Work Schedule: Monday through Friday, 8:00 a.m. to 4:30 p.m., however, subject to change based on the needs of the service and the Medical Center. The individual maywork weekends and holidaysas required.
Location of position: Downtown Division, Spinal Cord Injury
This position is located in the Spinal Cord Injury Service Line at Charlie Norwood VA Medical Center, Augusta, GA. The Physician Assistant :
- Performs initial and interim histories and physical examinations on inpatients and outpatients assigned to our service.
- Screens patients to determine the need for hospital admission.
- Orders routine laboratory, radiology and diagnostic tests on patients assigned to our service.
- Initiates and/or expedites requests for consultations, special tests, or studies on assigned patients, and will keep the supervising physician apprised of results and progress.
- Makes rounds on assigned inpatients and write/dictate progress notes and may dictate the discharge summary (which must be countersigned).
- Provides necessary patient education, and applies currently accepted preventive health care measures to patients and/or their families.
- Starts intravenous (IV) solutions and administer IV medications after conferring with the supervising physician.
- Orders and/or catheterizes the bladder, including indwelling Foley catheters. May order and change gastrostomy tubes. Refills, programs and manages Baclofen pumps.
- May initiate Advanced Cardiac Life Support in accordance with current ACLS protocols to include defibrillation/cardioversion if certified; and treatment of life threatening traumatic injuries.
- Duties may include quality improvement, peer review, serving on various committees, as may be directed by the Service Line Executive or Medical Director or administration; and other non-clinical tasks as deemed necessary. Also, duties may include a variety of settings such as inpatient, outpatient clinic, and Homecare.
BASIC REQUIREMENTS:Candidates must meet all the requirements identified in the VA Handbook 5005, Part II, Appendix G8. Physician Assistant Qualification Standards http://vaww1.va.gov/ohrm/HRLibrary/Dir-Policy.htm
Education . The candidate must meet the following: (1) Graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Educationfor the Physician Assistant (ARC-PA) or one of its predecessor organizations;and (2) A Bachelor's degree from an accredited PA training program or in another health sciences related field form an accredited college or university recognized by the U.S. Department of Education.
Certification. Certification by the National Commission on Certification of Physician's Assistants (NCCPA) is a requirement for employment. This requirement does not apply to non-certified PAs on VA rolls as of that date.
Physical Standards. Applicants must meet the physical standards established for this position.
English Language Proficiency. PAs appointed to direct patient-care positions must be proficient in spoken and written English
Full Grade. In addition to meeting the basic requirements, individuals appointed to this grade must meet all the following requirements:
1. Experience / Education. None beyond the basic requirements
2. Clinical Competencies (a)Clinical Proficiency: (1)Provides effective care to patients characterized by the use of sound judgment in assessing, planning, implementing, documenting, and evaluating patient care for assigned patients. This includes possessing the skill and competency to obtain thorough medical histories, perform comprehensive physical examinations, order appropriate diagnostic studies, interpret and analyze medical data, establish diagnoses, formulate and implement treatment plans, and modify treatment plans when appropriate. (2)Works effectively and makes appropriate requests for assistance from the assigned physician and recognizes complex patient care situations where referral is appropriate. (3) References quality improvement information and organizes patient care needs to assure safe, efficient and cost-effective care. (4) Initiates effective actions in emergencies. (b)Professional Development: (1) Obtains additional knowledge and skills appropriate to the practice setting to improve performance. (2) Provides patient education in an effective manner. (c)Ethics: Safeguards patient privacy and confidentiality. Provides care in a nonjudgmental, non-discriminatory manner respecting the patient's values and beliefs. (d)Interpersonal Skills: Works effectively with patients, families, caregivers, and other professional and support personnel. (e)Research:(1) Demonstrates awareness of research application to practice. (2)Researches medical literature and applies evidenced-based medicine to improve clinical practice.
Intermediate Grade. In addition to meeting the basic requirements, candidates must meet all requirements for Full Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Intermediate Grade will have demonstrated the ability to analyze and solve more complex medical problems and meet the following requirements:
1. Experience / Education: (a) 1 year of professional practice as a PA; or (b) Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or (c)A Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education. 2.Clinical Competencies (a)Clinical Proficiency: (1)Effectively treats patients with more complex medical problems requiring a higher degree of clinical skill and competency than that expected of the previous grade. (2)Performs more complex diagnostic and therapeutic procedures requiring skills and competency, as applicable to the assignment, beyond that expected in the previous grade. (3)Practices with a higher degree of autonomy and seeks guidance from the assigned physician less frequently than expected of the previous grade.(4)Evaluates the delivery system of patient care within the area of assignment, presents findings and recommendations, and contributes to changes that enhance the quality and timeliness of care. (b)Professional Development: (1)Acquires knowledge and skills to maintain expertise in area of practice. (2) Shares medical literature research findings with colleagues to enhance patient care delivery. (3)Participates in educational activities to improve clinical knowledge and enhance role performance. (4)Serves as a clinical preceptor to healthcare students. (5) Serves on service level committees or subcommittees when assigned. (c)Ethics:(1)Identifies medical ethical issues and takes appropriate actions. (2)Supports and enhances patient self-determination. (d)Interpersonal Skills: Collaborates effectively with other occupations and services to identify, analyze, and resolve patient care problems. (e)Research:(1) Shares medical literature research findings with colleagues to enhance patient care delivery. (2) Uses a body of research to validate or change group practice. Senior Grade. In addition to meeting the basic requirements, candidates must meet all requirements for Intermediate Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Senior Grade will have demonstrated the behaviors or responsibilities listed in one or more of the following categories: Clinical Proficiency, Education, Professional Development, Management/Administrative, and Research, as applicable to the assignment;1.Experience / Education: (a) 3 years of professional practice as a PA; or (b) 2 years of professional practice as a PA and successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or (c) 2 years of professional practice as a PA and a Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education; or (d) A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education. 2.Management/Administrative: One of the following responsibilities must be demonstrated: (a)Evaluates service level patient care delivery systems and validates or identifies barriers to safe, effective care. Presents findings and recommendations to appropriate management officials and participates in implementation of changes. (b)Manages patient quality management data bases such as the National Surgical Quality Improvement Program (NSQIP) if assigned. (c) Serves on service or facility committees/task forces if applicable to the assignment. (d)Coordinates consult referrals within the service assigned. (e) Coordinates and facilitates inter-service agreements. 3. Clinical Competencies (a) Clinical Proficiency: (1) Manages patients with complex or multi-system medical problems. (2)Practices with a significant degree of autonomy and seeks guidance from assigned physicians with less frequency than expected at the previous grade. (3)Performs more complex diagnostic and therapeutic procedures beyond what is expected at the previous grade. (4)First or second assists in surgical procedures. (b)Professional Development: (1) Acts as a consultant/mentor to PAs in lower grades and other clinical and support staff. (2)Serves as a clinical preceptor for students or organizes and participates in facility clinical educational programs. (3) Makes sustained contribution to health care by sharing expertise within and/or outside the medical facility.
Qualifications cont'd:2.Management/Administrative:(a)Accepts substantial and continuing responsibility for managing or coordinating a healthcare program including follow-up actions to ensure compliance with regulatory bodies required by internal and external review organizations and accrediting bodies, and(b)Successfully integrates the activities of the employee's assignment with other patient care programs at the facility or with similar programs on a broader geographic basis, and;(c)Develops policies and procedures and participates in executive level decision making deliberations, and(d)Participates in long range program planning and model development for effective delivery of services, and; (e)Performs a full range of administrative duties relative to the assignment. 3.Clinical Competencies:(a) Clinical Proficiency: (1)Evaluates facility patient care delivery systems and validates or identifies barriers to safe, effective care. Presents findings and recommendations to appropriate management officials and participates in implementation of changes, and(2)Exhibits leadership in initiating changes in patient care programs based on current concepts and findings from research and/or studies, and(3)Facilitates the delivery of patient care in collaboration with health professionals, health managers and other health care personnel, and; (4)Exhibits exceptional clinical skills and consistently demonstrates a high level of expertise in diagnosing and treating seriously ill, multi-symptomatic patients. (b)Professional Development:(1)Develops and implements education and training programs involving a variety of specialties in widely diversified activities, and; (2)Provides personnel with the vital link between education and practice. (3)Coordinates clinical training of healthcare students including facilitation of clinical rotations, recruitment preceptors and evaluation of student, and;(4)Maintains close relationships with affiliated schools and healthcare training programs and coordinates clinical rotations with curriculum needs, and
All applicants are required to submit the following supporting document type(s):
Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
*Other(VA-Form 10-2850c - Application for Associated Health Occupations)
*Other Veterans Document
Please use this checklist to ensure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1942617.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.
After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your résumé and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.