Overview

Summary

The Veterans Affairs North Texas Health Care System is currently recruiting for a Spine Physician at the Physical Medicine and Rehabilitation (PM&R) Service located in Dallas, TX.

A Recruitment/Relocation Incentive may be authorized to highly qualified candidates based on location.

This position is eligible for the Education Debt Reduction Program (EDRP).

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Duties

The duties and responsibilities of the spine physician at Physical Medicine and Rehabilitation (PM&R) Service includes, but may not be limited to:

  • Performs initial histories and physical examinations on PM&R spine patients and other patients.
  • Reviews relevant medical information and formulates diagnosis and treatment plan, using patient-centered approach and following evidence-based practice principles.
  • Prescribes medications and other interventions within approved privileges.
  • Performs PM&R related procedures such as electromyography (EMG), spinal injections, joint injections, stimulator trials and implants, Botox injection etc., within approved privilege.
  • Provides ongoing care for established patients and refers to other specialties and other spine health care professionals (chiropractor, physical therapy, massage therapy, yoga, acupuncture etc.) as indicated.
  • Checks Prescription Drug Monitoring Program Database, monitors drug test results; and enters controlled substance orders as indicated clinically.
  • Orders and follows up on diagnostic studies timely (such as laboratory tests, x-rays, MRIs and other imaging studies, electrocardiograms, etc.).
  • Finishes patient notes and encounters timely.
  • Carries out health promotion and disease prevention activities
  • Initiates requests for consultation services with other VA and Non-VA services (community care) if indicated.
  • Establishes and maintains positive working relationships with employees, volunteers, consumers, and stakeholders within the VA and outside community agencies.
  • Attends all appropriate meetings (interdisciplinary treatment team meetings, departmental/section staff meetings, other committees as appropriate, etc.) is necessary.
  • Initiates or collaborates in the performance improvement processes and complies with performance measures as required by the VHA and for the PM&R Service. This work will include referring cases for Protected Peer Review (Focus Peer Review and Ongoing Peer Review).
  • Completes the continuing education hours needed for maintaining professional licensure.
  • Demonstrates professional behavior that conforms to VA regulations and policy, state and federal laws, and ethical codes of appropriate professional accrediting organizations.
  • Provides academic teaching and clinical supervision to various disciplines and levels of training, including fellows, residents, students, advanced practice providers (APPs), and other interdisciplinary team members.
  • Serves as a consultant to other medical center staff and trainees as appropriate.
  • Offers consultation to colleagues and students on the treatment of patients treated in specialty areas, rendering professional opinions based on experience and expertise and role modeling effective practice skills.
  • Serves on service level, medical center, Healthcare System, VISN, and/or National VA committees or task forces, as assigned.
  • Represents the Medical Center or Healthcare System at professional/program community group/events and committees if needed.
  • Communicates with different stakeholders effectively.

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

Recruitment Incentive (Sign-on Bonus): Authorized

Education Debt Reduction Program (Student Loan Repayment): Authorized, see details in “Education section”

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, 8:00am to 4:30pm

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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. 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.

  • 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.
  • Licensure and Registration: 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:

    • Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR
    • 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.
  • Physical Requirements: See outlined below.

  • English Language Proficiency. Physicians appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C.
  • 7402(d) and 7407(d).

Preferred Experience:

  • Board certified or board eligible in Physical Medicine and Rehabilitation specialty
  • Experience in performing initial histories and physical examinations on outpatients and inpatients, formulating diagnosis and determining patients’ needs for further diagnostic or therapeutic care and follow-up, documenting electronic medical records. Communicating with different parties including patients, family members, and other team members.
  • Experienced in managing patients with spine problems and chronic pain. Orders diagnostic tests and consults and initiates therapeutic regimes for patients with spine or pain problems. Familiar with prescribing and monitoring narcotics and controlled substances even though the volume is low.
  • Experienced in performing electromyography (EMGs) and nerve conduction studies.
  • Experience in performing rehab office procedures such as trigger joint injections, tendon/bursa/joint injections, providing preventive health care screening of outpatients and treatment for spine care patients.
  • Experience in providing supervisions to PM&R residents, a physician assistant, and nurses.
  • Good customer service skills.

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: Moderate lifting, 15-44 pounds; Moderate carrying, 15-44 pounds; Reaching above shoulder; Use of fingers; Both hands required; Walking (4-8hrs); Standing (4-8hrs); Both legs required; Near vision correctable at 13″ to 16″ to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid permitted); Mental and emotional stability

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.

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

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

NOTE: If your school has changed names, or is no longer in existence, you must provide this information in your application.

NOTE: If your school was accredited by the Liaison Committee on Medical Education (LCME) or Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) of the American Osteopathic Association at the time of graduation, but is no longer listed on the website, you must provide documentation of accreditation with your application packet.

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.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Financial Disclosure Report:Not required

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 to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.

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Dallas VA Medical Center

4500 South Lancaster Road

Dallas, TX 75216

US