Employment Type: Full-Time
* VideosVideos* DutiesHelpDutiesSummaryNOTE - Applications of eligible candidates will be referred as received. Referrals will continue until the vacancy is filled.Learn more about this agencyResponsibilitiesThe Physician Assistant in Primary Care is responsible for providing comprehensive, high quality primary to veteran patients served at the Community Based Outpatient Clinics (CBOC). This position requires appropriate clinical management of veteran patients, interdisciplinary teamwork, and effective communication and interpersonal skills. The Physician Assistant provides effective care to patients characterized by using sound judgment in assessing, planning, implementing, documenting and evaluating patient care for assigned patients. This includes possessing the skill and competency to obtain thorough medical histories, perform comprehensive physical examinations, order appropriate diagnostic studies, interpret and analyze medical data, establish diagnoses, formulate and implement treatment plans, and modify treatment plans when appropriate. The Physician Assistant works effectively and makes appropriate requests for assistance from the assigned physician and recognizes complex patience care situations when referral is appropriate. The Physician Assistant references quality improvement information and organizes patient care needs to assure safe, efficient and cost-effective care and initiates effective actions in emergencies.Work Schedule: Monday - Friday, 8:00am - 4:30pmFinancial Discloser Report: Not requiredTravel RequiredNot requiredSupervisory statusNoPromotion PotentialNone* Job family (Series)0603 Physician Assistant* RequirementsHelpRequirementsConditions 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.* Designated and/or random drug testing required* 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 examinationQualificationsApplicants 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.To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/31/2020.Basic Requirements:a. US Citizenship.b. Education. The candidate must meet the following:(1) Graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor organizations; and(2) A Bachelor's degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education.c. Certification(1) Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA.(2) Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis (38 U.S.C. 7405), for a period not to exceed two years.(3) If a PA's NCCPA certification is suspended, revoked or expires, the PA must be removed from the occupation which may result in termination of employment.Grade Determinations:Full Grade. In addition to meeting the basic requirements, individuals appointed to this grade must meet all the following requirements:Clinical Proficiency: Provides effective care to patients characterized by the use of sound judgment in assessing, planning, implementing, documenting, and evaluating patient care for assigned patients. This includes possessing the skill and competency to obtain thorough medical histories, perform comprehensive physical examinations, 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; references quality improvement information and organizes patient care needs to assure safe, efficient and cost-effective care; initiates effective actions in emergencies.Professional Development: Obtains additional knowledge and skills appropriate to the practice setting to improve performance and provides patient education in an effective manner.Ethics. Safeguards patient privacy and confidentiality. Provides care in a nonjudgmental, non-discriminatory manner respecting the patient's values and beliefs.Interpersonal Skills: Works effectively with patients, families, caregivers, and other professional and support personnel.Research: Demonstrates awareness of research application to practice and researches medical literature and applies evidenced-based medicine to improve clinical practice.Intermediate Grade. In addition to meeting the basic requirements above, candidates must meet all requirements described in this standard for Full Grade. Individuals appointed or advanced to Intermediate Grade will have demonstrated the ability to analyze and solve more complex medical problems and meet the following requirements and all clinical competencies:Experience / Education: 1 year of professional practice as a PA; OR successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; OR a Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education.Senior Grade. In addition to meeting the basic requirements above, candidates must meet all requirements described in this standard for Intermediate Grade. Individuals appointed or advanced to Senior Grade will have demonstrated the behaviors or responsibilities listed in one or more of the following categories: Clinical Proficiency, Education, Professional Development, Management/Administrative, and Research, as applicable to the assignmentExperience / Education: 3 years of professional practice as a PA; OR 2 years of professional practice as a PA and successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; OR 2 years of professional practice as a PA and a Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education; OR a Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education.AND Management/Administrative. One of the following responsibilities must be demonstrated:(a) Evaluates service level patient care delivery systems and validates or identifies barriers to safe, effective care. Presents findings and recommendations to appropriate management officials and participates in implementation of changes.(b) Manages patient quality management data bases such as the National Surgical Quality Improvement Program (NSQIP) if assigned.(c) Serves on service or facility committees/task forces if applicable to the assignment.(d) Coordinates consult referrals within the service assigned.(e) Coordinates and facilitates inter-service agreements.AND all clinical competencies.Chief Grade. In addition to meeting the basic requirements above, candidates must meet all requirements described in this standard for Senior Grade. Appointment or promotion to Chief Grade is based on the individual's demonstrated high level of clinical expertise, leadership ability, and the ability to function with a high degree of autonomy. Further, the PA candidate for Chief Grade will have demonstrated all the requirements of one or more of the following categories: Management/Administrative, Clinical Proficiency, Professional Development and Research.Experience / Education: Generally, an individual in this grade is able to demonstrate the behaviors listed in the areas below after 5 years of professional practice as a PA; and, the minimum education for this grade is a Master's Degree from a PA training program accredited by ARC-PA or in a health-related field of study. However, experience as a PA may be substituted for the Master's degree where the individual has an equivalent knowledge of the profession and has successfully undertaken a combination of difficult or complex assignments in several clinical, administrative, research and educational arenas which required a high degree of competence.AND Management/Administrative: Accepts substantial and continuing responsibility for managing or coordinating a healthcare program including follow-up actions to ensure compliance with regulatory bodies required by internal and external review organizations and accrediting bodies, and; successfully integrates the activities of the employee's assignment with other patient care programs at the facility or with similar programs on a broader geographic basis, and, develops policies and procedures and participates in executive level decision making deliberations, and; participates in long range program planning and model development for effective delivery of services, and; performs a full range of administrative duties relative to the assignment.AND all clinical competencies.References: VA Handbook 5005/78 Part II, Appendix G8 Physician Assistant Qualification StandardThe full performance level of this vacancy is Chief. The actual grade at which an applicant may be selected for this vacancy is in the range of Full to Chief.Physical Requirements: The work is mainly sedentary, but may require walking, bending, standing, and/or carrying of light items such as files and manuals. The work does not require any special physical effort or ability.EducationIMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
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