Summary

This Surgical Hospitalist position will act as head PRP. This position will provide stability for nighttime coverage and will ensure that we have a sufficient supply of PRP physicians.

Qualifications

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 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
• (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 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 if applicable - 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 (performing under a full and unrestricted license) 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 under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement) - 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
• 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
• Additional Requirement: Currently participating/completing a ACGME accredited residency in General Surgery Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: In accordance with OF 178: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing
• Transferring patients and objects may be required
• The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative/invasive procedures
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
• Must be able to perform CPR per ACLS/BLS protocols.

Duties

• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• Work Schedule: Nights/weekends Pay: Competitive salary Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting San Francisco Veterans Affairs (SFVA) current pool of Physician Resident Providers (PRPs) are University of California San Francisco (UCSF) General Surgery residents (or Stanford or Easy Bay General Surgery residents) who are in their research years
• The resident work hour requirements have led to an additional need for PRP coverage at the SFVA - and a limited available pool of physicians who can provide this coverage
• Under the new guidelines - residents will no longer be able to cover if PRP physicians are not available
• In addition - under the new model - most of the call during the week will now be covered by PRP physicians - so hand-offs will be significantly increased unless we provide a more stable coverage plan
• 1
• Management of surgical inpatients
• including patients on the ward - transitional care units - and intensive care units (including documentation of care in the medical record)
• 2
• Evaluate surgical consults in the hospital or emergency department
• a
• All consults will be discussed with the Chief resident (or Fellow) and Attending immediately following evaluation
• 3
• Provide surgical coverage on-call a
• Perform simple surgical procedures such as wound vac changes - surgical wound debridement - wound care - triage surgical problems - perform compartment pressure assessment - and assist in the operating room.