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Summary
The Chief of Neurosurgery at VA St. Louis Health Care System provides leadership and oversight for the Neurosurgery Section within Surgical Service. Responsibilities include clinical care, surgical procedures, team-based leadership, teaching, and administrative duties. Recruitment/Relocation Incentive may be offered to a highly qualified individual.
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Duties
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Recruitment/Relocation Incentive (Sign-on Bonus): May be offered to highly qualified individuals.
Permanent Change of Station (Relocation Assistance):
Appraised Value Offer (AVO):
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 Chief of Neurosurgery is a key leadership position within the VA St. Louis Health Care System, responsible for supervisory and programmatic oversight of the Neurosurgery Section. This role serves as the primary advisor to the Associate Chief of Staff for Surgical Service and collaborates with section staff, other service chiefs, and executive leadership to promote excellence in patient care and education.
Major Duties and Responsibilities:
Outpatient Care:

• Evaluate, diagnose, and treat Veterans with spinal, and peripheral nerve conditions.
• Collaborate with Advanced Practice Providers (APPs), nurses, and technicians to ensure efficient clinic operations and timely follow-up.
• Delegate tasks appropriately while maintaining oversight of all clinical care.

Inpatient Care:

• Serve as attending neurosurgeon for hospitalized patients.
• Work closely with inpatient nursing staff, case managers, and technicians to manage daily care, post-operative recovery, and discharge planning.

Operative Care:

• Perform complex spinal surgical procedures, including spinal reconstruction.
• Lead perioperative teams, including anesthesiologists, surgical nurses, APPs, and scrub technicians.
• Provide intraoperative teaching and model best practices in teamwork, sterile technique, and safety.
• Emergency Surgical Care:

• Respond promptly to urgent neurosurgical consults and emergent operative cases.
• Direct multidisciplinary emergency responses involving ER physicians, ICU staff, and nursing teams.

On-Call duties:

• Participate equitably in the neurosurgical call schedule.
• Collaborate with inpatient and on-call surgical teams to triage and manage emergency consults.

Community Care Coordination:

• Work with Care in the Community staff, APPs, and case managers to coordinate external referrals.
• Review and integrate external operative and imaging reports into VA care plans.

Teaching and Education:

• • Supervise and teach residents, APPs, and nursing staff.
  • Conduct structured learning experiences and in-service training on neurosurgical principles and sterile techniques.

Administrative Duties:

• • Participate in Surgical Service meetings, peer review, and quality improvement activities.
  • Collaborate with nursing leadership and OR managers to optimize workflows and patient outcomes.
  • Ensure timely documentation in the Electronic Health Record.

Research and Scholarly Activity (if applicable):

• • Engage in research related to neurosurgical outcomes and encourage team participation in scholarly projects.

Scope of Practice / Privileges

• Includes outpatient, inpatient, elective, and emergent neurosurgical care, with a focus on complex spine and functional neurosurgery.
• Provide oversight of care delivered by APPs, RNs, and technicians.
• Clinical privileges are subject to approval by the Professional Standards Board and Chief of Staff.

Supervisory Controls

• Reports directly to the Associate Chief of Staff, Surgical Services.
• Provides direct clinical supervision to APPs and indirect oversight of nurses and surgical technicians.

Performance is evaluated through clinical outcomes, peer reviews, and quality metrics.
Work Schedule: Full-Time tour negotiable upon selection.
Requirements
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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.
• 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.
• 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).
• As a condition of employment for accepting this position, you will be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  - your performance and conduct;
  - the needs and interests of the agency;
  - whether your continued employment would advance organizational goals of the agency or the Government; and
  - whether your continued employment would advance the efficiency of the Federal service.
  Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

Qualifications
To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation.
Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Degree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed.
• Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia.
• Residency Training: Physicians must have completed residency training, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. (NOTE: VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are: (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR
  [(2) Those approved by the American Osteopathic Association (AOA),OR
  (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the physician to an appropriate range of patient care experiences.
  Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs). PRPs must be fully licensed physicians (i.e., not a training license) and may only be appointed on an intermittent or fee-basis. PRPs are not considered independent practitioners and will not be privileged; rather, they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision. Additionally, surgery residents in gap years may also be appointed as PRPs.
• Proficiency in spoken and written English.

Additional Requirement: Must be eligible for Faculty Appointment with an established Academic Affiliate Partner of VA St. Louis Health Care System.
Preferred Experience: Demonstrated expertise in complex spine surgery, including deformity correction and revision procedures.
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: More information can be found in VA Handbook 5019.
Education
Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:

1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or
2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted.
3. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.]

NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.
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.
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.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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