Cardiothoracic Surgeon

Summary

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. olumbia is a great place to work and live, offering small-town friendliness with big city features!

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Duties

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. Full time or part time options will be considered.

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

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
• 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
  
  

Harry S. Truman VAMC 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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Requirements

Conditions of Employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• You may be required to serve a probationary period.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.
  
  

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
• 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/certification in cardiothoracic surgery required



Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.



Physical Requirements: Moderate lifting, 15-44 pounds; straight pulling (4 hours); pushing (4 hours); reaching above shoulder; use of fingers; both hands required; walking (2 hours);standing (7 hours); kneeling (1 hour); repeated bending (4 hours); both legs required; near vision correctable at 13" to 16" to Jaeger 1 to 4; far-vision correctable in one eye to 20/50 and to 20/100 in the other; ability to distinguish basic colors; hearing (aid permitted); mental and emotional stability required.

Education

Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:

• Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or
• Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted.
• For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.]
  
  
  
  

NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.

Additional information

This job opportunity announcement may be used to fill additional vacancies.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

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Harry S Truman Memorial Veterans Hospital

800 Hospital Drive

Columbia, MO 65201

US