Fee Basis Gastroenterologist

About the role

The VA Northeast Ohio Healthcare System is recruiting for a Physician (Gastroenterologist) to function in Medical Service on a Fee‑for‑Service basis. Compensation is based on the procedure performed.

Qualifications

Basic Requirements

• United States Citizenship (non‑citizens may be appointed only when qualified citizens cannot be recruited per VA policy)
• Degree of Doctor of Medicine or equivalent from a VA‑approved school of allopathic or osteopathic medicine
• Current, full, and unrestricted license to practice medicine or surgery in a U.S. state, territory, commonwealth, or the District of Columbia
• Completed residency training approved by the Secretary of Veterans Affairs in an accredited core specialty program leading to board‑certification eligibility. Acceptable pathways:
  • ACGME or AOA accredited residency/fellowship for the year completed, OR
  • One year of ACGME/AOA approved post‑medical‑school training (internship, first year of residency, or transitional year) followed by two years of independent practice under a full unrestricted U.S. license, OR
  • Non‑U.S. residency training followed by a minimum of three years of verified independent practice in the U.S. (under full unrestricted license) performing duties related to the position, as deemed appropriate by the local Medical Staff Executive Committee
• Proficiency in spoken and written English
• Exceptions: Residents in ACGME/AOA accredited programs who otherwise meet basic requirements may be appointed as Physician Resident Providers (PRPs) on an intermittent basis with a supervised scope of practice. Surgery residents in gap years may also be appointed as PRPs. In rare cases, the Facility Director may request an exception to the residency requirement via the VISN Director and VISN Chief Medical Officer.

Preferred Experience/Qualifications

• Board certified or eligible for board certification in Gastroenterology
• Proficiency in all basic endoscopic procedures

Reference: VA Qualification Standards

Physical Requirements

Position is in a hospital/clinic setting. Normal physical requirements apply (walking, standing, bending, sitting). The applicant must have the mental and physical ability to satisfactorily perform the duties of the assignment, which may include requisite laboratory and other screening as required by federal regulatory agencies.

Responsibilities

• Performing initial histories and physical examinations on inpatients and outpatients
• Screening outpatients to determine need for further care
• Prescribing medications within defined scope of practice
• Ordering diagnostic studies such as laboratory tests, x‑rays, electrocardiograms (EKGs)
• Initiating and expediting requests for consultations and scheduling special tests and studies
• Dictating notes on procedures performed while participating in the care of Veteran patients
• Starting intravenous lines and administering IV solutions/medications as needed
• Performing routine endoscopic procedures

Schedule

Fee Basis: compensation pays based on the specific task or service provided. Expected to perform services one or two days per week at a varying rate; work is as needed.

Compensation

• Endoscopic Retrograde Cholangiopancreatography (ERCP): $600.00 per procedure
• Endoscopic Ultrasound (EUS): $500.00 per procedure
• Esophagogastroduodenoscopy (EGD) / Upper Endoscopy: $200.00 per procedure
• Colonoscopy: $400.00 per procedure
• EGD/Colonoscopy (same day): $500.00 per procedure
• Clinical referral exam: $150.00
• Clinical established exam: $120.00

Salary cap: $40,000

Benefits

• Free malpractice liability protection with tail coverage provided