Physician - Urgent Care

The VA Pacific Islands Health Care System provides access to patient care to over 130,000 veterans across a 2.6M square mile area of the Pacific Ocean. Remote Island locations, separated by great distances of ocean, is the environment in which the VAPIHCS delivers a full range of comprehensive health care services. The VAPIHCS operates seven community-based outpatient clinics (CBOCs) covering seven county areas. These outpatient clinics are in America Samoa, Guam, Hilo, Kauai, Kona, Leeward, and Maui. VAPIHCS is a Level 2 facility within the VA Sierra Pacific Network (VISN 21).

The Urgent Care Physician (UCP) will be responsible for the overall medical care of VA patients that present to the VA Urgent Care Center at VAPIHCS. The UCP is to ensure the quality and timeliness of the services provided and customer satisfaction, as well as compliance with the standards of accrediting bodies such as the Joint Commission and the Inspector General's Combined Assessment Program. The UCP will ensure appropriate use of available resources and will be responsible for practicing current standards of care. The major duties and responsibilities include, but are not limited to:

1. 1. Evaluate and treat acute conditions and stabilize patients with emergent conditions. These include, but are not limited to, myocardial infarction, chest pain, Congestive Heart Failure (CHF), abdominal pain, altered mental status, acute vascular events, seizures, stroke, dyspnea, Chronic Obstructive Pulmonary Disease (COPD), pulmonary embolism, pneumonia, COVID, acute pain syndromes, fever syndromes, Urinary Tract Infection (UTI), musculoskeletal pain, fractures, minor trauma, and lacerations, etc.
   2. The UCP is responsible for assessment, physical exam, evaluation and management of patients presenting to the clinic. This includes competency in interpreting diagnostic tests, including but not exclusive to, lab results, electrocardiogram (EKG), and imaging studies such as x-rays. They should be familiar with computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound regarding utilization, review, and management of the interpretation by a radiologist.
   3. UCP must have competency in clinical judgment skills regarding the appropriateness of transferring patients to a community hospital for a higher level of care.
   4. Act as the consultant for other physicians and mid-level providers at VAPIHCS for urgent/emergent questions/cases/acute conditions that may arise either in Primary Care or other Medical Services.
   5. The UCP will collaborate with other Medical Services as appropriate.
   6. The UCP maintains timely encounters, medical records, and reports.
   7. The UCP is to be on site in clinic while on duty. Telework is not authorized.

Work Schedule: Full-Time, Monday to Friday 7:30am - 4:00pm