Summary This position is located in the Physical Medicine and Rehabilitation Service at the Albany VA Medical Center. This position provides support to Chiropractic. The Chiropractor is supervised by the Chief of Physical Therapy and Occupational Therapy and is under the indirect supervision of the Chief of Physical Medicine and Rehabilitation. The Chiropractor will be licensed in acupuncture Responsibilities Doctors of Chiropractic (DCs) are licensed independent health care providers in VHA who provide examination, diagnosis, treatment and management of neuromuscular and musculoskeletal conditions using non-pharmacologic and non-operative methods. A chiropractor typically completes four years of baccalaureate training and four years of chiropractic training. Residency training is one year beyond attainment of the chiropractic degree, and fellowship training is for one to two years beyond the completion of residency training. Chiropractors utilize standard medical evaluation procedures along with biomechanical assessment to establish a diagnosis and formulate a management plan. They consult with other health care providers and refer patients in accordance with accepted medical indications. Chiropractic treatment includes a number of options such as patient education, therapeutic exercise, lifestyle recommendations, and other interventions such as joint manipulation and mobilization, soft tissue therapies, and physical modalities. Chiropractors may also be trained and licensed to deliver a number of interventions currently classified as Complementary and Alternative Medicine (CAM) therapies such as acupuncture, biologically based preparations, and mind body therapies. PRIMARY DUTIES AND RESPONSIBILITIES: 1. Administrative The chiropractor assists in the develops plans, coordinates, evaluates and integrates all program elements into a comprehensive chiropractic program for the VA facility. The chiropractor assists in the development and/or updates and implements appropriate policies, procedures, plans, and service agreements that guide and support the chiropractic program. He/she develops and implements an educational plan to meet challenges of the program for self and others. He/she mentors assigned support staff to promote staff development and organizational training. The chiropractor coordinates and establishes and maintains professional relationships with other interdisciplinary services and collaborates with establishing service level agreements affecting the patient Chiropractic referral process. He/she actively participates in various multidisciplinary facility programs and committees as assigned. He/she performs other duties as assigned that are relevant and within his/her competencies. 2. Clinical The chiropractor provides evidence-based, patient-centered diagnosis and treatment of musculoskeletal and neuromuscular disorders in inpatient and outpatient veterans consistent with his/her training and privileges that includes both chiropractic services and acupuncture services. He/she has clinical responsibilities that include interpreting clinically applicable diagnostic studies that evaluate a patient's musculoskeletal and neuromuscular systems. He/she will complete encounters, closeout chiropractic consults and assure that CPRS documentation is also completed in timely manner following facility policy and procedures. The Chiropractor exhibits leadership in initiating changes in patient care programs based on current concepts and research study findings. Keeping update on Chiropractic treatment developments in the management and treatment of orthopedic, musculoskeletal and/or neuromusculoskeletal problems through both, informal and formal continuing education. He/she performs other duties as assigned that are within his/her training and privileges. Work Schedule: Full-Time, Monday-Friday 8:00am-4:30pm Requirements Conditions of Employment Qualifications Licensure in Acupuncture 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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy 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: United States schools or colleges of chiropractic listed as accredited by the Council on Chiropractic Education, at or equivalent agency, in the list published for the year in which the course of study was completed. 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: 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. OR 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. Preferred Experience: Licensed in Acupuncture Experience providing direct patient care in a hospital or other medically integrated setting. Four years of professional experience Grade Determinations: Associate Grade: None beyond the basic requirements. 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. 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): 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. 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. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: The Chiropractor may engage in the following activities/positions/tasks as defined: Lifting/carrying up to 45 lbs. intermittently, frequent walking, standing, sitting. Occasional stooping, kneeling, overhead reaching, fine manipulation, pushing, and/or pulling. In addition, occasional operation of a motor vehicle may be indicated. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: Additional Information This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. Financial Disclosure Report: Not required If you are unable to apply online view the following link for information regarding an Alternate Application.
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