The Pain Clinic Supervisory Psychiatrist is responsible for the care of patients within the VA Puget Sound Pain Clinic, as well as administrative needs of the Anesthesia/Pain Service Line, identified by the Chief of Anesthesia and/or the Pain Director. The Pain Clinic Supervisor will work to improve Suicide Prevention endeavors and for those with co-occurring psychiatric conditions, as well as and collaborate with other Service Lines, including Mental / Behavioral / Addiction Treatment Center 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. Additional Requirement: Board certified or board eligible in psychiatry Preferred Experience: - Prefer at least 2 years of clinical experience as a psychiatrist after completion of residency or fellowship - Prefer clinical experience with multidisciplinary care, especially working with a Pain Clinic or Opioid Use Disorder population - Prefer experience or interest in suicide prevention/safety work - Prefer holding a current DEA X-waiver, or willingness to obtain one before or within 60 days of hire - Prefer prior experience working in a Veterans Affairs hospital - Prefer administrative/coordination/managerial/supervisory experience; ideally has prior experience supervising staff, leading a project, prior work/educational history involving such skills, and/or other demonstrated administrative/managerial/supervisory success/experience - Research experience is a plus 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: light lifting (under 15lbs); light carrying (under 15lbs); use of fingers; both hands required; walking; standing; both legs required; 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; both eyes required; hearing (aid may be permitted). Environmental Factors: working closely with others; working alone ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): NOT authorized\nEducation Debt Reduction Program (Student Loan Repayment): Yes\nEDRP Authorized: Contact Stacy Hermann @ V20CompensationTeam@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 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. CLINICAL PRACTICE\nThe incumbent is responsible for providing and assisting with the coordination of care for Pain Clinic patients enrolled with Pain Services (including Complementary and Integrative Health modalities), Opioid Safety, and Functional Restoration Programs. The incumbent will provide mental health consultation service locally and regionally for providers working with complex chronic pain care and opioid use disorder. The provider will work collectively with psychologists and other team members to provide mental health assessments, including suicide risk and diagnostic assessments for both acute and chronic mental health conditions and provide intervention/management of Veterans within the pain clinic. The incumbent's clinical duties include, but are not limited to the following:\n1. Completing detailed history and physical exams, as well as health inventories, ordering and interpreting diagnostic studies/assessments.\n2. Performing mental health assessments, including suicide and opioid risk assessments and diagnostic assessments for both acute and chronic mental health conditions.\n3. Performing mental/behavioral crisis evaluation & intervention/management.\n4. Providing safe, evidence-based, guideline-directed, and appropriate treatment, including psychiatric pharmacotherapy, within the VA formulary guidelines, as well as non-pharmacotherapy interventions when appropriate (e.g. psychotherapies).\n5. Providing consultative and liaison services.\n6. Administering treatment planning and coordination with other disciplines.\n7. Performing administrative duties as assigned.\n8. Completing documentation using the VA electronic medical record.\n9. Teaching and counseling patients/families including health promotion and disease prevention.\n10. Teaching and consulting with other staff regarding Mental/Behavioral Health conditions/treatments.\n11. Initiates consults/referrals as appropriate/indicated, including to other specialty care, follows the treatment plan of care, coordinates and discusses plan with other care providers and specialists as needed.\n12. Coordinating admissions for acute mental health conditions requiring hospitalization.\n13. Working as part of a multidisciplinary treatment team within the pain clinic.\n14. Teaching of trainees within the pain clinic.\n15. Providing care management that includes timely, thorough, and efficient documentation & coordination Work Schedule: Monday - Friday; 7:30am - 4pm or 8am - 4:30pm"]
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.