We are looking for a skilled Physician - Night Float Anesthesiologist at the Hunter Holmes McGuire Hospital in Richmond, Virginia. The staff Anesthesiologist will provide the most effective delivery of anesthetic care throughout the medical center in compliance with Veterans Affairs and Veterans Health Administration Directives and The Joint Commission accreditation standards. 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. Preferred Experience: Board certified anesthesiologist More than 5 years experience preferred. Being comfortable with regional anesthesia is a positive but not required. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. 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. ["The overnight Anesthesiologist's duties include pre-operative patient exam and assessment, intra-operative care utilizing MAC, regional and general anesthesia techniques on ASA class 1 through 6 patients, and post-operative care including ventilator management within recovery area and ICU. The location of services includes all functional areas of the OR, PACU, ICU, ward, and out-of-OR procedural settings such as Electrophysiology, Interventional Radiology, Cath Lab, Gastroenterology, and the Pain Clinic as assigned. The Anesthesiologist may be part of a multidisciplinary critical care team and performs critical care related direct care including airway management and vascular access, and is expected to maintain ACLS certification. The Hunter Holmes McGuire VA Medical Center, located in Richmond, Virginia, is a level 1a 349-bed facility offering primary, secondary, and tertiary health care in medicine, surgery, neurology, rehabilitation medicine, intermediate care, acute and sustaining spinal cord injury, skilled nursing home care, and palliative care. The medical center has four community-based outpatient clinics located in Charlottesville, Fredericksburg, Emporia and Spotsylvania County, Virginia, and a strong and mutually beneficial affiliation with the Medical College of Virginia. Residency programs exist in virtually all general and specialty areas of medicine, rehabilitation, surgery, psychiatry, and dentistry. The medical center is the host site for one of five Polytrauma Rehabilitation Centers in the VA system of care, and a Parkinson's Disease Research, Education and Clinical Center (PADRECC), one of six in the nation. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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 The duties and responsibilities of the Physician - Night Float Anesthesiologist include, but are not limited to the following: The Anesthesiologist is responsible for providing the patient or the patient's representative with an explanation of risks, benefits and alternative treatments of the anesthetic, giving the patient an opportunity to ask questions, and obtaining informed consent of the patient before performing an anesthetic or invasive procedure. The Anesthesiologist evaluates the patient to assess the health status, physical exam, lab values, and vital signs of the patient prior to surgery and uses this information to determine optimization needs. Additional workup will be communicated prior to surgery. Appropriate notes will be written, timed, dated, and signed in the patient's medical record. The Anesthesiologist provides preoperative inpatient and outpatient consultations and Operating Room evaluations. The Anesthesiologist will be skilled in all aspects of intraoperative anesthetic care utilizing MAC, neuraxial, and general anesthesia techniques on ASA class 1 through 6 patients, and will be proficient in peripheral, arterial, and central venous peripheral access. The Anesthesiologist is expected to use the best available procedures and perform them at or above national statistical levels. The Anesthesiologist is responsible for the post-operative care of the surgical patient in the PACU setting including ventilator management, hemodynamic support, and pain management. Duties include on-call coverage as requested by the Chief of Anesthesiology, and the Anesthesiologist is expected to provide appropriate airway management and assist in placement of central venous and arterial lines for critically ill patients throughout the hospital. Manages APS pager at night and on weekends and is expected to provide basic troubleshooting and medical management. Work Schedule: Full time schedule with Night Float rotation every 6-7 weeks"]

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