The Orthopedic Surgery Physician Assistant will practice medicine as a member of a team with their Supervising Surgeon. 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. 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). License: 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. English Language Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). Preferred Experience: None Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met in determining the appropriate grade assignment of candidates: 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: 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) 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. 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-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) 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: 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. 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. References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-8 Physician Assistant Qualification Standard. This can be found in the local Human Resources Office. The full performance level of this vacancy is Grade-03. The actual grade at which an applicant may be selected for this vacancy is in the range of Grades 01 to 03. Physical Requirements: Engages in physical activities that involve lifting, carrying, pushing, pulling, stooping, balancing, and kneeling to provide patient patient care in a changing environment. ["VA offers a comprehensive total rewards package. The Orthopedic Surgery physician assistant (PA) is responsible for the care and administrative needs of the orthopedic surgery patient in both the inpatient and outpatient setting. The PA also functions as a coordinator between the attending physician and the other team members to include Nursing. Social Work. Rehabilitative Services and Dietician. The PA will also be directly responsible to the Chief of Orthopedic for all clinical and administrative duties. The Orthopedic surgery section PA will be responsible for the primary medical and surgical needs of inpatients and outpatients on the orthopedic surgery service. Duties will include, but are not limited to, the evaluation of current medical and surgical problems, administrative assistance, quality assurance and educational support as detailed below. The incumbent will perform initial screenings for clinical assessment evaluation, and manage orthopedic problems/diseases as they may be involved with the shoulders, hips, knees, neck, low back problems and inflammatory joint diseases. The incumbent will administer injections to the joints, tendon sheaths, carpal tunnel and trigger points in the neck and back. The incumbent will take medical histories and conducts physical exams. The incumbent will apply and remove casts, order and interpret lab and other diagnostic test(s), conduct patient follow-up as appropriate, provide consult management and patient, family, and staff education and counseling. A working understanding of musculoskeletal general anatomy, physical exam techniques (including knowledge of gait and kinetic dynamics), and surgical techniques. Clinical diagnosis and management of all forms of musculoskeletal acute and chronic pathophysiology. Diagnosis and management of uncomplicated musculoskeletal acute trauma (including ability to differentiate between complicated and uncomplicated trauma.) Clinical expertise for application of all variations of casting, wrapping, and splinting, including management of complications. Large, medium, small joint(s), and soft tissue therapeutic injection techniques. Manages clinics and patients admitted to the hospital for orthopedic surgery patients, wound care, organize hand therapy, consults. and provide patient education. Networking with primary care provider staff, hospitalists, ER physicians, orthopedic OT, and general physiotherapists. Clinical patient medical records use and general computer and keyboard skills. Appropriate use of Orthopedic consultative system informatics Closed reduction under conscious sedation. Partnership/collegiate practice with Orthopedic Surgeons. SUPERVISORY CONTROLS: The orthopedic PA will work under the general direction of the orthopedic surgeons who are board-certified and credentialed in orthopedic procedures at the VA. On most routine and standard tasks and procedures such as patient evaluations, history and physical examinations, requests for investigations, interpretation of the symptoms, signs and lab results, the orthopedic PA will work independently, scheduling examinations and performing the same. On the more unusual and complex tasks and procedures, the PA will work closely and confers with the supervising Chief PAs and orthopedic surgeons. Standard duties, including surgical techniques, will be supervised and outcomes will be monitored. CUSTOMER SERVICE: Meet the needs of customers while supporting VA missions. Consistently communicates and treats customers (veteran, their representatives, visitors and all VA staff) in a courteous, tactful and respectful manner. Provide the customer with consistent information according to established policies and procedures. Handles conflict and problems in dealing with the customer constructively and appropriately. SAFETY: Appropriate use of equipment, supplies. Maintain safe, orderly work areas. Report any accident to self, patient, fill out appropriate form. Work Schedule: Monday - Friday/Weekend & Call Coverage is also a requirement, hours may change based on agency needs. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Contact Debra Conyers, email@example.com, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.