Physician (Regular Ft) - Primary Care Mental Health Integration (PCMHI)
Veterans Affairs, Veterans Health Administration
Location: Fort Belvoir, Virginia, Virginia
Internal Number: 775790200
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. 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: Must pass a pre-employment physical examination as required by VA Handbook 5019. This examination is administered by VA Occupational Health. This position requires: light to moderate lifting (15 - 44 lbs.); light carrying (15 lbs. and under); reaching above shoulder; use of fingers; both hands required; walking (up to 2 hours); standing (up to 2 hours); kneeling (up to 1 hour); ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16"; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted); emotional stability; mental stability; working closely with others; and working alone. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Education Debt Reduction Program (Student Loan Repayment): Authorized EDRP Authorized: Contact firstname.lastname@example.org, the EDRP Coordinator for questions/assistance Learn more. 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 General Description of Assigned Duties The PCMHI psychiatrist functions as a consultant supporting Primary Care Providers (PCPs) and other PACT colleagues to address the behavioral health and health behavior needs of the primary care population. The PCMHI Psychiatrist provides consultative support and recommendations to PCPs regarding psychiatric medications or initiates treatment, as needed, and ensures adequate response consistent with the PACT treatment plan. Functions: The PCMHI psychiatrist possesses a broad base of knowledge, skills, and abilities to address the team based care of a wide variety of behavioral health and health behavior presentations. Duties of the PCMHI psychiatrist include (but are not limited to) the following: PCMHI Clinical Practice Management: - Collaborates with PCPs and the interdisciplinary PACT to support high quality, effective, and coordinated service delivery at the patient and programmatic levels - Maintains daily open access slots and encourages same day warm handoffs within PACT - Completes most individual appointments (e.g., 75%) within 30 minutes - Utilizes Measurement Based Care (MBC) in accordance with nationally recommended guidelines for PCMHI - Conducts brief (e.g., 30 minutes or less), functionally-oriented, psychiatric assessments that are targeted to the main reason(s) for referral and less extensive than traditional psychiatric evaluations (consistent with 2014 VHA Memorandum) - Supports Stepped-Care principles to facilitate \"on-time, on target\" services to Veterans, matching the intensity of services with the level of clinical need - Refers Veterans with more severe or complex needs to the appropriate general or specialty mental health program, providing liaison services and/or time-limited care to bridge transitions, if required Consultation and Interdisciplinary Team-Based Skills: - Through ongoing consultation, education, and co-management, builds capacity of PACT and PCPs to effectively address mental health needs that can be managed as part of routine primary care, including emphasis on prevention, early identification, and early treatment efforts - Provides clinical oversight and consultation as a required component of PCMHI Collaborative Care Management (CoCM), dedicating appropriate time each week (one to three hours per care manager) for case discussion, panel review/monitoring, and recommendations for collaborative management with the PCP (e.g., needed laboratory testing, medication adjustment, referral, behavioral intervention, etc.) - Maintains readiness to assist with urgent/emergent situations that may develop within PCMHI CoCM or other PACT workflow - Tolerates interruptions, demonstrates flexibility and adaptability, and maintains availability for ad hoc team discussion, curbside consults, or warm hand offs, as needed - Engages in PACT huddles and meetings to cultivate optimal team functioning and serve as a subject matter expert for psychiatric considerations, biological bases of behavior, and the interplay of mental and medical conditions Administration: - Serves on Medical Center or Healthcare System, VISN, and/or National VA committees or task forces, as endorsed by supervisors Academic/Teaching/Training: - In academically affiliated settings, supervises psychiatric residents or other allied healthcare students in accordance with training program policies and accrediting agency requirements Research/Program Evaluation: - Participates in scholarly activities, including program evaluation, quality improvement, and/or officially approved research, particularly related to the optimal functioning of integrated care Work Schedule: Monday - Friday 8 am - 4;30 pm Eastern Standard Time"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. At VA Long Beach Healthcare System, our health care teams are deeply experienced and guided by the needs of Veterans, their families, and caregivers. Our medical center provides primary care and specialty health services, including cardiology, mental health care, treatment for spinal cord injuries and disorders, suicide prevention, women’s health services, and more.