Harry S Truman VAMC is seeking a Cardiothoracic Surgeon to work in beautiful Columbia, MO!
Columbia is centrally located between St. Louis, Kansas City and the stunning Lake of the Ozarks. Columbia offers a wide variety of recreation options, including biking, jogging or walking on Columbia's beautiful greenbelt. Columbia is a great place to work and live, offering small-town friendliness with big city features!
Full time or part time options will be considered.
Recruitment Incentive (Sign-on Bonus): Available to qualified candidate
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
Work Schedule: Monday - Friday 8:00 a.m. to 4:30 p.m. - some occasions may require work outside of this core schedule as this is a 24/7 hospital facility. Subject to change based on agency needs.
CARDIOTHORACIC (CT) SURGEON DUTIES
- Design and conduct comprehensive examinations, diagnosis, and implementation of treatment plans, admission orders, discharge summaries, ordering special labs, and radiographic studies
- Provide medical education/counseling to patients & their families
- Verify, establish, and ensure that identified pre-operative surgical requirements are met, ensure appropriate arrangements have been established for admission, and coordinate inpatient activities on the floor
- Primarily responsible for admissions and medical care of patients
- Perform bedside procedures including placement of arterial lines, swan-ganz catheters, and central lines, bronchoscopy, changing of tracheostomy tubes, wound care and debridement, thoracentesis, removal of chest tubes, temporary pacing wires, intra-aortic balloon pump, central lines, arterial lines, and drains
- Demonstrate ability to diagnose and treat CT surgery patients seen in consultation with other health care providers
- Promote patient care programs for the CT surgery patients
- Integrates the activities of the CT surgery service with other patient care programs at the facility
- Provides education, teaching, and support to surgical residents and fellows
- Participates in Quality Improvement (QI) projects as deemed necessary by the department, Quality Management (QM), and/or the Chief of Staff
- Participates as a key member of the CT surgery Interdisciplinary Team (IDT) to ensure optimized outcomes for all CT surgery patients
SURGICAL INTENSIVE CARE DUTIES
- Considers factors related to safety, effectiveness, and cost in planning and delivering CT surgical care
- Performs complex CT surgeries and procedures on a high-acuity patient population; manages a broad range of CT surgery practice. This encompasses all areas of general CT surgery
- Evaluates and treats CT surgery emergencies in the emergency department, inpatient wards, ICU, and operating room
- Obtains H&P, and assessment of ongoing patient needs
- Orders and interprets routine laboratory tests, diagnostic studies, and radiographic tests
- Performs diagnostic and stabilization procedures as necessary based on ACLS
- Collaborates with respiratory therapy and nursing for airway management and ventilator weaning
- Writes orders for laboratory work, medications, and treatments in compliance with hospital policies
- Participates in and prepares discharge planning needs for SICU patients through communication with team members, patients, families, and consultants
- Documents relevant laboratory data, study results, patient care, pertinent procedures, and patient updates within notes
- Demonstrates competence with placement and removal of enteral feeding tubes, central venous catheters, arterial lines, swan-ganz catheters, sutures, drains/tubes
- Assists with and performs invasive procedures including central lines, arterial lines, etc
- Collaborates with physicians, nurses, and other members of the health care team using effective communication and interpersonal skills to develop and maintain interdisciplinary teamwork
- Identifies 'at risk' individuals in need of referrals
- Maintains accurate, timely medical records
- Participates in performance measures through documentation and data collection/reporting
- Assists in investigation and documentation of patient issues and concerns
- Identifies individual differences as related to the physiological, cultural, and psychological aspects of maturational development
- Demonstrates ability to multi-task and prioritize patient care needs
John J. Pershing Veterans' Administration Healthcare System is committed to Diversity and Inclusion. Together, we strive to create and maintain a working and learning environment that promotes professional growth and teamwork. We offer an inclusive, equitable, and welcoming environment where we celebrate our individual differences and unite as a team toward a common goal of providing outstanding service to our Nation's Veterans.
- 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), (2) OR 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.
Additional Requirement:
Board eligible/certification in cardiothoracic surgery required
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