| The HBPC Physician will be part of the Geriatrics and Extended Care Service Line (G&ECSL). The HBPC Physician practices in the outpatient setting in theGrand JunctionVA Health Care System and in the residence of the client. The physician is academically and clinically prepared to perform a broad spectrum of patient care services at the expert level. In addition to providing primary health care, the MD serves as a consultant to nursing and HBPC staff for patients with complex treatment or care needs in the home. The MD works collaboratively with other interdisciplinary team members in providing quality care and patient education, participating in research activities, and assisting patients in acute and chronic rehabilitation techniques. The MD serves on medical center, VISN and/or national committees and assists in the development, evaluation and communication of policies and standards of advanced nursing practice. The HBPC physician must be a physician who is responsible for the overall medical care delivered by the HBPC team. |
The Physician is responsible for:
1. Jointly select HBPC Team Members
2. Provide input and clinical oversight for all patient treatment plans and provide clarification in the event of conflicting plans of care.
3. Be available to all team members for collaboration when medical or other problems arise
4. Participate and provide guidance at weekly Interdisciplinary Team Meetings
5. Arrange physician coverage and communicate the plan of coverage to the HBPC team.
6. Provide clinical supervision to the Mid-levels assigned to HBPC.
7. Plan and direct the educational and clinical expertise of medical students, residents, and fellows assigned to HBPC.
8. Keep the HBPC team apprised of medical care advances and practice standards.
9. Collaborate with other HBPC physician, VISN Leadership, and VA Central Office Staff on program development
10. With the HBPC Nurse Manager, review all patient referrals to HBPC for program determination
11. Assist in decisions with screening difficult cases, as well as, reviewing patient/caregiver complaints when necessary.
In addition, the Physician will provide primary care toVeterans in their homes. The Physician will be responsible for Medical history and physical (H&P) examination (exam), creating a management plan, and establishing treatment goals, Medication review and management, Medical management of chronic and acute illnesses, Ordering diagnostic tests, as indicated, Interpretation of diagnostic test results, Patient and caregiver education, Referral to other services, as indicated, Select minor procedures (i.e., incision and drainage of a small abscess).
Primary care includes assessment, diagnosis, treatment and outcome measures of healthcare problems. This includes the following: initiating and adjusting therapeutic regimens, performing histories and physicals, ordering diagnostic and therapeutic tests/studies, initiating consults and referrals, and prescribing medications/supplies in accordance with VA policy, VA formulary,CO state regulations and scope of practice. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care.
The physician will visit each new patient admitted to their caseload their home; provides medical care to patients with acute and chronic health problems; provides preventive medical care including screening and vaccinations; will follow up with additional home visits as appropriate; collaborates with nursing personnel in the care of patients; monitors the program to assure quality of care and meets performance measures. This position will involve some administrative and coordination duties of the interdisciplinary HBPC team.
Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with section A, chapter 3, paragraph 3g, this part.)
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 (COCA) 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.
Licensure and Registration. Physicians must possess a 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 registration in the State of licensure if this is a requirement for continuing active, current licensure.
Residency Training. Physicians must have completed residency training or its equivalent, 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:
* Those approved by the accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency was completed, or
* Other residencies or their equivalents which the local Professional Standards Board determines to have provided an applicant with appropriate professional training.
English Language Proficiency. Physicians 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).
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.
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: Some lifting (35 lbs. and over); reaching above shoulder; use of fingers; both hands required; walking (up to 3 hours); standing (up to 3 hours); repeated bending (up to 1 hour); ability for rapid mental and muscular coordinator simultaneously; near vision correctable at 13" to 16 "; hearing (aid permitted). All applicants are required to submit the following supporting document type(s):
Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
*Other(VA Form 10-2850 Application for Physicians)
*Other Veterans Document
Please use this checklist to ensure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, etc. You will not be contacted for additional information.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), or 10pt (CP/CPS, XPP, XP), or for Sole Survivor Preference (SSP), on the Occupational Questionnaire in the section(s) provided. A legible copy of your DD214(s) indicating character of service, disability certification, SF-15 (if claiming 10 pt. preference) or if you are currently serving on active duty and expected to be released or discharged within 120 days; documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), or dates of impending separation. Documentation is required for eligibility verification.
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1950415.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.