The Medicine Service at the Phoenix Veterans Administration Health Care System (PVAHCS), affiliated with the University of Arizona College of Medicine (UACOM), is inviting applications for the position of Chief of the Division of Endocrinology, Diabetes, and Metabolism. Endocrinologists with appropriate leadership, academic, research, and clinical experience will be considered. 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 Internal Medicine 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. Subspecialty fellowship training: The candidate must have completed a 3 year fellowship training in Endocrinology and Metabolism and possess current Board Certification or Board Eligibility in ABIM Endocrinology and Metabolism. 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: Yes ["*Announcement can close prior to closing date if an applicant is selected.* Phoenix VAHCS is in search of our next Section Chief of the Endocrinology. The Section Chief of the Endocrinology reports to the Chief of the Medicine Service. The position has a combination of administrative, clinical, research and educational roles. Administratively, the Section Chief is the primary supervisor of the Endocrinology Section. The Section Chief provides oversight of the physicians, nurse practitioners, and physician assistants with the group. The Section Chief along with the other endocrinologists will provide patient and family teaching, consult, and collaborate with primary care and other specialty health care providers, prescribe medications, and refer patients to other services as needed. Perform endocrine-related diagnostic procedures such as diagnostic ultrasound and ultrasound guided thyroid fine needle biopsy in accordance with training, qualifications, and approved scope of practice. The Section Chief will help to develop and participate in endocrine related research and education programs. Additionally, the Section Chief is responsible for educating fellows in the University of Arizona endocrine training program, as well as medical residents and medical students as a primary teaching site for the University of Arizona College of Medicine-Phoenix, for both the Internal Medicine Residency and Medical School Clerkship. Endocrinologists collaborate with interdisciplinary teams (including Pharmacists, Social Workers, and Nutritionists) to coordinate care for inpatients and outpatients. Duties and responsibilities, but are not limited to: Routine Duties Assesses urgency of patient care needs based on sound clinical principals during face-to-face encounters, and electronic and telephone triage. Assumes accountability for coordination of patient care in endocrinology and well as telephone and virtual (telemedicine) care needs during clinic administrative hours and during on-call rotations for inpatient care. Triages endocrine consultation requests and follows up with administrative assistants to track timely scheduling and completion of endocrine consultation appointments. Plans, evaluates, and implements care for the needs of patients with acute and/or chronic endocrine disease in ambulatory care and inpatient settings. Performs and reports consultations for potential endocrine related problems. This includes screening of and responding to e-consultations per schedule assigned by the Chief of the Endocrine Division. Performs appropriate endocrine-focused physical examination based on age and history. Documenting and assessing endocrine related diseases and formulates the appropriate differential diagnosis. Pursues definitive diagnosis via ordering and expert interpretation of results of diagnostic studies including laboratory tests, ultrasound, nuclear scans, and x-rays. Demonstrates expertise in assessing and documenting effectiveness of endocrine therapies and adjusting regimens to improve outcomes. Learns endocrine ultrasound technique and applies appropriately to medical cases. Diagnoses and formulates approach to endocrine associated pain, especially as related to diabetic neuropathy. Assesses pain management effectiveness, including appropriate attention to the patient's perception and adjusts regimens to improve outcomes. Identifies appropriate pharmacologic and non-pharmacological interventions for endocrine conditions. Prescribes appropriate non-pharmacologic interventions such as nutrition and exercise. Familiar with therapeutic and adverse effects, and prescribes appropriate doses of, pharmacological agents for treatment of endocrine conditions, including insulins, thyroid hormones, bisphosphonates, and others. Initiates and refills prescriptions for all medications including Class II controlled substances and narcotics. Makes appropriate referrals to other health professionals and community agencies as appropriate and collaborates with other health care providers. Prescribes over the counter drugs such as vitamins and supplements as needed and appropriate. Identifies medical and health risks and needs of individual patients and participates in quality assessment and management related to endocrine disease. Perform other delegated tasks not specifically outlines herein upon the direction and under the supervision of the Chief of Medicine. Emergency Duties Cardiopulmonary resuscitation and application of AED (Automated External Defibrillator) Additional Duties - as assigned by Chief, Endocrine Division Perform administrative tasks such as monitoring of access and open encounters. Participates in the following(s): Regular endocrine educational sessions and conferences Endocrine clinical and/or basic science research projects. Service-related committees Work Schedule: Monday - Friday, 8:00am - 4:30pm or department's discretion.\nTelework: No\nVirtual: No"]
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.