The Philadelphia VAMC seeks board-certified or board-eligible internal medicine or family practice physicians to provide around the clock coverage to a 15-20 acute medicine bed and general/internal medicine consultation services. The incumbent functions as the Hospitalist on Duty (HOD) and is responsible for provision of care to a cohort of acute care patients for day or night coverage (8 or 12-hour shifts) including weekends and federal holidays. Shifts will generally be rotating 12-hour shifts, seven days a week (Monday-Sunday schedule). The applicant should have experience in the management of medical conditions requiring hospitalization, be competent in performing routine hospital procedures such as lumbar punctures and central line placements, and be committed to in engaging in ongoing process improvement.
The Philadelphia VA Medical Center is closely affiliated with the University of Pennsylvania Medical School and there is an academic or teaching acute medicine service. However, this particular hospitalist position does not oversee or work closely with the medical residents or interns. Generally, the two services operate independently of each other, but the incumbent may need to work with or advise internal medicine house staff that will be caring for patients within the same wards and respond to all hospital emergencies. If there is an interest and qualifications, there could be rotations as a “teaching” attending, 10 to 20% of the time.
Job duties include but are not limited to:
Candidates must have an MD or DO degree and an unrestricted medical license. Successful candidates must be proficient in spoken and written English. Applicants must be US citizens; however, non-citizens may be appointed when it is not possible to recruit qualified citizens. Salary is commensurate with qualifications.
- Daily rounds, physical examination, reviewing progress notes, labs, x-rays, and other chart data and writing progress notes during the day. Daytime or nighttime coverage would provide appropriate charting for any change of status of the patient including updates for change of medication, transfers to other units, and new radiographic findings that change patient management during the "coverage" hours.
- Provide history and physicals or transfer acceptance notes and medical care plans to all patients assigned to the inpatient non-teaching service up to the capacity of the service.
- Provide inpatient medical consultation.
- Coordinate care with the nurse care coordinators, social work service, rehabilitation services, consultation services, interventional services, and outpatient primary care to facilitate excellent quality of patient care, efficiency, and good outpatient follow-up. All patients can be followed within the VA primary care so this enhances good patient care.
- Respond to all medical emergencies in the hospital while on duty and assist or run codes until the emergency response team is on site.
- Provide accurate and helpful sign-outs (or hand-offs) to the next team.
- Complete discharge summaries within 24 hours of discharge as well as communicating discharge to primary care provider.
- Participate in any on-going hospital initiatives as deemed appropriate such as quality improvement initiatives, clinical pathways, etc.
- Oversight of physician extenders will be required, though the extenders work predominantly day shifts.
The Philadelphia VA Medical Center is an Equal Opportunity, Affirmative Action Employer. Women and minority candidates are strongly encouraged to apply. We also provide reasonable accommodations to applicants with disabilities. Competitive salary, excellent Federal benefits include generous vacation time, pension, 401K, and ten Federal holidays.
Interested applicants can apply online: https://www.usajobs.gov/GetJob/ViewDetails/336679400
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Philadelphia VA Medical Center
The New England Journal of Medicine - 20 months ago