This Chiropractor position is in Sensory and Physical Rehabilitation Service (SPRS) service at the White River Junction VA Healthcare System located at the White River Junction, VT and Littleton, NH location. These positions are full-time. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. BASIC REQUIREMENTS Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) Education. Degree of doctor of chiropractic, or its equivalent, resulting from a course of education in chiropractic. The degree must have been obtained from one of the schools or colleges approved by the Secretary of Veterans Affairs for the year in which the course of study was completed. Approved schools are: (1) United States schools or colleges of chiropractic listed as accredited by the Council on Chiropractic Education, at http://www.cce-usa.org/, or equivalent agency, in the list published for the year in which the course of study was completed. (2) Schools (including foreign schools) accepted by the licensing body of a State, Territory, or Commonwealth of the United States (i.e., Puerto Rico), or in the District of Columbia as qualifying for full or unrestricted licensure. Licensure or Registration (1) Doctor of Chiropractic (Except Residents). Current, full and unrestricted license to practice chiropractic in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. The facility Director may waive this requirement if the doctor of chiropractic is to serve in a country other than the United States and the doctor of chiropractic has licensure in that country. (2) Residents. Licensure in a State, Territory, or Commonwealth of the United States, or in the District of Columbia before completion of the first year of a VA residency. Unlicensed residents must meet any registration or other equivalent requirements established for chiropractic residents of non-VA facilities or chiropractic clinics with which the VA facility is affiliated for training purposes during the first year of VA residency. English Language Proficiency. Doctors of chiropractic appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Grade Determinations: In addition to the basic requirements stated above, the following qualifications criteria must be met in determining the appropriate grade assignment of candidates. a. Associate Grade. None beyond the basic requirements. b. Full Grade. Two years of full-time chiropractic practice or its equivalent. One year of full-time post-graduate residency specialty training from a chiropractic school or college accredited by the Council on Chiropractic Education, or equivalent agency approved by the Secretary of Veterans Affairs, is acceptable in lieu of the 2 years of practice. Candidate must have demonstrated the professional competence and performance necessary to provide independently the full range of clinical diagnosis and chiropractic treatment for the most prevalent neuro-musculoskeletal conditions including subluxation complex. c. Intermediate Grade. A doctor of chiropractic at the Intermediate grade meets the requirements for Full grade and the requirements in subparagraphs 3c(1) and (2): (1) A total of 4 years of chiropractic practice or its equivalent. Acceptable in lieu of 4 years of practice is completion of a 3-year full-time post-graduate residency program from an accredited U.S. chiropractic college, as evidenced by documentation of completion (e.g., transcript), which renders the doctor of chiropractic eligible for certification by a specialty board recognized by the American Chiropractic Association, the International Chiropractors' Association, or the American Board of Chiropractic Specialties to obtain Diplomate status. (2) Demonstrates a high level of professional attainment. Examples of such attainment are: (a) Is a recognized expert in dealing with a variety of unusually difficult chiropractic cases which are referred by other facilities for resolution and recommended courses of action to provide for maximum rehabilitation. Typically, in this capacity serves as a consultant to doctors of chiropractic or other professionals in other health care facilities. (b) Has assumed responsibility for a multi-faceted chiropractic program including clinical research and/or training requiring a high degree of competence and skill in developing innovative, new and advanced diagnostic and treatment techniques. Typically, the program is in an educationally affiliated health care facility having a chiropractic training program of moderate scope involving liaison with other medical services and affiliated schools. (c) Played a significant part in the conduct of research in a problem area of considerable scope and complexity that required novel approaches and which resulted in answers to important questions or important changes in existing methods and techniques. Publications authored by the doctor of chiropractic are of considerable value to others in the individual's field. Typically, overall contributions are recognized by serving on important committees or other bodies in the profession. (d) Has full responsibility for carrying out a chiropractic training program of significant size in which the doctor of chiropractic is responsible for maintaining liaison with the affiliated school and other educational institutions and professional or scientific organizations. The individual has displayed innovative approaches in development of curriculum and course content and in expanding and improving the educational program. Preferred Experience: N/A References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-16 DOCTOR OF CHIROPRACTIC QUALIFICATION STANDARD. This can be found in the local Human Resources Office. The full performance level of this vacancy is VP-13. The actual grade at which an applicant may be selected for this vacancy is in the range of VP-11 to VP-13. Physical Requirements: This position requires a pre-employment physical. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Near vision correctable at 13" to 16" to Jaeger 1 to 4. Far visions correctable in one eye to 20/20 and to 20/40 in the other. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted. ["The White River Junction VA Medical Center (WRJ VAMC) Chiropractic care provides examination, diagnosis, treatment, and management of non-operative musculoskeletal and neuromuscular conditions. Chiropractors are licensed independent providers who work as part of VA interdisciplinary teams including Whole Health, Physical Medicine and Rehabilitation, Primary Care, Pain Management, other relevant medical and surgical specialties, and other relevant associated health disciplines. The Full Performance Chiropractor is accountable for development and implementation of a chiropractic treatment program at this facility and or associated Community Based Outpatient Clinics (CBOC). Major duties includes but are not limited to the following:\nA. Clinical Duties: The exact privileges and procedures for a particular provider will be approved by the Professional Standards Board. All chiropractors must provide the following:\n1. Patient Care: Chiropractors are expected to provide patient care that is compassionate, appropriate, and effective for the promotion of health, prevention of illness, treatment of disease, and care at the end of life.\n2. Medical/Clinical Knowledge: Chiropractors are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others.\n3. Clinical Judgment: To ensure practice-based learning and improvement, chiropractors are expected to be able to use scientific evidence and methods to investigate, evaluate, and improve patient care.\n4. Interpersonal & Communication Skills: Chiropractors are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of the health care team.\n5. Professionalism: Chiropractors are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, and understanding and sensitivity to diversity, and a responsible attitude toward their patients, their profession.\n6. Systems-Based Practice: Chiropractors are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve optimizing health care. B. Education\n1. Chiropractors are expected to show effectiveness in teaching, monitor and coordinate educational activities, and comply with necessary trainee supervision Work Schedule: Monday-Friday, 8am-4:30pm\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required Notifications: The incumbent may be required to travel and work at other VA campuses and CBOC's, as required. The Professional Standards Board (a peer-review group) will recommend the grade and salary for new appointments based on the candidate's education and experience. For internal selectees being promoted, the board will determine grade and HR will determine step in accordance with policy."]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.