The VA Northern Arizona Healthcare System is one of the leading health care systems serving Veterans in the VA Desert Pacific Network. We're an innovative care center within the Veterans Integrated Service Network 22 (VISN 22). VISN 22 includes medical centers and clinics in Arizona, California, and New Mexico. At the VA Northern Arizona Healthcare System, we're dedicated to improving the lives of Veterans and their families every day. 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. Physicians are generally not required to be board certified for employment in VA; however, three circumstances in VA require physician board certification: (1) If the position being filled is required to be a supervisor for medical students or physician residents (including fellows), the LCME, ACGME or AOA standards requiring a particular board certification credential will apply. (2) If the position being filled will have faculty status with an affiliated medical school (for example, in joint recruitments with affiliated medical schools), then a medical school requirement for board certification will apply to the jointly recruited position. (3) If the position being filled is required to be board certified by virtue of specific VHA policy (for example, as director of a cardiac catheterization laboratory or Director of Clinical Laboratory Medicine), then VHA policy requiring board certification will apply. Preferred Experience: 2-5 years of current experience in endocrine practice and/or research. 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: See VA Directive and Handbook 5019. ["The Northern Arizona VA Health Care System (NAVAHCS) is seeking a full time Endocrinology Physician at the Bob Stump Department of Veterans Affairs Medical Center in Prescott, Arizona within our Primary Care Healthcare Group. Duties and responsibilities include, but are not limited to: Provides regular supervision of nurses and nurse practitioners (NP) assigned to the endocrine division as well as physician assistants (PA), and trainees including subspecialty fellows, resident physicians, and medical students. Assesses urgency of patient care needs based on sound clinical principals during face-to-face encounters, and electronic and telephone triage. Assumes accountability for coordination of patient care in endocrinology and well as telephone care needs during clinic administrative hours and during on-call rotations for inpatient care. Triages endocrine consultation requests and follows up with administrative assistants to track timely scheduling and completion of endocrine consultation appointments. Plans, evaluates, and implements care for the needs of patients with acute and/or chronic endocrine disease in ambulatory care and inpatient settings. Performs and reports consultations for potential endocrine related problems. This includes screening of and responding to eConsultations per schedule assigned by the Chief of the Endocrine Division. It does not apply to the submission of consultations or day-to-day writing of outpatient notes Provides patient support and education during outpatient clinic visits and procedures and treatments. Obtains a relevant health and medical history. Performs appropriate endocrine-focused physical examination based on age and history. Demonstrates expertise in documenting and assessing endocrine related diseases and formulates the appropriate differential diagnosis based on the history, physical examination, and clinical findings. Pursues definitive diagnosis via ordering and expert interpretation of results of diagnostic studies including laboratory tests, ultrasound, nuclear scans, and x-rays. Demonstrates expertise in assessing and documenting effectiveness of endocrine therapies and adjusting regimens to improve outcomes. Learns endocrine ultrasound technique and applies appropriately to medical cases. Diagnoses and formulates approach to endocrine associated pain, especially as related to diabetic neuropathy. Assesses pain management effectiveness, including appropriate attention to the patient's perception and adjusts regimens to improve outcomes. Identifies appropriate pharmacologic and non-pharmacological interventions for endocrine conditions, Prescribes appropriate non-pharmacologic interventions such as nutrition and exercise. Is familiar with therapeutic and adverse effects, and prescribes appropriate doses of, pharmacological agents for treatment of endocrine conditions, including insulins, thyroid hormones, bisphosphonates, and others. Initiates and refills prescriptions for all medications including Class II controlled substances and narcotics. Makes appropriate referrals to other health professionals and community agencies as appropriate and collaborates with other health care providers. Prescribes over the counter drugs such as vitamins and supplements as needed and appropriate. Educates patient and family regarding patient's endocrine condition. Initiates consults to other services for care as warranted. Identifies medical and health risks and needs of individual patients and participates in quality assessment and management related to endocrine disease. Stays up to date on endocrine diagnosis, therapy, and scientific advances by regular reading of relevant textbook, journal articles, attendance at seminars and symposia, and CME courses Performs other delegated tasks not specifically outlines herein upon the direction and under the supervision of the Chief of the Endocrine Division and the Chief of the Medicine Service. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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)\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 (must be full-time with board certification)\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: Tour to be determined; 7:30am - 4:30pm"]
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.