Physician - PACT - Primary Care (Stockton)

Veterans Health Administration•Stockton, CA

About The Position

The Primary Care Provider is a practicing physician responsible for the overall management of patients enrolled for healthcare services through the Northern California VA Health Care System (NCHCS). The physician coordinates care for an assigned outpatient panel and evaluates and treats acute and chronic health problems in scheduled and unscheduled clinic patients. The role includes administrative tasks associated with clinic operations and work in a team with physicians, nurse practitioners, registered nurses, and support staff. NCHCS uses a fully computerized system for clinical documentation, orders, and consultation requests, so computer skills are essential. The physician documents patient histories, examination findings, diagnoses, care plans, and dispositions; ensures patients understand next steps and receive current medication and appointment lists at close-out; performs procedures within approved privileges; prescribes medications; orders and initially interprets routine tests; communicates results; and initiates consultations and special tests. The physician also screens patients for possible hospitalization, educates patients and families, and may serve as a clinic preceptor for residents. The position is full-time, Monday through Friday, 7:30 a.m. to 4:00 p.m. It requires a medical degree, a current unrestricted U.S. medical license, and qualifying residency training. Preferred qualifications include board certification or eligibility in internal medicine or family medicine, relevant primary care experience, and a DEA license. The physician is administratively and clinically responsible to the Clinic Lead provider (Supervisor); the Chief, Primary Care Services is the Approving Official.

Requirements

Doctor of Medicine or equivalent degree in allopathic or osteopathic medicine from an appropriately approved or accredited institution.
Current, full, and unrestricted license to practice medicine or surgery in a U.S. state, territory, commonwealth, or the District of Columbia.
Completion of qualifying residency training in an accredited core specialty program leading to board-certification eligibility, or an alternative training and independent-practice pathway described in the announcement.
Proficiency in written and spoken English.
U.S. citizenship, except that non-citizens may be appointed when qualified citizens cannot be recruited in accordance with VA policy.
Must pass required pre-employment physical evaluation and complete TB testing and immunization evaluations.
Must participate in the seasonal influenza vaccination program.
Applicants tentatively selected for testing-designated VA employment must undergo pre-appointment urinalysis; refusal results in denial of employment.
May be required to serve a probationary period and complete the announcement's application and onboarding requirements.
Must meet the position's physical standards, including lifting 15–44 pounds, pushing, reaching above shoulder level, use of fingers and both hands, walking and standing, and kneeling; requires rapid simultaneous mental and muscular coordination and depth perception and color discrimination.
Must be able to complete required background/security investigation and provide acceptable identification for employment.

Nice To Haves

Board certified or board eligible in internal medicine or family medicine.
Physician experience in primary care, internal medicine, or family medicine.
Drug Enforcement Administration (DEA) license.

Responsibilities

Coordinate care for an assigned panel of outpatients.
Evaluate and treat acute and chronic health problems for scheduled and unscheduled clinic patients.
Perform patient histories and physical examinations.
Document history, examination findings, diagnosis, definitive care plan, and patient disposition.
Ensure patients are appropriately closed out with clear next steps and receive current medication and appointment lists.
Perform office procedures within approved privileges.
Prescribe medications as appropriate.
Order routine laboratory, radiological, and diagnostic tests and provide initial interpretation of results.
Communicate test results to patients.
Initiate and expedite consultation and special-test requests.
Screen patients to determine whether hospitalization is needed.
Precept residents in the clinic setting when assigned.
Educate patients and families as necessary.
Complete administrative tasks associated with clinic operations.
Work as part of a care team with physicians, nurse practitioners, registered nurses, and support staff.

Benefits

Authorized recruitment incentive (sign-on bonus).
May be eligible for the Education Debt Reduction Program, with awards up to $200,000 subject to eligibility and program approval.
Competitive salary, annual performance bonus, and regular salary increases.
50–55 days of paid time off per year, including annual leave, sick leave, federal holidays, and possible paid CME absence.
Traditional federal pension after five years of vesting and federal 401(k), with VA contributions up to 5%.
Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.
Possible reimbursement of $1,000 per year for CME for full-time physicians with board certification.
Free liability protection with tail coverage.
No physician employment contract and no significant restriction on moonlighting.

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