Psychiatrists at the Salem VAMC are first and foremost, professional physicians, and as such are tied to very high standards of ethics and professionalism. We are expected to deliver high quality patient care that is timely, patient-centered, recovery oriented as appropriate, and based on the best available research evidence and practice guidelines. This also is added to by one's clinical judgment and experience when the evidence does not answer the complex clinical questions with which we are faced.
We are also all expected to follow the ethical standards of the VA and our licensing bodies.
We are a teaching institution, so supervising students and residents are a potential advantage of this position. Research and publication are encouraged, but not required. We also have a responsibility to do timely student and resident evaluations. Attendance at grand rounds and/or case conferences is strongly encouraged. We should all be present at expected lectures on time, also, unless there are urgent/emergent clinical duties that delay us. We are also expected to keep up with the current literature in our field.
Whenever clinical work is done, it is expected that we appropriately document that clinical work in a progress note and do an accompanying encounter to allow us to have adequate funding for patient care. We are also now required to have an assigned mental health treatment coordinator for all patients.
We are expected to attend to administrative requirements, such as staff meetings, reading of e-mails, timely completion of discharges (within 48 hours, but usually prior to discharge), daily completion of notes, daily review to make sure all encounters are done for the day, and at a minimum of two peer chart reviews per quarter. We are expected to attend to the required performance measures, including timely completion of all applicable reminders.
Duties The position involves assessing and treating substance use disorder residential patients and outpatients with psychopharmacology and psychotherapy.
On call is mostly from home with the exception of occasional weekend or holiday coverage with in-house PA or resident covering the in-house duties after morning rounds. We are expected to discuss with the resident or physician assistant on call all patients who come to the emergency room, all new admissions, and all problematic situations on the ward. We are expected to make clinical judgments when on call, teach the resident, and make sure appropriate clinical care is being done. On weekends, the attending is expected to do an attending admission note on all new patients and to make sure all patients on acute psychiatry have a clinical note in addition to an encounter. These notes may be fairly divided with the resident(s), but the attending is also supervising the resident notes. The chief of the service is also available for administrative emergencies or clinical emergencies and unexpected adverse events. When on call, check the admission log for new admissions to make sure all such patients have appropriate attending notes and initial H&Ps.
VA offers a comprehensive total rewards package. VHA Physician Total Rewards .Recruitment Incentive (Sign-on Bonus):
$30,000 with a 2 year service agreement (For Highly Qualified Candidates) Education Debt Reduction Program (Student Loan Repayment):
Learn more . EDRP Authorized:
Contact Nicholas Camilletti at Nicholas.Camilletti@va.gov, the EDRP Coordinator for questions/assistancePay:
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 moonlightingWork Schedule: 7:45am to 4:30pm RequirementsConditions 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.
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:
Additional Requirement: Residency must be completed and licensed
- 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.
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:
Must be able to pass a physical. 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.