PHYSICIAN ASSISTANT (SURGERY)
The Physician Assistants in this role, are accountable for providing specialty health care in Orthopedic Surgery and/or follow-up care for this specific group of patients with emphasis on prevention, diagnosis, treatment, surgery, and promotion of optimal wellness. Patient information is obtained through the performance of a health status assessment that may include history and physical exam, and diagnostic studies. Using this information, a treatment plan is formulated, implemented, evaluated and communicated to other providers. Care is provided in both inpatient and outpatient settings. Physician Assistants work collaboratively with other members of the healthcare team under the direct supervision of an Orthopedic Surgeon. Incumbent is expected to identify, analyze and resolve problems whose resolution results in the improvement of care to patients. In the Orthopedics Service, the physician assistant is the initial point of contact within the section for physicians. Incumbent is expected to participate with impatient rounds during the week and participate with providers to discuss patient presentations developing plans for care. Incumbent continues to carry a full panel of patients with include new consultations and routine follow-up patients. Duties of the Physician Assistant include, but are not limited to, the following:
Clinical Practice - Provides a full range of care to outpatients and occasionally inpatients interdisciplinary collaboration towards further care with complex needs assuming responsibility and accountability for actions. - Assesses learning needs of outpatients, including learning preference and readiness to learn, develops and implements a plan to meet needs, and instructs patients and families. - Functions as the first assistant in the operating room for surgeries, remains the liaison between services and the hospital services and reviews daily consults - This position will be split between Orthopedic Surgery and Neurosurgery Administrative Duties:
- Incumbent is the Section Clinical Coordinator, thus oversees care of veterans in the clinic, coordinates staff coverage, develops and implements plans for improved clinic access, reviews, weekly/monthly/quarterly performance measures to review functionality and accessibility of clinics - Coordinates clinic rotations of Physician Assistants (PA) students within the section, when needed. - Familiar with and adheres to Medical Staff Bylaws of the facility. - Promotes discharge planning and continuity of care by developing an individualized plan of care in collaboration with the patient and health care team. Involves community resources as appropriate. - Collaborates with other disciplines and/or services as appropriate to assure appropriate services and resources are utilized while providing case management. - Systematically documents/reports patient care using appropriate processes and Computerized Patient Record System (CPRS), including, but not limited to, templates and narrative notes. - Participates in various hospital committees, department and hospital in-services programs. Other duties assigned as necessary Work Schedule:
Monday - Friday, 7am - 3:
30pm, Subject to change based on the needs of the agency Financial Discloser Report:
Not required Basic Requirements:
- Citizenship:
Citizen of the United States is required in accordance with section 7402(c) to title 38, United States Code (U.S.C.). Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with 38 U.S.C. 7407(a). - Training:
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:
(1) Master's degree in any discipline; OR (2) Bachelor's degree in any discipline with one year of experience as a PA. - Examination:
Must have successfully passed the PA National Certifying Exam (PANCE). - 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. - - Exceptions for Graduate PAs. (a) PAs who otherwise meet the basic requirements, but do not possess the required licensure, may be appointed, pending licensure, as a graduate PA on a temporary full-time appointment not-to-exceed two years under the authority of 38 U.S.C. 7405(c)(2)(B). (b) Graduate PAs may only be appointed at the entry grade level and may not be promoted/converted until certification is obtained. (c) Temporary graduate PA appointments may not be extended beyond two years or converted to a new temporary appointment. NOTE:
Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. 7402(f)). This requirement does not apply to licensed PAs currently employed by VA as of November 30, 1999, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification. Preferred
Experience:
Physician Assistant with Orthopedic and/or Neuro experience preferred. 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:
(1) Physician Assistant-I (PA-I) (a) Experience and Education. None 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. 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. (b) Demonstrated Knowledge, Skills, and Abilities (KSAs). 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. (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 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. (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 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 Handbook 5005/134, Part II, Appendix G8. Physical Requirements:
See VA Directives and Handbook 5019, Employee Occupational Health Service.
Estimated Salary: $20 to $28 per hour based on qualifications.
Clinical Practice - Provides a full range of care to outpatients and occasionally inpatients interdisciplinary collaboration towards further care with complex needs assuming responsibility and accountability for actions. - Assesses learning needs of outpatients, including learning preference and readiness to learn, develops and implements a plan to meet needs, and instructs patients and families. - Functions as the first assistant in the operating room for surgeries, remains the liaison between services and the hospital services and reviews daily consults - This position will be split between Orthopedic Surgery and Neurosurgery Administrative Duties:
- Incumbent is the Section Clinical Coordinator, thus oversees care of veterans in the clinic, coordinates staff coverage, develops and implements plans for improved clinic access, reviews, weekly/monthly/quarterly performance measures to review functionality and accessibility of clinics - Coordinates clinic rotations of Physician Assistants (PA) students within the section, when needed. - Familiar with and adheres to Medical Staff Bylaws of the facility. - Promotes discharge planning and continuity of care by developing an individualized plan of care in collaboration with the patient and health care team. Involves community resources as appropriate. - Collaborates with other disciplines and/or services as appropriate to assure appropriate services and resources are utilized while providing case management. - Systematically documents/reports patient care using appropriate processes and Computerized Patient Record System (CPRS), including, but not limited to, templates and narrative notes. - Participates in various hospital committees, department and hospital in-services programs. Other duties assigned as necessary Work Schedule:
Monday - Friday, 7am - 3:
30pm, Subject to change based on the needs of the agency Financial Discloser Report:
Not required Basic Requirements:
- Citizenship:
Citizen of the United States is required in accordance with section 7402(c) to title 38, United States Code (U.S.C.). Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with 38 U.S.C. 7407(a). - Training:
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:
(1) Master's degree in any discipline; OR (2) Bachelor's degree in any discipline with one year of experience as a PA. - Examination:
Must have successfully passed the PA National Certifying Exam (PANCE). - 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. - - Exceptions for Graduate PAs. (a) PAs who otherwise meet the basic requirements, but do not possess the required licensure, may be appointed, pending licensure, as a graduate PA on a temporary full-time appointment not-to-exceed two years under the authority of 38 U.S.C. 7405(c)(2)(B). (b) Graduate PAs may only be appointed at the entry grade level and may not be promoted/converted until certification is obtained. (c) Temporary graduate PA appointments may not be extended beyond two years or converted to a new temporary appointment. NOTE:
Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. 7402(f)). This requirement does not apply to licensed PAs currently employed by VA as of November 30, 1999, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification. Preferred
Experience:
Physician Assistant with Orthopedic and/or Neuro experience preferred. 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:
(1) Physician Assistant-I (PA-I) (a) Experience and Education. None 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. 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. (b) Demonstrated Knowledge, Skills, and Abilities (KSAs). 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. (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 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. (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 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 Handbook 5005/134, Part II, Appendix G8. Physical Requirements:
See VA Directives and Handbook 5019, Employee Occupational Health Service.
- Department:
0603 Physician Assistant - Salary Range:
$66,399 to $125,867 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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