Physician (Gastroenterologist) with Recruitment/Relocation Incentive-EDRP

The VA Texas Valley Coastal Bend Health Care System is seeking a full-time Gastroenterologist to provide comprehensive care for patients who have illnesses within the scope of Gastroenterology and patients with hepatitis. In addition to patient care, the physician may have responsibilities in education and research. A Recruitment/Relocation Incentive may be authorized to 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 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. 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. Physical Requirements: See outlined below. 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 Gastroenterology and/or Internal Medicine Fellowship training in Gastroenterology Three to five years of Gastroenterologist experience, preferably in VA or the Department of Defense. Advanced skills to provide a full range of Gastroenterology evaluations to determine the type of degree of illnesses within the Gastroenterology scope 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; light carrying, under 15 pounds; Reaching above shoulder; Walking (1hrs); Standing (2hrs); Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid permitted); Mental/ Emotional Stability. [“The Gastroenterology staff physician is responsible for providing primary, secondary, and tertiary care in both hospitalized and outpatient settings, identifying patients’ health problems and designing diagnostic and therapeutic plans to meet these needs. You are responsible for coordinating activities of other health service personnel, resolving problems affecting patient care and providing appropriate education for the patient/family members regarding the patient’s care, patient’s illness and its management. A major percentage of the time will be devoted to patient care. Depending on other activities, sufficient time will be allotted to administrative duties. PROCEDURES: The Gastroenterology staff physician will be responsible to perform diagnostic and therapeutic upper and lower gastrointestinal endoscopy and colonoscopy procedures. Liver Biopsy Small Bowel Biopsy-Dilation of the esophagus (bougienage) Esophageal motility Upper Gl endoscopy-Colonoscopy & Flex Sigmoid-Endoscopic retrograde cholangiopancreatography Polypectomy-Laparoscopy (Peritoneoscopy) Percutaneous Endoscopic Gastrostomy Laser: Photocoagulation of vessels Laser: Tumor Ablation-Gastric lavage & cytology Sclerotherapy of esophageal varices Esophageal ligation or banding of varices Endoscopic ultrasonography with or without fine needle aspiration biopsy Placement of esophageal stent The Gastroenterologist must demonstrate the knowledge and skill necessary to provide patient care appropriate to the age of the patients served. Work Schedule: Monday – Friday (8:00 a.m. – 4:30 p.m.) VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentive: 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”]

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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