The Cincinnati, OH VA Medical Center is seeking Physicians to work as Nocturnists at our facility. If you are interested in a career that offers professional/work life balance in a supportive clinical learning environment, providing integrated patient-centered, state-of-the-art care to Veterans, we welcome you to apply to be part of the Cincinnati VA team! 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. Additional Requirement: Must be Board eligible/board certified in Internal Medicine, Emergency Medicine, Anesthesia or Family Practice and their Specialty if applicable experience in resident training, and experience in working with academic affiliates. Must have American BLS and ACLS Certifications Preferred Experience: Experience with bedside procedures (including but not limited to intubation, central line, etc.). Some bedside point of care ultrasound skills. ICU experience and Critical Care Board eligibility will increase salary range. Out of OR airway training / experience 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: Per VA Directive and Handbook 5019 - a physical examination will be conducted based on the physical requirements of the position. A physical examination prior to placement is required. ["The VA has been named as one of the Top 5 Best Places to Work in the federal government. Cincinnati is a family friendly, affordable, metropolitan city with great parks, fine arts, and food scene. With both an urban energy and southern charm, the Cincinnati region has a vibrant and unique culture that flows from the Ohio River to the things to do, landmarks and events all around town. With rich cultural offerings, award-winning family adventures, an ever-expanding art scene, a foodie's paradise, and breweries galore, this is one picturesque river region with much to explore! With major league sports, big-city arts, fun festivals and award-winning attractions, it can be hard to decide what to do in our dynamic river region! https://www.frommers.com/destinations/cincinnati VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Relocation/Recruitment Incentive (Sign-on Bonus): Available to well-qualified applicants 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 The Nocturnist will serve as the supervisory inpatient attending / hospitalist physician for house staff on call for the Medicine services overnight and on the weekends, as well as serve as primary admitting physician for adult patients who are admitted facilitating patient flow and teaching service capacity. He/ she will facilitate intra-facility and interfacility transfers, respond to rapid responses and codes, and be available for any acute clinical issues for patients on the general medicine / progressive care and ICU services (in conjunction with tele ICU staff) during their tours of duty. Provide trainee supervision, and education of internal medicine residents and medical students in all their clinical activities overnight. Admits and manages inpatients including patients, general adult medical illnesses. This includes admitting patients and performing histories and physical examinations; rounding on patients and writing progress notes; discharge / transfer planning and timely completion of discharge summaries. Assist with patient flow and co care services for inpatients. Provides inpatient internal medicine consultations at night to other services, including but not limited to, Mental Health and Surgery. Serve as a Rapid Response and Code team member and supervises residents during codes and rapid responses. Participation in educational activities related to the internal medicine residency program including trainee evaluation. All attending physicians are expected to participate in ongoing process improvements within their specific areas of expertise thereby promoting quality, efficiency, patient safety, and timely access to care for our veteran patients. Communicates with incoming and off going Hospitalists to ensure continuity of care Collaboration with ancillary staff, specialists, and physician extenders to ensure that inpatients receive continuous high-quality care. Participates effectively in team meetings and treatment planning conferences and collaborates with multidisciplinary team members in a manner that enhances coordination of comprehensive patient care. Perform and supervise minor bedside procedures; refresher training is available in our excellent simulation laboratory. Ideally should have some bedside point of care ultrasound skills. There will be training opportunities to ensure competency The candidate is also expected to acquire our facility certification in airway management after completing local on-line, simulation laboratory, and hands-on training. Adherence to VA policies and procedures regarding documentation, patient safety, and utilization. Completes all medical records (including discharge summaries) in accordance with Bylaws, Rules and Regulations of the Medical Staff. Work Schedule: Flexible"]
About Veterans Affairs, Veterans Health Administration
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.