Staff Physiatrist

Central Virginia Veterans Healthcare System (CVHCS) in Fredericksburg Virginia is recruiting for an outpatient board-certified or board-eligible PM&R physician at a new state-of-the-art community-based outpatient clinic that opened in February 2025.
Core clinical scope

• Provide comprehensive outpatient evaluation and management of patients with musculoskeletal conditions such as spine disorders peripheral joint problems soft-tissue injuries and degenerative joint disease.

• Manage neuromuscular and general neurologic rehabilitation issues including peripheral neuropathies radiculopathies and functional deficits after neurologic injury.

Deliver ongoing stroke rehabilitation in the clinic including spasticity management mobility and ADL optimization durable medical equipment needs and coordination with PT/OT/SLP
Procedures and technical skills

• Perform and interpret electrodiagnostic studies (EMG and nerve conduction studies) for a broad spectrum of neuromuscular and radicular disorders generating concise clinically useful reports.

• Perform peripheral joint and soft-tissue injections (e.g. intra-articular bursal tendon sheath and trigger point injections) with or without ultrasound guidance to treat painful musculoskeletal conditions.

• Provide spasticity interventions including oral medication management and chemodenervation (e.g. botulinum toxin injections) and coordinate bracing therapy and orthotic interventions as part of a multimodal plan.

• Coordinate care within an interdisciplinary rehabilitation team that may include PT OT SLP psychology nursing and social work to maximize patient function and quality of life.

• Develop goal-directed function-focused treatment plans that integrate therapeutic exercise assistive devices and community-based resources for long-term disability management.

• Provide patient and family education on diagnosis prognosis activity modification and self-management strategies to reduce pain and improve participation in daily activities.

• Possess general knowledge of outpatient spinal cord injury management including bowel/bladder programs spasticity equipment needs and prevention of secondary complications.

• Have familiarity with basic pressure-injury prevention and wound care principles in the SCI population; more advanced wound management experience is welcomed but not required for the role.

• Collaborate with specialized wound care surgery or SCI programs when

• Practice in an ambulatory setting with primarily non-surgical management of pain and functional limitations emphasizing restoration and optimization of function rather than procedural volume alone.

• Use evidence-based guidelines and best practices in PM&R to guide diagnostics procedures and rehabilitation plans including appropriate use of imaging electrodiagnostics and injections.

• Demonstrate strong communication skills clinical documentation and follow-up processes appropriate for an outpatient rehabilitation practice including coordination with referring providers and community therapists
• Operations are closely coordinated with CVHCS with occasional travel to Richmond for administrative purposes only and no clinical duties at the Richmond site

• Clinical focus remains on high-quality evidence-based rehabilitation care using modern equipment and facilities dedicated to Veterans

• Obtain information from the medical record and collateral sources
• Conduct history and mental status examinations
• Formulate diagnostic and suicide risk assessments
• Order labs imaging studies and consultations
• Complete clinical reminders and screens
• Document in the electronic health record
• Develop treatment plans
• Respond to emergency clinical situations
• Attend huddles and interdisciplinary treatment team meetings
• Respond to secure messages return calls and respond to requests for information
• Receive and complete consultations
• Provide services in person and via telehealth

Conditions of employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• You will be required to serve a 2 year probationary period.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7 2025 drivers licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.

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.
• Education: Degree of doctor of medicine or an equivalent degree resulting from a course of education in 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.
• Licensure: 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 Accreditation Council for Graduate Medical Education (ACGME) b) OR
  (2) Those approved by the American Osteopathic Association (AOA)OR
  (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States) 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.
  Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as Physician Resident Providers (PRPs). PRPs must be fully licensed physicians (i.e. not a training license) and may only be appointed on an intermittent or fee-basis. PRPs are not considered independent practitioners and will not be privileged; rather they are to have a scope of practice that allows them to perform certain restricted duties under supervision. Additionally surgery residents in gap years may also be appointed as PRPs.
• Proficiency in spoken and written English.