Physician (Internal Medicine)

We need to output HTML fragment with sections using

for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections where posting has real specific content. Must not repeat job title. Must not include Job ID etc. Must preserve all substantive info. Remove boilerplate like EEO, legal, etc. Must not include placeholder sections. We need to parse the posting. Key sections: - Summary: description of duties. Could be "About the role" or "Responsibilities". The posting includes "Summary The incumbent in this position is responsible for clinical duties in the Outpatient clinic setting. The duties include (but not limited to) managing a panel of patients utilizing the Patient Aligned Care Team (PACT) model - achieving performance measure goals - serves as collaborating physician for Mid-level practitioners (including Peer chart review - assisting in performance evaluations - mentoring - and collaborating) - and other duties as appointed - I.E. - resident continuity clinic supervision." Then later there is a "Duties NOTE: ..." with many bullet-like statements. Thus we can have a "Responsibilities" section with list items. Qualifications: The posting includes "Qualifications To qualify for this position - you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement." Then details about basic requirements: US Citizenship, degree, license, residency training, etc. Also proficiency in spoken and written English. Also mention "Physical Requirements: See VA Directive and Handbook 5019". Also mention "The 2-page Resume requirement does not apply to this position". Also mention "This vacancy will remain open until filled". Also mention "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." Thus we can have a "Qualifications" section with list items. Requirements: Might be similar to Qualifications. But we need to decide which sections to include. The instruction says use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We should include sections only if posting has real specific content. We have content for Responsibilities, Qualifications (basic requirements), Benefits, Pay, Schedule. Also maybe "About the role" could be a brief summary. But we already have Responsibilities covering duties. Could also have "About the role" as a short paragraph summarizing role. The posting includes a summary at start; we could put that under "About the role". Then Responsibilities could be more detailed list. We must not repeat job title. Not include Job ID. We must not include sections like Skills if not present. The posting does not list specific skills beyond what's in duties. Could we infer skills? Better not to create Skills section if no explicit list. Benefits: The posting includes "VA offers a comprehensive total rewards package" then lists Recruitment/Relocation Incentives (Sign-on Bonus), Education Debt Reduction Program, Paid Time Off, Retirement, Insurance, Licensure, CME, Malpractice, Contract, etc. So we can have Benefits section with list. Pay: The posting includes "Pay: Competitive salary - annual performance bonus - regular salary increases". That's specific enough to include Pay section. Schedule: The posting includes "Work Schedule: Monday-Friday 8:00AM - 4:30PM". So Schedule section. Thus we will have sections: About the role, Responsibilities, Qualifications, Benefits, Pay, Schedule. We must not include Requirements if we already have Qualifications; but we could include Requirements as separate if there is distinct content. The posting mentions "basic requirements" etc. That's qualifications. So we can skip Requirements. Now we need to format using

for each heading, then content: either

for prose or

• for lists. We need to preserve all substantive information. Must not invent or summarize away detail. Must not include filler like "commensurate with experience". We must avoid placeholder. We need to extract details precisely. Let's extract About the role: The summary paragraph: "The incumbent in this position is responsible for clinical duties in the Outpatient clinic setting. The duties include (but not limited to) managing a panel of patients utilizing the Patient Aligned Care Team (PACT) model - achieving performance measure goals - serves as collaborating physician for Mid-level practitioners (including Peer chart review - assisting in performance evaluations - mentoring - and collaborating) - and other duties as appointed - I.E. - resident continuity clinic supervision." We can keep that as prose. Responsibilities: The later duties list: "The Primary Care Provider (PCP) that leads the PACT teamlet is expected to become familiar with and utilize performance improvement models in order to lead the teamlet in Plan-Do-Study-Act (PDSA or small tests of change) projects focusing on improvement in clinic flow - access - care coordination - and other systems redesign initiativesThe PCP is expected to guide the teamlet in utilizing alternatives to face-to-face visits to provide care to the team's assigned panel of patientsSuch alternatives will include (but are not limited to) telephone visits - tele-health - Care Coordination and Home Telehealth (CCHT) - secure messaging - nurse clinics - clinical pharmacy clinics - etcThe PCP must be comfortable with supporting all staff members to work at the top of their license - able to delegate effectively - and foster a team approach to providing careThe PCP participates in daily teamlet huddles to insure that outcome measures for PACT (which include optimizing access and continuity - redesigning primary care practices to become patient-centric - meeting Performance Measure goals in access and clinical care - and improving care management and coordination of care) are metThe PCP will provide input to the teamlet members' supervisors for performance appraisalsDuties include - but are not limited to: Assists in performing performance appraisals on support staff working in the clinicCompletes evaluations on supervised medical students - if applicableActively participates in regularly scheduled staff meetingsComplies with all Coding and Encounter regulations in a timely mannerResponsible for direct patient care for a panel of patients utilizing the PACT modelInterfaces with other medical staff and health care professionals in the medical center regarding Primary CareAchieves Performance measure goals and participate in performance improvement Initiatives including implementation of PACT model and other Systems Redesign Rapid Process Improvement projectsEnsures patients are vested as requiredServes as Collaborating Physician for Mid-level practitioners and participates in peer review and performance appraisalOther duties as assigned" We need to break into list items. The text is a bit run-on but we can split by sentences or by bullet-like phrases separated by hyphens or periods. We'll create list items for each distinct duty. Let's parse: - Become familiar with and utilize performance improvement models to lead the teamlet in PDSA projects focusing on improvement in clinic flow, access, care coordination, and other systems redesign initiatives. - Guide the teamlet in utilizing alternatives to face-to-face visits to provide care to the team's assigned panel of patients (telephone visits, tele-health, Care Coordination and Home Telehealth (CCHT), secure messaging, nurse clinics, clinical pharmacy clinics, etc.). - Be comfortable supporting all staff members to work at the top of their license, able to delegate effectively, and foster a team approach to providing care. - Participate in daily teamlet huddles to ensure that outcome measures for PACT (optimizing access and continuity, redesigning primary care practices to become patient-centric, meeting Performance Measure goals in access and clinical care, improving care management and coordination of care) are met. - Provide input to the teamlet members' supervisors for performance appraisals. - Assist in performing performance appraisals on support staff working in the clinic. - Complete evaluations on supervised medical students, if applicable. - Actively participate in regularly scheduled staff meetings. - Comply with all Coding and Encounter regulations in a timely manner. - Responsible for direct patient care for a panel of patients utilizing the PACT model. - Interface with other medical staff and health care professionals in the medical center regarding Primary Care. - Achieve Performance measure goals and participate in performance improvement Initiatives including implementation of PACT model and other Systems Redesign Rapid Process Improvement projects. - Ensure patients are vested as required. - Serve as Collaborating Physician for Mid-level practitioners and participate in peer review and performance appraisal. - Other duties as assigned. We'll put each as
• . Now Qualifications: Need to list basic requirements. From text: - 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 allopathic 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 accrediting bodies for graduate medical education - the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) - in the list published for the year the residency - or fellowship if applicable - was completed. 2) One year of post medical school training (internship - first year of residency - or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States. 3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement) - 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. - Exceptions: 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 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. - In rare and unusual circumstances - the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer - who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience - accomplishments - performance - and qualifications warrant such action. - Proficiency in spoken and written English. - Physical Requirements: See VA Directive and Handbook 5019. - The 2-page Resume requirement does not apply to this position. - This vacancy will remain open until filled. - 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. We need to preserve all substantive info. We'll create a list. But note: Some of these are more like notes/exceptions. We'll still list them as items. Now Benefits: The posting includes: "VA offers a comprehensive total rewards package VHA Physician Total Rewards Recruitment/Relocation Incentives (Sign-on Bonus): May be eligible for highly qualified applicants Education Debt Reduction Program (Student Loan Repayment): This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program You must meet specific