Psychiatrists at the Salem VAMC are first and foremost, professional physicians, and as such are tied to very high standards of ethics and professionalism. We are expected to deliver high quality patient care that is timely, patient-centered, recovery oriented and based on the best available research evidence and practice guidelines. This also is added to by one's clinical judgment and experience when the evidence does not answer the complex clinical questions with which we are faced. Major Duties includes but not limited to: The position involves assessing and treating substance use disorder residential patients and various mental health outpatients, with psychopharmacology and psychotherapy. This position is also active in supervising residents and assisting with coverage for the Emergency Department. Supervisory Controls: The incumbent is directly accountable to the Chief. Mental Health, Salem VAMC. The incumbent works independently; supervision is mainly advisory in nature. The incumbent provides first line supervision to residents and physician assistants as assigned, and may be required to lead clinical teams. Administrative Requirements: The psychiatrist practices according to her/his credentialing and privileging and also is expected to follow the Salem "Medical Center Memoranda", available on the intranet. Academic Responsibilities: We are a teaching institution, so supervising students and residents are a potential advantage of this position. Research and publication are encouraged, but not required. We also have a responsibility to do timely student and resident evaluations. Attendance at grand rounds and/or case conferences is strongly encouraged. We should all be present at expected lectures on time, also, unless there are urgent/emergent clinical duties that delay us. We are also expected to keep up with the current literature in our field. Whenever clinical work is done, it is expected that we appropriately document that clinical work in a progress note and do an accompanying encounter to allow us to have adequate funding for patient care. We are also now required to have an assigned mental health treatment coordinator for all patients. We are expected to attend to administrative requirements, such as staff meetings, reading of e-mails, timely completion of discharges (within 48 hours, but usually prior to discharge), daily completion of notes, daily review to make sure all encounters are done for the day, and at a minimum of two peer chart reviews per quarter. We are expected to attend to the required performance measures, including timely completion of all applicable reminders. On call responsibilities: On call is mostly from home with the exception of occasional weekend or holiday coverage with in-house PA or resident covering the in-house duties after morning rounds. We are expected to discuss with the resident or physician assistant on call all patients who come to the emergency room, all new admissions, and all problematic situations on the ward. We are expected to make clinical judgments when on call, teach the resident, and make sure appropriate clinical care is being done. On weekends, the attending is expected to do an attending admission note on all new patients and to make sure all patients on acute psychiatry have a clinical note in addition to an encounter. These notes may be fairly divided with the resident(s), but the attending is also supervising the resident notes. The chief of the service is also available for administrative emergencies or clinical emergencies and unexpected adverse events. When on call, check the admission log for new admissions to make sure all such patients have appropriate attending notes and initial H&Ps. Inpatient attendings should make sure that there is either an attending note or an addended resident note on each of their patients each day, along with an appropriate encounter. Work Schedule: Monday - Friday 08:00AM- 4:30PM Relocation incentive: Not authorized Recruitment incentive: Not authorized Permanent Change of Station-(PCS): Not authorized Education Debt Reduction Program-(EDRP): Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.