Physician - Fee Basis (Surgical Fellow/Chief Resident)
Boston, MA
ABOUT THIS ROLE
<p>The Fee Basis Physician will provide intermittent surgical care to support the clinical operations of the Medical Center at VA Boston Healthcare System. This is a Fee Basis position and payment will be made on a fee for service basis. There is an aggregate limit of $400,000. This means you cannot make over $400,000 in a calendar year, and this is inclusive of all combined appointments.</p><h3>Major Duties</h3><p>The Fee Basis Physician Responsibilities include, but are not limited to: -Delivering comprehensive perioperative and operative care to Veteran patients. -Assisting or performing general surgical procedures as authorized by approved privileges. -Participating in surgical consultations, inpatient services, outpatient follow-up, and procedural care. -Ensuring timely and accurate documentation in CPRS/VISTA. -Complying with all VHA, Joint Commission, and federal standards of care. -Maintaining professional conduct consistent with VA values and medical staff standards. Specific Clinical Duties - Perform preoperative assessments and develop surgical care plans. - Assist or perform general surgical procedures in the operating room. - Conduct postoperative rounds, manage complications, and coordinate follow-up. - Provide inpatient consultative services. - Utilize VHA-approved imaging modalities, surgical tools, and perioperative equipment. - Participate in quality improvement meetings, M&M conferences, and clinical case reviews. - All encounters must be documented in CPRS within required timeframes. - The physician must comply with VHA policies regarding informed consent, perioperative safety, medication reconciliation, and quality reporting. - Compliance with infection control, patient safety, and OR protocols are mandatory Reports clinically to attending surgeons and administratively to the Chief of Surgery. Continued service dependent on performance and privilege. Pay: Starting salary limitation of up to $300,000 can be earned in a calendar year. Unit Work Description/ Pay Per Unit: Monday-Friday= $1,020.00 Saturday/Sunday/Holidays= $2,040.00 Licensure: 1 full and unrestricted license from any US State or territory Malpractice: Free liability protection with tail coverage provided Work Schedule: Appointment is intermittent and based solely on the needs of the Surgical Service. - No guaranteed hours or fixed schedule. - Assignments may include OR coverage, inpatient care, outpatient clinics, procedural support, or emergent coverage</p><h3>Requirements</h3>U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.<h3>Education</h3>Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are: Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted. For foreign medical graduates not covered in (1) or (2) above, confirmation must be made that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirement for year graduated. NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.