Physician (Pulmonary Medicine)- Critical Care Nocturnist

Summary The full-time Physician (Pulmonary Medicine), for a Critical Care Nocturnist Physician (Overnight) in the Intensive Care Unit at The Robley Rex VA Medical Center will perform a wide range of critical care procedures independently and competently. Demonstrate proficiency in critical care management, including mechanical ventilation, invasive monitoring, and emergency interventions. Ability to work efficiently and calmly in a fast-paced, high-stress environment. Duties Duties to include: 1. Patient Care: Assessments and Care Planning: Conduct thorough initial assessments of critically ill patients upon admission to the ICU during night shifts. Develop, implement, and evaluate individualized care plans to address the complex medical needs of these patients. Critical Procedures: Perform, interpret, and manage advanced life support procedures including but not limited to intubation, central and arterial line placement, thoracentesis, paracentesis, and emergency dialysis initiation. Monitoring and Maintenance: Oversee the management of mechanically ventilated patients, ensuring appropriate settings and weaning protocols. Utilize invasive hemodynamic monitoring tools to assess and adjust treatment plans for optimal patient outcomes. Emergency Response: Lead and respond to all code blue situations, rapid response activations, and other emergent clinical scenarios in the ICU and throughout the hospital as needed. 2. Medical Management: Collaboration: Work closely with a multidisciplinary team, including but not limited to nurses, respiratory therapists, pharmacists, and consulting specialists, to provide holistic care. Continuity of Care: Facilitate seamless transition of care by conducting thorough handoff reports to daytime critical care teams, ensuring continuity and comprehensive understanding of patient conditions and ongoing treatment plans. Evidence-Based Practice: Stay current with the latest research and advancements in critical care medicine, integrating evidence-based practices into patient care to enhance outcomes and ensure the highest standard of care. 3. Admissions and Procedures: Patient Admissions: Independently manage the admission process for patients presenting to the ICU during night shifts, including timely completion of necessary documentation and initiation of treatment protocols. Some limited admissions to the floor will also be part of the workflow. Clinical Procedures: Assist ICU staff with complex procedures and interventions, providing mentorship and technical expertise to ensure successful outcomes. 4. Resident Support and Education: Performance Feedback: Regularly provide constructive feedback to residents and trainees on their clinical skills, decision-making, and overall Serve as a clinical mentor and supervisor to residents and medical trainees, offering guidance and support in the management of critically ill patients. Educational Activities: Participate in and contribute to formal and informal educational opportunities, including bedside teaching, case discussions, and morbidity and mortality conferences. Performance Feedback: Regularly provide constructive feedback to residents and trainees on their clinical skills, decision-making, and overall performance. 5. Communication: Patient and Family Interaction: Engage in compassionate and clear communication with patients and their families, explaining complex medical conditions, treatment options, and care plans. Provide emotional support and address concerns with empathy and professionalism. Interdisciplinary Communication: Maintain open and effective communication channels with all members of the healthcare team, ensuring that pertinent information is shared in a timely and efficient manner. 6. Documentation: Accurate Record-Keeping: Ensure meticulous and prompt entry of all clinical notes, orders, and patient interactions in the electronic medical record (EMR) system. Compliance: Adhere to all documentation standards required for billing, quality reporting, and regulatory compliance. 7. Quality Improvement: Initiatives and Projects: Actively participate in quality improvement projects aimed at enhancing patient care processes, outcomes, and overall ICU performance. Review and Analysis: Engage in regular morbidity and mortality reviews, root cause analyses, and other quality assurance activities to identify areas for improvement and implement changes as needed. 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 Work Schedule: 7pm-7am, 7 days on, 7 days off, Night Shifts (12-hour shifts) 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. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. 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). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement. 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: 5 Yrs Experience Preferred Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service 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. 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. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act. Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.