ASHHRA Career Center

The South Texas Veterans Health Care System is currently recruiting for a Physician (Clinical Geneticist) at the Audie L. Murphy Memorial Hospital located in San Antonio, TX. A Recruitment/Relocation Incentive may be authorized for a highly qualified candidate. 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. Education: Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Licensure and Registration: 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: Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR Those approved by the American Osteopathic Association (AOA),OR 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. Physical Requirements: See outlined below. English Language Proficiency. Physicians appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Preferred Experience: Medical geneticist training (MD, DO) completed in a graduate medical training program accredited by the Accreditation Council for Graduate Medical Education Board certification (or preparedness) in clinical medical genetics from the American Board of Medical Genetics and Genomics Board certification (or preparedness) in internal medicine from the American Board of Internal Medicine Post-residency experience in evaluating and treating adult patients for genetic disorders especially in connective tissue, cardiac, neurologic, ophthalmologic, gastrointestinal, renal, and hematologic/cancer areas and reproductive concerns Experience with remote video assessment of patients Experience working within the Veterans Health Administration during training or post-training 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: Moderate lifting, 15-44 pounds; Moderate carrying, 15-44 pounds; Reaching above shoulder; Use of fingers; Both hands required; Walking (4-8hrs); Standing (4-8hrs); Both legs required; 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; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid permitted); Mental and emotional stability. ["The Clinical Geneticist will be responsible for the delivery of comprehensive genetic care and completing a broad range of genetic care needs for VA patients. He/she will provide genetic services via multiple modalities, including virtual care; actively participating as a member of a multi-disciplinary health care team; participating in the training of physicians and other health practitioners; coordinating care with other VA clinical services; and serving as the collaborating physician for genetic counselors. Duties and Responsibilities: Makes independent professional decisions and recommendations Participates in the design of service priorities and objectives. Creates a culture of commitment to quality, education, compassion, collaboration, innovation, accountability, integrity, and creative problem-solving. Participates in developing clinical protocols to ensure evidence-based use of genetic services, including germline genetic testing. Responsible for the quality of genetic care delivered, including evaluation of performance for standards of care, clinical effectiveness, compliance with policies, and quality improvement. Uses systems-based methods to achieve optimal care coordination. Serves as the collaborating physician for genetic counselors, including participation in periodic (e.g., weekly) scheduled meetings with genetic counselors; responding to clinical questions from genetic counselors in a timely way outside of scheduled meetings; participating in weekly case conferences, if available; and documenting in the medical record formulated clinical assessments or management plans (e.g., with addenda to genetic counselor notes or co-signing genetic counselor notes), as needed. Actively participates in meetings, conferences, workshops, seminars, and symposia to maintain expertise in clinical genetics to assist with integrating STVHCS and VISN 17 plans and priorities for delivering genetic care. Serves as a member of relevant VA, VISN 17, and STVHCS committees and assumes a subject matter expert role, as requested by STVHCS and VISN 17 leadership. Responsible for the advancement of global understanding of human genetic disorders and Assists with the implementation of new genetic practices. Functions of Scope: The Clinical Geneticist spends most of the time with clinical responsibilities, which include responding to routine and complex genetic consult requests in a timely way and providing care, including genetic diagnosis and risk assessment, genetic counseling, and management for referred patients. Work Schedule: Monday - Friday (8:00 a.m. - 4:30 p.m.) VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized 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"]

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