Cardiothoracic Surgeon
2 weeks ago
Harry S Truman VAMC is seeking a Cardiothoracic Surgeon to work in beautiful Columbia, MO
Columbia is centrally located between St. Louis, Kansas City and the stunning Lake of the Ozarks. Columbia offers a wide variety of recreation options, including biking, jogging or walking on Columbia's beautiful greenbelt. Columbia is a great place to work and live, offering small-town friendliness with big city features
Full time or part time options will be considered.
Recruitment Incentive (Sign-on Bonus): Available to qualified candidate
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 8:00 a.m. to 4:30 p.m. - some occasions may require work outside of this core schedule as this is a 24/7 hospital facility. Subject to change based on agency needs.
CARDIOTHORACIC (CT) SURGEON DUTIES
* Design and conduct comprehensive examinations, diagnosis, and implementation of treatment plans, admission orders, discharge summaries, ordering special labs, and radiographic studies
* Provide medical education/counseling to patients & their families
* Verify, establish, and ensure that identified pre-operative surgical requirements are met, ensure appropriate arrangements have been established for admission, and coordinate inpatient activities on the floor
* Primarily responsible for admissions and medical care of patients
* Perform bedside procedures including placement of arterial lines, swan-ganz catheters, and central lines, bronchoscopy, changing of tracheostomy tubes, wound care and debridement, thoracentesis, removal of chest tubes, temporary pacing wires, intra-aortic balloon pump, central lines, arterial lines, and drains
* Demonstrate ability to diagnose and treat CT surgery patients seen in consultation with other health care providers
* Promote patient care programs for the CT surgery patients
* Integrates the activities of the CT surgery service with other patient care programs at the facility
* Provides education, teaching, and support to surgical residents and fellows
* Participates in Quality Improvement (QI) projects as deemed necessary by the department, Quality Management (QM), and/or the Chief of Staff
* Participates as a key member of the CT surgery Interdisciplinary Team (IDT) to ensure optimized outcomes for all CT surgery patients
SURGICAL INTENSIVE CARE DUTIES
* Considers factors related to safety, effectiveness, and cost in planning and delivering CT surgical care
* Performs complex CT surgeries and procedures on a high-acuity patient population; manages a broad range of CT surgery practice. This encompasses all areas of general CT surgery
* Evaluates and treats CT surgery emergencies in the emergency department, inpatient wards, ICU, and operating room
* Obtains H&P, and assessment of ongoing patient needs
* Orders and interprets routine laboratory tests, diagnostic studies, and radiographic tests
* Performs diagnostic and stabilization procedures as necessary based on ACLS
* Collaborates with respiratory therapy and nursing for airway management and ventilator weaning
* Writes orders for laboratory work, medications, and treatments in compliance with hospital policies
* Participates in and prepares discharge planning needs for SICU patients through communication with team members, patients, families, and consultants
* Documents relevant laboratory data, study results, patient care, pertinent procedures, and patient updates within notes
* Demonstrates competence with placement and removal of enteral feeding tubes, central venous catheters, arterial lines, swan-ganz catheters, sutures, drains/tubes
* Assists with and performs invasive procedures including central lines, arterial lines, etc
* Collaborates with physicians, nurses, and other members of the health care team using effective communication and interpersonal skills to develop and maintain interdisciplinary teamwork
* Identifies 'at risk' individuals in need of referrals
* Maintains accurate, timely medical records
* Participates in performance measures through documentation and data collection/reporting
* Assists in investigation and documentation of patient issues and concerns
* Identifies individual differences as related to the physiological, cultural, and psychological aspects of maturational development
* Demonstrates ability to multi-task and prioritize patient care needs
John J. Pershing Veterans' Administration Healthcare System is committed to Diversity and Inclusion. Together, we strive to create and maintain a working and learning environment that promotes professional growth and teamwork. We offer an inclusive, equitable, and welcoming environment where we celebrate our individual differences and unite as a team toward a common goal of providing outstanding service to our Nation's Veterans.
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