The ACOS for Primary Care is a physician who meets the following criteria: verified completion of an approved program for medical degree, verified licensure to practice medicine, and fully privileged at the Coatesville VAMC. Demonstrated interest in Primary Care required, and individual should be recognized by peers for clinical excellence and competence. Administrative experience is required, with preference given to individuals with outpatient management experience. 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. Preferred Experience: Board Certified Internal Medicine or Family Practice preferred with at least 2 years of experience in managing a clinic. 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: Physical demands include repetitive body movements including the following: frequent reaching, standing, walking, and lifting of equipment and/or patients to provide patient care. This position requires extension of the hand(s) and arm(s) in any direction including above or below shoulder level, during the provision of patient care, including retrieval of needed equipment, supplies and to make contact with the patient. This position requires the maintenance of an upright position to perform duties associated with patient care. This position is typically non-sedentary, and frequently involves being in the standing position. This position requires moving about accomplish tasks, such as assisting with patient ambulation and moving one patient area to the next. This position requires the raising of objects from a lower position to a higher position or the movement of objects horizontally position to position. Lifting may be done to move a patient from one location to the next, i.e.- from the exam table to the chair, and in the movement of equipment or supplies. Note: Must have Basic Life Support (BLS) certification prior to assuming clinical duties. The BLS requirement is satisfied by successfully completing an American Heart Association (AHA) BLS Healthcare Provider Course or Military Training Network (MTN). BLS courses are normally offered within 1-5 days of entry on duty. No online certifications will be accepted. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment and/or Relocation Incentive with a service agreement may be authorized for a Highly Qualified Candidate Education Debt Reduction Program (Student Loan Repayment): This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more. Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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 Duties include but not limited to:\nThe ACOS for Primary Care is responsible and accountable for all clinical, administrative, and performance improvement activities in the PACT and multi-specialty outpatient clinics at the Coatesville VAMC and its CBOCs. Clinical Assures that each patient presenting for care at the clinic receives quality medical care within the limits and resources of the clinic, obtaining referral to another VA facility if resources are not available. Directs and supervises the clinical activities of the physicians, physician assistants, and nurse practitioners. The ACOS may also have input on the performance of others such as nurses, administrative support staff, social workers, clinical pharmacy practitioners, and nutritionists. Participates in direct patient care and serves as a role model for peers. Consideration is given to the age of the patient as it relates to the ability to understand directions and provides objective self-assessment or any other medical milieu appropriate to the overall treatment plan. Ensures that staffing, space, equipment, and materials, systems and support services are utilized appropriately to meet the needs of the patients served in the outpatient clinic. Ensures that patients receive care in a safe and therapeutic environment. Ensures that the care of each patient in the outpatient clinic is the responsibility of a qualified and appropriately privileged staff physician. Works collaboratively with Metal Health department and other specialty outpatient clinics staffed by shared providers from other VA facilities within the VISN4 Eastern Market in coordinating care, as well as acting as a conduit for interdisciplinary communication. Administrative Is responsible for enforcement of applicable medical center and outpatient clinic policies, rules and regulations, and medical staff bylaws. Is responsible for meeting the performance improvement requirements of both the Joint Commission and the Department of Veterans Affairs, encompassing the information in the outpatient clinic, and for directing, educating, and involving all staff in these areas in the performance improvement process. Completes annual proficiency evaluations of physicians, PAs, and APNs, and incorporates provider specific performance improvement data in these appraisals. Participates in the resource allocation process for the outpatient clinics. Has overall responsibility for the safety program and action plan in the outpatient clinic. Participates in the various medical center's committees as appropriate. Administers and enforces all leave policies for the individuals supervised. Utilizes workload statistics and other data to ensure optimum availability of staff to meet patient needs. Anticipates clinic staffing vacancies and needs, interviews and selects candidates. Completes annual performance evaluations of physicians and incorporates specific performance improvement data in these appraisals. Arranges for physician coverage to assume the clinical responsibilities of the Section Chief during his/her absence. Work Schedule: Monday-Friday 8:00 am - 4:30 pm"]
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.