Department of Veterans Affairs
The Pain Physician is responsible for patient care and performance measures in the Integrative Pain Management Clinic. Most of the work takes place at Fayetteville VA Health Care Center, though some travel may be required.
- Primary duties are to provide specialty pain care services to a panel of patients through a combination of virtual and in-person visits, as part of an interprofessional specialty care pain team. Clinical Functions: The incumbent will work as an integral member of the interdisciplinary pain care team (e.g. medical, behavioral health, physical therapy, pharmacy, etc.) to provide direct patient care services, following the framework provided in the "Biopsychosocial Model of Pain Care" and the "VA Stepped Care Model for Pain Care." Major Duties of this position include, but are not limited to: Provides comprehensive pain care for Veterans via TeleHealth or in-person. Performs initial histories and physical examination on outpatients. Orders and interprets diagnostic studies such as laboratory tests, x-rays, magnetic resonance imaging (MRIs). Reviews opioid safety metrics (e.g., PDMP, drug screening, STORM reviews). Obtains consent for long term opioid therapy. Provides education and counseling of patients and families in pain self-management, active treatment modalities, and use of prescribed treatments and medications. Serves as an attending/teaching physician for pain medicine residents/students as assigned. Performs community care provider opioid use reviews. Clinical Responsibilities: Provides electronic consultation services. Performs pain management comprehensive assessments and develops treatment plans for complex chronic pain patients. Manages opioid medications and performs opioid tapers and detoxification when necessary. Complies with current VA/DOD Long-term Opioid Therapy Guidelines and local policies. Treats patients with chronic and acute pain. Develops therapeutic care plans that are intended to achieve defined outcomes that improves the patients' quality of life. Works as part of an interdisciplinary team of pain management providers. Initiates, modifies, or discontinues medication therapies and serves as a consultant for intensive medication therapy management services. Orders, performs, reviews, and analyzes appropriate laboratory tests, other diagnostic studies, and registries necessary to monitor and support medication therapy. The practice emphasizes evidence-based medicine, primary and secondary preventative medicine, the use of computerized medical record system and continuous quality improvement based on individualized provider data. Administrative Responsibilities: Participates in managing facility-wide performance measures such as access and utilization. Participates in accreditation meetings or surveys, as needed. Participates in committees, including the Interdisciplinary Pain Management Committee. Participates in peer reviews. Maintains medical licensing and Board certification requirements. Obtains resident/fellow supervisory privileges through medical school affiliate. Operates computer technology/platforms such as Microsoft PowerPoint, Word, Excel, Outlook, and Teams. Responds to service concerns, completing Patient Advocate Tracking System, White House, or Congressional complaints. Reviews service level dashboards for completion of consults, encounters, and compliance with consult scheduling. Other responsibilities may be assigned by Pain Management Section Chief, Physical Medicine and Rehabilitation Service Chief, Chief of Staff, and the Facility or PMOP Program Office. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Available to highly qualified candidates Relocation Incentive: Available to eligible candidates. Pay: Competitive salary, annual performance bonus, regular salary increases Paid 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) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $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 through Friday, 8:00 AM to 4:30 PM
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