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Psychiatrist (Regular Ft) PCMHI

4 months ago

Portland, United States Veterans Health Administration Full time
Job DescriptionSummary

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

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 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
• Additional Requirement: Board eligible or Board Certified in Psychiatry Preferred Experience: At least 1 year of clinical experience in performing initial clinical diagnostic examinations and formulating treatment plans for Psychiatric patients in both inpatient and outpatient settings 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: Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others
• Depending on the essential duties of a specific position, usable vision, color vision, hearing or speech may be required
• however, in most cases, a specific physical condition or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid.
Duties "VA offers a comprehensive total rewards package.
VHA Physician Total Rewards.
Recruitment Incentive (Sign-on Bonus): Authorized Relocation Incentive for Current VA employees: Authorized Telework: authorized one day a week.
Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Contact Hannah.Neilson@va.gov, the EDRP Coordinator for questions/assistance 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 Functions: Psychiatrists working in an integrated care setting have many potential functions.
These depend on the goals of the program, the specific makeup of the PCMHI staff and the role of the Psychiatrist.
Like other members of the team, their work differs from that of a provider working in general or subspecialty mental health.
In PCMHI they are part of a primary care team and function in a consultative as well as direct treatment role.
While PCMHI is primarily a population based approach focusing on uncomplicated mental health conditions commonly encountered in primary care, the addition of a psychiatrist allows for co-management of more complex conditions when indicated.
Given this role, it is critical that any psychiatrist in PCMHI has a broad base of knowledge, skills and abilities to address the wide variety of mental illnesses that may be encountered in the population.
In addition, the psychiatrist is also a key member of the overall mental health team and serves a critical role in the continuum of care.
Duties The clinical services will be provided by a physician who has completed residency training in psychiatry.
She/he must be qualified to diagnose, treat, and manage patients with mental illness according to standard, usual, and acceptable methods and techniques.
Other duties and responsibilities include: Performing initial clinical diagnostic examinations, and formulating initial treatment plans for their patients.
The psychiatrist is expected to have a panel of patients he/she follows for a time limited episode of care.
Patients assessed to be psychiatrically stable after this episode of care should be referred back to PCP's while patients experiencing continued mental health symptoms should be referred to general mental health or subspeciality mental health treatment as indicated.
Provides ongoing support to other PACT members.
While the PCPs often provide routine medication initiation and management, in many instances, it may be preferable for the psychiatrist to initiate medication and either treat to target or support PCP continuation of medication, either directly or by supervision of care management.
Performs direct in-person or virtual face to face assessment and treatment when indicated.
This assessment includes a mental status examination.
Communicates frequently with other primary care staff and attends primary care service meetings.
Provides chart based consultation, including E-consults as needed/requested.
Maintains availability for informal and \"curbside\" consults as needed by PACT members.
Ensures ongoing availability for urgent or emergent situations.
Provides diagnostic clarification when needed.
Routinely attends PACT huddles for informal consultation and education of the team.
Offers and provides formal education sessions as desired by other team members Serves as liaison between PACT providers and other mental health providers working with PACT patients who are receiving ongoing services in general and subspecialty MH clinics.
Generally the PCMHI psychiatrist does not provide direct treatment for such patients though should be of help during times of crisis.
In such instances, the PCMHI psychiatrist is expected to make every effort to"