The Medical Director, Ambulatory Care will report to the Chief or Assist. Chief of Ambulatory Care. The Medical Director, Ambulatory Care ensures that medical care provided to the patients is adequate and appropriate. Duties and responsibilities include a variety of medical care management techniques, which requires knowledge, skills, licensures, and experience as a physician. Recruitment / Relocation Incentive (Sign-on Bonus): Authorized for highly qualified candidates 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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. Preferred Experience and Certifications All Specialties Experience in disaster medicine and/or completed advanced training (i.e. fellowship) in disaster or wilderness medicine. This may include experience in medical deployments. Additionally, training and/or experience in critical care medicine is favored. Advanced Trauma Life Support (ATLS) Certifications from American Heart Association (AHA) or Military Training Network (MTN) are highly preferred: Basic Life Support (BLS) and/or Advanced Cardiac Life Support (ACLS). (AHA certification preferred.) BLS/ACLS certification is recommended, but not required, for candidates who are board certified in Emergency Medicine (VHA Directive 1177, Cardiopulmonary Resuscitation, January 4, 2021). The selected employee will be required to receive these certifications prior to assuming clinical responsibilities and ensure current certifications after employment is maintained. Emergency Department Board certified in Emergency Medicine. Board certified in Family or Internal Medicine. At least 5 years of recent experience in an Emergency Department. Hospitalist Board certified in Internal Medicine. 5 or more years of clinical experience since completion of residency training. Experience and/or training in critical care medicine. Primary Care 3 or more years of experience in a Primary Care Setting. Prior experience in the hospital, emergency or trauma setting. Board Certified/Board Eligible in Internal Medicine or Family Practice. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G2 Physician Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others. Depending on the essential duties of a specific position, usable vision, color vision, hearing or speech may be required. however, in most cases, a specific physical condition or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid. ["Major Duties include, but are not limited to: Supervise and coordinate operations of the Ambulatory care including emergency and routine treatment procedures. These operations are carried out with assistance from staff members from other clinical and support services that are supervised by their clinical service chiefs but provide a full range of medical services to patients who are assigned to Ambulatory Care. Ensure that quality, safety, and appropriateness of care are continually monitored and evaluated. Arrange and communicate to appropriate staff the availability of providers and coverage during non-administrative hours. Works with the Designated Education Officer (DEO), the Internal Medicine Residency Program Site Director and the Site Coordinator for the Internal Medicine Residency Clerkships to ensure that teaching programs on Medicine are appropriate and that supervision of the residents and students is provided. Uses national guidelines when available to develop policies, procedures, and guidelines to ensure adequate and comprehensive services and communicates these to staff physicians, nurse practitioners, physician assistants and other members of Ambulator Care. Working with the appropriate Committee/Board, coordinates use of resources, including space, supplies and staffing. Ensures all new staff members are provided a formal orientation to Ambulatory care policy and procedures and to the responsibilities of their specific role. Ensures delivery of high quality of care for Ambulatory care patients by working with Chief/Assistant Chief of Ambulatory care. In addition, coordinates and promotes service level Quality Improvement and Utilization Review by stimulating parent services. Ensures that overall quality management is the goal for all Ambulatory care staff. Ensures adequate medical record documentation, organizes staff in-service programs, and encourages continuing medical education to staff while also participating in these activities. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Work Schedule: Monday-Friday 08:00-4:30pm Relocation/Recruitment Incentives: Authorized for highly qualified candidates Financial Discloser Report: Not require 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"]

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