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Cardiothoracic Surgeon

Cardiothoracic Surgeon

Department of Veteran AffairsColumbia, MO, United States
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Harry S Truman VAMC is seeking a Cardiothoracic Surgeon to work in beautiful Columbia, MO!

Columbia is centrally located between St. Louis, Kansas City and the stunning Lake of the Ozarks. Columbia offers a wide variety of recreation options, including biking, jogging or walking on Columbia's beautiful greenbelt. Columbia is a great place to work and live, offering small-town friendliness with big city features!

Full time or part time options will be considered.

Recruitment Incentive (Sign-on Bonus) :    Available to qualified candidate

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

Work Schedule :  Monday - Friday 8 : 00 a.m. to 4 : 30 p.m. - some occasions may require work outside of this core schedule as this is a 24 / 7 hospital facility. Subject to change based on agency needs.

CARDIOTHORACIC (CT) SURGEON DUTIES

  • Design and conduct comprehensive examinations, diagnosis, and implementation of treatment plans, admission orders, discharge summaries, ordering special labs, and radiographic studies
  • Provide medical education / counseling to patients & their families
  • Verify, establish, and ensure that identified pre-operative surgical requirements are met, ensure appropriate arrangements have been established for admission, and coordinate inpatient activities on the floor
  • Primarily responsible for admissions and medical care of patients
  • Perform bedside procedures including placement of arterial lines, swan-ganz catheters, and central lines, bronchoscopy, changing of tracheostomy tubes, wound care and debridement, thoracentesis, removal of chest tubes, temporary pacing wires, intra-aortic balloon pump, central lines, arterial lines, and drains
  • Demonstrate ability to diagnose and treat CT surgery patients seen in consultation with other health care providers
  • Promote patient care programs for the CT surgery patients
  • Integrates the activities of the CT surgery service with other patient care programs at the facility
  • Provides education, teaching, and support to surgical residents and fellows
  • Participates in Quality Improvement (QI) projects as deemed necessary by the department, Quality Management (QM), and / or the Chief of Staff
  • Participates as a key member of the CT surgery Interdisciplinary Team (IDT) to ensure optimized outcomes for all CT surgery patients

SURGICAL INTENSIVE CARE DUTIES

  • Considers factors related to safety, effectiveness, and cost in planning and delivering CT surgical care
  • Performs complex CT surgeries and procedures on a high-acuity patient population; manages a broad range of CT surgery practice. This encompasses all areas of general CT surgery
  • Evaluates and treats CT surgery emergencies in the emergency department, inpatient wards, ICU, and operating room
  • Obtains H&P, and assessment of ongoing patient needs
  • Orders and interprets routine laboratory tests, diagnostic studies, and radiographic tests
  • Performs diagnostic and stabilization procedures as necessary based on ACLS
  • Collaborates with respiratory therapy and nursing for airway management and ventilator weaning
  • Writes orders for laboratory work, medications, and treatments in compliance with hospital policies
  • Participates in and prepares discharge planning needs for SICU patients through communication with team members, patients, families, and consultants
  • Documents relevant laboratory data, study results, patient care, pertinent procedures, and patient updates within notes
  • Demonstrates competence with placement and removal of enteral feeding tubes, central venous catheters, arterial lines, swan-ganz catheters, sutures, drains / tubes
  • Assists with and performs invasive procedures including central lines, arterial lines, etc
  • Collaborates with physicians, nurses, and other members of the health care team using effective communication and interpersonal skills to develop and maintain interdisciplinary teamwork
  • Identifies 'at risk' individuals in need of referrals
  • Maintains accurate, timely medical records
  • Participates in performance measures through documentation and data collection / reporting
  • Assists in investigation and documentation of patient issues and concerns
  • Identifies individual differences as related to the physiological, cultural, and psychological aspects of maturational development
  • Demonstrates ability to multi-task and prioritize patient care needs
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