Reported by 8 physicians · state cohort · total comp, not the employer's posted pay
Emergency Medicine·Full-time; compressed tour hours scheduled by supervisor to accommodate ED coverage·FPay transparency
Overview
The package
AI-structured
This is a full-time VA Emergency Department Physician role at the South Texas Veterans Health Care System (STVHCS/ALMD ED), providing emergent and urgent care to patients of all ages across the full spectrum of Emergency Medicine, including occupational health for acute work-related injuries. The position includes a competitive federal salary with performance bonuses, up to $200,000 in student loan repayment via EDRP, and a comprehensive federal benefits package.
$489,200 SalaryDr market context available for comparison
$200,000 loan repayment support
Full-time; compressed tour hours scheduled by supervisor to accommodate ED coverage
11 weeks PTO or vacation disclosed
Emergency Department (outpatient setting) · VA Medical Center (Veterans Affairs) · Outpatient ED-based care only; coordinates with admitting/consulting providers for inpatient disposition
AI-structured from the official posting·View original
Posted pay vs real comps
$444k$489k$612k
Physician-reported range Reported median
Physician-reported range shown; the employer did not post pay for this role.
Compensation
Type
SalaryDr Market Context
Market context
$443,750 – $612,400
Structure
hybrid
Signing bonus
$0
Loan repayment
$200,000
PTO
11 weeks
$444k$489k$612k
Physician-reported range Reported median
This is SalaryDr Market Context computed from 8 verified physician submissions (state cohort). It is not the employer's posted pay. The employer did not disclose pay.
Veterans of all ages; full spectrum of emergency conditions plus occupational health for acute work-related injuries and illnesses
Community snapshot
Peer median
$489k
8 reports · Texas
Active supply
7
1 in San Antonio, Texas
Transparent pay
0/7
state roles with reviewed pay
Work-life
4.0/5
4 physician reports
Cost of living
97
below U.S. avg (100) · BEA Regional Price Parities
Schools
-0.5
grade levels vs U.S. avg · NAEP 2024
8 SalaryDr Emergency Medicine reports in Texas show a $489,200 median.
7 active Emergency Medicine roles in Texas, including 1 in San Antonio, Texas; 0 include reviewed transparent pay.
Physicians in this comparison cohort report 3.9/5 average job satisfaction.
Questions to ask the employer
How is the $200,000 loan repayment structured — forgiven over time, contingent on service years, or paid up front?
What is the call schedule, and is call compensated separately or built into the base?
Generated from this posting's disclosed facts and the SalaryDr comparison — bring them to the first recruiter call.
Work Design
Schedule
Full-time; compressed tour hours scheduled by supervisor to accommodate ED coverage
Shift type
Shift-based (ED compressed tours)
Inpatient / outpatient
Outpatient ED-based care only; coordinates with admitting/consulting providers for inpatient disposition
Coverage model
ED physician coverage of the ALMD ED; coordinates with admitting and consulting providers; assists during medical emergencies of admitted patients remaining in ED
Admin burden
Documentation in CPRS (ED Provider Note per patient per shift), medication reconciliation, informed consent, procedure notes, transfer documentation; adherence to OPM/VHA/STVHCS policies and SOPs
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.
This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until May 7, 2027 or until positions are filled. Eligible applications received will be referred at regular intervals or as additional vacancies occur. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Education Debt Reduction Program (Student Loan Repayment): Learn more. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VISN17EDRP2@va.gov, the EDRP Coordinator 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 The Emergency Department (ED) Physician physicians will provide emergent and urgent medical care for all patients (any age) who present to the ALMD ED requesting care. The medical care includes stabilization, evaluation, diagnosis, and treatment of the full spectrum of conditions that fall within the breath of Emergency Medicine as well as Occupational Health as it relates to acute work-related injuries and illnesses. The medical care will be provided in the outpatient setting of the ALMD ED. Physicians are expected to document in the Computerized Patient Record System (CPRS) when available. All ED physicians are responsible for adhering to the policies and regulations of the Office of Personnel Management (OPM), VHA, STVHCS Medical Staff By-laws, STVHCS Policies, and ED Standard Operating Procedures (SOPs). All physicians will safeguard Protected Health Information (PHI) in accordance with provisions of the Privacy Act of 1974 and other applicable laws, Federal Regulations, VA statutes, and policy, VHA policy, and STVHCS cyber security. Physicians will order necessary diagnostic studies to include radiographs, laboratory studies, and EKGs. Physicians will make preliminary interpretations of radiographs and EKGs. Physicians will act on physical exam and diagnostic study findings in a timely manner. Physicians are expected to complete an ED Provider Note on each patient prior to the end of that physician's shift. The ED Provider Note will include: a chief complaint; a history of the present illness; a review of systems, if applicable; past medical history; social history and/or family history; pertinent physical exam findings; diagnostic study results; assessment; plan; and disposition. Prohibited abbreviations will not be used. Physicians will complete the patient encounter associated with that ED visit at the time of note completion. Physicians are responsible for obtaining and documenting written consent (preferably via iMedConsent) as per the Informed Consent for Clinical Treatments and Procedures Policy. Physicians are responsible for adhering to Universal Protocol policies and procedures to ensure that invasive procedures are performed on the correct patient and at the correct site. Physicians are responsible for documenting procedures in either a separate procedure note or within the body of the ED Provider Note. Except during a code blue, physicians will write prescriptions and enter orders for medications either administered in the ED or dispensed by the pharmacy. Physicians are responsible for completing a medication reconciliation on each patient. Physicians will coordinate care with consulting (if emergent necessity exists) and admitting providers as necessary (involving the bed flow coordinators/utilization management as per local policy). The ED physician will document when an admitting or consulting provider is called. The ED physician will assist during medical emergencies of admitted patients who remain in the ED. Physicians will transfer patients as medically and administratively necessary. Physicians will complete all documentation required for transfer. Physicians will provide appropriate education to the patient and/or family members regarding the patient's care, illness and its management (discharge instructions); this requirement includes providing the patient with written discharge instructions. Work Schedule: Full-time; work hours will be scheduled to accommodate the STX Health Care System Emergency Department's compressed tour hours and will be determined by the supervisor.
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 dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. 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.
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