Physician Assistant - Surgical
Company: Veterans Affairs, Veterans Health Administration
Location: Fresno
Posted on: June 23, 2022
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Job Description:
Summary 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
Responsibilities 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. The responsibilities of the PA include
diagnosis and management of acute and chronic medical and
psychosocial conditions, health promotion, disease prevention,
overall care management. The type of care served to the Veteran
population with diseases and conditions indicating the need for
surgical intervention, perioperative and postoperative care. Duties
include but are not limited to the following: - 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 Work Schedule: Monday - Friday, 8:00am -
4:30pm Telework: not Available Virtual: This is not a virtual
position. Relocation/Recruitment Incentives: Not Authorized EDRP
Authorized: Contact Susan.Bringel@va.gov, the EDRP Coordinator for
questions/assistance Permanent Change of Station (PCS): Not
Authorized Financial Disclosure Report: Not required Requirements
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:
Minimum 1-3 years clinical experience working within a surgical
specialty, or acute hospital care setting. Recent procedural
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 Level 3 . The actual grade at which an applicant
may be selected for this vacancy is in the range of Level 1 to
Level 3. Physical Requirements: Applicants must meet physical
standards for the position. A physical examination prior to
placement is required. This is a designated drug testing position.
After appointment, you will be subject to random testing for
illegal drug use. Requires lifting 15-44 pounds; pushing (approx. 2
hours); reaching above shoulder; use of fingers and both hands;
walking and standing from 3-5 hours and kneeling. Ability for rapid
mental and muscular coordination simultaneously. Must have depth
perception and ability to distinguish basic colors and shades of
colors. Hearing aid is permitted. 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.
Additional Information This job opportunity announcement may be
used to fill additional vacancies. This position is in the Excepted
Service and does not confer competitive status. VA encourages
persons with disabilities to apply. The health-related positions in
VA are covered by Title 38, and are not covered by the Schedule A
excepted appointment authority. Pursuant to VHA Directive 1193.01,
VHA health care personnel (HCP) are required to be fully vaccinated
against COVID-19 subject to such accommodations as required by law
(i.e., medical, religious or pregnancy). VHA HCPs do not include
remote workers who only infrequently enter VHA locations. If
selected, you will be required to be fully vaccinated against
COVID-19 and submit documentation of proof of vaccination before
your start date. The agency will provide additional information
regarding what information or documentation will be needed and how
you can request a legally required accommodation from this
requirement using the reasonable accommodation process. If you are
unable to apply online or need to fax a document you do not have in
electronic form, view the following link for information regarding
an Alternate Application.
Keywords: Veterans Affairs, Veterans Health Administration, Fresno , Physician Assistant - Surgical, Healthcare , Fresno, California
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