This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. 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: American Board of Psychiatry certification or eligibility. Knowledge in the diagnosis, evaluation, and management of patients with psychiatric disorders, their behavioral manifestations. Significant experience in the evaluation and understanding of expertise in general psychiatric disorders. Experience with Substance Use Disorders, PTSD, TBI, pain disorders, and/or forensics psychiatry are desirable. Experience in addiction medicine and addiction psycho-pharmacology are desirable. Knowledge in treating complex dual diagnosis patient populations including development and implementation of individualized substance abuse treatment plans is important. Active DATA-2000 Waiver to prescribe buprenorphine. 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: Applicants must meet physical standards for the position. A physical examination prior to placement is required. This is a designated drug testing position. After appointment, you will be subject to random testing for illegal drug use. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment or Relocation Incentive (Sign-on Bonus): May be authorized Permanent Change of Station (Relocation Assistance): Not authorized Education Debt Reduction Program (Student Loan Repayment): Position eligible Learn more. EDRP Authorized: Contact Susan.Bringel@va.gov, 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 Seeking Domiciliary Attending Psychiatrist with expertise in General Psychiatry with an emphasis in the treatment of Substance Use Disorders (SUD) in residential, outpatient, inpatient, and other medical inpatient and emergency room settings. The incumbent, who also serves as a staff physician, reports directly to the Director of Mental Health Residential Rehabilitation Treatment Programs (MHRRTPs), or designee, who in turn reports directly to the Deputy Chief of Staff for Mental Health, Social Work and Homeless Programs, and is responsible for providing psychiatric services to eligible Veterans through the VA Palo Alto Health Care System (VAPAHCS). Duties include but are not limited to: Clinical: Acts as Attending Psychiatrist for Veterans admitted to the Domiciliary. Performs psychiatric evaluations and risk assessments, and ongoing pharmacological management of all veterans in the Domiciliary for psychiatric and SUD related illnesses. Responsible for compliance with documentation and provision of care in accordance with the VA Palo Alto Physician Bylaws. Responsible for evaluation of patients in residential, outpatient, inpatient, and other medical inpatient and emergency room settings. Acts as supervisor for trainees, including medical students and residents. Provides didactic trainings as appropriate. Actively collaborates with co-Attending Psychiatrists to ensure safe and comprehensive continuity of care. Provides consultation and acts as liaison with nursing staff regarding any appropriate medically supervised withdrawal for Veterans entering the Domiciliary. Demonstrates skills in working collaboratively with a multidisciplinary treatment team and be able to provide specialty consultative knowledge and liaison regarding evidence-based case conceptualizations of psychiatric and SUD related and behavioral issues and collaborates on complex conceptualizations and challenging presentations. Provides advanced client de-escalation, behavioral intervention and motivational enhancement to increase programmatic completion. Provides training to program staff and other health care providers, as needed. Consults with ACT, medicine, inpatient, RRTPs and referrals for advanced case management, pharmacological withdrawal related issues, including expertise regarding psychiatric or medical stabilization and communication with infection control, ER, inpatient team, etc. Administrative: Establishes an environment conducive to accountable, professional practice, treating all employees in a fair, objective manner. Functions collaboratively keeping supervisor and the MHRRTP Director appraised of all critical incidents, the program's changing needs, staff issues/concerns, proposing needed changes in operating procedures and policies for review in consultation with leadership. Remain knowledgeable about current Joint Commission standards, current VHA policies and current VHA clinical practice guidelines and those of other relevant oversight groups and assists with policy and procedure development needed to insure compliance. Serves on Medical Center or Healthcare System, VISN, and/or National VA committees or task forces as needed. Work Schedule: 8:00am - 4:30pm, Monday - Friday"]

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