Summary This board certified Gastroenterologist will be responsible for the overall medical care of patients with gastroenterological conditions in the outpatient settings at the Aleda E. Lutz VA Medical Center in Saginaw, Michigan. Education and length of practice are considered through a formal pay-setting process to determine the final compensable salary (Base Pay + Market Pay) Recruitment or Relocation Incentive is approved for this position. Responsibilities The Gastroenterologist is to ensure the quality and timeliness of the services provided, customer satisfaction, as well as compliance with the standards of accrediting bodies such as the Joint Commission and the Inspector General's Combined Assessment Program. The Gastroenterologist is to ensure appropriate use of the available resources and will be responsible for the state-of-the-art standards of care in Specialty Service as well as Surgery as well as collaborates with other Services as appropriate. The Gastroenterologist may be asked to complete projects related to his/her area of specialty, expertise, and interests relevant to VA directives and policies. Projects would likely be directly related to his/her training but may occasionally be indirectly related to the practice of gastroenterology, all within the scope of the medical and surgical departments. An example of that would be leading administrative or clinical teams for VA and providing other project leaderships as appropriate. The Gastroenterologist accomplishes health care delivery mission of the Department of Veterans Affairs in general. Services provided are subject to scrutiny by Congressional interests, service organizations, the public and the media. FUNCTIONS The Gastroenterologist is to be a physician, board certified in Gastroenterology, having completed an appropriate residency or fellowship. Certification in Basic Cardiac Life Support and Advanced Cardiac Life Support certification required. The Gastroenterologist will be responsible for the following tasks: - Gastroenterology physicians evaluate, diagnose, treat, and provide consultation to adult patients with diseases and disorder of the gastrointestinal tract, including the esophagus, stomach, small and large intestines, pancreas, gallbladder/biliary system, as well as liver. Ordering and providing interpretation of appropriate diagnostic and therapeutic modalities. Evaluating, diagnosing, and developing management plans for new patients. Performing routine internal medicine procedures including paracentesis and anoscopy. Providing relevant patient education regarding diagnosis and medication management. Privileges also include supervision, teaching, and involvement of medical students, trainees, and residents, in the same setting. - Core gastroenterology procedures include, but are not limited to: Moderate Sedation (providers must maintain active ACLS certification) Flexible sigmoidoscopy Colonoscopy with and without biopsy or polypectomy, dilation without fluoroscopy, control of bleeding EGD, with and without biopsy or polypectomy, dilation without fluoroscopy, control of bleeding EGD with PEG placement Basic enterostomy without fluoroscopy (not single or double balloon) Insertion of esophageal balloon to control variceal bleeding - Act as the consultant for patients referred to him/her for input about the needed gastroenterological care. The Gastroenterologist will routinely follow patients who need regular or intensive follow up in both Specialty and Surgery clinics. - The Gastroenterologist will be responsible for the management of gastroenterological complications. When indicated, the Gastroenterologist will facilitate transfer to a tertiary care center for risk reduction and to promote a safe outcome for the patient. - The Gastroenterologist will be involved teaching CMU Internal Medicine Residents, Family Medicine Residents and Medical Students when rotating at the Aleda E Lutz Medical Center, Saginaw Michigan. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): 15% of salary for non-federal employees. Permanent Change of Station (Relocation Assistance): Relocation assistance may be provided for current federal employees. 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. Work Schedule: Choice of two: 7:30am - 4:00pm or 8:00am - 4:30pm, Monday - Friday 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. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. 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. See below for further clarification on education. 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. Board Certification in Gastroenterology. 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: Reaching, standing, walking, lifting, fingering/hands, talking, hearing, vision (ability to distinguish colors), balancing, bending, kneeling, crouching, pushing, pulling, grasping, feeling, sitting, carrying, tasting & smelling, climbing, crawling. PHYSICAL DEMANDS: - Exerting up to 50 pounds of force occasionally and/or up to 25 pounds of force frequently to move objects. This could include moving objects such as pieces of equipment and assistance in moving clients. Education Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are: Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area. Additional Information This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. Financial Disclosure Report: Not required Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. VA Healthcare System Serving Ohio, Indiana and Michigan (VISN 10) advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.