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Physician - Anesthesiologist

Company: Veterans Affairs, Veterans Health Administration
Location: Houston
Posted on: November 18, 2023

Job Description:

Summary This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until December 29, 2023. The initial cut-off date for referral of eligible applications will be December 1, 2023, with subsequent cut-off dates every two weeks. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. Responsibilities VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): May be authorized/eligible for highly qualified candidates 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 Anesthesiology Care Line (ACL) provides anesthetics, including but not limited to sedation, general and regional, to veteran procedural and surgical patients, with emphasis on geriatric anesthesia. The majority of these are open heart, major vascular, thoracic, neurologic, urologic, orthopedic, eye, ENT, plastic and general surgical procedures. In addition, the ACL provides anesthesia for out of operating room (OR) locations for: electroconvulsive therapy, TEE, cardioversion, GI, bronchoscopy, electrophysiology, cardiac catherization, and special radiologic procedures. The ACL provides consultation services in various scenarios (i.e. invasive line placement, pain consultations, etc.) and in other needed locations for patient care. The ACL responds to emergency airway and in code blue events. This position has responsibility for providing the complete range of anesthetic care of patients including preoperative assessment, intraoperative anesthetic administration and monitoring, and post-anesthesia care, in compliance with national (JCAHO) accreditation standards. The incumbent is accountable to the Chief of Anesthesiology Service, to provide the most effective delivery of anesthetic care for a diverse Veteran population and broad range of situations throughout the medical center while meeting and exceeding compliance standards. Staff Anesthesiologist functions as a cooperative and collegial team member with the entire staff. Performs pre-anesthetic evaluations, collaborates with the interdisciplinary team to prepare the anesthesia plan, delivers of all forms of anesthesia, and provides intra- and post-operative care to patients. As part of "Code Blue" Team, provides emergency airway and resuscitation management throughout the facility and establishes effective working relationships with all levels of staff throughout the MEDVAMC. Duties include, but are not limited to: Performs the pre-anesthetic patient history and physical, including the collection of preoperative consults and data, performs a patient evaluation and examination from which an appropriate anesthetic plan is formulated. Communicates the anesthetic risks, benefits, and options to the patient. This is done in the perioperative setting or when stationed the Anesthesia Preoperative Clinic. Prepares the patient, operating room and/or procedural area for the administration of anesthesia. Administers inhalation, regional, intravenous, local, and topical anesthetics and continuously evaluates the patient's physical status and response to anesthesia. Performs post-anesthetic management of patients in the post-anesthesia care unit (PACU) in order to optimize the recovery from anesthesia and minimize pain. The PACU is medically directed by ACL. Ensures timely and accurate anesthetic record charting and anesthesia service documentation. Provides patient care that is abreast of changing concepts and advancements in the profession while working effectively in an interdisciplinary environment for improvement of services for patient care. Demonstrates skill in conducting and managing anesthesia for a broad range of surgical procedures and the ability to adapt and modify anesthesia techniques in order to optimize patient care. Provides consultations and assistance for acute and chronic pain problems, difficult invasive line placement, and airway or ventilation concerns. Effectively blends technology, skills, and competency for the advancement of anesthesia techniques, pharmacology, and equipment. Applies new developments and theories to recognize and solve various complex anesthesia situations. Participates in the development of the anesthesia patient care audit processes which involves the in-depth review and analysis of anesthesia records. Work Schedule: Monday - Friday, 7:00am - 3:30pm with late hour duties, on-call and extended hours, when needed. Requirements Conditions of Employment U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. 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. 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 certified or board eligible in anesthesia Fellowship in regional anesthesia Experience working with trainees (anesthesia residents and student nurse anesthetists Experience working in a collaborative team model of anesthesia care Ability to perform the clinical and technical aspects of anesthesia care and has in-depth knowledge of anesthesia methods and techniques Ability to share expertise within or beyond the facility, through leadership or as an active participant in interdisciplinary groups 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: Placement in this position is subject to meeting the physical requirements of this position. Pre-placement medical examination is required. Functional Requirements Heavy lifting, 45 pounds and over Light carrying, under 15 pounds Straight pulling (1-2 hours) Pushing (1-2 hours) Reaching above shoulder Use of fingers Both hands required Walking (4-6 hours) Standing (4-6 hours) Kneeling (4-6 hours) Repeated bending (1-2 hours) Both legs required Near vision correctable at 13" to 16" to Jaeger 1 to 4 Far vision correctable in one eye to 20/20 and to 20/40 in the other Both eyes required Depth perception Ability to distinguish basic colors Ability to distinguish shades of colors Hearing (aid may be permitted) Wear protective clothing and equipment to include radiation safety, PPE(apron, goggles and thyroid shield) on a frequent basis Environmental Factors Outside and inside Radiant energy Electrical energy Slippery or uneven walking surfaces Working around machinery with moving parts Working closely with others Working alone Protracted or irregular hours of work Education Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are: Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area. Additional Information This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. Financial Disclosure Report: Not required Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Keywords: Veterans Affairs, Veterans Health Administration, Houston , Physician - Anesthesiologist, Healthcare , Houston, Texas

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