Summary This is a Chief of Emergency section position at Fayetteville NC VA Coastal Health Care System Responsibilities VA offers a comprehensive total rewards package. VHA Physician Total Rewards. The Service Chief of Emergency Department provides administrative, clinical, and programmatic leadership for the Emergency Department Service Line to ensure achievement of the clinical, research, and education goals. The incumbent reports to the Chief of Staff and serves as a key clinical resource for the Medical Center Director and the Chief of Staff. Major Duties and Responsibilities to include but not be limited to: Administrative Duties: Provides administrative, clinical, and programmatic leadership. Ensure achievement of the clinical, research, and education goals. Reports to the Chief of Staff and serves as a key clinical resource for the Medical Center Director and the Chief of Staff. Hands on clinical work, oversight, and administration of all aspects of the service, including extensive research program and guidance and training for residents and other trainees. Bases planning on patient and staff feedback and projected needs. Directs the continuous measurement and improvement of the quality of care provided by the service. Ensures the services ability to meet standard issued by various accrediting and regulatory groups and VACO. Encourages and supports research and education missions. Facilitates translation of research findings into improved patient outcomes. Responsible for the financial management of the service, including budget planning and management. Collaborates with other service chiefs in the development and execution of the overall Medical Center strategic and business plan. Demonstrates commitment to the Medical Centers goals. Develops an interdisciplinary team of innovative, highly motivated individuals who are continuously striving for excellence in patient care and customer service. Assuming appropriate action in such matters as promotions, selections, rewards and recognition, training, and problem resolution as these actions relate to the service. Effectively communicates with service employees, patients and their families, employees from other services, stake holders, the triad, and VISN and VACO staff when required. Other duties assigned Clinical Duties: Medical/Clinical Knowledge: Functions as an expert consultant in health promotion and disease prevention and uses advanced clinical knowledge/judgment to plan, implement, coordinate, and evaluate programs to promote healthy behaviors among employees. When coordinating employee health education programs, takes into consideration the age and developmental needs of employees. Clinical Judgment: He/she must ensure practice-based learning and improvement, practitioners are expected to be able to use scientific evidence and methods to investigate, evaluate, and improve patient care. Interpersonal and Communication Skills: He/she is expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of the health care team. Professionalism: He/she is expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, and understanding and sensitivity to diversity, and a responsible attitude toward their patients, their profession. Systems-Based Practice: He/she is expected to demonstrate both an understanding of the @contexts and systems in which health care is provided, and the ability to apply this knowledge to improve optimizing health care. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact Monique.Head@va.gov, 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 Work Schedule: Mon-Fri 0800-1630 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. Leadership/Manager Positions. Physician leadership and manager positions may be facility chiefs of staff, directors (i.e., medical center and Veterans Integrated Service Network (VISN)); selected positions in VHA Central Office; and service chiefs or service line managers. Positions are approved for these levels based on the scope and complexity of the assignment and the level of responsibility. (1) Chief of Staff. A facility chief of staff must serve on a full-time basis [ ]. The chief of staff develops and maintains currently accepted management practices throughout the clinical services. The chief of staff develops and presents the budgetary requirements of the clinical services and assists in the formulation of the annual budget program. The chief of staff is fully responsible to the medical center director for programs of patient care and for the educational and research activities of the clinical services. To carry out these responsibilities, the chief of staff: (a) Formulates and recommends plans for a comprehensive program of medical care, (b) Develops the requirements of staff, facilities, equipment and supplies needed to support an integrated program, utilizing necessary reviews and controls, and (c) Appraises the effectiveness of the various medical programs in meeting the needs of patient care. Preferred Experience: Emergency Medicine experience, experience with multiple specialties, inpatient Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The work is primarily sedentary. It may require some lifting (10-20 lbs.) occasionally. Reaching above shoulder; Frequent keyboarding (4-7 hours per day); Sitting (4-7 hours per day); Walking up to 6 hours per day); Standing (up to 8 hours per day); Infrequent climbing/descending of stairs; Some bending; Ability for rapid mental and muscular coordination simultaneously; Correctable near sighted and far-sighted vision; Hearing (Aid permitted). The work may be performed primarily in a well-lit and temperature controlled office environment. With patients who may suffer with mental illness, there is occasional risk of violence requiring the use of good judgment and safety precautions. 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. 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. Additional Duties: The Chief of the Emergency Medicine Service must be able to perform all services required in the practice of Emergency Medicine in the @context of the VA system (the spectrum of patient illnesses typically seen in the Medical Center) and document appropriately in the electronic record. Educational experiences are also provided to appropriate health care personnel who are involved in ED care (e.g. admitting or consultative service team members such as fellows, residents, medical students, social work interns/staff, physician assistant and nursing students, Utilization management personnel, and Emergency Medical Services staff). Major duties include: Application of accepted protocols for assessment of individual patients presenting with various medical conditions according to accepted community and VA standards (pneumonia, Acute Chest Pain Syndrome, Congestive Heart Failure, abdominal pain, delirium, intoxications, Respiratory Failure, Minor Trauma, Acute Mental Health issues, etc). Assessment may include gathering verbal and documented history, physical and mental status examination and medical, radiology, and laboratory evaluation. Diagnostic and therapeutic description or formulation to guide appropriate acute and secondary treatment interventions. Provision of medical care according to his/her privileges. Arranging for appropriate follow-up care for those patients who are discharged from the Emergency Department. Representing the Emergency Department at all applicable hospital administrative and patient care meetings to include, but not limited to: UM Committee, Systems Redesign, Medicine Service Section Chief meetings, ED huddles, RPIWs related to the ED, Cardiology Performance Improvement Workgroup, Peer Review Committee, and participating in the VA EMFAC (Emergency Medicine Field Advisory Committee).Meeting with all providers in the Emergency Department regularly to review protocols, procedures, expectations for transported/transferred patients, including minor trauma victims. Monitoring established VA/VISN/Joint Commission, etc, performance measures and identified goals for the Emergency Department (e.g. physician report card), and provide providers with group and individual feedback on how to improve and/or sustain achieved success in such metrics/measures, including faculty development programs where applicable. 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.
