Physician (Rheumatology)

Overview

Supervisor Physician (Rheumatology) Joint Base San Antonio

Time to invest in some new footwear because if you're San Antonio-bound, you'd better show up in boots ! The Alamo City is one of the military's most envied postings and is often referred to as "Military City USA". Low cost of living, affordable homes, and the lack of state tax on retirement income are a few financial perks to living and retiring in this Texas city. A robust job market that seems partial to government and defense/security contracting ensures employment opportunities for spouses or transitioning service members. San Antonio is the country's seventh fastest growing city yet has somehow managed to retain a "small town feel." Quality schools and friendly locals (most with military ties) are additional perks to living in San Antonio.

Some things you should know before you get here: trucks are the norm (the bigger, the better), love for The Spurs (NBA) runs deep, the H-E-B obsession is real (it's a grocery store), rodeos are life, and don't call it "San Antone"-that's just wrong. The community boasts a vibrant Hispanic population, and enhances everything from the food, to the music, to community events. You don't necessarily need to speak Spanish to get around, but you'd better know how to say barbacoa, tamales, and cascarones.

Name brand shopping (IKEA is the latest arrival of note), restaurants, and all variety of entertainment all add to San Antonio's quality of life. SeaWorld, the San Antonio Zoo, Six Flags Fiesta Texas, and downtown museums are all fun outings for kids and families. Tube or kayak down a river, play or fish in the lakes, or relax by San Antonio's famous downtown River Walk. Museums, art galleries, and historical landmarks- remember The Alamo? -round out San Antonio's cultural offerings. Tex-mex cuisine arguably originated here, and some up and coming culinary trendsetters are making a name for themselves in the Pearl District downtown, alongside several notable breweries.

San Antonio has over 300 days of sunshine with some hot summers, mild winters and pleasant spring and fall seasons. San Antonio is in Bexar County (it's pronounced "BEAR") in south central Texas, and is just south of the gorgeous Hill Country. It's only about two hours from Austin, the beach, or the desert.

Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/

Responsibilities

POSITION DUTIES:

MAJOR DUTIES:

1. Performs as the Chief, SAMMC Rheumatology Service as an executive manager and leader. Primary advisor and rheumatology consultant for the SAMMC Chief, Department of Medicine and SAMMC Army and Air Force Commanders. Propose executive management solutions for rheumatology issues regarding quality patient care, medical evaluation boards, policies, staffing and resources for SAMMC North and South Campuses and in support of the Regional MTFs. Responsible for ensuring mission effectiveness of the clinic in support of the SAMMC mission and the needs of active duty and the community. Communicate directly with Commanders or equivalent from other MTFs, institutions and/or academic dignitaries as needed. Monitors quality of care by rheumatology physicians and determine appropriate credentialing in internal medicine and rheumatology. Provides oversight of the rheumatology staff duty hours, clinic template management, monitoring work performance RVUs and diagnostic coding, compliance with JCAHO, budget and CEEP requests, and awards program. Coordinates with other clinical services including the infusion service as necessary to facilitate patient care, utilization of personnel and resources. Serves on SAMMC executive committees in support of the medical center mission.

2. Provides direct expert patient care to patients in the Rheumatology clinic, and as a Rheumatology consultant for hospitalized patients and as an attending staff on the internal medicine wards in SAMMC. Provides care and clinical supervision for a wide range of patient presentations, ages and conditions including emergent, urgent and nonurgent complaints. Evaluates, examines, diagnoses and treats rheumatology and internal medical disorders for patients in the clinic or admitted to the hospital. Performs appropriate invasive and noninvasive diagnostic and therapeutic procedures acceptable for the specialties of rheumatology and internal medicine. Provides all services identified in the current Model of Clinical Practice for rheumatology as promulgated by specialty societies. Identifies significant and relevant symptoms of presenting rheumatology or internal medicine patients that may be subtle or present with overlapping symptoms due to more complex diagnoses. Orders appropriate laboratory, x-ray, and other diagnostic tests; interprets the medical evidence, incorporating information into an accurate diagnosis or appraisal; institutes proper treatment and patient care. Facilitates patient access to continuing medical care by appropriate referrals to other healthcare providers and operating within the policies and regulations of the hospital. Renders consultative opinions to other physicians and auxiliary health personnel in the areas of expertise. Maintains health and clinical records in accordance with current regulations and standards. Directs the care of rheumatology or internal medicine services for patients to include supervision of fellows, residents, interns, medical students, and other paraprofessionals and administrative personnel when necessary. Responsible for the administration and clinical teaching of all aspects of rheumatology or internal medicine care to residents, interns and other medical personnel while on duty in the clinic or as Attending Staff on the internal medicine ward. Shares on-call duties with the other rheumatology staff for the Rheumatology service throughout the year. Has on-call duties while Attending Staff for 1-month of internal medicine ward each year conforming to the policies of the internal medicine residency program and SAMMC.

3 . As a member of the teaching staff and as Chief, Rheumatology and specialist in internal medicine, participates in the graduate medical education of rheumatology fellows, internal medicine residents, off- service residents, allied health residents, medical students and other medical trainees. Serve as a key faculty for the rheumatology fellowship and the internal medicine residency in direct support of the rheumatology fellowship and internal medicine program directors. Coordinates internal medicine ward staff coverage, internal medicine resident clinic rotations, and completes performance evaluations. Coordinates medical student rotations for USUHS and other medical schools. Facilitates annual lecture series for the internal medicine residency, invited speakers for department of medicine grand rounds and academic fellowship conferences. Meets the scholarly requirements of the rheumatology fellowship and internal medicine residency programs to include bedside teaching, formal lectures, mentoring resident /fellow research and contributing to regional/national presentations and medical publications in Rheumatology or internal medicine. Monitors academic teaching, research and publication productivity of each rheumatology staff member. Will facilitate and maintain academic appointments (professorship) for all rheumatology faculty at the University of Texas Health Science Center at San Antonio and Uniformed Services University of Health Sciences. Position may require occasional travel to affiliated medical training sites, including SAMMC-South/Wilford Hall Medical Center and the University of Texas Health Science Center at San Antonio.

4. Serves as primary supervisor of assigned military and/or civilian/contract rheumatologists and key support staff in the clinic to include one YG-04 Rheumatologist/Program Director, one GS-15 Staff Rheumatologist, four active duty military Rheumatologists, the YH-02 head nurse, and the YB-01 chief administrative assistant providing semi-annual feedback. Establishes work schedules, assigning and prioritizing work, approving/disapproving leave, interviewing and selecting candidates for potential employment, effecting disciplinary measures, supervise medical and nursing care with in service and hospital performance improvement activities. Makes recommendations on improvement of work methods, organizational features and the restructuring of positions to support the rheumatology services and quality patient care, identifies and recommends developmental and training needs of staff for the service or hospital, oversight of supervision of clinical, educational, and teaching of residents/fellows by staff providers, supervise the rheumatology program director with regard to being in compliance with program standards and requirements and providing advice and instruction to employees on technical work and administrative matters. Develops performance plans and rates employees.

Performs other duties as assigned.

Qualifications

Basic Requirements:

US Citizenship required

Board Certified/Eligible

Doctor of Medicine or Doctor of Osteopathy from a school in the United States or Canada approved by a recognized accrediting body in the year of the applicants graduation. [A Doctor of Medicine or equivalent degree from a foreign medical school that provided education and medical knowledge substantially equivalent to accredited schools in the United States may be demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates (ECFMG) (or a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country).

Candidates must have a permanent, full, and unrestricted license to practice medicine in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.