Physician (MD/DO)- Medicine Gastroenterology (GI)- Without Compensation

Department of Veterans Affairs

The Medicine Service provides care in multiple settings: inpatient medicine units, intensive care units (ICUs), outpatient primary care and specialty clinics, and the Emergency Department (ED). GI physicians assigned to the GI consult service provide acute evaluation and care for inpatients on the wards, in the ICUs, and in the ED. GI physicians assigned to the outpatient specialty GI clinic provide evaluation, consultation, and direct care for outpatients in that setting.

• Duties and responsibilities include but are not limited to: Ultimately responsible for the oversight of all aspects of GI care delivered to their assigned patients. Provide care to patients and/or assist fellows, residents, medical students, and nurse practitioners in the proper evaluation and treatment of the patient, as well as actively participate in corrective actions when complications occur related to indicated GI interventions/procedures. Directly assess hospitalized ward and ICU patients for changes in GI system conditions. A history and physical note, with the appropriate level of detail, will be entered into the electronic medical record along with an appropriate assessment and treatment plan for acute and ongoing care as well as when the time comes for discharge/discharge planning, and all should occur within 24 hours of patient contact. A progress note is written in the patient's EMR daily and within 24 hours of patient contact. Notes also may include concurrence with notes written by fellows, residents, or students supervised by the appropriate GI attending physician. Assess (in a timely manner) and recommend treatment for medicine ward patients they are consulted to evaluate for various GI disease states. The assessment and treatment recommendations should be clearly communicated to the consulting inpatient physician/team in both direct verbal and written (via the electronic medical record) manner, in the appropriate level of detail for the question at hand. Assess (in a timely manner) and recommend treatment for primary care patients that are referred to them in specialty clinic setting regarding various GI conditions/disease states. The assessment and treatment recommendations should be clearly communicated to the consulting physician/practitioner in either e-Consult or CPRS note template format. Maintain all VA-mandated certifications, including BLS, ACLS, airway management (as part of conscious sedation protocol), and complete all required TMS modules and other mandatory VA training requirements per hospital regulations. They will also code encounters/notes as required by the coding and billing office, and comply with efforts to close all open encounters. Physicians with research 8ths and/or VA grants will be expected to follow all VA policies and procedures related to research, have all studies opened at the RLR VAMC, and conduct their research on VA property while on VA time. They are required to strictly adhere to MOU time requirements when they are part-time VA employed physician researchers. During scheduled tour hours, staff GI physicians shall be available for all urgent assessments and interventions as part of the inpatient care team. Evening and/or night call may be required as determined by service needs. Participate in various hospital committees, Medicine Service and hospital in-service programs, and education programs of the medicine service and hospital. They are also involved in continuous quality improvement through the VA peer review process. Shall be responsible for graduate and undergraduate medical education and scientific research, as their credentials and privileges allow. Licensure: 1 full and unrestricted license from any US State or territory Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: Intermittent- without compensation. After hours and weekend call, hours will fluctuate based on needs of medical center.

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