Radiation Oncology Physician

• Services shall include evaluation and treatment of transported inpatient and outpatient clinical services for both palliative and curative cancer patients; follow-up, re-evaluation, and treatment visit; and perform prostate seed implants (if applicable) in the OR.
• Contract Radiation Oncologist shall provide evaluation and a treatment plan; 
  follow patients for treatment management, continuing monitoring and follow-up 
  evaluations. Contract Radiation Oncologist shall complete any documentation 
  associated with the treatment provided to VA patients treated by them
• Conventional Radiation Treatment: Use of the following advanced modalities:
  IMRT, IGRT, Stereotactic Radiosurgery, and Stereotactic Radiotherapy, shall be 
  fully justified in accordance with the appropriateness criteria promulgated by the 
  American College of Radiology, American Society for Radiation Oncology, and 
  American Association for Physicist in Medicine.
• Patient Consultation/Pretreatment Evaluation: A radiation therapy consultation is 
  defined as a comprehensive patient evaluation provided at the request of the 
  referring physician. A consultation shall consist of a meeting of the patient and a 
  radiation oncologist within the timeframes established by VA Rules and 
  Regulations, a history and physical examination, and a review of pertinent x-rays 
  and laboratory results as well as the patient’s medical record.
  • Review previous history, radiographic and lab studies.
  • Order any other test required for workup; and 
  • Discuss with patient and perform examination.
  • Document the evaluation in CPRS, including at least:
    • Name of Attending Physician.
    • Radiation treatment type (e.g., conventional, IMRT).
    • Curative or Palliative radiation treatment
    • Dose amount and duration of radiation treatment, and 
    • Discussion of evaluation with patient.
• Treatment Planning: When it is determined radiation therapy is appropriate, a 
  goal-oriented treatment plan from supporting data shall be developed by the 
  Contract physician(s) for each patient, discuss treatment plan with patient and 
  obtain patient’s signed consent, and made a part of the VA medical record. The 
  treatment plan shall include the type of radiation to be administered, prescribed 
  dose, treatment site location, Dose Volume (DV) based planning to include DV 
  Histograms (DVH), designation of Organs at Risk (OAR) for radiation injury, DV 
  based radiation delivery goals for each OAR.
  • Treatment plans shall be altered as necessary during the course of the 
    patient’s treatment.
  • Contract physician(s) shall document initial consultation and full plan of 
    care that includes name of attending physician on all clinical notes, indicate radiation treatment type (i.e., conventional, IMRT), date of 
    simulation or procedure date, curative or palliative radiation treatment, 
    dose amount and duration of radiation treatment and signed patient 
    consent for treatment.
• Treatment Management: Includes weekly examination of the patient 
  under radiation therapy by attending physician. Weekly examination 
  includes review of the daily and/or weekly port films by the attending 
  physician, monitoring all therapy for side effects or complications, 
  prescribed dose changes and other adjustment in treatment as needed, 
  review of all cases at weekly case conferences or chart rounds and 
  documented encounters and clinical progress notes in CPRS. 
• Prior to beginning radiation treatment, contract physician(s) shall instruct 
  the patient and care givers on the risks involved including symptom 
  management and symptoms requiring immediate intervention. This 
  instruction must be documented in the medical record within 24 hours. 
  The patient shall be given names and telephone numbers of persons to 
  contact to report these symptoms. Informed consent shall be completed 
  prior to implementation of initial treatments.
• Contract physician(s) shall evaluate each patient for treatment 
  management at a minimum of once per five treatments. These treatment 
  management evaluations, addressing tumor response and side effects of 
  therapy and medications prescribed, include pertinent laboratory and 
  imaging studies. Patient’s progress shall be reported to the referring 
  physician using the electronic medical record, Computerized Patient 
  Record System (CPRS), to include name of attending physician, 
  treatment date, radiation treatment type, radiation dose amount and 
  duration of treatment, radiation treatment dose to date and remaining 
  dose to be provided, skin check of treated area, plan of care and number 
  of treatments left to complete.
• Contract physician(s) shall provide the patient with written guidelines 
  regarding their rights and responsibilities. This includes keeping the 
  patient informed of all issues affecting care and inviting full participation 
  in planning and implementing care. Patient expectations of contract 
  physician(s) should also be outlined. The patient must be advised of their 
  right to submit complaints and procedures concerning such. This 
  instruction must be documented in the medical record within 24 hours. 
• Contract physician(s) shall maintain written policies and procedures that 
  clearly define guidelines for protecting patients and employees from all 
  unnecessary radiation exposure, provisions for the safe use, removal, 
  handling and storage of radiation and other radioactive elements.
• Contract physician(s) shall monitor all therapy for side effects or 
  complications; prescribe dose changes as needed; and review all cases 
  at physician conference. 
• Treatment Discharge: Contract physician(s) shall document treatment discharge 
  summary (End of Treatment Note) in CPRS to include total radiation treatment 
  doses, patient’s condition at completion of treatment, discharge instructions to 
  patient and a follow-up appointment with 30-60 days post treatment.
• Follow-up Evaluations: A board certified radiation oncologist must see each patient 
  at least one (1) time following the radiation therapy treatment series within thirty 
  (30) to sixty (60) calendar days of the end of a treatment series. The follow-up 
  examination shall consist of a physical examination of the patient and a review of 
  the current medical record including x-rays. The purpose of this examination is to 
  evaluate the patient’s response to therapy and a written evaluation shall be 
  completed for the patient’s medical record within 48 hours.
• Peer Review Conferences: Contract Staff shall attend and participate in weekly 
  peer review conferences to discuss the appropriateness of treatment decisions, 
  treatment goals and expected results related to Facility Radiation Oncology 
  patients. These conferences may be joint conferences at which Contractor’s 
  Radiation Oncology Service patients are also presented. 
• Documentation Requirements: All patient care documentation including, but not 
  limited to consultations, encounters, weekly progress notes, treatment discharge 
  notes, follow-up notes, continuing physics consultation which covers weekly chart 
  review checks, special physics consultation notes, and other required 
  documentation, shall be recorded in CPRS in accordance with VA Rules and 
  Regulations (see Section D, page 83 for CPRS User Guide and By-Laws and 
  Rules of the Medical Staff of the VA RADIATION ONCOLOGY), including, but not 
  limited to: 
  • Inclusion of correct Current Procedural Terminology (CPT) and diagnoses 
    codes, and service connection of condition being treated on encounters.
  • Resident supervision documentation.
  • Electronic signature on all entries; timeframes for electronic signing, completion 
    and closing of entries and encounters.
• COMMUNICATING TEST RESULTS TO PROVIDERS AND PATIENTS: In 
  accordance with VHA Directive 1088, Communicating Test Results to Providers 
  and Patients, all test results requiring action must be communicated by the 
  ordering provider, or designee, to patients no later than 7 calendar days from the 
  date on which the results are available. For test results that require no action, 
  results must be communicated by the ordering provider, or designee, to patients 
  no later than 14 calendar days from the date on which the results are available. 
  The Contractor shall provide the VA with the name, pager, and telephone numbers 
  of a LIP (physician, nurse practitioner, or physician assistant) at the Outpatient Site 
  of Care to accept critical test results discovered on tests done by the VA. For 
  critical results, the LIP must respond back to the VA within forty-five (45) minutes 
  of the initial page or telephone call. The receiving LIP will document the results in 
  the record and conduct a “read back” procedure to ensure accuracy of 
  transmission and translation of all verbal results. The contractor shall determine a 
  plan to fulfill critical test result procedures, per VA policy. VA will not be 
  responsible for the failure of the Contractor to receive critically abnormal test 
  results. Critical results must be reported to the clinician by the radiologist by 
  telephone. Documentation of this notification, “who, when” must appear in the 
  radiology report. For critical results that represent an imminent danger to the 
  patient, the Contractor shall notify the patient immediately. Mechanisms must be 
  in-place to provide notification of test results for patients receiving care in accordance with VHA Directive 1088, Communicating Test Results to Providers 
  and Patients.

• Minimum of five (5) years of experience excluding Residency.
• Minimum of three (3) years of experience in Intensity Modulated Radiation Therapy (IMRT)
• Minimum of three (3) years of experience with Eclipse treatment planning system; ARIA record & verify system, including the following treatment modalities: 2D/3D conformal, SRS, SRT, SBRT, and IMRT/VMAT (following standars of TG-53).
• Minimum of 10 documented cases in the past two (2) years of both Stereotactic Body Radiation Therapy (SBRT) and Sterotactic Radiosurgery (SRS)
• MD or DO degree 
• Completion of a Radiation Oncology Residency
• Board Certification through the American Board of Radiology
• BLS / ACLS Certifications
• Proven ability to speak, understand, read, and write English fluently
• Authorized to work in the U.S. indefinitely without sponsorship (all jobs)
• Basic computer skills
• Type at least 50 WPM
• Ability to obtain a public trust   

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin.

This position may be subject to client or government vaccination and masking guidance, policy or requirements as may be changed from time to time.

Work location is flexible if approved by the company except that position may not be performed remotely from Colorado.

PFS offers a wide array of comprehensive benefits package includes health insurance, dental and vision insurance, flexible spending accounts, disability insurance, life insurance, retirement plan, paid time off, remote work and other benefits to accommodate what matters most to you and your family. Learn more about PFS Benefits.

Note: PFS benefits, compensation and bonus are subject to eligibility requirements and other terms of the applicable plan or program.

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