The incumbent's responsibilities will include providing care for inpatients on the Geriatric Evaluation and Management Service (also referred to as GEM) at the VA Tennessee Valley Healthcare System (TVHS). The VA TVHS is a multi-facility health care system that provides medical, surgical, specialty care, mental health, primary care, and extended care services. It is preferred that the incumbent be Board Certified or Board Eligible in Geriatrics and in Internal Medicine. The incumbent will be accountable to the Chief, Geriatrics & Extended Care (GEC) Service for the coordination and oversight of clinical and administrative activities on GEM. It is preferred that the incumbent should have two or more years of experience in both inpatient and outpatient programs for Long Term Care and Geriatrics. In addition, preferred experience would include two or more years as an attending in a teaching hospital. The incumbent is responsible for providing clinical timely care to the aging Veteran. Directs clinical activities of Veterans assigned to the GEM Service. Devotes 100% of time to direct patient care and serves as a role model for peers. Responsible for the oversight and coordination of process improvement initiatives, assuring teamwork, and addressing customer service issues on the GEM Service. The incumbent will be assigned other duties in GEC service as needed by Chief of GEC.
Ongoing duties of the selected Physician include (not all-inclusive):
Providing comprehensive assessment, diagnostic work-up and clinic intervention, including comprehensive patient assessment, health history, physical examination, and patient education to Veterans on the GEM Service;
Discriminating between normal and abnormal findings to establish a diagnosis and initiate appropriate response to emergency health problems;
Initiating appropriate referrals and consultations to other clinical services;
Ordering and evaluating diagnostic tests as appropriate, recommending treatment and/or referral; providing a timely review of all requested lab, radiological studies and orders.
Validating the effectiveness of previously implemented medical treatment;
Initiating, evaluating, and changing orders for medications;
Including patient and family in planning care and establishing realistic measurable goals for health maintenance/improvement;
Recording/documenting health appraisal information, clinical assessments, treatment decisions, plan of care, ongoing management and therapeutic outcomes, ordering 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;
Responding to computerized "alerts" indicating diagnostic test abnormalities, and health line requests from Veterans/family members on the day of receipt (weekends excepted);
Following 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;
Working effectively with patients, families, members of the multi-disciplinary team, and other VAMC staff
Demonstrating flexibility in responding to clinic demands; adhering to personal and professional obligations and responsibilities; practicing and maintaining ethical standards; and sustaining a work environment that is harmonious and customer service oriented;
Attending and contributing to the monthly GEC Staff Meetings
Participating and contributing to assigned TVHS and Medical Staff Committees
Providing clinical coverage in outpatient Geri-PACT clinics and HBPC
Ongoing daily review with Physician Extender to obtain status of veterans receiving outpatient care
Performing all clinical reminders as required (Outpatient)
Participating in peer review in accordance with TVHS and GEC policies (inpatient/outpatient)
Work hours may vary and include evenings, weekends, and holidays.
Citizenship.Citizen of the United States.
Education. Degree of Doctor of Medicine (or OD) 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 Secretary of Veterans Affairs for the year in which the course of study was completed. Transcriptsare not required forinitial application, but will be required if selected for this position.
Approved schools are: Schools of medicine holding regular institutional membership in the Association of American Medical Colleges for the year in which the degree was granted.
Schools of osteopathic medicine approved by the American Osteopathic Association for the year in which the degree was granted. Schools (including foreign schools) accepted by the licensing body of a State, Territory, or Commonwealth (i.e. Puerto Rico), or in the District of Columbia as qualifying for full or unrestricted licensure.
Licensure and Registration. 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. The physician must maintain current registrationin the State of licensure if this is a requirement for continuing active, current licensure. A copy or proof of this license must be submitted withinitial application.
English Language Proficiency. Physicians, including residents, appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
The preferred candidate will possess the following:
Successful completion of Internal Medicine or Hospice/Palliative Care/Geriatrics residency
Board Certified in Hospice/Palliative Care/Geriatrics and Internal Medicine.
Experience in a Teaching Hospital.
NOTE: Wearing of a respirator may be required at times in the performance of the duties of this position. As a result, employees assigned to these duties cannot have facial hair or any condition that interferes with the face-to-face piece seal or valve function of the respirator.
Physical Standards/Requirements: Will require walking shorts distances in facilities, standing for periods of time up to an hour, bending and stooping to examine patients.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic;religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
IN DESCRIBING YOUR EXPERIENCE PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/veterans.aspx.
Veterans Preference will be applied if qualifications aresubstantially equal.
You must provide a complete Application Package which includes:
Answer the Online questionnaire
CV or Resume Copy of you Medical License
FOR VETERANS: If prior military service, include all copies of your DD Forms 214(s) and DD215(s) (required). DD214(s) must show character of discharge. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available at http://www.opm.gov/forms) and the Letter from the VA showing disability rating (0%, 10%, 20%, or 30% or more disability).
FOR CURRENT MILITARY PERSONNEL:
You must submit a letter signed byyour Personnel Officer or Senior Personnel NCO/CPO stating when you first entered Active Duty, and your projected ETS or Retirement date. If you have been awarded the Purple Heart medal, this should be noted in the letter. If you have been award the Silver Star or higher please have this noted in the letter. Campaign badges may also be listed in this letter (i.e. Armed Forces Expeditionary Medal, Kosovo Campaign Medal, Global War on Terrorism Expeditionary Medal, Iraq Campaign Medal, Afghanistan Campaign Medal, etc.)
FOR CURRENT OR FORMER GOVERNMENT EMPLOYEES:
If currently employed in the VA system, include latest SF-50 (that indicates your grade and step)- Notification of Personnel Action. (required). DO NOT SUBMIT MONETARY AWARDS NOR TIME OFF AWARD SF50's, they do not contain sufficient information for determinations.