The Clinical Resource Hub Dermatologist is a VISN based position located in VISN 9, under the supervision of the Specialty Care Services Section Chief or the VISN 9 CRH Director. Staff are expected to provide interprofessional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand. This announcement will be open until filled and will be reviewed routinely when asked to review by the selecting official. Primary duties are to provide Dermatology consultative and continuity care services at underserved or understaffed VISN facilities through a combination of virtual and in-person care. Dermatologists are responsible for the oversight of all aspects of dermatology medical care delivered to patients under their care including, where appropriate, Dermatology procedures, though available procedures are limited via telemedicine. They may directly provide or supervise fellows, residents, students and/or mid-level providers in the evaluation and treatment of both inpatients and outpatients. Dermatologists evaluate the patient to assess changes in the physical status during inpatient or outpatient care via in-person exams or telemedicine care. Documentation of every encounter will be entered into the electronic medical record, with the appropriate level of detail, with an assessment and plan for ongoing care. Any notes written by the fellow, resident, student or midlevel provider under Dermatology supervision are reviewed by the staff Dermatologist, with corrections and additions added in an attending note, as appropriate and in a manner consistent with the VA guidelines for trainee supervision. Dermatologists are appropriately credentialed and privileged. They participate in various Clinical Resource Hub committees, in-service programs, and education programs. They are also involved in continuous quality improvement and the VA peer review process. The incumbent works as part of a virtual and in-person team, together with patient site care team members, to provide Dermatology consultative care to Veterans. Clinical Video Telehealth (CVT) is a primary modality for treatment, though this position may require occasional travel to VISN medical centers or Community Based Outreach Clinics (CBOC). MAJOR DUTIES AND RESPONSIBILITIES Physician is licensed to practice medicine and authorized by credentialing, training, and/or experience to provide Dermatology consultative services to CRH Spoke sites. Physician will provide specialty Dermatology consultation and treatment, seeing patients referred to the CRH in an outpatient telehealth setting and supporting CRH clinicians and clinicians at CRH Spoke sites. The practice emphasizes evidence-based medicine, the use of computerized medical record system and continuous quality improvement based on individualized provider data. The physician may sometimes need to work alone but can request assistance from other medical staff (including other CRH telehealth staff, as well as staff in the Emergency Room or inpatient service at the nearest VA medical center when needed). Special training will be provided to utilize CVT technology. Interpersonal relationships: works effectively with patients, families, co-workers and other health care professionals. At the request of authorized personnel, responds to emergencies or covers other CRH services. Physicians comply with information security policy and procedures and all documentation on coding. Documents medical advice to patients by telephone as appropriate and in accordance with the VASNHCS protocol. Performs necessary administrative duties which include operation of VISTA and the computerized electronic patient record (CPRS), and meets established timelines for completion of documentation and encounter completion. There is minimal administrative work, but the physician will be required to attend staff meetings, team meetings, some committee meetings, and complete some peer review evaluations. Time will be provided outside of assigned shifts to complete this work. The CRH Dermatology Physician may perform other duties as assigned. Work Schedule: Monday- Friday 8:00AM to 4:30PM. Financial Disclosure Report: Not required
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.
