Description du poste
The Pain Medicine Physician will deliver comprehensive pain services as a core member of the Pain Medicine Section, supporting both patients and the broader Pain Management Team. This role provides care for Veterans within the Pain Medicine Section situated within the Neurology Service at the Washington DC VA Medical Center.
PRINCIPALES MISSIONS :
General Description of Assigned Duties The Pain Medicine Physician has specific responsibilities that include: Clinical: Perform comprehensive medical and functional evaluations for Veterans referred to the Pain Clinic, including history, physical examination, and review of diagnostic studies. Establish accurate pain diagnoses and comorbidities (e.g., substance use disorders, mental health issues) and, in collaboration with the interdisciplinary team, develop individualized, integrated treatment plans that emphasize functional restoration and self-management. Perform interventional pain care, including fluoroscopy and ultrasound-guided invasive procedures (e.g., epidural steroid injections, medial branch blocks, radiofrequency ablations, joint injections). Provide inpatient consultative services for Veterans admitted to the hospital experiencing acute pain, acute on chronic pain, or uncontrolled chronic pain. Provide medication management for chronic pain conditions, focusing on polypharmacy reduction, opioid risk stratification, and utilizing non-opioid analgesics and adjuvant medications. Manage opioid medications and perform opioid medication adjustments including tapers as indicated and in compliance with current VA/DOD Long-term Opioid Therapy Clinical Practice Guidelines, and local VA policies. Evaluate, diagnose, and treat Veterans with opioid dependence/opioid use disorder and chronic pain, which may include initiation and management of buprenorphine products. Orders, performs, reviews, and analyzes appropriate laboratory tests, imaging, and other diagnostic studies necessary to optimize the pain care plan. Follows up with Veterans regarding results per VHA standards to discuss care plans, changes to therapy, and additional monitoring or testing requirements. - Provide clinical assistance to nurse practitioners, physicians assistants, and other members of the interdisciplinary team. Provide training and supervision of physician pain medicine fellows working within the clinic. Complete all required electronic health record documentation in accordance with VHA standards, including timely, accurate entries for pain management activities, therapeutic changes, recommendations, procedures, and patient check-out (such as diagnostic and procedure codes). Ensures compliance with national and local performance measures, including prompt health screenings and completion of clinical reminders for patients. Perform other clinical duties as indicated and assigned. Administrative: Participate in program development activities, including data collection/management, policy development/adherence, and documentation, as indicated by section and service leadership. Participate in multidisciplinary team meetings, as well as pain committee and other pain meetings (e.g., data-based risk reviews), as indicated by section and service leadership. Participate in intra- and interdepartmental committees, task forces, and projects, as requested by section and service leadership. Academic/Teaching/Training: Provide supervision, education and training to Medical Center trainees, including residents, students and interns/fellows. Actively supports the Pain Medicine fellowship program with George Washington University by providing formal education, training and supervision of physician pain medicine fellows. Provide didactics/lectures to medical staff within the area of pain management, specifically pain-focused interventions. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Education Debt Reduction Program (Student