Hospitalist Physician Assistant (Internal Medicine)

Full Job Description

This Physician Assistant position is in the General Internal Medicine Service Line at the West Roxbury VA Medical Center, MA. This position is full time 40 hours per week.

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: Experience with medicine inpatients in collaboration with an attending physicians Grade Determinations: 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.

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: Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care.

Ability to perform patient history and physical. Ability to formulate a plan and provide treatment to the patient.

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: Two years of successful practice as a PA.

OR 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 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).

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: Skills to analyze and solve complex medical problems.

Ability to function autonomously and make independent medical decisions. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care.

Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. 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: Three years of successful practice as a PA OR 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 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

The full performance level of this vacancy is PA III. The actual grade at which an applicant may be selected for this vacancy is in the range of PA I to PA III.

Physical Requirements: This work is mostly sedentary and requires some standing, bending and carrying light items.

The incumbent must have the ability to stand and walk for prolonged periods of time to interact with the patients and other services. Major Duties:

VA Boston Healthcare System Medicine program has 2 services which are supported by Advanced Practice Practitioners (APPs).

This includes 5 Inpatient Teaching Teams staffed by medical residents, a supervising attending and an embedded GIM APP.

Our medical service also runs one non-resident team (the Direct Care team) staffed by APPs and an Attending Physician.

Clinical responsibilities will be comprised of time on our Direct Care team providing first call for medicine inpatients in collaboration with an attending physician as well as rotations on our traditional resident-led teams.

All incumbents will work on both teams, with time split equally between the two teams in a ratio of approximately 50/50 Direct Care/Teaching.

The Teaching Team is a Monday through Friday Schedule, and the Direct Care Team has a shift-based tour of duty (weekday shifts will range between 8 and 12 hours / day, not to exceed 80 hours / two-week pay period; weekend and holiday shifts will be 12-hour shifts).

Duties include but are not limited to the following: Provides comprehensive inpatient medical care to adult veterans, including evaluation and management of acute, episodic, and chronic conditions Practices with appropriate clinical autonomy within granted privileges in collaboration with and supported by supervising internal medicine physician faculty.

Serve as a primary provider on the Direct Care service and the General Internal Medicine/GIM Teaching services, managing daily patient care activities including admissions, ongoing management, care coordination, and discharge planning Coordinates and oversees inpatient care, coordinates timely communication, safe transitions of care Provides clinical guidance and continuity for Internal Medicine residents, medical students, and other trainees involved in patient care Lead and support resident teams in addressing all aspects of inpatient care, with a focus on patient safety, high value care, and adherence to evidence based practices Demonstrates accountability to established VA policies, procedures, and standards of care Utilizes advanced skills in assessment, diagnosis, clinical decision making, treatment planning and implementation of the patient's care plan Delivers patient centered care to a diverse veteran population (ages 18 through geriatric) incorporating medical, psychosocial, spiritual, and cultural considerations Collaborates with other members of the health care team to design and/or continuously improve the quality of care delivered to Veterans VA offers a comprehensive total rewards package.

Work Schedule: Tour of Duty is based on team:

Direct Care Team: These include weekends and holidays; and

Resident-Led Team: - Monday - Friday do not work holidays, 7:00 am - 3:30 pm Compressed/Flexible: Not authorized. Telework: Not available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized.