Physician - Emergency Medicine

Summary The Marion VA Medical Center is seeking a full-time Emergency Medicine Physician to join Specialty Service If you would like to explore this opportunity further, please email Physician/Provider Recruiter (PPR) for additional information. Responsibilities VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Duties include but are not limited to: Perform a medical screening examination to determine the presence of an emergency medical condition, treating and stabilizing all patients who come to the emergency department consistent with EMTALA/COBRA requirements Order, interpret, and apply diagnostic laboratory and imaging results into real-time clinical decision-making necessary to complete the ED evaluation Prescribe and administer therapeutics, devices, and procedures within licensure and privileging. Provide resuscitation and life-saving interventions to stabilize critically ill or injured patients Determine patient disposition efficiently and safely, including admission, transfer, referral to specialty clinics, or discharge with appropriate follow up and return instructions. Coordinate care and consult specialty services when an acute condition needs higher-level evaluation or co-management, with timely escalation per on call expectations. Provide clear communication of the diagnosis, results, and treatment plan to the patient and/or family/caregiver, following applicable EMTALA/COBRA screening and stabilization principles before transfer. Document all encounters contemporaneously in EDIS and the VA electronic health record (CPRS) per policy, ensuring accurate, complete, and legible records. Perform ED procedures as privileged, including but not limited to: basic and advanced airway management, rapid sequence intubation, mechanical ventilation management in conjunction with a respiratory therapist, moderate sedation, EKG interpretation, CPR, cardioversion/defibrillation, central venous access, intraosseous access, NGT placement, gastric lavage, emergency cricothyrotomy /tracheostomy, non-elective chest tube placement, immobilization and / or reduction of fractures, reduction and or stabilization of dislocations, laceration repair, abscess I&D, measuring intra-ocular pressure using a tonopen, anterior /posterior nasal packing, pelvic examination, and urinary catheterization. Promote continuity of care through direct SBAR communication with inpatient teams, consultants, EMS, nursing, and other interprofessional staff to ensure safe handoffs and transitions. Participate in Quality Assurance, peer review, chart review, performance improvement, and committee work; support ED performance measures and process optimization. Support safety, occupational health, infection control, and fire protection programs by applying approved standards, regulations, and work methods. Maintain compliance with EMTALA/COBRA principles regarding timely medical screening examination, stabilization, on call engagement, transfers, and documentation. Complete accurate, timely documentation for all encounters in EDIS/CPRS; ensure coding and clinical narratives meet policy standards. Perform medication reconciliation for all patients at disposition to prevent adverse events and ensure continuity. Disposition patients in a timely, organized manner to reduce ED length of stay while ensuring safety, completeness of evaluation, and appropriate follow-up instructions. Escalate and collaborate to resolve barriers to admission, transfer, or specialty evaluation in accordance with policy. Utilize a fully computerized environment; maintain proficiency in EDIS and CPRS workflows and clinical decision support tools. Other than emergency orders, physicians and nurse practitioner will enter all orders in CPRS Assist with pandemic, emergency, disaster, and mass casualty response planning and execution in coordination with facility incident command and EMS partners. Participate in staff meetings, morbidity and mortality conferences, mandatory trainings, and peer review activities, with non-clinical on duty time allotted per local policy. Work Schedule: Work variable 8-12-hour shifts including nights, weekends, holidays, and weekdays. Participate with the ED on-call coverage schedule for unscheduled open shifts. 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 Requirements Conditions of Employment U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the

Created: 2025-12-04