Physicians Assistant (Primary Care)

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) 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: Grade Determination.

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 b 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 multi[1]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 3. The actual grade at which an applicant may be selected for this vacancy is in the range of 1 to 3.

Physical Requirements: See VA Directive and Handbook 5019 Major Duties:

1. GENERAL DESCRIPTION OF ASSIGNED DUTIES.

Primary duties are to provide Primary Care services to a panel of patients as part of an interprofessional primary care team in the VHA Patient Aligned Care Team (PACT) model.

The incumbent works as part of a primary care team and patient site care team members to provide primary care to Veterans The PA.

will be 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.

This individual is delegated the authority and responsibility in his/her area of expertise to assume major clinical, consultative, educational, research, and administrative duties and assignments related to the examination of claimants filing compensation and pension claims.

1.

Routine duties include, but are not limited to: - Provides comprehensive care for Veterans for a panel size of approximately 900 patients or same-day access - Perform initial histories and physical examination on outpatients - Provide ongoing outpatient care for assigned patients - Screen outpatients to determine the need for further care - Prescribe medications within the defined scope of practice - Order diagnostic studies such as laboratory tests, x-rays, electrocardiograms - Review need for and order health promotion and disease prevention measures - Initiate, respond to and expedite request for consultations, special tests, and studies - Provide education and counseling of patients and families in preventive care, medical conditions, and use of prescribed treatments and drugs 2.

Non-routine and non-emergent duties may include: dressing changes, suturing simple lacerations, suture removal, and wound debridement and care. 3.

Emergency Duties include: Basic Life Support or Advanced Cardiac Life Support in accordance with current cardio-pulmonary resuscitation standards.

Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME) 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 CME: Possible $1,000 per year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting EDRP Authorized: Former EDRP participants ineligible to apply for incentive.

Contact roseann.pomaranski@va.gov, the EDRP Coordinator for questions/assistance Work Schedule: Monday - Friday, 7:30 to 4:00