United States Department of State
An Equal Opportunity Employer
How to Apply
Announcement No: RMOP-2016-0002
Position Title: Foreign Service Regional Medical Officer/Psychiatrist
Open Period: 01/26/2016 - 02/23/2016
Series/Grade: FP - 0180 - 01
Position Information:Permanent after tenure granted by a Foreign Service Specialist (FSS) Tenure Board.
Salary: $114,385 - $132,122
Promotion Potential: Senior Foreign Service
Duty Locations: MANY Vacancies Throughout the World
Must be a U.S. citizen. Potential applicants should read the entire announcement to ensure that they meet all of the requirements and understand a Foreign Service career.
Applicants may not reapply for one year after the previous application for the same positon.
If a State Department Suitability Review Panel denied suitability in the last two years, you may not apply (except Diplomatic Security Special Agent (SA) candidates whose denial was based solely on the unique requirements for SAs.)
The U.S. Department of State, our country’s lead foreign policy agency, provides a rich international experience whether at home or abroad, and opportunities to become responsible leaders.
Each day, our employees make a difference as they contribute to our global society and defend and advance our country’s interests and values. They work on the business of diplomacy and high priority issues that impact the safety, security, and prosperity of our world – human rights, environment, energy, food security, public health, and technology – all while experiencing a unique career.
Our talented workforce reflects and champions all of our strengths and diversity – personal, professional, and educational. We offer a workplace that values and rewards leadership, collaboration and innovation, and personal and professional development.
The Office of Medical Services (MED) in the Department of State maintains and promotes the health of employees and their accompanying family members who represent United States government agencies abroad. The Department assigns Foreign Service Medical Officers (RMOs), Psychiatrists (RMO/Ps), Medical Providers (MPs), and Medical Laboratory Scientists (RMLS) to selected posts overseas. Many of these posts have significant health risks and local medical care that is inadequate by U.S. standards.
Physicians Comparability Allowance (PCA): $14,000.00 - $30,000.00
The Department of State has current authority from the Office of Management and Budget to enter into agreement with physicians enabling allowances of $30,000 a year to full-time physicians with more than five years of Federal service, $22,000 a year to full-time physicians with more than two years of Federal service, and $14,000 to those with less than two years of Federal service. Federal service must have been as a physician.
The Department of State is developing a rank-order list of eligible hires for a limited number of FSS vacancies based on the needs of the Department.
To learn more about the Department of State and a career as an FSS, please visit us at http://careers.state.gov/work/foreign-service/specialist/career-tracks
An FSS generally spends the majority of his/her career assigned to our overseas missions and at times, lives away from family and/or in difficult or isolated conditions.
Selected applicants will be notified of an Oral Assessment (OA) requirement in Washington D.C. For the selected applicants, all travel and other expenses incurred in connection with the OA are the sole responsibility of the applicant.
After completing orientation and initial training in Washington, D.C., an FSS usually is assigned to two overseas tours, each two years in length, directed by the Department. After the initial two tours, assignments will be for periods of one to three years overseas or in the United States.
Serving in support of the employees of the United States government and their eligible family members, the Regional Medical Officer/Psychiatrist (RMO/P) may work independently or in conjunction with other Foreign Service medical personnel. The RMO/P duties include implementing the following procedures at each post of responsibility:
Clinical Responsibilities: Provides ambulatory and emergency psychiatric care for employees and eligible family members - including children, assesses post morale, responds to emergencies 24-hour/7days a week, performs telephone consultations, assures patient confidentiality, responds to crises at the home post or regional posts, renders clinical consultations on workplace and family violence events (including child and spousal abuse cases), provides educational and treatment services as feasible for alcohol and drug abuse prevention at post, renders psychiatric consultations for Regional Medical Officer, helps employees in problems of adjustment to life style, creates and provides educational and therapeutic presentations to officers and families at post, and assists with establishing lifestyle programs.
Administrative Responsibilities: Maintains required Continuing Medical Education (CME) credits, trains staff as needed on screening for psychiatric conditions and stress management, maintains accurate medical records including requested workload and clinical care metrics, documents and reports on regional travel, and plans and requests budgets for regional travel.
Embassy or State Department Specific Responsibilities: Makes regular visits to regional posts, as frequently as necessary to determine ongoing mental health needs, and provides needed services. Improves embassy workplace morale through consultations with Human Resources, supervisors, and senior leaders; advises ambassador; responds and collaborates with medical department in Washington. Evaluates local mental health resources, evaluates local mental health care providers, arranges medical evacuations, performs regional travel, evaluates medical clearances, serves on country team, works with non-Department of State agencies, works with mail order pharmacies, works with post medical advisor, sends statistical reports, assists Consular Corps, liaises with other Department psychiatrists, and consults at the American or other international schools. Travels 40 to 50% of the time or more to provide mental health and administrative oversight.
Foreign Service Medical Officers are considered ‘essential personnel’ and are on call to provide services 24 hours a day, seven days a week.
Foreign Service Medical Specialists (RMOs, RMO/Ps, MPs, and RMLSs) are responsible for Department of State medical and safety policies, provision of a range of medical services, management of Health Unit operations, supervision of subordinate staff, and the actual performance of all of the following essential functions in addition to routine family care:
Inspect and assess the care and capability of local clinics, hospitals, laboratories, and private practices in possibly hazardous environments, and/or where there are no special access accommodations.
Provide patient care that may include heavy lifting, pulling, stooping and twisting in adverse settings.
Travel independently to regional constituent posts (if applicable) utilizing air carriers and transportation facilities that may not have special access accommodations.
The essential RMO, RMO/P, and MP functions of providing emergency care include the following responsibilities:
Triage and manage care of injured persons in any location following an accident, natural disaster, or attack.
Provide emergency care as required in a hostile or physically challenging environment, such as in buildings without elevators or in areas of irregular spaces that require kneeling, bending, lifting, and running. Transport patients via small aircraft, ambulance, or other vehicle with high floors.
Assist with evacuation via land, sea, or air in the event of political unrest.
Licensure and Board Certification
Applicants must have a current, valid, and unrestricted license to practice medicine in a state, the District of Columbia, Puerto Rico, or a territory of the United States. Applications will not be accepted from psychiatrists who are not licensed. The American Board of Psychiatry and Neurology (ABPN) must certify applicants in psychiatry. Licenses and Board certification and re-certification must be maintained during employment with the Department's Office of Medical Services.
Applicants must have a current board certification by the ABPN and have a minimum of five years post-residency clinical experience in adult or child/adolescent psychiatry with at least 50% of the applicant's time involved in direct patient care during the last five years.
Applicants with only four years of clinical experience beyond residency may apply for a position, in anticipation of completing the five-year requirement at the time of appointment. All experience will be evaluated on an individual basis.
Knowledge, Skills, and Abilities
Education, work experience and other qualifications are evaluated for evidence of the following knowledge, skills, abilities and other requirements that have been identified as important to successful job performance as a Regional Medical Officer/Psychiatrist based on extensive job analysis research. Not all of these attributes need to be met by a candidate; the attributes will be used as a set to evaluate candidates.
Knowledge of general psychiatry, mood disorders, anxiety disorders, Schizophrenia, autism and related disorders, attention deficit/hyperactivity disorder, other learning disorders, sleep disorders, eating disorders, alcoholism and drug abuse, suicide, post-traumatic stress disorder, mental health problems of adolescence, violence directed at women/children/elderly, clinical psycho-pharmacology, laboratory medicine, medical and mental health aspects of terrorism, and health-related environmental factors.
Specific skills in history taking, physical examination, treatment, triage, medical communication, oral communication, providing constructive criticism, couples therapy, organizing others, stress counseling, written communication, computer use, supervision, dealing with different cultures, and working with limited resources.
General skills in social perceptiveness, active listening, reading comprehension, active learning, learning strategies, coordination, service orientation, instructing, time management, critical thinking, judgment and decision making, monitoring, persuasion, complex problem solving, and negotiation.
Willingness to deploy to high threat environments to provide care and consultation to persons under Chief of Mission Authority. Ability to consult with senior leaders, officers and family members with tact, recognizing the limited role of the physician in a non-medical organizational environment. Able to work effectively with colleagues from other cultures. Able to create supportive and effective relationships in overseas environments, due to successful self-management.
Applicants must be able to integrate clinical, administrative and management skills to effectively meet the mental health needs of U.S. Foreign Service employees and their eligible family members assigned overseas. Regional Medical Officer/Psychiatrists must be skilled and experienced clinicians able to gain the confidence of their patients, co-workers and supervisors, and capable of working independently in complex and difficult situations.
Applicants must be a skilled and experienced practitioner with excellent interpersonal skills. Applicant must be able to function well within a complex organization and have experience working in a high stress environment. The individual must be able to recognize and treat a wide range of mental health disorders and manage the special challenges of providing care to a diverse population, scattered over a large geographical area where local medical and mental health resources may be limited or non-existent. Clinical experience in child/adolescent psychiatric, marital/family therapy, cross cultural psychiatry, crisis intervention and substance abuse is desirable.
The applicant must be able to provide expert consultation and guidance to Foreign Service Medical Officers and other medical personnel with varying backgrounds and levels of training.
Applicants with experience in team building, leadership, and management in a multidisciplinary setting are preferred. Applicants must have effective written and oral communication skills and the ability to present findings in a clear and concise manner to both medical and non-medical personnel. Public speaking skills as well as knowledge and hands-on familiarity of computer systems and software are also desirable qualities.
The RMO/P's patient population is unique because of background and lifestyle as part of a diplomatic community overseas. This population also differs in terms of clinical and administrative needs and the national security concerns inherent in their employment. Previous experience working in an occupational setting and/or in an overseas setting is advantageous. The successful applicant will have an understanding of the challenges of consulting in a non-medical environment.
Other attributes including empathetic personality, unflappable, self-confident, confidentiality, interest in Foreign Service work, loyalty to the United States, tolerance of non-scheduled work hours, tolerance of travel, and tolerance of living away from family.
Applicants must demonstrate a strong command of the English language to include grammar, spelling and punctuation. FSS must consistently meet a high standard for English, both written (overall structure as well as grammar, spelling and punctuation) and spoken (overall structure as well as delivery, clarity and succinctness).
Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.) degree from a school in the United States approved by a recognized U.S. accrediting body in the year of the applicant's graduation. A Doctor of Medicine degree or equivalency degree from a foreign medical school that provided educational and medical knowledge substantially equivalent to accredited schools in the United States may be demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or a Fifth Pathway Certificate for Americans who completed premedical education in the United States and graduate education in a foreign county.
The applicant must have completed an internship and psychiatric residency training program approved by a recognized accrediting body within the United States.
For accreditation information, please go to: www.acgme.org.
Education completed in foreign colleges or universities may be used to meet federal job requirements for this position if the applicant provides an international education evaluation certifying the degree earned is equivalent to education received in the United States. It is the responsibility of the applicant to provide such evidence when applying for federal jobs. For more information, please view How Foreign Education is evaluated for Federal Jobs: http://careers.state.gov/downloads/foreign-education
Candidates will be evaluated on their total background including experience, education, awards, training, and self-development as it relates to the position. Selection for this position will be made only from among candidates possessing the best qualifications. Part-time work experience will be prorated.
After the initial review of applicants and the qualifications evaluation panel, the most competitive candidates will be invited to take a proctored writing examination. The ability to draft an essay which demonstrates a command of English grammar, spelling, and punctuation will be an important consideration in determining which candidates to invite to an oral assessment. For more information, please visit http://careers.state.gov/work/foreign-service/specialist/selection-process
Medical Credentialing and Indemnification
Applicants are subject to a medical credentialing process conducted by the Quality Improvement Staff of the Office of Medical Services. The medical credentialing process includes queries of the National Practitioner Data Bank and Physician Data Profile through the American Medical Association (AMA). Once hired, medical personnel are indemnified for official duties only through the U.S. Federal Tort Claims Act.
For more information on FSS Benefits, please click here: http://careers.state.gov/work/benefits/fss
Health and medical coverage, federal retirement benefits, paid leave, and an unprecedented chance to see the world and experience different cultures. Overseas benefits include tax-free housing overseas and tax-free education allowance for dependent children between K-12 overseas.
Continuing Medical Education (CME)
Psychiatrists receive at least 10 hours of category 1 CME credit through an annual State Department-sponsored continuing medical education program.
The salary range for RMO/P is FP-01, Step 5 through 14. The salary is dependent on such factors as graduate level education and directly-related specialized experience not used to satisfy qualifications criteria. Salary level will be determined at the time of a conditional offer of employment. To be creditable, such education and specialized experience must be in excess of that which is required to qualify as described under education and specialized experience requirements. Individuals already working in government positions may be appointed based on highest previous rate as a Federal employee.
While the hiring of all medical professionals will start at Step 5, one additional step may be granted for a master’s degree in public health from a program accredited by a nationally recognized U.S. accrediting agency.
For information on FS Salary, please visit https://careers.state.gov/faqs/faqs-wiki/foreign-service-salary-matching-pay-tables-danger-pay-overseas-moving-expenses-and-taxes.
*The Department of State Suitability Review Panel and standards are defined in Chapter 3 of the Foreign Affairs Manual. For more information please visit: https://fam.state.gov
**For more information about Veteran’s Preference and how it is applied in the FSS Selection Process, please visit: http://careers.state.gov/faqs/faqs-wiki/are-veterans-given-hiring-preference-
No applicant will be considered who has previously been separated from the Foreign Service under sections §607, §608, §610 or §611 of the Foreign Service Act of 1980, as amended, or who resigned or retired in lieu of separation under these provisions. In addition, no applicant will be considered who has previously been separated for failure to receive a career appointment under section §306 of the Foreign Service Act of 1980, as amended, or who resigned or retired in lieu thereof.
An FSS separated for failure to receive a career appointment under section 306 may not re-apply to be an FSS in the same skill code, but may apply for another skill code (or to be a Foreign Service Generalist).
Executive Branch agencies are barred by 5 US Code 3303 as amended from accepting or considering prohibited political recommendations and are required to return any prohibited political recommendations to sender. In addition, as mandated by 5 US Code 3110, relatives of federal employees cannot be granted preference in competing for these employment opportunities.
It is the policy of the Federal Government to treat all of its employees with dignity and respect and to provide a workplace that is free from discrimination whether discrimination is based on race, color, religion, sex (including gender identity or pregnancy), national origin, disability, political affiliation, marital status, membership in an employee organization, age, sexual orientation, or other non-merit factors.
The Department of State provides reasonable accommodation to applicants with disabilities. Applicants requiring reasonable accommodations for any part of the application or hiring process should so advise the Department at ReasonableAccommodations@state.gov , within one week of receiving their invitation to the oral assessment. Decisions for granting reasonable accommodations are made on a case-by-case basis.
We are currently accepting applications for this position.
Apply now at USAJOBS.
Steps to Apply:
If you are having technical difficulty with the application process, please contact the Help Desk by calling 1-866-656-6830 or by emailing firstname.lastname@example.org. The helpdesk is available Monday through Friday from 7 am to 7 pm Eastern Time.
For more information on the FSS hiring processes, please visit our FAQs at http://careers.state.gov/faqs. If you have any questions regarding FS careers, please visit our Careers.State.Gov site and post your question(s) on the appropriate Forum in the Connect section: http://careers.state.gov/connect/forums
It is the responsibility of the applicant to ensure all required documents are uploaded and the application is fully completed before the closing deadline of this announcement. Any missing required documents or incomplete applications will result in your application not being considered further.
The required questions provide an opportunity to describe examples and accomplishments from your education, life, and/or work experience that demonstrate your qualifications for becoming an FSS. Examples can be drawn from any part of your professional or personal experience. The information you give may be used in your oral assessment should you be invited and is an important factor in the competitive evaluation of applicants. Responses are limited to 300 words or fewer (maximum length 2,000 characters) for each item. You should compose your replies carefully, as one of the skills necessary to succeed as an FSS is the ability to write clearly and concisely. These items must be completed in the online application, not as attachment.
Clinical skills: Describe a specific complex clinical case which demonstrates your skills in diagnosing and treating patient mental health problems.
Organizational Abilities: Describe a specific achievement demonstrating your planning and organizational skills in the setting of a multidisciplinary mental health team or in an organizational consultation role.
Leadership and Teamwork Abilities: Discuss your abilities to participate as a team member working toward a common goal, as well as examples of your ability to lead a team in the accomplishment of a goal.
Public Speaking and Teaching Ability: Describe specific examples demonstrating your public speaking and teaching abilities as part of an assignment or work-related task.
Crisis Management Skills: Describe an example in which your skills significantly contributed to the positive outcome of a complex or difficult clinical crisis situation.
Resilience Skills: Discuss your strategies to manage in a highly stressful environment and include any experiences where you succeeded in occupational tasks in an overseas/cross-cultural work environment.
Statement of Interest
Required narrative Statement of Interest equivalent to two-to-three pages typed and no more than 5000 characters, which discusses your:
The Statement of Interest must be completed inside the online application, not as an attachment.
U.S. Department of State
2201 C St NW, Washington, DC 20520
Medical Services Office, 202-663-1084
Once submitted, your application status on USAJobs will change from “received” to “referred to hiring agency only” after the close of the announcement. After the announcement’s closing date, all “referred” applicants will be notified via e-mail from the U.S. Department of State of the status of their applications.
Please note that the “referred” status on USAJobs will not be updated throughout the entire evaluation process.
Due to the high volume of applications, we ask all applicants to remain patient and await communication. It is not uncommon for several months to pass before you are informed of the results of your applications.
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