The Special Registry provider understands and assesses the interactions between Veterans Military exposures and chronic medical concerns/conditions. He/she demonstrates clinical expertise in identifying, evaluating, and mitigating acute and chronic illness impacted by the exposures. 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. 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. Potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. May occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Must be a mature, flexible, sensible individual capable of working effectively in stressful situations and able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. Must be physically, emotionally, and mentally competent and able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to yourself or others. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Appraised Value Offer (AVO): Not Authorized 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 Clinical: Performs independent clinical evaluation of Veterans in the Environmental Hazards Clinic for registry examinations. May provide coverage in Primary Care Clinics as needed. Supports Occupational Health Clinic and provides coverage to employee health clinic as needed. Care may be provided in many modalities, from direct face to face care, virtual care (including telephonic, video, secured messaging and others). Keeps abreast of latest trends, skills, procedures, and protocols relevant in the area of Ambulatory Care. Participates in population health when needed. Administrative: Acts as subject matter expert (SME) for Toxic Exposure Screening and facilitate streamlined rollout, coordination, and optimization of the Toxic Exposure Screening implementation. Able to administer the Toxic Exposure Screening to Veterans, enters consults for follow-up care, and enter diagnosis codes in problem list. Serve as the point of contact for disseminating information about the Toxic Exposure Screening and report information and data back to PACT Act implementation leaders. Participate in the Community of Practice (CoP) to identify risks and barriers and share best practices associated with the implementation of the TES. Serve as the point of contact for Veteran concerns and ensuring swift response to those concerns during independent contact and follow up. TES Navigators will submit consults and add ICD10 diagnoses codes into the health record when appropriate. They may also need to connect Veterans with follow-up care and will solicit assistance from supporting providers when Veteran needs are outside of the TES Navigator's scope of practice. Works with Compensation & Pension Section Chief (Environmental Health Clinical Coordinator) to track and communicate data for follow up needs, reminder resolution and report data to leadership as requested. Complete training in TMS for Military exposures. Serves as a resource person for the medical center staff in Environmental Health. Work Schedule: Monday - Friday, 07:30 AM - 04:00 PM"]

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