Physician (Anesthesiology)

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. PRINCIPALES MISSIONS : The physician provides comprehensive evaluation and management of acute, chronic, and cancer-related pain using a stepped-care, interdisciplinary model, integrating evidence-based pharmacologic and nonpharmacologic therapies with diagnostic and therapeutic interventional procedures. This role supports VA's National Pain Management Strategy (PMOP) and the Six Essential Elements of Good Pain Care, emphasizing patient-centered, multimodal, opioid-sparing care coordinated across teams and via telehealth when appropriate. Major Duties and Responsibilities Clinical Care: 1. Comprehensive Pain Evaluation & Longitudinal Care Conduct detailed pain assessments (history, focused examination), order and interpret relevant diagnostics, formulate individualized treatment plans, and provide longitudinal follow-up for efficacy, function, and safety. Care plans follow VA/DoD Pain Clinical Practice Guidelines and PMOP principles. Implement multimodal strategies prioritizing non-opioid modalities; when opioids are considered, apply CDC 2022 recommendations (risk-benefit discussion, dosage prudence, follow-up, risk mitigation). Query State Prescription Drug Monitoring Programs (PDMP) per VHA Directive 1306 and document results in CPRS; utilize VA's integrated PDMP workflow where available. Prescribe and manage controlled substances in accordance with VHA Directive 1108.01(2) and DEA regulations; maintain accountability and documentation consistent with facility policy. 2. Interventional Procedures (Privileges-based; fluoroscopic and/or ultrasound-guided) The provider performs diagnostic and therapeutic procedures within granted privileges and competency. Representative procedures include (ordered broadly from foundational to advanced): Trigger Point and Soft Tissue Injections (e.g., myofascial trigger points, peri-tendinous/enthesial injections). Peripheral Nerve Blocks (e.g., occipital, ilioinguinal/iliohypogastric, intercostal, genicular). Intra-articular & Peri-articular Injections (e.g., shoulder, hip, knee, sacroiliac joint). Epidural Steroid Injections (ESI) caudal, interlaminar, transforaminal (cervical/thoracic/lumbar). Facet-Mediated Pain Procedures intra-articular facet injections; Medial Branch Blocks followed by Radiofrequency Neurotomy/Ablation (RFA) when indicated. Sympathetic Blocks stellate ganglion, lumbar sympathetic, celiac/splanchnic blocks as clinically indicated. Advanced Vertebrogenic/Spine Procedures - Intraosseous basivertebral nerve ablation (Intracept) for chronic vertebrogenic low back pain in appropriately selected patients per NASS coverage recommendations and applicable payer/VA guidance. Neuromodulation Spinal Cord Stimulation (SCS) (including trial and permanent implant) and, where clinically appropriate, dorsal root ganglion stimulation, following 2023 evidence-based consensus guidelines for patient selection, psychosocial screening, trial conduct, and success criteria. Intrathecal Drug Delivery (ITDD) trial, pump implantation, programming, and longitudinal management per Polyanalgesic Consensus Conference (PACC) guidance on therapy selection, dosing, and safety risk mitigation. Other advanced procedures as credentialed (e.g., vertebral augmentation where approved, SI joint RFA, peripheral field stimulation), consistent with national standards and facility privileging. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. EDRP Authorized: Former EDRP participants ineligible t

Salaire : $350,000 – $400,000/Per Year | Avantages : http://www.vacareers.va.gov/why-choose-va/benefits/index.asp

OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans? The Robley Rex Veterans Affairs Medical Center (VAMC) improves the health of our veterans by providing a continuum of care through an integrated health care delivery system. We are a tertiary care facility classified as a level 1b facility affiliated with the University of Louisville, as such integrates teaching, research, and advanced patient care, making it an attractive academic medical center. The facility offers a full spectrum of comprehensive health care services, using state-of-the-art technology and innovative programs, as well as education and research benefits to Veterans residing in 40 counties in central and western Kentucky and in southern In