Physician Assistant (Gastroenterology)

Full Job Description

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program.

You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment.

Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application.

Former EDRP participants ineligible to apply.

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.

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. 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: Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care.

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).

Ability to present clinical findings and recommendations to appropriate management officials.

Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel.

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.

Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records.

Preferred Experience: Board Eligible preferred 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 3. The actual grade at which an applicant may be selected for this vacancy is in the range of PA 1 to PA 3.

Physical Requirements: In Accordance With VA Directive and Handbook 5019 Major Duties:

The VA Finger Lakes Healthcare System is recruiting for a Physician Assistant in our Gastroenterology Clinic for the Rochester VA Clinic.

Rochester VA Clinic offers a wide range of health, support, and facility services for Veterans in upstate New York and northern Pennsylvania. Come join the team and see what Rochester has to offer!

VA offers a comprehensive total rewards package.

The Physician Assistant (PA) is fully qualified and certified to function in a clinical role and in accordance with the guidelines and policies of the VA Finger Lakes Healthcare System.

The PA is delegated the authority and responsibility to assume clinical, consultation, education, research, and administrative duties and responsibilities related to the patients and staff of the Gastroenterology Service.

This position works directly for the Gastroenterology Service and his/her duties and responsibilities are at the direction of the Supervising Gastroenterologist.

Duties include, but are not limited to: Coordinate and facilitate GI endoscopic care working side-by-side with the Gastroenterologists in the endoscopy suite who is performing a variety of endoscopic procedures (including, but not limited to colonoscopy and upper endoscopy) Manage and coordinate tests, labs, imaging, procedure, consultations, and travel documents as needed for the pre and post procedure care of patients.

Prepare patient for their endoscopic procedures. Perform histories and physicals on patients as needed and appropriately document all findings in the electronic medical records.

Act as a liaison between appropriate subspecialty providers, case managers and primary care for patients in need of endoscopic procedures.

Coordinate post-procedure care by acting as a liaison between the appropriate sub- specialty and primary care providers. Maintain APP licensing and credentialing in good standing.

Manage own GI clinic to see patients Face to Face, Televisits including CVT, VVC and TC, e-consults, prescription refills, test notification letters, national liver dash board chart reviews and chronic liver disease care and management under the guidance and supervision of the attending Gastroenterologists.

Replacement G. tube placement, Fibroscan procedures and interpretations and Infusion center care and drug management. Admin duties as assigned.

You will be expected to follow the Medical Staff bylaws and will complete all assigned notes, encounters and chart reviews timely.

Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive.

Contact roseann.pomaranski@va.gov, the EDRP Coordinator for questions/assistance. Learn more