Physician, Supervisory Musculoskeletal with EDRP
Company
Department of Veterans Affairs - Veterans Health Administration
Location
San Antonio, Texas
Type
Full Time
Job Description
Summary
Supervisory Musculoskeletal Physician - Physical Medicine & Rehabilitation Service (PM&RS)
We are seeking an enthusiastic and highly organized physician leader to serve as the Supervisory Musculoskeletal Physician for PM&RS-an exciting, central role that connects and coordinates care across multiple specialties, including therapy services, orthopedic surgery, PM&RS, medical residency programs, and comprehensive pain management.
Learn more about this agency
Duties
This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until October 20, 2026 or until positions are filled. Eligible applications received will be referred at regular intervals or as additional vacancies occur.
This position is also being announced under announcement number:
Podiatrist: CAZM-12941192-26-NS
VA offers a comprehensive total rewards package. VHA Physician Total Rewards.
Education Debt Reduction Program (Student Loan Repayment): Learn more. See Additional Information
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact [email protected],, the EDRP Coordinator 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
Clinical Model & Responsibilities
Provide high-quality patient care and education using a consultative/triage-focused model, primarily serving Veterans with isolated musculoskeletal complaints and providing in-clinic injections to include corticosteroids, hyaluronic acid, and platelet-rich-plasma under ultrasound guidance.
Continue collaboration with specialty programs for more complex cases:
Outpatient polytrauma for MSK issues with neurologic comorbidities
Comprehensive pain clinic for non-operative patients requiring long-term pain management
Supervise and mentor both PM&RS and orthopedic residents in a dynamic, team-oriented clinic environment.
Work alongside therapy staff who are immediately available to support flexible scheduling, rapid coordination, and efficient patient flow.
Participate in acute inpatient rehabilitation call coverage for our 12-bed inpatient unit (approximately 4-5 weeks per year, evenly distributed across faculty).
Administrative Duties:
Leadership of interdisciplinary team activities.
Reviews orthopedic surgery and/or PM&R consults for medical appropriateness
Participates in peer reviews
Maintains medical licensing and Board certification requirements
Obtains resident supervisory privileges through medical school affiliate
Supervision of (including but not limited to) IPU-assigned Physical and Occupational Therapy staff in collaboration with the Outpatient Therapy Supervisor, PM&RS
Customer service: includes responding to service concerns, completing Patient
Advocate, White House or Congressional complaints
Clinical Duties:
Responds to and completes consults received for the evaluation of PM&R including:
Performs a comprehensive, detailed, targeted, initial history and physical examination in compliance with national guidelines. Utilizes diagnostic point-of-care ultrasound as necessary to refine differential diagnosis and treatment plan.
Orders diagnostic studies such as laboratory tests, X-rays, electromyography (EMG), electrocardiograms (EKGs) and other tests as approved by the supervising PM&R Physician.
Consults other disciplines, as necessary, to complete the patient examination; e.g. Occupational Therapy, Physical Therapy, neuropsychological testing, audiology and speech language pathology testing, vision testing, dental evaluation, psychosocial evaluation, etc.
Carries out health promotion and disease prevention activities including education and shared decision-making.
Writes Medical Orders and prescriptions for non-controlled substances, as necessary, for the care of the patient in accordance with Federal and State law and approval of the supervising PM&R Physician.
Evaluation and treatment of clinical conditions associated with the musculoskeletal system, including specialty care.
Performs corticosteroid, hyaluronic acid, and platelet-rich-plasma injections and other clinic-based procedures as indicated.
Call coverage of inpatient rehabilitation unit.
Documents care provided in the Computerized Patient Record System (CPRS) in accordance with STVHCS requirements.
Documents the detailed, targeted, initial history and physical examination required for evaluation in the electronic tool(s) required by VA.
Provides education and counseling of patients and families in preventive care, medical conditions, and the use of prescribed treatments and drugs.
Non-routine duties:
May be assigned by the Outpatient PM&R Section Chief.
Work Schedule: Monday - Friday, 7:30am - 4:00pm
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.
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.
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.
License: 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:
Board certified in PM&R; Subspecialty certification or fellowship completion in sports or spine medicine.
1 year of prior experience in a fast-paced, high-volume musculoskeletal outpatient practice model.
1 year of prior supervisory experience.
Prior experience in interdisciplinary clinic or program development and management.
1 full year of experience performing ultrasound-guided injections and platelet-rich plasma therapy as an attending physician
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements:
This position may require potentially long periods of continued Light lifting under 15 pounds, Light carrying under 15 pounds, Use of fingers, Both hands required, Walking for 1-2 hours. Specific visual requirement: Corrective lenses okay Both eyes required, Hearing (aid may be permitted), Mental and emotional stability.
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
In this role, you will be the driving force behind a truly collaborative, stepped model of musculoskeletal care. You will help refine and advance an integrated program that spans conservative, therapy-based approaches, PM&RS MSK procedures, and seamless transition to operative management with orthopedic surgeons. This is a unique opportunity to shape a cohesive and patient-centered care pathway that brings multiple departments together around shared goals.
Although physically based within the Department of Orthopedic Surgery, you will work closely with and be programmatically aligned to the PM&RS leadership team-positioning you at the nexus of interdisciplinary MSK care.
This position offers the chance to build, innovate, and lead within an already strong multidisciplinary network. If you enjoy bringing teams together, optimizing systems, and creating a high-functioning, patient-focused MSK program, this role is an exceptional opportunity to make a lasting impact.
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.
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.
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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.
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Date Posted
04/21/2026
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