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Summary The U.S. Department of State is developing a rank-ordered list of eligible hires for a limited number of Regional Medical Officer Psychiatrist (RMOP) vacancies based on the needs of the Department. Learn more about Foreign Service medical careers at https://careers.state.gov/med. There is more to joining the Foreign Service than just salary. Refer to the Benefits section for more information on total compensation. Responsibilities The Bureau of Medical Services (MED) in the Department of State safeguards and promotes the health and well-being of American's diplomatic community, which consists of employees and their accompanying family members who represent United States government agencies abroad. The Department assigns Foreign Service Medical Officers (RMOs), Psychiatrists (RMOPs), Medical Providers (MPs), and Regional 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. A Regional Medical Officer Psychiatrist (RMOP) works either independently or as a member of a team of FS Medical Specialists to provide medical support for USG employees and their Eligible Family Members (EFMs). An RMOP is considered "essential personnel" and is expected to be available on-call 24 hours a day, seven days a week. RMOP duties include but are not limited to: Clinical Responsibilities All Medical Specialists working with the Bureau of Medical Services must be willing to provide primary care services and counseling to all patients regardless of age, sexual orientation, gender, race, ethnicity, national origin, language, disease, disability, or religion. Administers mental health care to American embassy personnel, their spouses and children. Helps employees and family members, including children, with adjustment to lifestyle and culture. Provide basic child/adolescent outpatient care (percentage of child/adolescent care is dependent on post). Performs telephone and telehealth video consultations. Arranges 24-hour care. Responds to crises at the home post or regional posts. Advises on mental health strategies. Maintains an awareness regarding alcohol and drug abuse at post and provides educational and treatment services. Renders clinical consultations and responds to allegations of domestic violence, child abuse, and child neglect. Provides consultation to other medical staff. Establishes mental health wellness programs. Teaches mental health crisis management. Trains locally hired nurses and health unit staff on screening for psychiatric conditions and stress management. Assesses morale at overseas embassies and consulates. Administrative Responsibilities Communicates regularly with mission community. Maintains medical record documentation on clinical patient care. Uses other computer software to provide services. Evaluates local mental health care providers and mental health facilities at posts overseas. Evaluates the availability of local psychiatric medications. Maintains or advises on Health Unit (HU) inventory of medications and oversees controlled substances. Creates satisfaction surveys. Assures personal continuing medical education. Embassy or State Department Specific Responsibilities Performs regional travel. Works with non-department of state agencies. Arranges medical evacuations. Assists consular corps. Liaises with other RMOPs. Ensures emergency preparedness. Advises ambassador. Consults at the American (or international) schools. Deals with problems in the embassy workplace. Evaluates medical clearances. Deals with local health care officials. Communicates with medical headquarters in Washington. Requirements Conditions of Employment Be a U.S. citizen and accept assignments based on the needs of the FS.* Be able to obtain a Top Secret Security Clearance. Meet the minimum medical qualification standard. Be able to obtain a favorable Suitability Review Panel determination.* Be at least 20 years old to apply at least 21 years old to be appointed. Be appointed prior to age 60 (preference eligible veterans excepted). Essential Physical Requirements The most important physical requirements of the job are: speaking, hearing, vision, mobility, tolerance for extreme environmental conditions, and physical endurance. RMOPs may need to perform essential functions effectively with or without reasonable accommodation, in environments that pose physical or other occupational challenges. These duties may include: Providing direct patient care that may require heavy lifting, pulling, stooping, and twisting in austere environments. Travelling independently to regional posts utilizing commercial air carriers, military aircraft, or other transportation modalities that may not offer special access accommodations. Providing emergency care in any location following an accident, natural disaster, or attack and emergency care in potentially hostile or physically challenging environments, such as in buildings without elevators or in areas with irregular spaces that require kneeling, bending, stooping, lifting, and running over uneven terrain. Transporting of self or patients via small aircraft, helicopters, ambulances, or other non-standard modes of transportation with small entrances and high floors, such as high axle armored vehicles. Qualifications 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. American Board certification and re-certification, state medical licensure, and Drug Enforcement Administration (DEA) registration must be maintained for the duration of employment. Once hired, applicants will be required to obtain and maintain a District of Columbia license. Specialized Experience Applicant must have a current board certification by the ABPN, and a minimum of three (3) of the last eight (8) years must include post-residency work in adult and/or child & adolescent psychiatry, in which at least 50% of the time involved direct patient care. Time spent in a Psychiatric Fellowship upon the completion of residency will be included as post-residency work. 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 attributes need to be met by a candidate; the attributes will be used as a set to evaluate candidates. Specific medical knowledge areas required by the job include: general psychiatry, mood disorders, anxiety disorders, autism and related disorders, attention deficit/hyperactivity disorder, other learning disorders, sleep disorders, eating disorders, alcoholism and drug abuse, psychotic disorders, suicide, post-traumatic stress disorder, basic understanding of mental health problems of children/adolescents, violence directed at women/children/elderly, clinical psycho-pharmacology, laboratory medicine, medical aspects of terrorism, health-related environmental factors, basic concepts in organizational psychology, and health insurance. Specific medical skills required by the job include: interviewing, history taking, triage, stress counseling, prescription treatment, providing critical feedback, couples therapy, organizing others, mentoring, medical communication, using medical software, dealing with different cultures, and working with limited resources. Personal skills required by the job include: reading comprehension, active listening, active learning, oral and written communication, public speaking, complex problem identification, critical thinking, judgment and decision making, social perceptiveness, interpersonal skills, persuasion, service orientation, instructing, time management, monitoring, coordination, and process operation and control. Management skills required by the job include: supervision, leadership, teaching others, managing personnel and financial resources, contingency planning and crisis management, organizing and managing events/programs/projects, time management, collaborating, working with limited resources, acclimating to different cultures, and computer use. Other attributes required by the job include: compassionate, unflappable, self-confident, firm convictions, independent but integrated with the department, interest in continuous learning and change, interest in foreign service work, tolerance of on-call and emergency demands, tolerance of travel, worldwide available, and tolerance of living away from family. 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. Ability to work effectively with colleagues from other cultures. Ability 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. Applicant 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. On the job training will be provided for some of the skill sets outlined above. The applicant must be able to provide expert consultation and guidance to Foreign Service Medical Specialists (FSMS) 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 RMOP's patient population is unique because of background and lifestyle as part of a diplomatic community overseas and includes adult and pediatric patients. 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 include empathetic personality, unflappability, discerning self-confidence, adherence to confidentiality, interest in Foreign Service work, loyalty to the United States, tolerance of non-scheduled work hours and travel, and tolerance of living away from family. Applicants must demonstrate a strong command of the English language to include grammar, spelling and punctuation. Foreign Service Specialists must meet consistently 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). Education At the time of application, applicants must possess: Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree from a university in the U.S. or Canada that was approved by a recognized U.S. accrediting body in the year of the applicant's graduation. MD or DO or equivalent degree from a foreign school that provided educational and medical knowledge substantially equivalent to accredited schools in the U.S. This equivalency may be demonstrated by either permanent certification of the applicant’s school by the Educational Commission for Foreign Medical Graduates (ECFMG) or a Fifth Pathway Certificate. Subsequent to obtaining a MD or DO degree, a candidate must have completed formal residency training in psychiatry. Qualifying graduate training programs include only those residency programs within the U.S or Canada and which are approved by an accrediting body recognized by the American Medical Association (AMA) or American Osteopathic Association (AOA). You must submit a copy of your medical school, university transcript(s) with your application. If you do not submit this documentation to demonstrate your educational achievements, your candidacy will not continue. Please see the Required Documents section for additional required attachments. Official or unofficial transcripts may be submitted with your application. Your transcript must include your name, the school’s name, the degree and date awarded, and have no missing pages. A transcript missing any of these elements will not pass the minimum qualifications and the candidacy will not continue. Copies of diplomas may not be submitted in lieu of transcripts for education above high school level. Education from a program or institution within the United States must be accredited at the time of program completion by an accrediting institution recognized by the U.S. Department of Education, http://ope.ed.gov/accreditation. Education completed in foreign high schools, colleges or universities may be used to meet the education requirements if you can show that the foreign education is comparable to that received in an accredited educational institution in the United States. It is your responsibility to provide such evidence when applying. Only accredited organizations recognized as specializing in the interpretation of foreign education credentials that are members of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators, Inc. (AICE) are accepted. If documentation from an accredited organization is not provided, your candidacy will not continue. NACES: https://www.naces.org/index AICE: https://aice-eval.org/ For further information on the evaluation of foreign education, please refer to the Office of Personnel Management and the U.S. Department of Education. The U.S. Department of State neither endorses nor recommends any individual evaluation service. OPM: www.opm.gov U.S. Department of Education: http://www.ed.gov Additional Information EMPLOYMENT ELIGIBILITY VERIFICATION PROGRAM (E-Verify) – Verification of employment eligibility in the United States is required. U.S. law requires organizations to employ only individuals who may legally work in the United States – either U.S. citizens, or foreign citizens who have the necessary authorization. This agency utilizes E-Verify to compare information from the Form I-9, Employment Eligibility Verification, to data from U.S. Department of Homeland Security (DHS) and Social Security Administration (SSA) records to confirm employment eligibility. If the employee’s information does not match DHS and/or SSA records, the employee is given an opportunity to resolve the problem. If eligibility cannot be verified, employment will be terminated. *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 selection process, please visit: https://careers.state.gov/about/diversity-inclusion/veterans-program-office/. 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. A Foreign Service Specialist separated for failure to receive a career appointment under section 306 may not re-apply to be a Foreign Service Specialist 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 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 qualified candidates with disabilities. Procedures vary by test type, and all candidates must request reasonable accommodations in advance. For more information visit https://careers.state.gov/faq-items/what-is-the-assessment-centers-policy-on-reasonable-accommodations-for-persons-with-disabilities-or-those-who-have-medical-conditions-or-other-needs-such-as-the-use-of-medical-devices-or-acc/