Clarification from the agency

All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.

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**This is an OPEN CONTINUOUS ANNOUNCMENT and will remain open until September 30, 2024. The initial cut-off date for referral of eligible applications will be January 23, 2024 with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.**

VA offers a comprehensive total rewards package.

Work Schedule: Monday through Friday, 06:30am-03:00pm
Telework: Ad-Hoc
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Authorized
EDRP Authorized: Contact V21CCOEEDRP@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Financial Disclosure Report: Not required

The Physician Assistant has the advanced education and training to provide direct patient care, patient education, teaching, performance improvement and staff education. The Physician Assistant is a Surgical Service Provider and is a member of the Specialty Care Neighborhood model. As the mid-level provider the PA is responsible for leading and collaborating with their team of health care professionals to provide comprehensive care in partnership with the Veteran. The PA functions as an agent of the surgical team who is well versed in surgical aspects of care, including proficient knowledge of anatomy and physiology. The PA addresses a large majority of personal health care needs and collaborates with the Veteran and surgical team members to manage this care. Providing effective care to patients characterized by the use of sound judgment in assessing, planning, implementing, documenting and evaluation patient care for assigned patients. Possessing the skill and competency to obtain thorough medical histories, perform comprehensive physical examination, order appropriate diagnostic studies, interpret and analyze medical data, establish diagnoses, formulate and implement treatment plans and modify treatment plans when appropriate. Works effectively and makes appropriate requests for assistance from the assigned physician and recognizes complex patient care situations where referral is appropriate.

Major Duties include but not limited to:

• Obtaining medical histories & providing physical examination
• Ordering diagnostic studies such as laboratory tests, x-ray and electrocardiograms.
• Request specialty care through consultation.
• Admitting and discharging patients in consultation with, and on behalf of the collaborating physician
• Developing a treatment plan, providing and coordinating medical care for assigned patients in any care setting, including establishing diagnosis, and providing follow-up care
• Documentation in the medical record as required by medical center policies and procedures
• Evaluating outpatients to determine the needs for further health care
• Ordering patient care supplies
• Obtaining and documenting informed consents for treatments and procedures
• Function as a surgical assist in the Operating Room
• Performance of perioperative procedure/interventions

Conditions of employment

• All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.
• 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 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 Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

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.

Physician Assistant Basic Requirements

• Master's degree in any discipline or a bachelor's degree in any discipline with one year of experience as a Physician Assistant ~AND~
• Successfully passed the PA National Certifying Exam (PANCE) (or are you in the process to taking the exam) ~AND~
• Currently hold, or will hold, a full and unrestricted license to practice in a State, Territory, or Commonwealth of the United States or in the District of Columbia.

Preferred Experience:

• Possess one (1) to three (3) years of successful clinical experience in procedural or critical care.
• Possess Surgical Specialty experience.

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.

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.

The full performance level of this vacancy is 4. The actual grade at which an applicant may be selected for this vacancy is in the range of 1 to 3.

Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment.

How you will be evaluated

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

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or 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 and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.