Palliative Care Consultation Program. Perform evidence-based practices to enhance symptom management of palliative care patients. Facilitate clarification of patient and family goals of care. Consult with the Palliative Care Team and other Interdisciplinary care team to establish a written plan of care. Participate in interdisciplinary team meetings to review active cases. Implement strategic care plan to appropriately facilitate utilization and access to quality of life services. Monitor quality and service metrics across the continuum of care to ensure departmental goals are achieved. Provide education of staff. Complete appropriate documentation of patient care services in CPRS. Adhere to the practice of confidentiality regarding patients, families, and stakeholders. Complete appropriate mandatory training. The physician participates in research and education/training activities. The physician must meet requirements for academic appointment with UCSF (University of California San Francisco) Fresno Medical Education Program. The incumbent will be involved in the education and training of residents, fellows, medical students, and non-physician clinical trainees, participating in ground rounds, and lectures. Administrative, direct patient care, teaching, and research are all integrated into the activities and decision processes of the staff the Palliative Care physician. The physician reports directly to the Chief of Palliative Care/Hospice and works closely with all healthcare professionals throughout the facility and provides consultation to other services. The incumbent participates in quality-assurance programs and chart reviews. He/she complies with all quality performance measures and improvement programs. The physician will be subject to professional performance, including clinical and technical skills as well as Central California Healthcare System's performance improvement monitoring activities (e.g. Ongoing Professional Evaluations (IPE), Focused Professional Practice Evaluations (FPPE), etc). Incumbent participates in medical staff committees and task force's and in VA continuing educational activities and UCSF Medical Education Grand Rounds."]

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