Physician - Primary Care

Summary

Functions as a Patient Aligned Care Team (PACT) provider within Ambulatory Care Services at the Sioux Falls VA Health Care System (SFVAHCS). The position is located at the Spirit Lake Community Based Outpatient Clinic (CBOC) and reports directly to the Spirit Lake CBOC Medical Director. Qualified applicants will be considered and referred every 2 days until filled.

• 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 allopathic 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
• Approved residencies are: (1) 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 or fellowship was completed
• OR (2) One year of post medical school training (internship - first year of residency - or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice in the United States
• OR (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement)
• Exceptions:
  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 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
• In rare and unusual circumstances, the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer who may approve requests for reasonable exceptions to the residency training requirement for physicians whose composite record of experience, accomplishments, performance, and qualifications warrant such action
• Proficiency in spoken and written English
• Preferred Experience:
  
  Primary Care and/or Internal Medicine experience preferred

• Provides total care of the Veterans' medical needs by performing history and physical exam, ordering appropriate lab tests, radiology studies, and screening studies
• Evaluates those tests and develops a treatment and follow-up plan to include medication, medical equipment, and home-based interventions within the guidelines laid down by the supervising physician
• Includes outpatient follow-up visits, post-discharge follow-up, and managing care with specialty and sub-specialty medical providers
• Delivers patient care through face-to-face visits and/or other modalities (group clinics, telephone clinics, virtual visits, secure messaging, etc.)
• Assists in the preparation of the patient and/or his/her family, including teaching health promotion and disease prevention activities, accumulating data and medical problems, presenting patient‑centered discussions, and scheduling patients with the appropriate department services
• Supports cross-site telehealth coverage for other CBOCs and primary care locations within SFVAHCS
• Anticipated that 50% of clinical time will be dedicated to cross-site…