The Central Texas VA Health Care System, Temple, Texas is seeking a full-time Emergency Medicine Physician to provide initial evaluation, treatment, and disposition for a broad spectrum of illnesses, injuries, and mental health disorders, regardless of the level of severity. *A Recruitment/Relocation Incentive may be authorized for a highly qualified candidate. **This position is eligible for the Education Debt Reduction Program (EDRP)
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. 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. Licensure and Registration: 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: Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR Those approved by the American Osteopathic Association (AOA),OR 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.. 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). Preferred Experience: Board Certified/Board Eligible in Internal Medicine/Family Medicine Training and experience in Emergency Medicine Training and experience In Internal Medicine or Family Medicine Experience and interest in training residents and other trainees. 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: Moderate lifting, 15-44 pounds; Moderate carrying, 15-44 pounds; Reaching above shoulder; Use of fingers; Both hands required; Walking (4-8hrs); Standing (4-8hrs); 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 permitted); Mental and emotional stability.
The Physician, Emergency Medicine will prove care a clearly defined area dedicated to this function and operates 24 hours a day, 7 days a week. With-in the Emergency Department proper there is a dedicated area known as the "Fast Track" for the lower acuity patients to be seen. The incumbent will follow EM practice that is consistent and in line with the American College of Emergency Physicians (ACEP) Model for the Clinical Practice of EM and emergent care that is congruent with the facility's capabilities. Support and participation by EDs in the existing EMS system and provision of medical direction for the patients in the pre-hospital setting, where appropriate. (Supervision, teaching, and evaluation of the performance of medical and paramedical personnel including students, residents, and fellows in the ED.)An evaluation and emergency care provided to individual patients presenting to the ED that is consistent with all applicable standards and regulations, including compliance with the intent of the Emergency Medicine Treatment and Active Labor Act (EMTALA) 42 United States Code (U.S.C.) 1395dd. NOTE: While not technically subject to EMTALA and the regulations implementing the Act issued by the Centers for Medicare and Medicaid Services (CMS), VA complies with the intent of EMTALA requirements regarding the transfer of acute patients among health care facilities. Other duties include: Arterial punctures for blood testing and cannulation for blood pressure monitoring. Emergency Vascular Access. Non-emergent and emergent airway management including mechanical ventilation, subject to the requirements of VHA Directive 2012-032, Out of Operating Room Airway Management (OOORAM) or successor Directive. Lumbar puncture. Cardiopulmonary resuscitation including cardioversion/defibrillation and transcutaneous pacing. Paracentesis. Thoracentesis. Gastric lavage. Wound management. The use of local anesthesia and for moderate sedation. Foreign body removal. Incision and drainage. Wound repair. Foley catheter placement. Epistaxis control. Fracture/dislocation - initial management, including splints. Cervical Spine immobilization. Arthrocentesis. Administration of thrombolytic therapy. Rapid sequence intubation/airway management. Work Schedule: Monday - Sunday (8-12 hour shifts-to be determined) VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentive (Sign-on Bonus): Authorized Education Debt Reduction Program (Student Loan Repayment): Authorized, see details in "Education Section". 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