This full-time, Section Chief Neurosurgery position is assigned to the Operative Care Line (OCL) at the Michael E. DeBakey VA Medical Center (MEDVAMC) in Houston, Texas, one of the most complex facilities in the VA healthcare system. MEDVAMC is interested in acquiring the employment of an experienced neurosurgical subspecialist, researcher, and educator. To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. Basic Requirements: 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 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 Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by the American Osteopathic Association (AOA),OR (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), 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. 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 or fee-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. Proficiency in spoken and written English. Preferred Experience: Board eligible or board certified in Neurosurgery Fellowship trained in Complex Spine Reconstruction surgery and Minimally Invasive Spinal surgery Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Functional Requirements Light lifting, under 15 pounds Light carrying, under 15 pounds Reaching above shoulder Use of fingers Walking (2 hours) Standing (4 hours) Both legs required Ability for rapid mental and muscular coordination simultaneously Both eyes required Depth perception Ability to distinguish basic colors Ability to distinguish shades of colors Hearing (aid may be permitted) Environmental Factors Outside and inside Electrical energy Working around machinery with moving parts Working around moving objects or vehicles Working closely with others Protracted or irregular hours of work ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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 Duties include, but are not limited to: The applicant should have deep familiarity with neurosurgical anatomy and anatomy teaching expertise to be utilized in postgraduate resident level instruction, with an emphasis on spinal anatomy. The applicant should have experience in grant application, clinical outcomes research, clinical publication, and clinical publication reviewing. The applicant should be fellowship trained in Complex Spine Reconstruction surgery and Minimally Invasive Spinal surgery. Applicant also needs to be comfortable treating pathologies that pertains a fully trained Neurosurgery, including Brain and Spine pathology. Duties include clinic, surgical, training of neurosurgical residents at all levels, and call responsibilities. Applicant also needs to be comfortable treating pathologies that pertains a fully trained Neurosurgery, including Brain and Spine pathology. The candidate will participate in the conferences and interactions of the Department of Neurosurgery at Baylor College of Medicine. Provide services of a Neurosurgery Physician to patients in the Operative Care Line. Triages, examines, diagnoses, resuscitates, stabilizes, treats or directs a course of treatment for a wide range of patients from the healthy young to the geriatric patient, or from seriously ill to the severely traumatized. Examines patients and orders appropriate tests to evaluate patients, chief complaint and related complaints; ascertains medical needs and initiates action to provide needed services. Coordinates admission of patient to hospital with accepting staff physician. Performs authorized procedures such as Lumbar puncture, Tracheostomy (emergency), Incision and drainage simple abscesses, Suturing of lacerations, Closed cardiac massage, Endotracheal intubation, Use of surgical laser, Craniotomies, Aneurysms, AVM's, Tumors, Trauma, Infection-Hemorrhage, Transsphenoidals, Stereotaxic procedures, Biopsy, Lesions, Implants, Laminectomies, Decompression and disk, Tumors-infection, Anterior spine procedures, & Decompression and disk, Fusion. Provides professional guidance and direction to neurosurgery residents, medical students, physician assistants and physician assistant students working in Neurosurgery. Full privileges to manage all patients in the area of Neurosurgery that a fully trained specialist in this field would manage. Routine management of neurosurgery patients with a fully trained Orthopedist readily available for consultation. Special diagnostic and therapeutic procedures: History and physical Interpretation of x-rays Interpretation of electrocardiogram with consultation Craniotomies Aneurysms AVM's Tumors Trauma Infection-Hemorrhage Transsphenoidals Stereotaxic procedures Biopsy Lesions Implants with supervision Laminectomies Decompression and disk Tumors-infection AVMs Biopsy Fusion Instrumentation Anterior spine procedures Decompression and disk Fusion Instrumentation Tumor-infection Vascular Biopsy Congenital abnormalities Chiari malformation Syrinx Spina Bifida Hydrocephalus-shunts Peripheral nerve surgery Neurolysis decompression Repair Brachial plexus region with supervision Diagnostic procedures Ventriculography with supervision Myelography Angiography with supervision Pneumoencephalography with supervision Carotid endarterectomy with supervision Cranioplasty Neurostimulators with supervision Drug pump implantation with supervision Ablative surgery for pain & spasticity with supervision Nerve blocks Admitting clinical privileges Full privileges to prescribe/order medications Work Schedule: Monday - Friday; schedule to be determined by supervisor."]

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