Summary The optometrist position works within the Ophthalmology section of the Department of Surgery at the San Francisco VA Health Care System (SFVAHCS). Responsibilities **This is an OPEN CONTINUOUS ANNOUNCMENT and will remain open until Friday, February 21, 2025. The initial cut-off date for referral of eligible applications will be December 2nd, 2024, with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.** VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Work Schedule: 8:00am-4:30pm, Mon-Fri 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: 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 Duties include the following: Examination of eye, lids, adnexa, and visual system Diagnosis, management, and treatment of refractive errors and abnormalities of binocular function Prescription of ophthalmic prosthetic devices including spectacle lenses, contact lenses, and low vision devices Treatment and management of diseases and disorders of the eye, eyelids, adnexa, and the glaucomas Prescription of all topical ophthalmic pharmaceutical agents and oral pharmaceutical agents limited to antibiotics, antivirals, antihistamines, non-steroidal anti-inflammatory agents, non-opioid analgesics, carbonic anhydrase inhibitors, vitamins, and minerals Removal of superficial conjunctival and corneal foreign bodies Epilation of eyelashes Dilation and irrigation of the nasolacrimal system Utilization of ancillary testing including ocular photography, ultrasonography, ocular coherence tomography, corneal topography, and biometry Order of appropriate laboratory and radiology testing Acquisition of corneal and conjunctival cultures Consultation, referral and co-management of appropriate patients with ophthalmologists and other physician subspecialists as outlined by the specific care coordination agreements of the San Francisco VA Medical Center Additional duties may include, but are not limited to the following: Outpatient optometric services Inpatient optometric services Department of Veteran Affairs nursing home or community living center optometric services Ongoing prevention, in-service, and patient education programs Supervision, teaching, and training of students and residents enrolled in affiliated programs Maintenance and upkeep of clinic logs, patient medical charts, and other documents necessary to the operation of Ophthalmology Section Clinics Requirements 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 may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Optometrist Basic Requirements Degree of doctor of optometry resulting from a course of education in optometry. The degree must have been obtained from one of the schools or colleges approved by the Secretary of Veterans Affairs for the year in which the course of study was completed. Licensed to practice optometry in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. Optometrists are required to possess full and unrestricted licensure and to maintain a current registration in their State of licensure if this is a requirement of the particular State. Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met in determining the appropriate grade assignment of candidates: Full Grade. Two years of Optometric practice or its equivalent. One year of approved residency training or its creditable equivalent acceptable to the Council on Optometric Education of the American Optometric Association is acceptable in lieu of the 2 years of practice. Candidate must have demonstrated the professional competence and performance necessary to provide independently the full range of clinical optometric diagnosis and treatment for all the most prevalent types of vision dysfunctions and the detection and referral of patients with ocular disease or ocular manifestations of systemic disease. Intermediate Grade. Meets the requirements in paragraphs (1), (2), and (3) below: (1) Four years of Optometric practice or its equivalent. One year of approved residency training or its creditable equivalent acceptable to the Council on Optometric Education of the American Optometric Association is acceptable in lieu of 2 years of practice. (2) The optometrist at this level has successfully passed the examinations of the National Board of Examiners in Optometry and has attained either of the following: (a) The stature that would warrant appointment at the clinical instructor or higher level at a school or college of optometry. (b) The professional ability and personal attributes which have merited significant recognition by a recognized professional organization, such as election to a Fellowship in the American Academy of Optometry. (3) Has achieved a high level of professional attainment as illustrated by one or more of the following examples: (a) Is a recognized expert in the diagnosis and treatment of unusual and complicated visual dysfunctions. Typically, in this capacity serves as a consultant to optometrist and other professionals in other health facilities or provides expert clinical services in such areas as the partially sighted or contact lenses for aphasics. (b) Has assumed responsibility for a multi-faceted optometric program including clinical research and/or training requiring a high degree of competence and skill in developing innovative and new and advanced instrumentation and treatment techniques. Typically, the program is in an educationally affiliated health care facility having an optometric training program of moderate scope involving liaison with other medical services and affiliated schools. (c) Has played a significant part in the conduct of vision research in a problem area of considerable scope and complexity which required novel approaches and which resulted in answers to important questions or important changes in existing methods and techniques. Publications authored by the optometrist are of considerable value to others in the individual's field. Typically, overall contributions are recognized by serving on important committees or other bodies in the profession. (d) Has had full responsibility for carrying out an optometric training program of significant size in which the optometrist has been responsible for maintaining liaison with the affiliated school and other educational institutions and professional or scientific organizations. Innovative approaches in development of curriculum and course content and in expanding and improving the educational program have been displayed by the individual. Senior Grade. Meets the requirements for Intermediate grade and the requirements in paragraphs (1) and (2) below: (1) The optometrist at this level possesses such academic stature as would warrant a faculty appointment of a professional level in an approved school or college of optometry. (2) Has demonstrated recognized superior professional attainment as evidenced by on more of the following examples: (a) Has served as a team leader in attacking major Optometric problems affecting the continued provision of quality care health services at a VISN, statewide, or national level. There is such confidence in the optometrist at this level that there is unusual support of the individual's recommendations and conclusions. (b) Has had responsibility for carrying out a major Optometric program segment on a national level. (c) Has conducted high level studies in a difficult area of vision research which has contributed to a substantial advance in the health field, with important professional publications. Chief Grade. Meets the requirements for Senior grade and must demonstrate a sustained very high level of professional performance with evidence of exceptional professional and/or administrative development by the following: (1) Has assumed substantial professional and/or administrative responsibilities in which the individual is expected to fully advise and make professional clinical and educational recommendations as to courses of action on problems and considerations of national scope in all areas of optometry. Typically, the optometrist at this level has had responsibility for a major optometric program segment on a nationwide basis and has been consistently called upon to represent the organization in an authoritative manner in matters dealing with development of new and/or revised concepts and programs having a major impact upon the academic, medical, and optometric communities. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-5 Optometrist Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Light lifting (under 15 pounds), light carrying (under 15 pounds), use of fingers, both hands required, walking (2 hours), standing (8 hours), repeated bending (8 hours), ability for rapid mental and muscular coordination simultaneously, near vision correctable to 13" to 16" to Jaeger 1 to 4, far vision correctable in one eye to 20/20, depth perception, hearing (aid permitted), emotional/mental stability, unusual fatigue factors resulting from long hours on-call, protracted or irregular hours of work. Education Degree of doctor of optometry resulting from a course of education in optometry. The degree must have been obtained from one of the schools or colleges approved by the Secretary of Veterans Affairs for the year in which the course of study was completed. Approved schools are: (1) United States and Canadian schools or colleges of optometry listed as accredited by the Council on Optometric Education of the American Optometric Association, in the list published for the year in which the course of study was completed. (2) Schools (including foreign schools) accepted by the licensing body of a State, Territory, or Commonwealth of the United States, or in the District of Columbia as qualifying for full or unrestricted licensure. Additional Information This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.