Position Overview:
Census on average is 30 patients per 24hour day.
Supervision and teaching: Internal Medicine, Family Medicine residents along with Medical Students and Physician Assistant Students. Physician will be responsible for complying with the Residency review documentation and insuring that all notes and encounters are completed and shall appropriately document medical records in accordance with VA standards, equivalent to TJC compliance guidelines, standard commercial practice and guidelines established by Wilkes Barre VAMC. The Physician will also perform any administrative duties relative to documentation of resident training, as required and directed.
Scope of Care: Initial evaluation, emergent treatment and management of:
•  minor wound care, respiratory illness, gastrointestinal illness, burns, musculoskeletal trauma, dermatological illness, ENT, eye and urological problems.
•  minor procedures such as local infiltration anesthesia, incision and drainage, simple laceration repair, nail trephination, electro-coagulation, nasal cautery, gastric lavage, bladder catheterization, peripheral venous line insertion, and spinal immobilization.
•  abdominal and gastrointestinal disorders (including trauma) of the esophagus, stomach, small bowel and colon rectum and anus, liver and biliary tree and pancreas
•  cardiovascular disorders (including trauma) involving cardiac failure, differential diagnosis of chest pain, cardiac structural disorders, cardiac rhythm and conduction defects, pericardial disorders, disease of peripheral arteries and veins, shock, and cutaneous disorders.
•  emergent disorders caused by antigens, organisms and other foreign substances such as reactions of hypersensitivity; reactions from venoms, bites and stings; reactions caused by infectious agents; disorders due to chemical, drug and physical agents; and disorders associated with the environment to include barotraumas, near drowning, electrical injury, hypothermia and radiation injury.
•  emergent disorders of the hematopoietic system such as anemia, coagulopathy and management of acute neoplastic disease complication.
•  emergent disorders of endocrine, metabolic and nutritional natures relating to acid-base disturbances, adrenal, parathyroid and thyroid disturbances.
•  emergent disorders of the head and neck (including trauma) involving the ears, nose, oral cavity, larynx/trachea, face and vestibular system.
•  emergent disorders (including trauma) of the eye involving the lids and lachrymal apparatus conjunctiva, cornea, sclera, internal aspects of the globe and orbit.
•  emergent disorders (including trauma) of the nervous system including cerebral edema, coma, cranial nerve disease, cerebro-vascular disease and infection.
•  emergent disorders of psychiatric origin including depression, anxiety reactions, suicide and psychosis.
•  emergent respiratory disorders including pulmonary, infection, trauma, neoplasia, metabolic and complications of cardiovascular disease.
•  of emergent renal and urologic disorders including acute/chronic renal failure, infections, obstructive uropathy and hematuria and trauma.
•  emergent OB/GYN disorders such as trauma, infection and pregnancy (ectopic and intra-uterine).
•  Suture minor lacerations.

Major procedures shall be performed in the VAMC emergency department when safe and appropriate to do so for procedures such as central venous line placement, arterial catheter placement, emergency chest tube or needle thoracostomy to relieve tension pneumothorax, peritoneal lavage, defibrillation and synchronized cardioversion, endotracheal intubation, lumbar puncture, proctoscopy/anoscopy, pericardiocentesis, simple closed fracture and dislocation reduction, arthrocentesis, local and up to moderate systemic anesthesia (intravenous/regional), pericardiocentesis, temporary pacemaker placement, chest tube thoracostomy and cricothyroidotomy.
Stabilization and transfer: Patients suffering traumatic injuries where immediate treatment and release is not medically indicated and when clinical level of care is not available at the VAMC, the contractor’s physician(s) shall provide initial stabilization and readying of such patients for transport to a Level One Trauma Center

Schedule:
12-hour shifts (8a-8p or 8p-8a) – Primary need is days
Rotating weekends and holidays  

Emergency department is open 24/7/365 to include weekdays, weeknights and holidays.

About EGA:
We are Veteran owned and operated firm focused on managing the recruitment and management of healthcare providers for the Department of Veterans Affairs nationwide. Our team has over 15 years of providing services to the VA and are intimately familiar with government contracting, credentialing and compliance requirements. We understand the importance of time and efficiency and work with our partners to provide tailored solutions and superior customer service to simplify and streamline the onboarding processes.