Summary

Physician Assistant will be a Mid-Level provider for the Community Living Centers (CLC) under the Geriatrics/Long-Term Care (G/LTC) Service Line. The incumbent will provide clinical support to the supervisory physicians of the CLC - duties and responsibilities will be at the direction of the physician Lead. Physician Assistant will function in both a clinical and administrative role - and in accordance with the guidelines and policies of the Martinsburg Veteran Affairs Medical Center.

Qualifications

To qualify for this position - you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation.

Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
• Education
• 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: Master's degree in any discipline
• OR Bachelor's degree in any discipline with one year of experience as a PA
• Certification
• [Must have successfully passed the PA National Certifying Exam (PANCE)
• Note: Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is no longer required for employment in VHA
• (See paragraph 3a in this standard for additional information regarding the certification requirement for employees grandfathered into the occupation.) 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
• Proficiency in spoken and written English
• GRADE REQUIREMENTS
• 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 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: 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: 2 years experience as a Physician Assistant
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Lifting up to 35 pounds - intermittently
• moderate carrying (15-35 pounds) - intermittently
• lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care
• pulling - intermittently
• pushing - intermittently
• reaching above the shoulders - intermittently - both hands required
• walking - intermittently
• standing - intermittently
• kneeling - intermittently
• and repeated bending.

Duties

• VA offers a comprehensive total rewards package
• VHA Physician Total Rewards
• 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 Major duties and responsibilities of the position Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice
• Develops and implements an individualized plan to achieve optimal population health and disease management
• Demonstrates leadership and works collaboratively with the interdisciplinary team
• Orders and interprets labs - tests - and diagnostic studies
• Prescribes pharmacologic and non-pharmacologic interventions
• Initiates referrals and consults to specialty services
• Provides education to patients and their families
• Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes
• Exemplifies the ICARE core values of-Integrity - Commitment - Advocacy - Respect - and Excellence
• Other duties as assigned
• Work Schedule: Day Shift with flexibility as 24/7 coverage is needed