Physician Assistant (Primary care) - Recruitment/Relocation Incentive-EDRP Authorized

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.

Preferred Experience: Grade Determinations: Physician Assistant-I (PA-I) a) Experience and Education. None beyond the basic requirements 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.

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.

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 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.

(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.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is VN-I.

The actual grade at which an applicant may be selected for this vacancy is in the range of VN-I to VN-III.

Physical Requirements: This position may require potentially long periods of continued Moderate lifting of 15-44 pounds, Light carrying under 15 pounds, Moderate carrying of 15-44 pounds, Light carrying under 15 pounds, Reaching above shoulder, Use of fingers, Both hands required, Walking for 4 hours, Standing for 4 hours, Repeated bending for 1-2 hours, Ability for rapid mental and muscular coordination simultaneously, Near vision correctable at 13" to 16" to Jaeger 1 to 4, Specific visual requirement: far vision 20/30, Ability to distinguish basic colors, Hearing (aid may be permitted), Mental/emotional stability, Ability to perform privileges, Independently performs physical exams as appropriate to position, Cognitive stability.

Major Duties:

VA offers a comprehensive total rewards package. All Physician Assistants are responsible for completing all mandatory training annually within a timely manner.

Practitioners are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, understanding, and sensitivity to diversity with the responsibility attitude towards Veterans, patients, their families, co-workers, and colleagues in WTVHCS.

Clinical The PA practices general medicine with a focus on community-based outpatient clinical care.

Approximately 90% of the PA's time is dedicated to developing and maintaining an interdisciplinary approach to the direct care of general medicine clinic patients.

The PA independently follows his own panel of general medicine patients, functioning as their primary care provider.

This primary care/gatekeeper role is incumbent with a high degree of responsibility and independence. The PA's assessment skills and breadth of knowledge must be superior.

In addition, providers must be a highly effective communicator in order to negotiate with consultants at the VAMC regarding the triaging of patients he/she refers.

These skills are required at a level that exceeds that of VAMC-based physician assistants.

All Physician Assistants need to follow departmental and VHA policies for leave and attendance and will work within Title 38 appointment guidelines.

Leave should be requested as far in advance as possible (generally, at least 45 days) to minimize disruption to patient care, in accordance with established leave and clinic cancellation policies.

Any unscheduled absences must be properly communicated, and patients should be rescheduled within a timeframe defined by WTVAHCS policy.

All progress notes must be entered within 48 hours of the patient's encounter. Address quality metrics appropriately, meeting professional standards of care.

All medical records, documentation, orders, and administrative tasks should be completed in a timely manner per VHA and facility policy. Prohibited abbreviations should not be used.

Work collaboratively with other providers in the section. Engages in continuous process improvements in support of the high reliability organization.

Quality of care should be able to meet professional standards at all times. May be assigned special clinic reviews/projects as needed. ix.

PAs will work within their privileges at all times, unless necessitated by an emergency.

Administrative Because of the highly integrative approach used in community-based outpatient clinics, Physician Assistants must work closely with his/her colleagues and must serve as a leader in developing processes to improve care and satisfaction.

Research Enroll patients in active Ambulatory Care research protocols and completes follow-up visits with required studies.

Work Schedule: Monday - Friday 8:00am - 4:30pm Telework: Not Available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: May Be Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive.

Contact Rachael.Wright@va.gov, the EDRP Coordinator for questions/assistance.

Learn more Permanent Change of Station (PCS): Not Authorized Contract Buy Out Program: This position may be eligible for the Physician / Provider Contract Buy Out Program (CBOP), which authorizes VHA to buy out service contracts (Locum agreements, loan repayments, sign-on bonus contracts, Physician-owned practices) in exchange for employment at certain rural or highly rural facilities for a period of obligated service (minimum 4 years).

For additional information and eligibility requirements, contact the VHA Contract Buy Out Program Manager at vacontractbuyoutprog@va.gov.