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The VA Caribbean Healthcare System (VACHS) is an active teaching facility affiliated with various local private universities and the University of Puerto Rico School of Medicine and allied programs. Spinal Cord Injuries/Disorders (SCI/D) is one of six nationally recognized Veterans Health Administration (VHA) special disability programs. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. Selective Placement Factor (SPF): This position includes a skill, knowledge, ability or other worker characteristic basic to -and essential for- satisfactory performance of the job. SPFs are prerequisites to appointment and represent minimum requirements for a position. Applicants who do not meet it are ineligible for further consideration. Evidence of the SPF must be reflected in your resume. The SPF for this position is: In addition to the English Language Proficiency, you must also be proficient in written and spoken Spanish in order to perform the duties of this position. 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: The Physician should be physically and mentally capable to perform the duties of the position including examinations, formulating a diagnosis and treatment plan and educating residents. Physical activities include sitting, standing (up to 4 hours) walking (up to 2 hours) and repeated bending. The incumbent should be emotionally and mentally stable; and capable to perform the duties of the position. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid Time Off: 50-55 days of annual paid time offer 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory\nCME: Possible $1,000 per year reimbursement\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting The Service Chief will carry out the leadership/management responsibilities and operations of the Service which include hospitalized patients and outpatient clinics, in addition to the administrative duties pertinent to the position. Duties of The Service Chief include but not limited to: All clinically and administratively related activities of the Service; Assessing and recommending to the relevant hospital authority off-site sources for needed patient care services not provided by the Service or the organization; Integrating the Service into the primary functions of the organization; Coordinating and integrating interdepartmental and intradepartmental services; Developing and implementing policies and procedures that guide and support the provision of services; Continuously assessing and improving the quality of care and services provided; Making recommendation for space and other resources needed by the Service; Gathers, analyzes and compares physicians specific data on providers profiles based on the clinical competences (patient care, medical knowledge, interpersonal communication skills, system based practice, practice based learning and improvement and professionalism). This data is used to monitor provider practice on an ongoing basis, and reported at least every six months to the Professional Standard Board (PSB), when practice is in accordance to practice. When deviations from standards of practice are identified at the Section level, it is the responsibility of the Section Chief to alert the Service Chief, initiate a focused professional practice evaluation and communicate this action to the PSB; Evaluates, gathers information and monitors provider specific activities identified in the performance pay and submit information on a timely basis; Evaluates, gathers information and monitors section specific activities including: Monthly mortality and morbidity reports; Consult management; DSS data on RVUs, utilization and workload; Clinic utilization; Access; Whole Health; Implementation of Mission Act. Monitors and ensures Section staff compliance with agency regulations, medical staff bylaws, VA Caribbean Healthcare System policies, pertinent to Joint Commission standards, and other appropriate regulations as they apply. This includes but is not limited: Mandatory trainings; BlS/ACLS requirements appropriate to specialty Maintenance of licensures, certifications and/or registrations; Time and attendance as approving official; Part-time yearly review of agreements and certifications; Ell and Non-Ell property; management; Annual performance evaluations; Competency validation; Resident supervision; Medical record regulations, including monitoring of unsigned and un-cosigned notes; Credential and privileging regulations; Preparing and reevaluating functional statements and positions descriptions according to regulations; Timely completion of action items; Probationary period; regulations for newly recruited staff. Clinical Responsibilities: The Service Chief is expected to remain privileged and practicing in his/her specialty field. Privileges are considered through the Professional Standards Board, presented at the Clinical Executive Board and approved by the Director: Patient Care; Medical/Clinical Knowledge; Clinical Judgment; Interpersonal & Communication Skills; Professionalism. Work Schedule: Monday through Friday, 8:00 am to 4:30 pm, with rotating tours of duty as needed.\nTravel: May be required to perform Home Care visits, as needed."]
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.