Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. 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. Responsibilities Anesthesiology is the practice of medicine dealing with, but not limited to, the provision of insensibility to pain during surgical, obstetric, therapeutic and diagnostic procedures, and the management of patients so affected; the monitoring and restoration of homeostasis in the critically ill, unconscious, injured, or otherwise seriously ill patient; the diagnosis and treatment of acute and chronic painful syndromes, in addition to the comprehensive management of the surgical patients; the clinical management and teaching of cardiac and pulmonary resuscitation; the evaluation of respiratory function and application of respiratory therapy and mechanical ventilation in all its forms; the supervision of both medical and paramedical personnel involved in anesthesia, surgery, respiratory therapy, and critical care; and the conducting of research at the clinical and basic science levels to explain and improve the care of patients; the administrative management of all aspects of hospital operation, medical schools, teaching, resident training, and anesthesiology responsibility; responsibility to administer bed allocation, supervise quality assurance, ensure TJC and other regulatory agency mandates are being met and ensure all relevant documentation related to the perioperative surgical care is reported appropriately. Clinical Responsibilities: Comprehensive perioperative care of the surgical patient. Expertise in the following anesthesia core requirements: assessing, consulting and preparing patients for anesthesia; rendering patients insensible to pain during surgical, therapeutic and diagnostic procedures; monitoring and restoring homeostasis in perioperative and critically ill patients; diagnosing and treating painful syndromes; managing cardiac and pulmonary resuscitation. Communicate effectively orally and in writing with a diverse group of professional staff and management officials. Supervision of CRNA staff, physician residents, mid-level practitioners and medical students in the comprehensive medical management of all patient care. Accurate documentation of care in the medical record. Provide guidance for the APNs on the Perioperative surgical service whose function it is to respond to facility wide Rapid Response Team (RRT) calls. Administration of general anesthesia (inhalation and intravenous) including invasive monitoring. Administration of regional anesthesia including: spinal, epidural, and peripheral nerve blocks. Placement of venous catheters. Placement of central venous catheters. Placement of chest tubes. Placement of arterial catheters and interpretation of arterial pressures and waveforms. Placement of pulmonary artery catheters and interpretation of pressures/wave forms. Diagnostic Echocardiography, including placement of ECHO probe. Airway management including cricothyroidotomy. Bronchoscopy and other routine ICU procedures. Management of ventilator dependent patients and one lung ventilation. Administrative /Program/Evaluation/Outcome Measurement/Research Evaluation and supervision of mid level practitioners. Assisting with creation of policies and standard operating procedures for safe operations of the operating room. Assisting with creation of policies and standard operating procedures for safe operations of the Perioperative Surgical Home. Meet relevant service level and medical center performance measures. Other Significant Responsibilities May serve on Healthcare System, VISN, and/or National VA committees or task forces specifically relating to assessment, and/or intervention issues associated with the Health Promotion and Disease Prevention; Represents Anesthesiology on decision-making committees within the Healthcare System; Actively participates in leadership roles on local, state and/or national professional organizations specific to Anesthesiology, Pain Management and Critical Care. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. EDRP Authorized: Contact VHA.ELRSProgramSupport@va.gov 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: 6:30am-3:00pm 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. 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: Involves considerable amount of standing, walking, stooping, bending, reaching, lifting and turning. 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. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. Financial Disclosure Report: Not required 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.