Salisbury VA Healthcare System is seeking a full-time chiropractor to join our established clinical team. The incumbent will work under the Chiropractic Section Chief in the Department of Physical Medicine & Rehabilitation. The clinic was established in 2005, and is one of the largest and most-integrated chiropractic clinics in VA, featuring robust collaborative relationships with primary care, physiatry, pain medicine, neurology, health psychology, and other associated health services. In addition to patient care, the SVAHCS chiropractic service is engaged in academics and research. The clinic is a training site for residents from Palmer College(s) of Chiropractic Care. Successful candidates will have a demonstrated past performance of superior clinical competence, an evidence-based approach to care, and an excellent rapport with patients and families. General Description Several chiropractic treatments are focused on the spine and the manipulation of the spine. Chiropractic is centered on the idea that the spinal joint misalignments can have adverse effects on the nervous system and can be the cause of decreased resistance to disease and several different instance of diminished health. The Chiropractor utilizes chiropractic manipulation-also called chiropractic adjustment to restore joint and related soft tissue function. This treatment may be provided in combination with others forms of treatment, such as stretching and strengthening exercises, depending on the patient's specific needs. The chiropractic approach to health care is holistic, stressing the patient's overall well-being. The natural, drugless, non-surgical methods of chiropractic treatment rely on the body's inherent recuperative abilities to promote healing. Staff Chiropractor orders diagnostic blood tests and diagnostic radiological studies. The staff Chiropractor uses knowledges, skills, and procedures acquired during an accredited Chiropractic residency program approved by the Council on Chiropractic Education. A staff Chiropractor at the Kernersville Outpatient Clinic routinely performs inpatient and outpatient musculoskeletal and neuromuscular examinations, determines diagnoses, and initiates treatments that emphasize restoration of function. The Chiropractor works with a team of health care providers to establish comprehensive rehabilitation program. Different populations requiring comprehensive rehabilitation programs include those with musculoskeletal and neuromuscular impairments, and those with acute severe disabling pain syndromes. Scope of Practice (Clinical Responsibilities) At the discretion of the Chief of Staff, clinical privileges may be granted based on the individual's documented education, competence, and experience. The minimum practice privileges for which the Chiropractor is authorized include: Performing patient history and Chiropractic physical examination, excluding vaginal examination. Ordering radiological examinations such as spine/four views (anterior-posterior, lateral, oblique, spot) and pelvic series. Performing standard osseous and soft tissue procedures consistent with Chiropractic care as commonly contained in the core curriculum of Council on Chiropractic Education-accredited Chiropractic colleges. Making referrals to other clinicians, including physical therapists, occupational therapists, PM&R physicians, chemical dependency physicians, pain management physicians, and psychologists. Providing patient instruction and recommendations pertaining to hygiene, nutrition, exercise, sanitary measures, lifestyle changes, stress reduction, and modifications of ergonomic factors. Staff Chiropractor documents patient's physical examinations, diagnoses, treatment, and progress in consult and progress notes. Consultation and progress notes are entered in the patient's electronic medical record at the time the encounter occurs. Other encounter information is to be entered into CPRS as required at the time of the encounter. Staff Chiropractor will be responsible for the assessment, diagnosis, and treatment of inpatients and outpatients at the SVAHCS in a timely manner. Patient assessment and diagnosis will require the gathering of a verbal history and the review of the past and present medical record, physical examination and often other medical testing including the ordering of laboratory tests. Administrative Responsibilities Staff Chiropractor is appropriately credentialed and privileged. He/she participates in various hospital committees, departmental and hospital in-service programs, and education programs of the department and the hospital. He/she is also involved in continuous quality improvement through peer review process. Staff Chiropractor receives and triages all Chiropractic consults within 2 days of receipt, and ensures that patients are scheduled within 7 days from receipt of consults. Staff Chiropractor adheres to VHA Directive 2009-059 regarding the administration of Chiropractic treatment to Veterans. VHA Directive 2009-059 defines current policy related to the provision of Chiropractic care by VHA in compliance with Public Law (Pub. L.) 107-135, Section 204, the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001. Work Schedule: Monday through Friday, 8:00 am-4:30 pm Financial Discloser Report: Not required
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.