The VA Pacific Islands Health Care System provides access to patient care to over 130,000 veterans across a 2.6M square mile area of the Pacific Ocean. Remote Island locations, separated by great distances of ocean, is the environment in which the VAPIHCS delivers a full range of comprehensive health care services. The VAPIHCS operates seven community-based outpatient clinics (CBOCs) covering seven county areas. These outpatient clinics are in America Samoa, Guam, Hilo, Kauai, Kona, Leeward, and Maui. VAPIHCS is a Level 2 facility within the VA Sierra Pacific Network (VISN 21).

The diagnostic radiologist provides a spectrum of image interpretation, image-guided procedures and patient care services within the specialty of Diagnostic Radiology, and may also possess additional subspecialty expertise. In addition to the clinical practice of general diagnostic radiology, other duties include contributions to quality assurance and performance improvement, oversight of technical quality, education of staff and trainees, committee assignments and other activities that support clinical operations and the mission, values and goals of the VA and the Medical Center.

This position is located at the VA Pacific Islands Health Care System - Daniel Kahikina Akaka Center in Kapolei, Hawaii. Major duties include but are not limited to:

Oversight of quality and safety:

• Review exam requests for appropriateness.
• Prescribe exam protocols and modify as needed for specific clinical indications.
• Provide oversight of technical image quality with feedback to technologists.
• Provide clinical oversight of medication administration, including contrast, preps and other medications relevant to the Imaging Service.
• Provide oversight and serve as resource for radiation and MRI safety
• Provide oversight and serve as resource for infection control practices.
• Participate in various aspects of quality assurance such as peer review, protocol review, appropriateness criteria and performance improvement.

Image Interpretation and Consultation:

• Interpret imaging exams including relevant exam comparison and correlation with clinical information in CPRS. Generate reports that contain pertinent findings and measurements, a description of normal and abnormal structures, discussion of differential diagnoses, recommendations and impression.
• Support patient care services with reports timely to the care being delivered with the method of communication appropriate to the level of clinical importance or acuity.
• Consult with providers on various aspects of imaging such as exam selection, review of results and other support functions.
• Participate in clinical conferences such as Tumor Board and others.

Patient Care:

• Interact with patients to obtain relevant clinical history and physical exam findings within the scope of radiology practice, provide education to patients and support, obtain informed consent, issue disclosures when appropriate, document in CPRS, enter orders in CPRS, and other aspects of physician practice.
• Participate in the coordination of patient care: Contact clinical providers as relevant to assure effective patient care, discuss evaluation, management, follow-up and other aspects of coordinated, patient-centered care. Make timely and definitive notification of time-sensitive results and/or results that have major clinical significance.
• Integrate resources to provide current, optimal care: consult colleagues, research literature, maintain continuing education and other sources of current practice.
• VA offers a comprehensive total rewards package. VHA Physician Total Rewards.
  
  Work Schedule: Monday - Friday, 7:30am - 4:00pm
  
  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

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