The South Texas Veterans Health Care System, San Antonio, Texas is seeking a full-time Physician (Hospitalist/Nocturnist), Medicine Service to serve as as the supervisory physician for Internal Medicine housestaff and assist in the admissions of patients to Hospital Medicine services during night and weekend hours. A Recruitment/Relocation Incentive may be authorized for a highly qualified candidate. This position is eligible for the Education Debt Reduction Program (EDRP) 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. Education: 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. 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 /Board Eligible in Internal Medicine Experience teaching/evaluating Internal Medicine residents. Experience in admissions and acute care procedures. Active adult inpatient care of Internal Medicine patients within the last 2 years. Scholarly activity. 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; Reaching above shoulder; Walking (1hrs); Standing (2hrs); Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid permitted); Mental/ Emotional Stability. ["The Hospitalist/Nocturnist will facilitate transfers from outside facilities, admit appropriate patients from VA clinics and emergency department, and be available for any acute clinical issues for patients already admitted to Hospital Medicine teams during their tours of duty. Administrative Duties: Leadership responsibilities: Participate in staff meetings, hospital committees, and the peer review process. Demonstrate effective communication to staff and leadership. Human Resources (HR): Maintain VA training requirements, complete documentation in a timely manner and maintain credentials required for privileging and re-privileging Staff Management: Participate in the Focused Professional Performance Evaluation (FPPE)/On-going Professional Performance Evaluation (OPPE) process. Adhere to employee health requirements. Participate in the peer review process. Time/Leave Management: Adhere to tour of duty, log duty hours appropriately and request leave in advance Clinical Management including indirect patient care: Manage encounters and consults appropriately, document in a timely and appropriate manner, oversee relevant performance measures, and participate in quality improvement and process improvement projects Clinical Duties: The Medical Service Nocturnist is a hospitalist responsible for providing care to hospitalized adult patients, identifying health problems, and designing diagnostic and therapeutic plans to meet these needs during overnight/weekend hours. Duty hours are subject to change based on the needs of patient care. Specific duties include the following: Assess patients for admission and disposition. Admit patients to Hospital Medicine teams, either independently or working with housestaff providers. Staff patients requiring Medicine consultation if urgently needed (for example, to guide surgical treatment.) Being available to staff procedures done during the tour of duty. Being available for acute medical issues that arise on any patient admitted to the Hospital Medicine service. Completing educational evaluations for the night float house staff as required by the Internal Medicine Residency Program. vii. Adherence to VA policies and procedures regarding documentation, patient safety, and utilization. Independently assess patients for admission and disposition when dictated by housestaff schedule and regluations. Work Schedule: Rotating Shift (7:00 p.m. - 7:00 a.m.) 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"]

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