Provider of Internal Medicine and Rheumatology related care for inpatients and ambulatory patients with internal medicine and rheumatological conditions. Will provide comprehensive internal medicine and rheumatological treatments. Responsible for the continuing management of assigned patients in the ambulatory and inpatient setting. This includes evaluation and treatment, coordination of medical care with other subspecialists and members of the multidisciplinary team and appropriate follow up. Rheumatology Staff Physician must maintain an active knowledge of the patient care processes of the Department of Veterans Affairs, the medical center and its clinics. An essential element is active knowledge of the medical records system (CPRS). This shall include using the computerized medical record system for progress notes, orders, and medical record review and completion of such records in a complete and timely manner. Will have knowledge of and abide by Medical Center Bylaws, VHA Rules and Regulations and have a familiarization with existing VA specific clinical guidelines as well as Medical Service rules, regulations and policies. Rheumatology Staff Physician fulfills the requirements for employment and credentials as determined by the VA Caribbean Healthcare System. This will include mandatory and continuing educational requirements and maintaining active licensure in medicine from a state(s) in the US. Also demonstrates continuing effort to keep abreast of new medical developments and medical literature. The responsibility to complete timely medical license renewal, credentials and board certification remains with the physician. The Rheumatologist is responsible for the supervision of assigned residents and medical students. Supervision shall include, but not necessary limited to: review of medical records, patient care, treatment, and consultation requests. There will be an active and dynamic interchange of care in the clinical setting. Will follow all duties designed by the Supervisor and/or Service Chief that could be changed within a reasonable time and within an internal medicine clinical setting being provided appropriate instructions and coordination. Rheumatology Staff Physician duties also include but not limited to: Collaborates with the Medical Service Chief in carrying out the leadership/management responsibilities and operations of the Medical Service which includes caring for hospitalized patients and those in the outpatient clinics, in addition to the administrative duties pertinent to the position. Ensures delivery of high quality patient care in a resource efficient manner. Promotes the development of healthcare professionals through teaching, counseling, mentoring and encouragement of self-assessment among the rotating resident physicians in the inpatient and outpatient settings. Monitors and promotes compliance with VHA regulations, as well as professional and ethical conduct standards. Provides services in the inpatient and outpatient settings so as to support the mission and priorities of the VHA and VA, also providing counsel in defining and accomplishing the health system's mission and goals as they may pertain in the care of patients with rheumatic diseases. Monitors the efficiency of the consulting services by regularly reviewing the appropriate completion of all requested consults Monitors the appropriate scheduling of consults and follow-up visits in a manner that assures optimal use of clinic resources and in accordance to patient characteristics, preferences and established guideline. Evaluates, gathers information and monitors the Rheumatology section specific activities including: Monthly morbidity and mortality reports, Consult management, Open encounters, DSS data and RVU's, utilization and workload, Clinic utilization, Access. Responsible for conscientious use of Fee basis resources based on VA regulations. Assures that all section clinical activities are done within the highest medical ethical and professional standards. Responsible for the appropriate use of VA Caribbean Healthcare System resources with a cost-conscious perspective and following VA regulations. Maintains effective harmonious relationships with other sections within the Medical service and other services within our station. Serves as a member of assigned committees and other working groups with subsequent follow-up of actions and recommendations. Participates in Medical Service's VACHS/VHA initiatives to improve patient care through performance improvement activities, including system redesign projects. Interacts with other services in order to improve the evaluation and care of patients with rheumatic diseases, including ongoing discussions with the Pharmacy service in order to improve the availability of the medications used for the treatment of these diseases and also with the Laboratory service in order to facilitate the laboratory evaluation of patients with rheumatic conditions. Remains privileged as an internist and rheumatologist through the credentialing and privileging processes established by the VHA. Carry out on duty responsibilities as assigned by the Department of Medicine. Work Schedule: Monday through Friday, 8:00 am to 4:30 pm, with rotating tours of duty as needed. Financial Disclosure Report: Not required.
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.