All staff physicians assigned to Medicine Service will meet basic requirements and hold a degree of doctor of medicine or doctor of osteopathy from a college or university approved by the Administrator; complete an ACGME accredited residency satisfactory to the Administrator, meet the physical standards as described by the Administrator, and will be licensed to practice without restrictions in a state or territory of the United States. 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. 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: Heavy lifting (45 lbs and over); reaching above shoulder; use of fingers; walking (3 hours per day); standing (6 hours per day); kneeling (2 hours per day); ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16"; far vision correctable in one eye to 20/20 and to 20/40 in the other; ability to distinguish basic colors; hearing (aid permitted). ["Duties include but are not limited to the following: Know the indications for, contraindications to, and potential complications of cardiac catheterization for assessment of patients with coronary, valvular, myocardial, and basic adult congenital heart diseases. Know the principles of radiation safety in the cardiac catheterization laboratory, including strategies to minimize exposure of patients, operators, and staff. Know the use and complications of radiographic contrast media and the measures available for renal protection in the cardiac catheterization laboratory. Know the indications for, and clinical pharmacology of, antiplatelet and anticoagulant drugs, vasopressor and vasodilator agents, and inotropic drugs used in the cardiac catheterization laboratory. Know the principles of waveforms, pressure, flow, resistance, and cardiac output measurements obtained by cardiac catheterization. Know normal cardiovascular hemodynamics and the characteristic changes associated with myocardial, valvular, pericardial, and pulmonary vascular diseases. Know the methods to detect and estimate the magnitude of intracardiac and extracardiac shunts. Know coronary anatomy, coronary blood flow physiology, and common coronary anomalies. Know the characteristic angiographic features associated with coronary artery disease and the methods available to assess its anatomic and physiologic severity. Know the indications for, contraindications to, and potential complications of peripheral vascular angiography. Know the characteristic angiographic features associated with peripheral artery disease and the methods available to assess its anatomic and physiologic severity. Know the indications for and potential complications of percutaneous interventions for coronary and peripheral artery and valvular and nonvalvular structural heart disease. Know the indications for, contraindications to, and potential complications of endomyocardial biopsy. Know the indications for, contraindications to, and potential complications of pericardiocentesis. Know the physiologic basis and indications for mechanical circulatory support devices. Know the indications for and complications of vascular access and closure strategies and devices. Know the indications for a fluid challenge, vasodilator testing, and post-exercise measurements during right heart catheterization. Patient Care and Procedural Skills Skills to conduct preprocedural evaluation for, assess the appropriateness of, obtain informed consent from, and plan procedure strategy for patients undergoing cardiac catheterization and angiography. Skills to perform venous and arterial access and obtain hemostasis in patients undergoing cardiac catheterization and angiography. Skill to perform right heart catheterization. Skill to integrate hemodynamic, ventriculographic, and angiographic data in patient evaluation and management. Skill to coordinate post-procedural management for patients undergoing cardiac catheterization, including recognition and treatment of complications. Skill to perform endomyocardial biopsy. Skill to perform pericardiocentesis. Skills to perform diagnostic left heart catheterization, contrast ventriculography, and coronary angiography. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): May be authorized for highly qualified candidates 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 Work Schedule: Monday - Friday, 7:30am - 4:00pm"]

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