Under the general direction of the Director of Urgent Care, the Physician will provide care for patients requiring emergency services. Urgent Care Clinic physicians will provide emergent and urgent medical care for all patients (any age) who present including stabilization, evaluation, diagnosis, and treatment of the full spectrum of conditions falling within the breath of Emergency Medicine as well as Occupational Health as it relates to acute work-related injuries and illnesses. 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 Requirements: Board eligible or certified in Family Practice, Internal Medicine, Urgent Care or Emergency Medicine 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); Light carrying, under 15 pounds; straight pulling (.5 hours); Reaching above shoulder; Both hands required; Walking/standing (8 hours); Repeated bending (5 hours); 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 may be permitted); Emotional/mental stability under stress; Ability to do chest compressions (basic life support skills). Environmental Factors: Outside and inside; Working closely with others and working alone. ["Roseburg is the heart of the scenic and recreational paradise known as the Land of Umpqua. This land of authentic outdoor adventures and experiences is bordered by picturesque rivers and lush valleys. Roseburg, centrally located in the center of Douglas County, Oregon is known for its 359 miles of streams along the north and south forks of the Umpqua River. The Roseburg area reflects small-town values, has dedicated business leaders and a strong education system from K-12 to our local community college. The community possesses a hardworking, well-trained workforce. These characteristics have proved instrumental in drawing new residents and companies to the region, while keeping families here for generations. The duties and responsibilities of the Urgent Care Clinic physician include but are not limited to the following: Clinical Responsibilities (90%): Assesses all patients presenting to the Clinic; performs a history/physical examination and renders stabilizing treatment Coordinates patient treatment plans Orders appropriate diagnostic tests/x-ray studies as needed Provides oversight to nurses/other advanced practice providers Participates in quality assurance programs/chart reviews Participates on Medical staff committees, attends physician meetings and clinic staff meetings Recommends patients for hospital admissions Demonstrates expertise in using contemporary interview/assessment methods for acute or chronic disorders including behavioral health conditions Provides education to patients/family members regarding mental disorders and best practices approaches to treatment Provides comprehensive assessment of Veterans at imminent risk from any conditions Responsible for ordering, monitoring, and responding to all necessary laboratory/radiological assessments Responsible for initiating appropriate care consults/referrals Provides consultation to health care providers about assessment findings and treatment plan for patients ensuring care is coordinated, collaborative, and integrated Develops, implements, and documents treatment plans Complies with all Service documentation requirements, including standards for timely completion of patient contact notes, use of required documentation templates, clinical reminders, treatment plans, and risk assessment protocols Adheres to all facility/Service policies and practices for delivering clinical care, including risk assessment and reduction practices for timeliness of care, access standards, professional conduct requirements, and EHR documentation conventions Achieves minimal clinical workload expectations Provides emergent airway management Wound management, including: use of local anesthesia, foreign body removal, incision and drainage, wound repair, including wound debridement, closure/repair of laceration Administers blood products/thrombolytic therapy Cardiopulmonary resuscitation including cardioversion/defibrillation/transcutaneous pacing Electrocardiogram performance/interpretation and emergency vascular access Administrative Responsibilities (5%) Assists Team leaders in the design, development, and implementation of clinical assessment and/or intervention programs Assists Team leaders in the execution of ongoing program evaluation and data-driven quality improvement projects to monitor clinical program effectiveness Facilitates liaisons with other health care programs to effectively coordinate services Education and Training (5%) Provides clinical supervision and instruction for trainees May hold a faculty appointment requiring accomplishments in clinical supervision, training, and education (clinical/clinician-teacher faculty appointment) Provides clinical supervision/training for other trainees not part of a medical training program. Provides leadership guidance and consultation to unit staff in the area(s) assigned VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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: Eligible only if employee is expected to work over 130 hours per month for 90 days 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: Intermittent (Per Diem)"]

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