• Physician (Emergency Department)

    Job Locations US-CA-San Diego
    Posted Date 4 months ago(7/5/2019 6:22 PM)
    Job ID
    2019-1365
    Category
    Medical - Physicians
    Overseas Travel Required
    No
    Security Level
    Background Investigation
  • Overview

    Ansible Government Solutions, LLC (Ansible) is currently recruiting full-time and Locum Tenens Emergency Physicians for service at the VA San Diego Healthcare System (VASDHS) located at 3350 La Jolla Village Dr, San Diego, CA 92161. The Physicians will supports Veterans Affairs healthcare operations. Full-time and Locum Tenens positions across multiple shifts with generous compensation packages are available. Facility details include:

    • Provides provide medical, surgical, mental health, geriatric, spinal cord injury, and advanced rehabilitation services
    • 296 authorized beds, including skilled nursing beds and operates several regional referral programs including cardiovascular surgery and spinal cord injury
    • Committed to friendly, compassionate service to more than 85,000 Veterans in the San Diego and Imperial Valley counties, with 247,074 Veterans living in the area

    Ansible Government Solutions, LLC (Ansible) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of national security, health care, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers’ success as if it is their own.

    Responsibilities

    Shall be responsible for providing Emergency Department care, including, but not limited to:

    • Evaluation, Emergent Treatment and Management: Employment of the principles of emergency care for life/limb threats, resuscitation and stabilization, triage, diagnosis and disposition.
      • Initial evaluation, emergent treatment and management of minor wound care, respiratory illness, gastrointestinal illness, burns, musculoskeletal trauma, dermatological illness, ENT, eye and urological problems.
      • Initial evaluation, emergent treatment and management of minor procedures such as local infiltration anesthesia, incision and drainage, simple laceration repair, nail trephination, electro-coagulation, nasal cautery, gastric lavage, bladder catheterization, peripheral venous line insertion, and spinal immobilization.
      • Initial evaluation, emergent treatment and management of abdominal and gastrointestinal disorders (including trauma) of the esophagus, stomach, small bowel and colon rectum and anus, liver and biliary tree and pancreas.
      • Initial evaluation, emergent treatment and management of cardiovascular disorders (including trauma) involving cardiac failure, differential diagnosis of chest pain, cardiac structural disorders, cardiac rhythm and conduction defects, pericardial disorders, disease of peripheral arteries and veins, shock, and cutaneous disorders.
      • Initial evaluation, emergent treatment and management of emergent disorders caused by antigens, organisms and other foreign substances such as reactions of hypersensitivity; reactions from venoms, bites and stings; reactions caused by infectious agents; disorders due to chemical, drug and physical agents; and disorders associated with the environment to include barotraumas, near drowning, electrical injury, hypothermia and radiation injury.
      • Initial evaluation, emergent treatment and management of emergent disorders of the hematopoietic system such as anemia, coagulopathy and management of acute neoplastic disease complication.
      • Initial evaluation, emergent treatment and management of emergent disorders of endocrine, metabolic and nutritional natures relating to acid-base disturbances, adrenal, parathyroid and thyroid disturbances.
      • Initial evaluation, emergent treatment and management of emergent disorders of the head and neck (including trauma) involving the ears, nose, oral cavity, larynx/trachea, face and vestibular system.
      • Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the eye involving the lids and lachrymal apparatus conjunctiva, cornea, sclera, internal aspects of the globe and orbit.
      • Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the musculoskeletal system involving shoulder girdle, upper extremity and hand, lower extremity and foot, thorax and vertebrae and arthopathies.
      • Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the nervous system including cerebral edema, coma, cranial nerve disease, cerebro-vascular disease and infection.
      • Initial evaluation, emergent treatment and management of emergent disorders of psychiatric origin including depression, anxiety reactions, suicide and psychosis.
      • Initial evaluation, emergent treatment and management of emergent respiratory disorders including pulmonary, infection, trauma, neoplasia, metabolic and complications of cardiovascular disease.
      • Initial evaluation, emergent treatment and management of emergent renal and urologic disorders including acute/chronic renal failure, infections, obstructive uropathy and hematuria and trauma.
      • Initial evaluation, emergent treatment and management of emergent OB/GYN disorders such as trauma, infection and pregnancy (ectopic and intra-uterine).
      • Suture minor lacerations.
    • Major procedures: Shall be performed in the VASDHS emergency department when safe and appropriate to do so for procedures such as central venous line placement, arterial catheter placement, emergency chest tube or needle thoracostomy to relieve tension pneumothorax, peritoneal lavage, defibrillation and synchronized cardioversion, endotracheal  intubation, lumbar puncture, proctoscopy/anoscopy, pericardialcentisis, simple closed fracture and dislocation reduction, arthrocentesis, local and up to moderate systemic anesthesia (intravenous/regional), peri cardiocentesis, temporary pacemaker placement, chest tube thoracostomy and cricothyroidotomy.
    • Stabilization and transfer: Veteran-patients suffering traumatic injuries and when clinical level of care is not available at the VASDHS, the physician(s) shall provide initial stabilization and readying of such Veteran-patients for transport to the Level One Trauma Center.
    • Clinic:Physician(s) shall be present on-time for any scheduled clinics as documented by physical presence in the clinic at the scheduled start time.
    • Inpatient Admissions: Physician(s) shall review all admissions to inpatient hospital care recommended by Mid-level (Physician Assistant or Nurse Practitioner) provider. Every admission to inpatient care shall have a person-to-person hand-off/hand-over from the admitting Provider to a responsible member of the admitting team.
    • Consultation and Referral Responsibilities:Physician(s) shall provide consultation with, and instruction to referring physicians, regarding appropriate indications for procedures so that the most expeditious and clinically appropriate work-up can be done. Physician(s) shall determine the appropriate course of treatment and communicate in-person or by phone with the referring clinicians.
    • Physician(s) shall initiate appropriate social work referrals for all identified homeless veterans, and for Veteran-patients who do not have primary care providers and appear regularly in the ED.
    • Orthopedic devices: Physician(s) shall apply orthopedic devices such as splints and braces to stabilize orthopedic injuries.
    • Medications: Physician(s) shall follow all established medication policies and procedures. No sample medications shall be provided to Veteran-patients.
    • Discharge education:Physician(s) shall provide discharge education and follow-up instructions that are coordinated with the next care setting for all emergency department Veteran-patients.
    • Administrative: Estimated 5% of time not involved in direct patient care.

    Qualifications

    • Board Certification in Emergency Medicine (preferred) or Board Certification or Board Eligible in Emergency Medicine, Internal Medicine, or Family Practice
    • Active, full, and unrestricted license to practice medicine in any U.S. State or Territory
    • Completion of an ACGME-approved residency program for physicians without Emergency Medicine Residency Training or Board Certification
    • Current DEA license
    • Current American Heart Association BLS and ACLS
    • Must be able to pass a Federal background investigation (National Agency Check with Written Inquiries)

    Copies of Qualification Documents Required: Curriculum Vitae (CV); National Provider Identification (NPI); active/unrestricted Licenses in any U.S. State or Territory; proof of Board Certification and or Eligible in Emergency Medicine, Internal Medicine, or Family Practice; DEA license; current BLS and ACLS; and PALS (preferred)

    EEO Statement

    Ansible Government Solutions, LLC is committed to providing equal opportunity in employment to all employees and applicants for employment. Ansible will not tolerate any form of discrimination or harassment based on a person’s race, religion, color, sex, sexual orientation, age, national origin, medical/physical status or disability, or military status.

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