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Physician (Pain Management Chief)
3 months ago
The physician will serve as a clinical leader in the Iowa City Health Care System Pain Clinic, providing comprehensive, multidisciplinary pain care, program development, and medical leadership. This position will fall under the Rehabilitation and Extended Care ICC. Pain care in the clinic is provided with an emphasis on recognizing all components of health and well-being. The physician will work closely with a comprehensive team of specialists to provide care.
Duties
The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.
Duties/Responsibilities of the Physician:
- Work closely with the pain team to provide safe and effective, multidisciplinary pain management and mitigate the risk for patients receiving chronic opioid therapy. The physician will be a clinical leader on the team and will develop individualized pain treatment plans for complex chronic pain patients. Patients initiating treatment in the clinic may have high risk opioid regiments and the treatment plan will integrate risk mitigation strategies, treatment of Opioid Use Disorder if present and optimization of non-opioid pain medications and non-pharmacologic therapies.
- Perform interventional pain management procedures under fluoroscopic guidance including: cervical, thoracic, lumbar and sacral epidural steroid injections; cervical, thoracic and lumbar facet/nerve block/median branch blocks; intercostal/paravertebral nerve blocks; sacroiliac joint injections; radio frequency ablations; lumbar/thoracic paravertebral sympathetic blocks; trigger point injections and piriformis injections; stellate ganglion blocks; occipital nerve blocks; ilioinguinal or genitofemoral nerve blocks; spinal cord stimulator trial/follow-up and maintenance of intrathecal pain pump maintenance/follow up. Ultrasound guided peripheral nerve blocks or injections of head/neck and extremities. Develop and implement treatment recommendations for pain syndrome diagnoses.
- Will collaborate with staff in surgery/anesthesia and radiology departments regarding scheduling and performing interventional pain management procedures.
- Physician will be skilled at diagnosing Opioid Use Disorder and providing medication assisted therapy with Suboxone.
- Collaborate with other team members to develop and implement an integrated pain management approach that maximizes the utilization of complementary and integrative health therapies and active pain management strategies to improve the overall health and functioning of patients. The development of integrated pain management program will result in complete integration of pain management services with Whole Health programming resulting in holistic, multimodal pain care.
- Provide at times care via multiple modalities, including VA Video Connect (VVC) along with Clinical Video Telehealth (CVT) besides face-to-face services to patients as needed to deliver pain management services across the entire healthcare system.
- Provide e-consultation to medical center providers related to questions about pain management, patient opioid risk, etc. Serve as an interdisciplinary team member providing Pain Controlled Substances Treatment Review e-consultations for patients with a history of aberrant drug behavior, medical risk factors for opioid therapy and/or psychosocial risk factors for opioid therapy.
- Team with PMT members to perform proactive medical record reviews of patients at risk of opioid-related side effects and provide recommendations to primary care providers to enhance the effectiveness and safety of pain care. Data-Based Opioid Risk Reviews using the STORM and/or other databases will be performed on patients falling into higher risk categories for opioid misuse and overdose.
- Other duties as assigned.
Pay: Competitive salary, annual performance bonus, regular salary increases
Paid Time Off: 50-55 days of annual paid time offer 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
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 - 4:00 pm or 8:00am - 4:30pm, additional information may be provided during interview process
