Summary

The Tele Surgery Service Urologist is responsible for telehealth care delivery through the Tele Surgery Service (TSS) as part of the VISN 19 Clinical Resource Hub. The incumbent reports directly to the Tele Surgery Service Chief - Rocky Mountain Region VISN 19 Clinical Resource Hub (CRH). Thesepositions will be the first providers standing up a national Tele-Urology hub designated by the National Surgery Office and Office of Rural Health.

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
• Preferred Experience: 2 years virtual care experience and 2 years VA experience
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing
• Transferring patients and objects may be required
• The incumbent may be exposed to infected patients and contaminated materials and must don protective clothing in isolation situations - operative/invasive procedures - or home settings
• The incumbent may occasionally be exposed to combative patients secondary to delirium - dementia - or psychiatric disorders
• The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations and shifting priorities based on patient needs
• Must complete annual Employee Health requirements - such as annual TB screening or testing - as employment conditions
• The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA- vehicles.

Duties

• A Career At VA Salt Lake City Health Care System Can Take You Places (youtube.com) 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: 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 This position may be 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
• Contact Michael.Campbell6@va.gov - the EDRP Coordinator for questions/assistance Virtual care through any virtual modality - including prescribing of medication and devices - ordering of imaging - labs - consults and anything else required for providing urologic care
• Providing education and counseling to patients and families in preventative care - medical conditions - and use of prescribed treatments and drugs
• Assess - stabilize - and determine disposition of patients with emergent conditions consistent with medical staff policy regarding emergency and consultative call service
• Develop and order plans of care as appropriate
• Provide counseling and education to patients - families - and caregivers
• Provide ongoing consultation and education to staff nurses - medical team - and student trainees
• Provide consultation support to Veterans referred for Urology Care
• Identifies needs of the individual - family - or community as a result of the evaluation of the collected data
• Prescribe medications according to VA regulation and controlled substances within the guidelines of the Federal Controlled Substances Act
• Initiates and adjusts therapeutic regimen as needed
• Prescribe devices - supplies and durable medical equipment as appropriate
• Order and interpret diagnostic testing and therapeutic modalities - including - but not limited to laboratory tests - EKG - and radiological studies
• Urologic Procedures Order VA specialty consults and ancillary services when appropriate
• Conduct & document goals of care conversations and place corresponding life sustaining treatment (LST) progress notes and orders
• Write State Authorized Portable Orders (SAPO) as allowed per state
• General wound care Additional Clinical Duties May Include the Following - as appropriate Precept health care students Participate in clinical research Work Schedule: Mon-Fri 8:00AM-4:30PM *Note-This position currently has a Return to Office (RTO) mid-term extension (180-days)
• Remote work is currently authorized
• however - candidates may be subject to return to office in the event policy changes or the exemption is not extended.