Physician (Anesthesiologist, Critical Care)

Employer
Department of Veterans Affairs
Location
Las Vegas, Nevada
Posted
Mar 22, 2021
Closes
Mar 22, 2022
Ref
2080032
Specialty
Anesthesiology
Hours
Full Time
Position Type
Permanent
Responsibilities
The anesthesiologist is responsible for a patient's life functions as the surgeon and other members of the medical team operate. Intraoperatively, an anesthesiologist carefully monitors the patient's vital signs including heart rate and rhythm, blood pressure, oxygenation, and level of consciousness, and adjusts anesthetics as needed. The anesthesiologist administers anesthesia. During the middle phase, as the surgery actually takes place, the anesthesiologist uses sophisticated electronic equipment to carefully monitor the patient's vital signs, including heart rate and rhythm, blood pressure, breathing, and brain and kidney functions. As the surgical procedure progresses, the anesthesiologist may have to adjust the patient's anesthesia to compensate for changes in the patient's physical state.

Functions: To perform at a minimum 90% of his/her time in a clinical role 10% in administrative and educational role
Practice:
* Expected to function as a cooperative and collegial team member with the entire Anesthesia department.
* Participates in the development, implementation and maintenance of a systematic assessment of clinical, administrative and research practices in support of critical care.
* Reviews medical charts of patients identified Peer Review; discuss cases/medical charts with physicians when needed/required.
* Promotes quality in clinical practice by collaborating with Providers, Clinical Programs,
* Interdisciplinary Treatment Teams, Care Lines/Services and/or committees.
* Ensures that initial and ongoing assessments of patients to identify needs, issues, resources and care goals are provided, in a timely manner.
* Ensures that care-related goals (both short and long term) and patient outcomes are identified by the requesting provider, patient, and family/significant other.
* Analyzes and evaluates the clinical contents of medical records and associated documents, in terms of the quality and appropriateness of clinical care issues, such as adherence to, or deviation from accepted referral/consultation guidelines, standards and/or procedures.
* Makes determinations of medical necessity and documents approval or denial of referral/consultation requests for Anesthesia care with supporting data and rationale in the electronic medical record.
* Complete and sign all required documentation H&P, Anesthesia records, Discharge Summary, Encounters, and progress notes within the 24 hour requirement.
* Adheres to Provider Order Entry (POE). Timely documentation as a basic component of evaluation for all clinicians. Clinicians supervising residents ensure proper documentation occurs and counter signs in timely manner.
* Monitors specific clinical activities for compliance with VA policies, assuring that findings are utilized to modify and/or improve their performance and to facilitate the accomplishments of their goals and objectives.
Administration:
* Participates in assessing learning needs of unit/clinical program staff related to Critical Care
* Performs staff support work in short and long-range planning efforts.
* Identifies, prepares and presents clear, precise summaries of case management activities, including their significance and implications for patient care and/or family/community relations.
* Examines services and recommends
Education:
* Promotes patient independence and achievement of optimal health through appropriate patient education and community referrals
* Participates fully in educational development through staff meetings and assumes responsibility for professional development by attending relevant training and professional education, and by maintaining current competencies and licensure.
* Incumbent is expected to attend the regular Medical Staff meetings and Surgical Care Line Council and M&M.
* Teaching is considered a major duty of a VA staff Anesthesiologist. This pertains to colleagues, residents, medical and nursing students, nursing and other ancillary staff

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.
* Designated and/or random drug testing required
* Selective Service Registration is required for males born after 12/31/1959
* You may be required to serve a probationary period
* Subject to a background/security investigation
* Must be proficient in written and spoken English
* Selected applicants will be required to complete an online onboarding process
* Must pass pre-employment physical examination 

Qualifications
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

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.
* Completion of residency training, or its equivalent, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification.
* Proficiency in spoken and written English.
* Physical requirements outlined below.
* Successful completion of a residency program in anesthesiology approved by the Accrediting Council of Graduate Medical Education during which at least 3 years were devoted to anesthesia.

Preferred Experience: Board certification or eligibility.

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: 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. Education
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here:http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit:http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Benefits

A career with the U.S. Government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.

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