This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Welcome to Salt Lake City, where the serenity of a mountain getaway meets metropolitan energy. Forget what you think you know; adventure here isn't just on the slopes. Explore art, breweries, music and a vibrant culinary scene, all nestled against breathtaking landscapes. It's a city that challenges expectations, offering a unique blend of wild beauty and urban discovery. Frequently referred to as the "Crossroads of the West," its location is also ideal for longer road trips north to Yellowstone and Grand Teton national parks and south to Utah's Mighty 5. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment/Relocation Incentives (Sign-on Bonus): Up to $80,000 approved for a highly qualified candidate. Education Debt Reduction Program (Student Loan Repayment): This position is eligible for EDRP, a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of your start date. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Former EDRP Participants are ineligible to apply for the program. Contact Joshua Titensor, joshua.titensor@va.gov for questions/assistance. Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Duties include but are not limited to: - Cardiac imaging (TEE, echocardiography interpretation) - Mechanical circulatory support device management (LVADs, ECMO) - Pharmacologic strategies for myocardial protection - Hemodynamic monitoring and management during high-risk cardiac procedures Perioperative Responsibilities: - Comprehensive cardiac evaluation: coronary artery disease, valvular disease, heart failure, congenital heart disease. - Risk stratification and optimization: medication management, fluid status, and anemia/blood conservation strategies. Intraoperative Responsibilities: - Induction and maintenance of anesthesia tailored to cardiovascular physiology. - Continuous monitoring: - Hemodynamics (arterial pressure, pulmonary artery pressures) - Cardiac output (thermodilution, esophageal Doppler, bioimpedance) - TEE to assess cardiac function, valves, cannula position, and immediate post-repair status. - Management of mechanical support (CPB, ECMO, ventricular assist devices) - Intervention for cardiac emergencies: arrhythmias, cardiac arrest, tamponade. Postoperative: - Critical care management in cardiac ICUs, including: - Hemodynamic stabilization - Arrhythmia management - Ventilatory support - Pain control: multimodal analgesia, regional blocks for cardiac surgery. - Coordination with multidisciplinary teams for continuity of care. Scope of Procedures: - Cardiac Surgery: CABG, valve repair/replacement, aortic surgery, heart transplantation. - Interventional Cardiology: TAVI/TAVR, electrophysiology procedures, percutaneous ventricular assist devices. - Mechanical Circulatory Support: LVAD placement, VA/VV ECMO initiation and management. - Special Populations: Pediatric cardiac anesthesia, adult congenital heart disease, pregnancy-related cardiac surgery. - Active role in surgical decision-making, quality assurance, and protocol development. - Participation in team-based briefings, handovers, and safety checklists. - Leadership in morbidity and mortality meetings, audit, research, and education. - Advanced knowledge of cardiac anatomy, physiology, pharmacology, and pathophysiology. - Technical expertise in invasive monitoring, TEE, CPB, and circulatory support devices. - Competency in preoperative optimization, intraoperative crisis management, and postoperative critical care. - Ability to coordinate care with surgeons, perfusionists, and ICU specialists. Work Schedule: Adjusted work schedule 7:00am to 5:00pm, 40 hour workweek with 10 hour shifts (day off negotiable), call, some weekends and holidays required. 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. 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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical evaluation/examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement. Your application, resume, C.V., and/or other supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. NOTE: A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.