PHYSICIAN ASSISTANT (SURGERY)
Duties include but are not limited to; - Provide patient services under direct supervision and responsibility of a physician - Performs post-operative evaluation including taking a medical history and performing a physical examination, orders and interprets appropriate diagnostic tests, obtains informed consent for surgical procedures, and provides patient education. - Develops treatment plan and discusses proposed course of treatment with the patient's attending physician and other healthcare team members as appropriate, including inpatient and emergency department consultations. - Assists in postoperative care following the transfer of patients from the ICU - Ensures continuity of care by managing medication orders in transition from outpatient to inpatient setting and vice versa. - Makes rounds with attending and resident staff. Writes orders and performs procedures in coordination with physician team. - Monitors patients and communicates significant patient findings or changes in patients' status to the appropriate physician. - Coordinates patient discharge and follow-up care. - Participates in meetings and is on committees. - Performs procedures as appropriate for patient care. - Performs emergency lifesaving procedures as appropriate. - Completion of disability, FMLA, and insurance forms for patients as needed. - Performs other duties as assigned. - Provides emotional and educational support to patient and family as may be appropriate. - Responds to nursing and ancillary status calls. - Assist in maintaining a positive learning environment. Work Schedule:
7:
30 am to 4:
00 pm Scheduling flexibility required Financial Discloser Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/20/2020. 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 for the Physician Assistant (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) (COPY OF CERTIFICATION MUST BE SUBMITTED.) English Language Proficiency:
Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C 7403(f). 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. Preferred
Experience:
Current Nurse Practitioner/Physician Assistant Certification from a national certifying organization that correlates with the role and patient population National Certification related to area of assignment Active DEA License and state Controlled Substance Registration Active BLS and ACLS certification At least one year of inpatient surgical experience Demonstrated leadership, self-direction and rational problem solving skills Ability to work effectively with clinical medical equipment Documented evidence of excellent communication skills verbally and in writing Basic computer skills a.General. (1) Recency and Quality of
Experience:
To be creditable, experience must demonstrate possession of knowledge, skills and abilities related to the current practice of a PA. The importance of specific types of experience or training may vary per the intended assignment. (2) Grades. The level of PA practice may be performed based on a combination of education and experience. Beyond the minimum education requirements, grade determination upon appointment, and advancement is dependent more on acquired knowledge, skills, and abilities than baseline education. As a PA acquires the knowledge and judgment that accrurs with experience, the privilege of increased authority for patient care maybe expanded. (3) Research. At any grade, PAs may assist in or conduct approved research projects relative to PA care that enhances their knowledge and skills in the profession. (b) Grade Determination. In addition to the basic requirements stated above, the following qualification criteria must be met in determining the appropriate grade assignment of candidates:
Grade Determinations:
(1) Physician Assistant - I (PA-I) (a) Experience and Education. Non beyond the basic requirements. This is the entry level for PAs. (b) 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. 2) Physician Assistant-II (PA-II) (a) 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. (b) Demonstrated Knowledge, Skills, and Abilities Individuals demonstrate the KSAs of PA-II intermediate level by:
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. (3) Physician Assistant-III (PA-III) (a) Experience and Education. PAs at the PA-III grade are at the full performance level and lead and organize patient are 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. 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 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. (b) 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 deliver 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:
A Handbook 5005/134, Part II, Appendix G8 Physician Assistant Qualification Standard dated September 27, 2020. Physical Requirements:
This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position may require potentially extended periods of continued walking, standing, stooping, sitting, bending, pulling, lifting and pushing. Setting up or transferring equipment, supplies and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may require protective clothing in isolation primarily if in direct areas.
Estimated Salary: $20 to $28 per hour based on qualifications.
7:
30 am to 4:
00 pm Scheduling flexibility required Financial Discloser Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/20/2020. 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 for the Physician Assistant (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) (COPY OF CERTIFICATION MUST BE SUBMITTED.) English Language Proficiency:
Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C 7403(f). 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. Preferred
Experience:
Current Nurse Practitioner/Physician Assistant Certification from a national certifying organization that correlates with the role and patient population National Certification related to area of assignment Active DEA License and state Controlled Substance Registration Active BLS and ACLS certification At least one year of inpatient surgical experience Demonstrated leadership, self-direction and rational problem solving skills Ability to work effectively with clinical medical equipment Documented evidence of excellent communication skills verbally and in writing Basic computer skills a.General. (1) Recency and Quality of
Experience:
To be creditable, experience must demonstrate possession of knowledge, skills and abilities related to the current practice of a PA. The importance of specific types of experience or training may vary per the intended assignment. (2) Grades. The level of PA practice may be performed based on a combination of education and experience. Beyond the minimum education requirements, grade determination upon appointment, and advancement is dependent more on acquired knowledge, skills, and abilities than baseline education. As a PA acquires the knowledge and judgment that accrurs with experience, the privilege of increased authority for patient care maybe expanded. (3) Research. At any grade, PAs may assist in or conduct approved research projects relative to PA care that enhances their knowledge and skills in the profession. (b) Grade Determination. In addition to the basic requirements stated above, the following qualification criteria must be met in determining the appropriate grade assignment of candidates:
Grade Determinations:
(1) Physician Assistant - I (PA-I) (a) Experience and Education. Non beyond the basic requirements. This is the entry level for PAs. (b) 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. 2) Physician Assistant-II (PA-II) (a) 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. (b) Demonstrated Knowledge, Skills, and Abilities Individuals demonstrate the KSAs of PA-II intermediate level by:
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. (3) Physician Assistant-III (PA-III) (a) Experience and Education. PAs at the PA-III grade are at the full performance level and lead and organize patient are 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. 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 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. (b) 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 deliver 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:
A Handbook 5005/134, Part II, Appendix G8 Physician Assistant Qualification Standard dated September 27, 2020. Physical Requirements:
This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position may require potentially extended periods of continued walking, standing, stooping, sitting, bending, pulling, lifting and pushing. Setting up or transferring equipment, supplies and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may require protective clothing in isolation primarily if in direct areas.
- Department:
0603 Physician Assistant - Salary Range:
$70,987 to $134,561 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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