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Physician - Primary Care
3 months ago
VA offers a comprehensive total rewards package. VHA Physician Total Rewards.
The Physician will evaluate, diagnose, treat and provide consultation to ambulatory adults outpatients at one of the St. Louis VA Medical Center's Primary Care Clinics. Duties for Primary Care faculty include providing direct patient care in an outpatient setting. There are also opportunities to engage in population health management and quality improvement projects. Prior training or clinical experience is preferred.
Primary Care of a panel of primary care patients (male and female)
Provide comprehensive assessment, diagnostic work-up and clinic intervention, including comprehensive patient assessment, health history, physical examination, and patient education to Veterans in the Primary Care team setting; outpatients include both scheduled and unscheduled Veterans. Function as an integral part of a Primary Care multi-disciplinary team to coordinate, facilitate, and provide patient care and services.
Discriminate between normal and abnormal findings to establish a diagnosis and initiate appropriate response to emergency health problems.
Initiate appropriate referrals and consultations to other clinical services.
Order and evaluate diagnostic tests as appropriate, recommend treatment and/or referral.
Validate the effectiveness of previously implemented medical treatment.
Initiate, evaluate, and change orders for medications.
Include patient and family in planning care and establishing realistic measurable goals for health maintenance/improvement.
Record/document health appraisal information, clinical assessments, treatment decisions, plan of care, ongoing management and therapeutic outcomes, order medications, diagnostic tests and referral consultations where needed for every patient encounter; recording will be accomplished using the electronic comprehensive patient record system (CPRS), and will be completed on the day of the encounter.
Respond to computerized "alerts" indicating diagnostic test abnormalities and to health line requests from Veterans/family members on the day of receipt (weekends excepted).
Follow Performance Measure guidelines, including completion of clinical reminders in CPRS. Access and timeliness standards; prescription order entry, National VA formulary requirements, and customer service standards.
Work effectively with patients, families, members of the multi-disciplinary team, and other staff.
Demonstrates flexibility in responding to clinic demands, adhere to personal and professional obligations and responsibilities, practice and maintain ethical standards, and sustain a work environment that is harmonious and customer service oriented.
Providers will act as surrogates for the patients of their colleagues when their colleagues are on leave/travel.
Serving as a resource for nurse practitioners or physician assistants who are also delivering primary care and responds to all staff in the primary care teams regarding patient concerns
Teach and train residents as part of the academic partnership with our affiliates.
Admit, evaluate, diagnose, treat and provide consultation to adults and geriatric patients admitted to John Cochran Division with both common and complex illnesses of the circulatory, respiratory, digestive, endocrine, metabolic, musculoskeletal, hematopoietic, neurologic eliminative systems and mental health of the human body. Procedures include but not limited to preliminary EKG interpretation, suture uncomplicated laceration, incise and drain abscesses, simple skin biopsy, arthrocentesis, simple wound debridement, lumbar puncture, thoracentesis, paracentesis, central line placement and provider performed microscopy (as example fern test, urine microscopic examination KOH to screen for fungal elements and wet mounts). Procedures are authorized for the inpatient ward locations and intensive care units.
Pay:
Competitive salary, annual performance bonus, regular salary increases. Education and length of practice are considered through a formal pay-setting process to determine the final compensable salary (Base Pay + Market Pay)
EDRP:
Eligible position.
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 8:00am - 4:30pm (Subject to change)
