U.S. Department of Veterans Affairs

Physician (Pain Management)

The Primary Care Pain Physician contributes to quality care standards and the growth of a VA academic hospital program. The role requires excellent communication and teamwork skills to provide comprehensive pain care management within the assigned clinic structure.

Key Responsibilities
  • Serve as a Primary Care Pain Specialist/Provider for patients requiring comprehensive pain care management within the assigned clinic structure.
  • Manage patients including examination, medical care management, coordination of consultation, referral of patients, and development and operation of quality assurance and utilization programs including peer reviews.
  • Coordinate comprehensive pain management care needs according to guidelines established by the Department of Veterans Affairs and sound medical practice.
  • Measure clinical performance based upon quality reviews, completion of clinical reminders in CPRS, participation in medical center committees, and other methods.
  • Maintain active knowledge of patient care processes of the Department of Veterans Affairs, the healthcare system, and its clinics.
  • Maintain active knowledge of the medical record system for progress notes, orders, and medical record review and complete such records in a complete and timely manner.
  • Abide by VHA Rules and Regulations and be familiar with existing VA specific clinical guidelines.
  • Accommodate patient's emergent needs and complete phone calls, administrative form completion, and other patient requests in a timely manner, usually within one week.
  • Supervise Physician Assistants (PA), Students, and Residents, including annual review of performance with submission of a written report summarizing clinical performance.
  • Review medical records, patient care, drug prescribing, and consultation requests for supervised individuals.
  • Review all new patients and any patient with significant change in clinical status between PA, Student, Resident, and physician.
  • Fulfill employment and credential requirements as determined by the Bay Pines VA Healthcare System, including mandatory and continuing education requirements.
  • Maintain an active license in medicine from a state(s) in the United States.
  • Demonstrate continuing effort to keep abreast of new medical developments and medical literature.
  • Focus clinical practice on independent clinical evaluation of comprehensive pain management of Veterans through their panel of patients including prevention and patient self-management.
  • Meet the needs of customers while supporting the Medical Center and Service missions.
  • Consistently communicate and treat customers (patients, visitors, volunteers, and all Medical Center staff) in a courteous, tactful, and respectful manner.
  • Provide customers with consistent information according to established policies and procedures.
  • Handle conflict and problems in dealing with customers constructively and appropriately.
  • Work with patient advocates, public relations, primary care service partners, legislators, and administration staff as applicable.
  • Work schedule Monday-Friday 0730 am-430 pm, with possible requirement to work various shifts on a permanent or temporary basis based on facility/patient care needs.
Required
  • 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.
  • 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: Completed residency training approved by the Secretary of Veterans Affairs in an accredited core specialty training program (Family Medicine or Internal Medicine) leading to eligibility for board certification.
  • Proficiency in spoken and written English.
  • Must pass a pre-employment physical examination as required by VA Handbook 5019.
  • Physical requirements including moderate lifting up to 44 lbs., carrying objects up to 15 lbs., frequent reaching above shoulder, use of fingers, hands and legs, use of cranes and motor vehicles, walking and standing up to 8 hours, bending and climbing, and able to hear whisper.
  • Physically, emotionally, and mentally stable to efficiently perform essential functions without hazard to self or others.
Preferred
  • Board Certified or Board eligible in Internal Medicine or Family Medicine.
  • Pain Training Management and experience.
  • Alternative pain management skills such as osteopathic manipulation, acupuncture, chiropractic, massage, healing touch.
  • Comfortable prescribing suboxone.
  • Experience with joint injections and trigger point injections.
  • Fellowship trained in Pain Management and Addiction.
  • One-year post residency in pain management and addiction training.
  • Primary Care continuity care practice experience.
  • Primary Care Medical Home style practice experience.
Benefits & Perks
  • Recruitment Incentive (Sign-on Bonus): Authorized.
  • Competitive salary, annual performance bonus, regular salary increases.
  • 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).
  • Possible $1,000 per year CME reimbursement (must be full-time with board certification).
  • Free liability protection with tail coverage provided.
  • No Physician Employment Contract and no significant restriction on moonlighting.
Summary

The 2-page resume requirement does not apply to this occupational series. For more information - refer to "Required Documents" below The Bay Pines VA Healthcare System's Primary Care Service is seeking an experienced and dynamic Primary Care Pain Physician. Ideal applicants are those who want to contribute to the achievement of quality care standards - as well as the growth and development of a VA academic hospital program. You must be an excellent communicator and team player.

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 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 (Family Medicine or Internal Medicine) 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 or Board eligible in Internal Medicine or Family Medicine - Pain Training Management and experience Alternative pain management skills (such as osteopathic manipulation - acupuncture - chiropractic - massage - healing touch) Comfortable prescribing suboxone
  • Experience with joint injections - trigger point injections
  • Fellowship trained in Pain Management and Addiction
  • One-year post residency in pain management and addiction training
  • Primary Care continuity care practice experience
  • Primary Care Medical Home style practice experience
  • Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
  • Physical Requirements: Must pass a pre-employment physical examination as required by VA Handbook 5019
  • This examination is administered by VA Occupational Health
  • This position requires moderate lifting up to 44 lbs. - carrying objects up to 15 lbs. - frequent reaching above shoulder - use of fingers - hands and legs - use of cranes and motor vehicles - walking & standing up to 8 hours - bending and climbing and able to hear whisper
  • The incumbent must be physically - emotionally and mentally stable in order to efficiently perform the essential functions of this position without hazard to themselves or others.

Duties

  • This is an open continuous announcement that will remain open until filled
  • Applications will be accepted on an ongoing basis
  • Eligible applicants will be referred each week for consideration until a selection is made
  • VA offers a comprehensive total rewards package
  • VHA Physician Total Rewards
  • Recruitment Incentive (Sign-on Bonus): Authorized 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 Incumbent serves as a Primary Care Pain Specialist/ Provider for Patients who require Comprehensive pain care management within the assigned clinic structure within the department
  • He/ She is responsible for the continuing management of patients to include examination - medical care management - coordination of consultation - referral of patients - development and operation of quality assurance and utilization programs including peer reviews - community clinics physician and services and physicians in Bay Pines VA Healthcare System Services
  • Coordinates Comprehensive pain Management care needs according to guidelines established by the Department of Veterans Affairs and sound medical practice
  • Measurement of clinical performance is based upon quality reviews - completion of clinical reminders in CPRS - participation in medical center committees - and other methods
  • An active knowledge of the patient of the patient care processes of the Department of Veterans Affairs - the healthcare system and its clinics is Maintained
  • An essential element is active knowledge of the medical record system for progress notes - orders - and medical record review and completion of such records in a complete and timely manner
  • The incumbent shall have knowledge of and abide by VHA Rules and Regulations and have a familiarization with existing VA specific clinical guidelines
  • Physicians have a responsibility to accommodate patient's emergent needs
  • Phone calls - administrative form completion and other patient requests are to be completed in a timely manner - in most cases within one week
  • Supervision of Physician Assistants (PA) - Students and Residents may be part of the physician responsibility
  • This shall include annual review of performance with submission of a written report - which summarizes the clinical performance of the individual(s) supervised
  • This includes review of medical records - patient care - drug prescribing - and consultation requests
  • All new patients and any patient with significant change in clinical status should be reviewed between PA - Student - Resident - and physician
  • There shall be an active and dynamic interchange of care in the clinical setting
  • The incumbent fulfills the requirements of employment and credentials are determined by the VA Bay Pines VA Healthcare System
  • This shall include mandatory and continuing education requirements
  • An active license in medicine from a state (S) in the United States must be maintained
  • The incumbent must demonstrate continuing effort to keep abreast of new medical developments and medical literature
  • Primary focus of clinical practice is the independent clinical evaluation of comprehensive Pain Management pf Veteran through their panel of patients including prevention and patient self-Management
  • Meets the needs of customers while supporting the Medical Center and Service missions
  • Consistently communicates and treats customers (patients - visitors - volunteers - and all Medical Center staff) in a courteous - tactful - and respectful manner
  • Provides the customer with consistent information according to established policies and procedures
  • Handles conflict and problems in dealing with the customer constructively and appropriately
  • Working with patient advocates - public relations - primary care service partners - legislators - and administration staff as applicable
  • Work Schedule: Monday-Friday 0730 am- 430 pm(Note: Work schedules are determined and approved by the supervisor
  • The incumbent may be required to work various shifts on a permanent or temporary basis based on facility/patient care needs).
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