Physician (Regular Ft) Primary Care Geriatrics
U.S. Department of Veterans Affairs · Providence, RI · 1 mo ago
$200/hrFull-time
Education Debt Reduction Program (EDRP)
Eligible for Education Debt Reduction Program (EDRP) – student loan payment reimbursement program. Must meet specific eligibility requirements per VHA policy and submit your EDRP application within 4 months of appointment. Program approval – award amount (up to $200,000) and eligibility period (1 to 5 years) are determined by the VHA Education Loan Repayment Services office after review of the EDRP application. Former EDRP participants are ineligible to apply.
Qualifications
Basic Requirements
- United States citizenship (non‑citizens may be appointed only when recruitment of qualified citizens is not possible, per VA policy).
- Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from a school approved by the Department of Veterans Affairs for the year of completion.
- Current, full, and unrestricted license to practice medicine or surgery in any U.S. State, Territory, Commonwealth, or the District of Columbia.
- Residency training approved by the Secretary of Veterans Affairs in an accredited core specialty program leading to eligibility for board certification. Acceptable pathways include:
- Accredited residency/fellowship (ACGME or AOA) listed for the year of completion.
- One year of post‑medical school training (internship or transitional year) approved by ACGME/AOA followed by two years of independent practice under a full license.
- Non‑U.S. residency training followed by a minimum of three years of verified independent practice in the United States (U.S. fellowships count toward this requirement).
- Proficiency in spoken and written English.
Additional Required Qualifications (screen out)
- Fellowship in Geriatrics Medicine.
- Experience in clinic‑based outpatient geriatrics medicine.
Preferred Qualifications
- CAQ eligibility or certification in Geriatric Medicine, demonstrating advanced, board‑recognized expertise in the care of older adults.
- Experience advising primary care and specialty services on complex geriatric care plans (frailty, cognitive impairment, multimorbidity, functional decline).
- Demonstrated excellence in transitions of care, including nursing‑facility communication, rehabilitation coordination, and post‑acute follow‑up.
- Experience with PACE programs, Home‑Based Primary Care, long‑term care, nursing‑home medicine, or inpatient geriatrics units.
- Documented record of teaching, curriculum development, quality‑improvement leadership, or participation in geriatric research initiatives.
- Experience caring for older patients at the end of life, including palliative collaboration, goals‑of‑care discussions, and advance‑care planning.
- Strong interdisciplinary collaboration skills (pharmacists, PT/OT, mental health, social work, advanced practice providers).
- Ability to navigate complex healthcare systems, lead system‑level improvements, and support development/expansion of geriatric programs.
Additional Formal Training (Post‑Residency)
- Completion of a 12‑month ACGME‑accredited Geriatric Medicine fellowship focused on older‑adult care.
- Structured clinical, didactic, and interdisciplinary curriculum covering geriatric syndromes, aging physiology, and complex multimorbidity.
- Training pathways may include clinical, clinician‑educator, clinical leadership, or research tracks.
- Advanced competencies in dementia/cognitive disorders, frailty, functional decline, polypharmacy/deprescribing, falls/gait disorders, incontinence, delirium, and end‑of‑life/goals‑of‑care communication aligned to geriatrics milestones.
Physical Requirements
- Placement is subject to meeting the physical requirements of the position.
- Pre‑placement medical examination and drug screening are required.
Duties
- Provide comprehensive outpatient geriatric primary care, including evaluation and management of geriatric syndromes (frailty, cognitive impairment, delirium, falls, gait disorders, incontinence, polypharmacy, deprescribing).
- Advise primary care and specialty teams on geriatric care plans, complex decision‑making, and integration of palliative approaches into outpatient care.
- Lead goals‑of‑care and end‑of‑life conversations with patients, families, and caregivers; coordinate closely with Palliative Care and Hospice.
- Coordinate transitions of care among acute, post‑acute, rehabilitation, PACE, and long‑term care/nursing‑home settings to ensure safety, continuity, and quality.
- Collaborate in an interdisciplinary model (pharmacists, PT/OT, social work, mental health, advanced practice providers) to optimize outcomes.
- Participate in quality‑improvement initiatives targeting geriatric populations; apply systems‑based practice to reduce harm and improve value.
- Teach and mentor learners (fellows, residents, students, APPs) via didactics, case conferences, and bedside teaching; contribute to curriculum development.
- Document thoroughly in the electronic health record and comply with regulatory, patient‑safety, and quality standards.
Total Rewards
- Competitive salary with annual performance bonus and regular salary increases.
- Paid Time Off: 50–55 days per year (26 days annual leave, 13 days sick leave, 11 Federal holidays, plus up to 5 days paid CME absence).
- Retirement: Traditional federal pension (5‑year vesting) and federal 401(k) with up to 5% VA contributions.
- Insurance: Federal health, vision, dental, term life, and long‑term care coverage (many programs portable into retirement).
- Licensure: One full, unrestricted license from any U.S. State or territory.
- CME: Up to $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.
Work Schedule
Monday – Friday, 8:00 a.m. to 4:30 p.m.