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Physician - Telecritical Care East Physician Director

USA Government
Kennedy Space Center, FL
Closing date
Jun 11, 2021

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Medical Management
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Job Details

The National TeleCritical Care Program is seeking a well-qualified physician to fill the TeleCritical Care East Physician Director (TCCPD) position located in the TeleCritical Care Program Office.
The person selected for this position can be located at any of the following locations: Orlando Florida, Atlanta Georgia, Baltimore Maryland, Cincinnati Ohio, Cleveland Ohio. This Director will supervise personnel at all of the mentioned facilities.

The TeleCritical Care Physician Director (TCCPD) serves as the subject matter expert for the practice of Tele-Critical Care and is responsible for the clinical operation and function of the regional East TeleCritical Care Program.

Duties and responsibilities include, but are not limited to:

Provides clinical and administrative oversight, direction, and management of the East TeleCritical Care Program
Performs strategic planning, organizational assessment, and program development to maintain and sustain national standards of TeleCritical Care
Develops best practice standards, quality assessment and reporting, quality improvement initiatives, developing, evaluating, and reporting program metrics, and evaluating and monitoring TeleCritical Care physician and program performance
Works closely with the other TCCPD and the National TeleCritical Care Program Directors to coordinate TeleCritical Care operations, management, policy, procedures, and quality management across the National TeleCritical Care program.
Reviews internal TeleCritical Care performance reports and other clinical evaluation metrics to assess program and patient level outcomes. Works directly with National TeleCritical Care data analysts.
Develops, modifies, and or refines best practice standards and quality improvement measures or initiatives for both regional and national TeleCritical Care.
Works closely with TeleCritical Care physicians to optimize scheduling and delivery of medical care.
Responsible for scheduling, OPPE/FPPE, performance pay metrics for VA based physicians, End-of-Year performance assessments, and annual proficiency reports for all TeleCritical Care physicians.
Provides clinical care to patients served by the TeleCritical Care center, including attending in the TeleCritical Care support center to maintain full fluency with the software, equipment, technical issues, primary site staffing models and patterns of utilization of the TeleCritical Care, familiarity with the primary site teaching programs and familiarity with the full cohort of TeleCritical Care physicians and nurses.
Interacts with hospital-based physicians and nurse managers to facilitate professional relationships.
In collaboration with the other TCCPD and TeleCritical Care Program Office, creates and administers performance metrics for TeleCritical Care intensivists.
Ensures staff receives appropriate orientation, in-service instruction, education, and training.

The duties and responsibilities of the TeleCritical Care Intensivist include, but are not limited to:
The medical evaluation, monitoring, and management of patients presenting with critical illness complaints, diseases, and injuries, and in need of critical care management, including high-risk, high-volume and problem-prone procedures, exclusively via telemedicine techniques from remote access.
Accessing the patients medical record and clinical database as needed to permit clinical evaluation, utilization of TeleCritical Care software and audiovisual and written communication technologies, decision making and recommendations or orders and require the ability to perform a history and physical exam, review and interpret the medical record, form a differential diagnosis and clinical plan, make appropriate clinical decisions and provide recommendations, consultation and/or orders.
Diagnosing and treating patients presenting critical illness complaints, diseases, and injuries exclusively via telemedicine techniques from remote access. "Diagnosis" includes, but is not limited to, ordering appropriate lab work; diagnostic tests and procedures; consultation to specialty services; synthesis of clinical data from multiple sources; and assessment of these data and formulation of a differential diagnosis with determination of the most likely cause(s) of the patients condition. "Treatment" includes, but is not limited to, designing a management plan; providing consultation and recommendations; prescribing medications; ordering therapeutic procedures; and providing appropriate follow-up care.
Triage of patients with non-critical illness complaints, diseases, and injuries to appropriate disciplines for diagnosis and treatment.
Remote monitoring and management of devices such as pacemakers, chest tubes, ventilators including complex ventilator management, pulmonary artery catheter, central venous catheters, calibration and operation of hemodynamic recording systems and interpretation of hemodynamic waveforms and data.

The incumbent reports directly to the National TeleCritical Care Program Director/Medical Executive.

Work Schedule: Primarily days but subject to the needs of the service and may involve evenings, nights, and weekends.
Financial Disclosure Report: Not required

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Designated and/or random drug testing required
Selective Service Registration is required for males born after 12/31/1959
You may be required to serve a probationary period
Subject to a background/security investigation
Must be proficient in written and spoken English
Selected applicants will be required to complete an online onboarding process
Must pass pre-employment physical examination


To qualify for this position, applicants must meet all requirements by the closing date of this announcement.

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. , For Foreign education.
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.
Completion of residency training, or its equivalent, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. ,
Proficiency in spoken and written English.
Valid Drivers License
Physical requirements outlined below.

Preferred Experience:

Leadership/supervisory experience.
Must be able to demonstrate he/she has a satisfactory number of critical care inpatient encounters within the last 24 months.
Have a current ACLS certification.
Have completed an accredited and approved training program (fellowship) in critical care medicine or received Critical Care Medicine. (CCM) certification through the ABIM.
At least two years experience leading or significant participation in quality and performance improvement programs in an intensive care or inpatient setting.
Prior Telemedicine experience, especially TeleCritical Care.

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: Per VA Directive and Handbook 5019 - a physical examination will be conducted based on the physical requirements of the position. A physical examination prior to placement is required. Heavy lifting, 45 pounds and over; light carrying, under 15 pounds; reaching above shoulder; use of fingers; both hands required; walking (8 hours); standing (8 hours); ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted); mental and emotional stability; clear speech. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Rigid deadlines and need for high degree of accuracy periodically becomes stressful.


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