Summary The pulmonologist, Pulmonary critical care, internal medicine critical care certified specialist will provide the full scope of critical care medicine. Inpatient critical care consults, conducting medical ICU daily multidisciplinary rounds, medical ICU procedures including but not limited to central line placement, arterial line placement, dialysis catheter placement, chest tube placement, intubation and bedside bronchoscopy. Responsibilities Performing diagnostic and therapeutic pulmonary procedures and point-of-care ultrasound. Medical ICU attending duties include rounding on a closed MICU unit patient ward, working with other teams members such as mid-level provider with the potential for teaching house staff. Responding promptly to ER or ward patient consultations and ER or ward admissions\transfers to the medical ICU, as well management of a variety of ICU emergencies during your tour of duty. Tour of duty will be assigned in conjunction with fellow medical ICU providers in order to achieve 24 /7 in-house MICU coverage. The expectation is for 80 hours every 2 weeks. Incumbent will be a member of Pulmonary and Critical Care Section/Medical Service and will participate in patient care, teaching, research and administrative activities of the Section, as assigned. - Interviews, examines, selects diagnostic testing appropriately, and interprets/collates results to coordinate patient care. - Communicates and documents with clarity to patients and medical personnel to coordinate patient care. - Midlevel supervision within Pulmonary section. - Procedural skills may include arterial puncture, EKG interpretation, arthrocentesis, abdominal paracentesis, venipuncture, nasogastric tube insertion, PFT interpretation, moderate sedation, lumbar puncture, thoracentesis, intra-arterial line & central venous line placement, Swan-Ganz catheter insertion, FOB with routine procedures, FOB with transbronchial biopsy/aspiration, chest tube insertion and fluoroscopy equipment usage. - Shares after hour call responsibilities with section physicians in rotation. - Current BLS required /ACLS desirable but can be obtained upon hire. - Participate in the educational programs for section personnel as well as the medical staff. - Participate in monitoring the quality, safety and appropriateness of patient care, both at the Section and facility level. - Attend Pulmonary team meetings. - Demonstrate ethical conduct and serve as a positive role model to others at all levels of the organization. - Participate in quality assurance programs and chart reviews. - Complete medical records in accordance with Bylaws and Rules and Regulations of the Medical Staff.- Attend Medicine Service monthly staff meetings and COS quarterly meetings as per bylaws. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Education Debt Reduction Program (Student Loan Repayment): Learn more. This position is eligible for the EDRP, student loan repayment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of your start date. 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. Contact VISN15EDRP@va.gov, the EDRP Coordinators for questions/assistance. Learn more. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact , 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 Work Schedule: Working part time (50 hours/pay period), days, weekends, and holidays, as assigned 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 (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 Requirement: Preferred Experience: Applicants must possess clinical and research interest or experience sufficient to qualify for a faculty appointment at Saint Louis University or Washington University School of Medicine. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: In Accordance With VA Directive and Handbook 5019. The Physical requirements of this position include the following tasks which may be performed intermittently: lifting of up to 10 lbs., sitting (4 hours), standing (2 hours), walking (2 hours), bending/stooping (1 hour), twisting (1/2 hour), simple grasping (4 hours), fine manipulation (6 hours), reaching above the shoulder (1/2 hour), and operating machinery (1/2 hour). 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.