Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 640940500
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more. 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. Basic Requirements: United States Citizenship: Must be a United States Citizen. Education. Graduate of a training program which is accredited by the Accreditation Review Commission on Education of PA (ARC-PA) or one of its predecessor organizations. Additionally, candidates must meet one of the following: (1) Master's degree in any discipline; OR, (2) Bachelor's degree in any discipline with one year of experience as a PA. Certification. Must have successfully passed the PA National Certifying Exam (PANCE). NOTE: Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is no longer required for employment in VHA. If a PA is certified by the NCCPA, but not licensed on the effective date of the qualification standard, they are not required to obtain or maintain a license to remain employed in VHA. However, if they lose or fail to maintain their NCCPA certification after this qualification standard is effective and do not possess a full, valid, and unrestricted license, they are no longer qualified for employment as a PA in VHA. Licensure. PAs must possess an active, current, full, and unrestricted license to practice in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. PAs must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State. Exceptions for Graduate PAs. PAs who otherwise meet the basic requirements, but do not possess the required licensure, may be appointed, pending licensure, as a graduate PA on a temporary full-time appointment not-to-exceed two years under the authority of 38 U.S.C. § 7405(c)(2)(B). Graduate PAs may only be appointed at the entry grade level and may not be promoted/converted until certification is obtained. Temporary graduate PA appointments may not be extended beyond two years or converted to a new temporary appointment. Physical Requirements. Must pass a pre-employment physical. English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by VA Policy. GRANDFATHERING PROVISION. All persons employed in VHA in this occupational series that are also performing the duties as described in the qualification standard on the effective date of this qualification standard are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it. Additional provisions apply. References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-8 Physician Assistant Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: The work involves regular and recurring periods of walking, standing, sitting, bending, pulling, lifting, reaching and carrying. Manual dexterity is required to operate medical equipment and perform activities such as surgery, treatments and computerized medical record documentation. 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: Physician Assistant-I (PA-I)Experience and Education. None beyond the basic requirements. This is the entry level for PAs. Demonstrated Knowledge, Skills, and Abilities(KSAs). i. Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care. ii. Ability to perform patient history and physical. iii. Ability to formulate a plan and provide treatment to the patient. iv. Ability to provide patient care that is abreast of changing concepts and advancements in the profession. Physician Assistant-II (PA-II)Experience and Education. The PA at this grade is at the intermediate grade level and has had progressively increasing responsibility and experiences as indicated in the KSAs listed below. Individuals will have demonstrated the ability to analyze and solve more complex medical problems than at the entry level grade and can utilize their training in the successful practice of patient care and participate in team problem solving. Individuals demonstrate the KSAs of PA-II intermediate level by: i. Two years of successful practice as a PA. OR, ii. Successful completion of a PA post-graduate residency program sponsored by VHA Office of Academic Affiliations or other postgraduate residency programs accredited by VA, ARC-PA, U.S. Armed Forces, or another accrediting agency. OR, iii. A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education. Demonstrated Knowledge, Skills, and Abilities (KSAs). i. Skills to analyze and solve complex medical problems. ii. Ability to function autonomously and make independent medical decisions. iii. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care. iv. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. v. Ability to practice with colleagues and peers collaboratively. Physician Assistant-III (PA-III)Experience and Education. PAs at the PA-III grade are at the full performance level and lead and organize patient care independently, practice within multi-disciplinary teams, and coordinate all aspects of patient care across the health care system. They utilize advanced clinical knowledge and judgment in decision-making and evaluating outcomes. They function as experts in clinical practice and/or in areas related to the assigned roles and responsibilities, may serve as mentors for transitioning PAs, and may provide training for health care students. Individuals can demonstrate the KSAs for the full performance level by: i. Three years of successful practice as a PA. OR, ii. Successful completion of a PA post-graduate residency program sponsored by VHA Office of Academic Affiliations or other postgraduate residency programs accredited by VA, ARC-PA, U.S. Armed Forces, or another accrediting agency and one year of professional practice as a PA. OR, iii. A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education and one year of professional practice as a PA. Demonstrated Knowledge, Skills, and Abilities(KSAs). i. Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care. ii. Skill to consistently demonstrate an elevated level of expertise and autonomy in diagnosing and treating seriously ill, multi-symptomatic patients through facility Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE). iii. Ability to present clinical findings and recommendations to appropriate management officials. iv. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel. v. Ability to implement and initiate clinical changes to established treatment protocols based upon new medical literature research findings to enhance patient delivery care for improved patient outcomes. vi. Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Not Authorized\nPermanent Change of Station (Relocation Assistance): Not Authorized\nEducation Debt Reduction Program (Student Loan Repayment): Position Eligible\nEDRP Authorized: Contact Susan.Bringel@va.gov, the EDRP Coordinator for questions/assistance Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid Time Off: 50-55 days of annual paid time offer 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory\nCME: Possible $1,000 per year reimbursement\nMalpractice: Free liability protection with tail coverage provided\nContract: No Physician Employment Contract and no significant restriction on moonlighting Major Duties: Evaluating and treating patients in plastic and hand clinic, applying and removing casts; consulting on inpatient nursing and medical issues when resident is unavailable as well as providing post-operative patient teaching. Collaborating on inpatient discharge planning which includes performing histories and physical examinations, writing outpatient pre-operative orders, scheduling surgeries and diagnostic procedures as directed by the physician and ordering and interpreting laboratory tests. Initiating consults to other services, typically outpatient nursing clinic, and social work; ordering radiology and nuclear medicine studies on basis of history and physical examination findings in collaboration with the physician and attending radiology and pathology rounds. Initiating patient education, prescribing approval including those agents officially designated for use with the following exceptions: 1) all DEA controlled substances; 2) other agents which are specifically limited or restricted for all prescribers; 3) investigational drugs (unless approved by the principal investigator and guidance for is stipulated in an approved protocol for non-physician use of these drugs). Assisting in the operating room, completing electronic encounter for each visit, previewing OR schedule on a weekly and daily to assure that operative consents are signed; calling patients as needed to assure their intent to keep surgery date and maintaining log of pre-oped patients who can be potential substitutes to prevent operating room disruption. Previewing clinics to assure appropriate scheduling and minimize no-shows; participating in Peer Review, working as a team with Plastic and Hand surgeons, nursing, technicians, primary care, administration, lab, pharmacy, dieticians, and ancillary staff on behalf of patient care and performing other duties under the direction of a Plastic or Hand surgeon. PREFERRED CRITERIA\n1. Ability to furnish medications.\n2. Physician Assistant will be furnishing or ordering Schedule III-V controlled substances; he or she must have a current DEA number from the United States Drug Enforcement Administration.\n3. Basic Life Support (BLS) up to date. Advanced Cardiovascular Life Support (ACLS) highly recommended.\n4. Demonstrated ability to communicate verbally and in writing. Demonstrated ability to establish effective interpersonal relationships with all levels of medical center personnel. Demonstrated leadership ability including self-direction, problem solving, project management, and quality management. Work Schedule: Monday - Friday 8:00am-4:30pm"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.