Foreign Service Regional Medical Officer
50% or less - An RMO generally spends the majority of his/her career assigned to the Department of State's overseas missions and at times, lives away from family and/or in difficult or isolated conditions. Selected applicants will be notified of an Oral Assessment (OA) requirement in Washington D.C. For the selected applicants, all travel and other expenses incurred in connection with the OA are the sole responsibility of the applicant.
Relocation expenses reimbursed Yes After completing orientation and initial training in Washington, D.C., an RMO usually is assigned to two overseas tours, each two years in length, directed by the Department. After the initial two tours, assignments will be for periods of one to three years overseas or in the United States.
The Bureau of Medical Services (MED) in the Department of State safeguards and promotes the health and well-being of American's diplomatic community, which consists of employees and their accompanying family members who represent United States government agencies abroad. The Department assigns Foreign Service Medical Officers (RMOs), Psychiatrists (RMO/Ps), Medical Providers (MPs), and Medical Laboratory Scientists (RMLS) to selected posts overseas. Many of these posts have significant health risks and local medical care that is inadequate by U.S. standards.Licensure and Board Certification
Applicants must be currently board certified in Family Practice (preferred) or Internal Medicine or Emergency Medicine (accepted) by the American Board of Medical Specialties or Osteopathic Board. American Board certification and re-certification, state medical licensure, and Drug Enforcement Administration (DEA) registration must be maintained for the duration of employment.
Applicants must have a minimum of five (5) years of full time post-residency clinical experience within the past seven (7) years, in providing primary care to adults, children, and infants, with at least 75% of the time involved in direct patient care. Otherwise qualified clinicians who have practiced primarily emergency medicine, hospital based practice or other non-ambulatory settings must demonstrate thorough understanding of primary care practice fundamentals as defined in the next paragraph.
"Primary care” encompasses adult and pediatric diagnosis and treatment of acute illness and management of chronic diseases, routine gynecologic care, prenatal care, adult health maintenance and preventive health care, well child care and immunization management. It embraces the total family unit across the lifespan, including emotional and physical aspects that impact overall well-being. The primary care physician utilizes and coordinates sub-specialty professional consultations when needed.
Knowledge, Skills, and Abilities (KSA)
The Department has conducted extensive job analysis research to determine KSAs and other attributes conducive to successful performance as an RMO. An applicant’s education level, work experience, and other qualifications will be considered as part of the hiring decision-making process based on these KSA criteria.
Applicants must have demonstrated a high degree of clinical and management expertise. The patient population covered is unique because of background and lifestyle as part of a diplomatic community overseas. This population also differs in terms of clinical and administrative needs and the national security concerns inherent in their employment. Previous experience working in an occupational setting and/or in an overseas setting is advantageous.
The candidate must demonstrate the ability to manage administrative aspects of an HU as well as the ability to cope with extraordinary medical crises, often in remote and isolated settings. Education and experience must demonstrate that the applicant can function as a public/community health provider.
The applicant must be a skilled and experienced primary health care practitioner with excellent interpersonal skills. The applicant must be able to function well within a complex organization and have experience working in a high stress environment, and recognize and understand the problems of delivering healthcare to Americans posted in locations where local medical resources are limited or non-existent. The ability to logically and objectively analyze patient problems, and apply sound clinical judgment is required. Experience in providing long distance triage and care via electronic communications such as telephone, telemedicine, radio, and e-mail is preferred.
Applicants must have the capacity to gain the cooperation and confidence of patients, co-workers, supervisors, and subordinates. Individuals must have experience working in a multidisciplinary practice as well as experience in team building, leadership and management. Effective written and oral communication skills are essential, as well as the ability to present medical findings in a clear and concise manner to medical and non-medical personnel. Demonstrated ability to teach or lecture to groups on medical issues is preferred.
Applicants must be able to develop, coordinate, and administer health care delivery programs. These include but are not limited to individual and community health promotion and disease prevention programs to include teaching health topics to both small and large groups. Applicants must provide comprehensive health assessments and medical care to individuals and families across the lifespan.
Applicants must be able to organize and supervise a diverse group of health care providers with varying degrees of expertise, education, and command of English. Applicants must understand the unique cultural differences related to health care delivery in varied countries and address these differences in a positive manner. Applicants must be able to assess, diagnose, and treat infectious diseases.
Applicants must possess a high degree of integrity, decisiveness and fairness in order to equitably apply the regulations and policies of the medical program to all eligible persons.
Knowledge and hands-on familiarity with computer systems are preferred.
Knowledge of infectious diseases, pediatrics, obstetrics, gynecology, women’s health issues, dermatology, otorhinolaryngology, gastroenterology, urology, general surgery, orthopedics, neurology, radiology, psychiatry, nutrition, occupational medicine, epidemiology, vaccines, diagnostic testing, emergency techniques, clinical pharmacology, health-related environmental factors, medical aspects of terrorism, alcoholism and drug abuse, laboratory medicine, food safety and medical quality assurance procedures.
Specific skills in medical history-taking, physical examination, planning of evaluation and treatment, electrocardiography, minor surgery, triage, operating medical equipment, basic computer programs, research techniques, and working with limited resources.
Personal skills in social perceptiveness, oral and written communication, reading comprehension, active listening, critical thinking, active learning, judgment and decision making, complex problem solving, service orientation, teaching supervision, leadership, time management, acclimating to different cultures, collaborating, learning strategies, persuasion, and event and project organizing.
Other attributes include empathetic personality, self-confidence, adaptability, unflappability, creativity, confidentiality, interest in Foreign Service work, loyalty to the U.S., tolerance of non-scheduled work hours and travel, physical endurance, worldwide availability, tolerance of separation from family, and working and living in difficult and/or isolated conditions.
Further desirable attributes include a willingness to deploy to high threat environments to provide care and consultation to USG employees and EFMs, ability to consult with senior leaders, officials, and EFMs with tact. Recognizing the limited role of the physician in a non-medical organizational environment, capability to work effectively with colleagues from other cultures, and ability to create supportive and effective professional relationships in overseas environments.
Essential Physical Requirements
RMOs may need to perform essential functions effectively in environments that pose physical or other occupational challenges. These duties may include:
- Provision of direct patient care that may require heavy lifting, pulling, stooping, bending and twisting in tight and limited spaces.
- Travelling independently to posts utilizing commercial air carriers, military aircraft, or other transportation types that may not offer special access or accommodations.
- Provision of emergency care in any location following an accident, natural disaster, or attack in potentially hostile or physically challenging environments, such as in buildings without elevators or in areas with irregular spaces that require kneeling, bending, stooping, lifting, walking and running over uneven terrain.
- Transportation of self or patients via small aircraft, helicopters, ambulances, or other non-standard modes of transportation with small entrances and high floors, such as high axle armored vehicles.
At the time of application, applicants must possess:
- Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree from a school in the U.S. or Canada that was approved by a recognized U.S. accrediting body in the year of the applicant's graduation.
- MD or DO or equivalent degree from a foreign school that provided educational and medical knowledge equivalent to accredited schools in the U.S. This equivalency may be demonstrated by either permanent certification of the applicant’s school by the Educational Commission for Foreign Medical Graduates (ECFMG) or a Fifth Pathway Certificate.
Subsequent to obtaining a MD or DO degree, a candidate must have completed formal residency training. Qualifying graduate training programs include only those residency programs within the U.S or Canada and which are approved by an accrediting body recognized by the American Medical Association (AMA) or American Osteopathic Association (AOA).
Non-U.S. and non-Canadian medical school graduates: You must submit a copy of medical school transcript(s)with your application. Official or unofficial transcripts may be submitted. Transcripts must include your name, the school’s name, and the degree and date awarded. A transcript missing any of these elements will not pass the minimum qualifications and the candidacy will be ended. Copies of diplomas may not be submitted in lieu of transcripts for education above high school level. Education must be accredited by an accrediting institution recognized by the U.S. Department of Education, http://ope.ed.gov/accreditation and acgme.org,in order to be credited towards qualifications. Education completed in foreign colleges or universities may be used to meet the education requirements if you can show that the foreign education is comparable to that received in an accredited educational institution in the United States. It is your responsibility to provide such evidence when applying. Click on the link for a list of accredited organizations recognized as specializing in interpretation of foreign education credentials. http://www.naces.org/members.htm and www.aice-eval.org/members.
For further information on the evaluation of foreign education, please refer to the Office of Personnel Management and the U.S. Department of Education. The U.S. Department of State neither endorses nor recommends any individual evaluation service.
U.S. Department of Education: http://www.ed.gov
For information on FS Salary, visit https://careers.state.gov/faqs/faqs-wiki/foreign-service-salary-matching-pay-tables-danger-pay-overseas-moving-expenses-and-taxes.
*The Department of State Suitability Review Panel and standards are defined in Chapter 3 of the Foreign Affairs Manual. For more information please visit: https://fam.state.gov/
**For more information about Veteran’s Preference and how it is applied in the FSS Selection Process, please visit: http://careers.state.gov/faqs/faqs-wiki/are-veterans-given-hiring-preference-
No applicant will be considered who has previously been separated from the Foreign Service under sections §607, §608, §610 or §611 of the Foreign Service Act of 1980, as amended, or who resigned or retired in lieu of separation under these provisions. In addition, no applicant will be considered who has previously been separated for failure to receive a career appointment under section §306 of the Foreign Service Act of 1980, as amended, or who resigned or retired in lieu thereof. An FSS separated for failure to receive a career appointment under section 306 may not re-apply to be an FSS in the same skill code, but may apply for another skill code (or to be a Foreign Service Generalist).
Executive Branch agencies are barred by 5 US Code 3303 as amended from accepting or considering prohibited political recommendations and are required to return any prohibited political recommendations to sender. In addition, as mandated by 5 US Code 3110, relatives of federal employees cannot be granted preference in competing for these employment opportunities.
It is the policy of the Federal Government to treat all of its employees with dignity and respect and to provide a workplace that is free from discrimination whether discrimination is based on race, color, religion, sex (including gender identity or pregnancy), national origin, disability, political affiliation, marital status, membership in an employee organization, age, sexual orientation, or other non-merit factors.
The Department of State provides reasonable accommodation to applicants with disabilities. Applicants requiring reasonable accommodations for any part of the application or hiring process should so advise the Department at ReasonableAccommodations@state.gov, within one week of receiving their invitation to the oral assessment. Decisions for granting reasonable accommodations are made on a case-by-case basis.
You will be evaluated for this job based on how well you meet the qualifications above.
Candidates will be evaluated on their total background including experience, education, awards, training, and self-development as it relates to the position. Selection for this position will be made only from among candidates possessing the best qualifications. Part-time work experience will be prorated.
Medical Credentialing and Indemnification
Applicants are subject to a medical credentialing process conducted by the Quality Management Staff of the Bureau of Medical Services. The medical credentialing process includes queries of the National Practitioner Data Bank and Physician Data Profile through the American Medical Association (AMA). Once hired, medical personnel are indemnified for official duties only through the U.S. Federal Tort Claims Act.
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