Clarification from the agency

The position is open to US Citizens, Veterans and internal VA Employees with the Columbia VA Health Care System.

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Scope of Practice:The Physician Assistant (General Surgery) is assigned to Surgical Service. The responsibilities for the Physician Assistant (General Surgery) include, but are not limited to the following description: The Physician Assistant functions as a GAP Provider in General Surgery Service. He/she is responsible for provision of care for patients seeking General Surgery Care. His/her responsibilities include activities considered to be usual Physician Assistant practice and selected extended functions defined in an approved protocols and practice guidelines. The PA is involved in direct patient care, patient and family education as well as staff education and multidisciplinary consultations and collaborations. The PA maintains recognized Physician Assistant Standards of Practice and follows approved scope of practice. The PA exhibits strong clinical skills to improve patient care for an aging adult population as well as excellent interpersonal relationship skills interpreting and communicating health care information to the patient, family and the interdisciplinary health care team. The Physician Assistant executes responsibilities that demonstrate leadership, experience, and creative approaches to management of complex General Surgery patient care. The scope and complexity of the surgical subspecialty assignment is such that extensive coordination with a wide variety of specialties/subspecialties and other special programs is required. They assure the implementation, maintenance and compliance with standards of professional practice of all health care personnel within the program.

• Actively participates in Medical Center committees and teams, as assigned by the Chief, Surgical Service or Section Chief General Surgery Service.
• Participates in various facility programs, designed to enhance and improve the delivery of podiatry wound care patient care services, as assigned by Chief, Surgery Service or Section Chief General Surgery Service
• Participation in long range program planning and model development for effective delivery of health services is required. The PA for General Surgery Service facilitates the delivery of patient care in collaboration with health professionals, health managers and other health care professionals.

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 a 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 Department of Veterans Affairs Personnel
• USAJOBS Resume or Resume that meets Federal Employment Criteria (Required)
• Official College Transcripts with Degree Conferred Date (Required)
• Copy of Physician Assistant License (Required)
• Copy of PA National Certifying Exam (PANCE) certification (Required)
• Most Recent Notification of Personnel Action SF-50 with Salary Information (Must have a 2022 effective date) (Required if a Federal Employee)

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.

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.
• 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: Master's degree in any discipline; or 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).
• License: 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.
• English Language Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f).

• 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: The following list of knowledge, skills, and abilities (KSA) present the minimum skill set expected of an Entry Level PA. This practice may include, but is not limited to:
    • 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: PAs at this level are not required to meet each individual KSA listed below to qualify, but should be able to demonstrate, develop, or acquire those not met upon appointment for PA-II:
    • 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 multidisciplinary 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: PAs at this level are not required to meet each individual KSA listed below to qualify, but should be able to demonstrate, develop, or acquire those not met upon appointment for PA-III:
    • 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.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Your application, résumé, C.V., and/or other supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.