Physician - Medical Director Primary Care

Summary

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

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Duties

We are seeking an enthusiastic internist with a passion for medical education for a full time position as Medical Director at our Jamaica Plain location in Boston, Massachusetts. This full-time position includes approximately 51% clinical time.

The Jamaica Plain practice is a large primary care practice with 6000 patients and 10 physicians with onsite access to multiple specialties, radiology, laboratory services and Urgent Care. The Medical Director is responsible for ensuring that excellent, high quality care is provided to our Veteran population in the Jamaica Plain Primary Care Clinic.

Key responsibilities include:

• Working as a member of the management team to provide oversight of practice management including direct provider supervision, operational issues and clinical performance.-Providing longitudinal care to a panel of medically complex and diverse patients.
• Developing local educational initiatives for providers and trainees.
• Precepting house staff and medical students.
• Implementing clinical quality improvement initiatives.
  
  

Prior expertise in medical education is preferred. Candidates should also be experienced with population management, evidence-based guidelines, and adult learning principles.

VA Primary Care Physicians manage a complex panel of patients in collaborative teams. Panel sizes are approximately 1250 patients per full-time physician and appointment lengths are 60 minutes for new patients and 30 minutes for all other appointments. Telephone and video care are encouraged. Each physician is assigned a registered nurse, clinical associate, and scheduler. There is no call, and no weekend or holiday duty.

Physicians provide general and gender-specific care to adult men and women. The VA utilizes a national electronic medical record and is known for delivering high quality, evidence-based care within a culture of continuous improvement. The Primary Care Service at VA Boston Healthcare System is leading the VHA's initiative in the Whole Health System of care which includes conventional treatment but also focuses on self-empowerment, self-healing, and self-care. The Whole Health System approach is informed by evidence-based research and makes use of all appropriate therapeutic approaches and disciplines to achieve optimal health and healing.

VA Boston Healthcare System offers teaching opportunities for both medical students and medical residents in the inpatient and outpatient arenas. Academic accomplishments will be commensurate with academic appointment at the Instructor or Assistant Professor level at Harvard Medical School or Boston University Chobanian and Avedisian School of Medicine.

The Jamaica Plain campus is a large facility which includes the medical and surgical services and all specialty services. Teaching is an important part of this practice, and resident clinics are held with residents from Brigham & Women's Hospital, Beth Israel-Deaconess Medical Center and Boston Medical Center. Jamaica Plain is part of metropolitan Boston with easy access to arts, cultural and sports events, as well as access to Coastal and Cape Cod communities. The Jamaica Plain campus is on the MBTA Green Line.

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

Recruitment or Relocation Incentive (Sign-on Bonus): Authorized for highly qualified, eligible applicants.

Education Debt Reduction Program (Student Loan Repayment): Learn more.

EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VISN1EDRPSupport@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.

On Call: There is no on call requirement for this position



Work Schedule: Full Time, Monday - Friday; Schedule to be Determined with Supervisor

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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:

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  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: This position requires Board Certification in Internal Medicine or Internal Medicine Pediatrics. This position requires at least 5 years of practice post residency.



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



Physical Requirements: Applicants must meet physical standards for the position. A physical examination prior to placement is required. This is a designated drug testing position. After appointment, you will be subject to random testing for illegal drug use. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted.

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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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.