Summary The Mohs surgeon provides medical and surgical treatment of cutaneous malignancies. They will coordinate the care of the patient with other medical specialties. This care will be provided to patients of this region of Ohio and potentially other regions of Ohio. The Mohs surgeon also will provide surgical supervision of dermatology residents. The Mohs surgeon will assist with general dermatology in clinic care only if there are not enough Mohs and surgical cases to occupy their tour. Responsibilities The Mohs surgeon provides medical and surgical treatment of cutaneous malignancies. They will coordinate the care of the patient with other medical specialties. This care will be provided to patients of this region of Ohio and potentially other regions of Ohio. The Mohs surgeon also will provide surgical supervision of dermatology residents. The Mohs surgeon will assist with general dermatology in clinic care only if there are not enough Mohs and surgical cases to occupy their tour. Work Schedule: Part Time VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentive (Sign-on Bonus): May be available for highly qualified candidates Pay: Competitive salary, annual performance bonus, regular salary increases. Education and length of practice are considered through a formal pay-setting process to determine the final compensable salary (Base Pay + Market Pay) 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 Leadership responsibilities: participate in peer review process, participate in staff meetings, effectively communicate both down to staff and up to leadership Human resources: maintain VA training requirements, ensure timely completion of documentation and upkeep of credentials including state license and DEA registration Staff management: participate in the FPPE/OPPE process, adhere to employee health requirements, participate in Clinical Pertinence Reviews (routine medical record reviews) Time/leave management: adhere to tour of duties, submit timely requests for leave in current time management system and for clinic cancellations Clinical management including direct and indirect patient care: open encounter, open consult management, adhere to Cerner documentation rules and requirements, adhere to clinic procedures for patient scheduling and access, ensure staff productivity, oversee relevant performance measures, participate in process improvement Patient care: provide patient care that is compassionate, appropriate, and effective Dermatologic procedures: perform basic dermatologic procedures (cryotherapy, intralesional injection, incision and drainage, excision of benign and malignant skin lesions, biopsy of skin lesions), perform complex dermatologic procedures (excision of malignant lesions using Mohs technique, complex deficit repairs including but not limited to flaps and grafts) Medical knowledge: demonstrate knowledge of and practice up-to date evidence regarding the use of Mohs technique including a command of NCCN guidelines for the medical and surgical treatment of skin cancers and Mohs Appropriate Use Criteria to ensure Mohs technique is only used when necessary and appropriate and to ensure patients receive any necessary preoperative and follow up care (referral for consideration of radiation, imaging, lymph node sampling, etc) Interpersonal and communication skills: demonstrate interpersonal and communication skills that enable establishing and maintaining professional relationships with patients and other members of the health care team Professionalism: demonstrate behaviors that reflect a commitment to continuous professional development, regard for patients and their individual needs, ethical practices, and diversity Resident supervision: foster a welcoming learning environment for residents, provide direct oversight of residents in compliance with trainee supervisions requirements, sign resident documentation in timely fashion 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: Candidate must be board-certified in dermatology by the American Board of Dermatology. A dermatologist with a current certification or recertification is preferred. Candidate must have successfully completed an approved American College of Mohs Surgery Fellowship program and be a Fellow member of the American College of Mohs Surgery. Candidate must have experience in establishing and managing a Mohs surgery laboratory including ensuring maintenance of the VA Mohs lab's certification through the appropriate certifying agencies. Candidate must have experience and be willing to work with other specialties in the management of cutaneous malignancies. Candidate should have experience in the management of cutaneous infections and complications of dermatologic and Mohs surgeries. 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: Eligible applicants must be physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others. Depending on the essential duties of a specific position, usable vision, color vision, hearing or speech may be required. however, in most cases, a specific physical condition or impairment of a specific function may be compensated for by the satisfactory use of a prosthesis or mechanical aid. 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.