Physician - Primary Care Specialist
2 weeks ago
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.
Responsibilities- Evaluate, diagnose, treat and provide consultation to ambulatory adults outpatients at one of the St. Louis VA Medical Center's Primary Care Clinics.
- Provide direct patient care in an outpatient setting.
- Engage in population health management and quality improvement projects.
- 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.
- 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.
- 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.
- Demonstrate 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).
- Competitive salary.
- Annual performance bonus.
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