Primary Care Physician-Fee Basis

Veterans Affairs, Veterans Health Administration

Details

Posted:

23-Sep-26

Location:

Lee County, Florida

Categories:

Physicians/Surgeons

Internal Number:

865851000

Summary

Note:

The utilization of Fee Basis appointments is centered on the service needs rather than a specified tour of duty. The Lee County VA Clinic is seeking a Fee Basis Physician in Primary Care. The candidate will be responsible for conducting comprehensive patient histories

• examinations
• diagnoses
• and treatments of medical conditions
  Qualifications
  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 (Family Medicine or Internal Medicine) 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
  

Reference:

For more information on this qualification standard

• please visit https://www.

va.gov/ohrm/QualificationStandards/

Physical Requirements:

Must pass a pre-employment physical examination as required by VA Handbook 5019

This examination is administered by VA Occupational Health

This position requires moderate lifting up to 44 lbs.

• carrying objects up to 15 lbs.
• frequent reaching above shoulder
• use of fingers
• hands and legs
• use of cranes and motor vehicles
• walking & standing up to 8 hours
• bending and climbing and able to hear whisper
  The incumbent must be physically
• emotionally and mentally stable in order to efficiently perform the essential functions of this position without hazard to themselves or others.

Duties

This is an open continuous announcement that will remain open until filled

Applications will be accepted on an ongoing basis

Eligible applicants will be referred each week for consideration until a selection is made

VA offers a comprehensive total rewards package

VHA Physician Total Rewards

Duties include but not limited to the following

Because short-notice

ad hoc

• fee-basis work is as-needed at times
• the ideal physician must be adaptable and ready to perform clinical duties that may arise on short notice
  Provide comprehensive primary care to assigned or walk-in Veterans in accordance with PACT principles
  Diagnose and treat acute and chronic medical conditions for adult and geriatric patients
  Perform and document histories
• physical examinations
• and assessments
  Order and interpret appropriate laboratory and diagnostic studies
  Prescribe medications and treatments as appropriate
  Participate in daily team huddles and care planning when present acting as a member of the Patient Aligned Care Team as needed
  Communicate effectively with team members about patient status and care plans
  Respond to clinical duties as scheduled or requested
• which may include coverage for absences
• overflow
• or urgent/emergent needs
  Provide timely assessment and intervention for urgent walk-in or telehealth patients during scheduled shifts
  Completes encounters and responds to view alerts in a timely manner
• ensuring accurate and prompt documentation in the electronic medical record in accordance to VHA policy
  Complete all required clinical and administrative documentation in accordance with VHA policy
  Initiate necessary referrals to specialty care
• social work
• mental health
• in-network
• or community resources as needed
  Ensure test results and consults are addressed and communicated to patients in a timely manner based on clinical indication and VHA policy
  Adhere to VA
• federal
• and state regulations and policies
• including those regarding privacy
• infection control
• and mandatory reporting
  Maintain current licensure and complete required training (e.g.
• BLS/ACLS
• TMS modules)
  Educate patients and family members regarding disease processes
• medications
• and health maintenance as needed
  Other Duties as Assigned
  

Pay:

Based on approved pay rates per task or service

Fee basis annual salary limitation is $100

• 000 in a calendar year
  

Licensure:

1 full and unrestricted license from any US State or territory

Malpractice:

Free liability protection with tail coverage provided

Contract:

No Physician Employment Contract and no significant restriction on moonlighting

Work Schedule:

There is no set work schedule

Services are rendered as needed and agreed with the facility.

About Veterans Affairs, Veterans Health Administration

The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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