Physician- Anesthesiologist (Cardiac)

Summary

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.

Duties

Welcome to Salt Lake City, where the serenity of a mountain getaway meets metropolitan energy. Forget what you think you know; adventure here isn't just on the slopes. Explore art, breweries, music and a vibrant culinary scene, all nestled against breathtaking landscapes. It's a city that challenges expectations, offering a unique blend of wild beauty and urban discovery. Frequently referred to as the "Crossroads of the West," its location is also ideal for longer road trips north to Yellowstone and Grand Teton national parks and south to Utah's Mighty 5. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentives (Sign-on Bonus): Up to $80,000 approved for a highly qualified candidate. Education Debt Reduction Program (Student Loan Repayment): This position is eligible for EDRP, a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of your start date. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Former EDRP Participants are ineligible to apply for the program. Contact Joshua Titensor, [email protected] for questions/assistance. Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Duties include but are not limited to: - Cardiac imaging (TEE, echocardiography interpretation) - Mechanical circulatory support device management (LVADs, ECMO) - Pharmacologic strategies for myocardial protection - Hemodynamic monitoring and management during high-risk cardiac procedures Perioperative Responsibilities: - Comprehensive cardiac evaluation: coronary artery disease, valvular disease, heart failure, congenital heart disease. - Risk stratification and optimization: medication management, fluid status, and anemia/blood conservation strategies. Intraoperative Responsibilities: - Induction and maintenance of anesthesia tailored to cardiovascular physiology. - Continuous monitoring: - Hemodynamics (arterial pressure, pulmonary artery pressures) - Cardiac output (thermodilution, esophageal Doppler, bioimpedance) - TEE to assess cardiac function, valves, cannula position, and immediate post-repair status. - Management of mechanical support (CPB, ECMO, ventricular assist devices) - Intervention for cardiac emergencies: arrhythmias, cardiac arrest, tamponade. Postoperative: - Critical care management in cardiac ICUs, including: - Hemodynamic stabilization - Arrhythmia management - Ventilatory support - Pain control: multimodal analgesia, regional blocks for cardiac surgery. - Coordination with multidisciplinary teams for continuity of care. Scope of Procedures: - Cardiac Surgery: CABG, valve repair/replacement, aortic surgery, heart transplantation. - Interventional Cardiology: TAVI/TAVR, electrophysiology procedures, percutaneous ventricular assist devices. - Mechanical Circulatory Support: LVAD placement, VA/VV ECMO initiation and management. - Special Populations: Pediatric cardiac anesthesia, adult congenital heart disease, pregnancy-related cardiac surgery. - Active role in surgical decision-making, quality assurance, and protocol development. - Participation in team-based briefings, handovers, and safety checklists. - Leadership in morbidity and mortality meetings, audit, research, and education. - Advanced knowledge of cardiac anatomy, physiology, pharmacology, and pathophysiology. - Technical expertise in invasive monitoring, TEE, CPB, and circulatory support devices. - Competency in preoperative optimization, intraoperative crisis management, and postoperative critical care. - Ability to coordinate care with surgeons, perfusionists, and ICU specialists. Work Schedule: Adjusted work schedule 7:00am to 5:00pm, 40 hour workweek with 10 hour shifts (day off negotiable), call, some weekends and holidays required.

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 allopathic 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 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 accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency, or fellowship if applicable, was completed; OR (2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States; OR (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement), 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. Exceptions: Residents currently enrolled in ACGME/AOA accre