This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more. 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 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. Proficiency in spoken and written English. Preferred Experience: Residency trained in Emergency Medicine or Internal Medicine. Resident teaching experience in the Emergency Medicine setting. Experience with Emergency Department Integration Software and Emergency Medicine Management Tool. 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: Applicants must meet physical standards for the position. A physical examination prior to placement is required. This is a designated drug testing position. After appointment, you will be subject to random testing for illegal drug use. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment or Relocation Incentive (Sign-on Bonus): Authorized\nPermanent Change of Station (Relocation Assistance): Not Authorized\nEducation Debt Reduction Program (Student Loan Repayment): Position Eligible\nEDRP Authorized: Contact Susan.Bringel@va.gov, the EDRP Coordinator for questions/assistance Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory\nCME: Possible $1,000 per year reimbursement (must be full-time with board certification)\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting The Emergency Department Director position is located in our Emergency Department, organizationally aligned under the Primary Care Service, at the VA Central California Healthcare System (VACCHCS), Fresno, CA. VACCHCS provides a full range of patient care services, as well as education and research. Comprehensive health care is provided through primary, secondary, and long-term care in the areas of primary care, specialty medicine, surgery, psychiatry, physical medicine and rehabilitation, neurology, oncology, dentistry, geriatrics, and extended care. VACCHCS is affiliated with the University of California San Francisco (UCSF) Fresno Medical Education Program and provides a rich academic environment including postgraduate medical education training for residents and fellows in specialties and sub- specialties. VACCHCS is looking for a board-certified Emergency Department Director. The candidate will provide a full range of emergency care in the Emergency Department for Veterans at the VACCHCS main hospital in Fresno, CA. Applicants should have completed a residency program approved by the Accreditation Council for Graduate Medical Education or American Osteopathic Association in Internal Medicine or Emergency Medicine. Preferred experience for this position is a candidate who is residency trained and board-certified in Emergency or Internal Medicine and fulfills the qualifications for a faculty appointment at UCSF. In addition, the candidate must have teaching and scholarly experience with residents in the Emergency Medicine setting. Some portion of the candidate's time may be spent providing clinical guidance to nurse practitioners, physician assistants, and/or medical students. DUTIES:\nThe ED Director has overall responsibility and accountability for ensuring implementation of established policies and for providing overall direction in the continuing operation of the service. Other major duties include: Responsible for providing direct patient care. Responsible for operational staffing and employee relations Responsible for programmatic functioning of Emergency Medicine Provides clinical guidance to mid-level providers. Participates in interdisciplinary team activities to achieve optimum interdepartmental cooperation ensuring the quality of patient care is maintained or improved. Participates in the progressive improvement of the service delivery which may include programmatic participation in initiatives within the facility, network and/or national groups. Evaluates the patient to assess changes in the physical and mental status. A progress note is written in the patient's chart. Notes may also include the concurrence with notes written by the resident and attending notes as appropriate. Coordinates with providers in their assigned service line and other service lines within VACCHCS as determined by the plan of care for the veteran. Perform consultations and outpatient evaluations and treatment. Actively participates in compliance readiness activities as requested by Quality Management and the Deputy Chief of Staff. Responsible for ED related performance measures, monitors and compliance with agency regulations, medical bylaws, The Joint Commission standards, and other appropriate regulations. Manages compliance through operational efficiencies including reduction in overtime, increased inpatient workload/throughput, flow, missed opportunity, and accurate documentation minimizing copy and paste. Performs review and oversight of labor mapping and other data analytics. Conducts monthly staff meetings. Work Schedule: Full-time, Flexible shift work to include days and nights; some weekend/holiday coverage required (specifics can be discussed during interview)."]