Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 653807200
This Physician Assistant (PA) is located in the Surgical Service at the Jamaica Plain campus location and supports the Pre-Admission Testing Center (PATC), Podiatry, and Urology. This position is a full-time 40 hour per week position. This position may also be filled by a Nurse Practitioner (NP). All interested NPs must apply through announcement CBTD-11485696-22-HL. 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. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: 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. 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. 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 3. The actual grade at which an applicant may be selected for this vacancy is in the range of 1 to 3. Physical Requirements: All applicants must be physically able to satisfactorily perform the duties of the position. A pre-placement physical examination shall be completed prior to appointment. ["The Physician Assistant (PA) primarily assists in the Surgical Service. Additionally, the incumbent assists Surgical Service by covering other clinical specialties including PATC, Urology, and Podiatry, at any of the three (3) main campus locations (Jamaica Plain, West Roxbury, and Brockton), as well as, the Lowell and Causeway Community-Based Outpatient Clinics (CBOCs). The incumbent provides comprehensive and quality care to patients by remaining fully\naccountable for adhering to established policies, standards of care and standards of practice, and demonstrates leadership when providing patient care. Duties include, but are not limited to: Assesses the physical, emotional and developmental status of patients and makes positive interventions to maintain, restore, or improve health Maybe required to assist in the Operating Room Theater Performs comprehensive outpatient and inpatient history and physical examinations, writes medication and nursing orders, sends consults to other services, discharges patients and writes discharge summaries, and follows patients in the clinic Provides detailed instructions to the staff during clinic hours so that patients are seen in an orderly and timely fashion Evaluates patients with wounds and make recommendations relating to dressing changes Participates in decision making on patients scheduled for surgery. This includes scheduling patients with the operating room scheduler, assisting the supervising surgeon during surgery, and writing postoperative orders Coordinates surgical scheduling with patients to minimize impact on the patient and caregivers Work Schedule: Monday - Friday, Hours to be set between 7:00 am to 4:30 pm with rotations to holidays, evening, nights and weekends when required.\nCompressed/Flexible: Not Authorized.\nTelework: Not Authorized.\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not authorized.\nPermanent Change of Station (PCS): Not authorized.\nFinancial Disclosure Report: Not required. Notifications:\nThis position is an AFGE Bargaining Unit position.\nThis position is covered by a special rate.\nCurrent and former Federal employees must submit copies of their most recent SF-50 (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.\nThis position is in the Excepted Service.\nThe salary is based on the grade and step approved for the selected candidate.\nThe Professional Standards Board (a peer-review group) will recommend the grade and salary for new appointments based on the candidate's education and experience. For internal selectees being promoted, the board will determine grade and HR will determine step in accordance with policy.\nVeterans' preference does not apply for other current permanent Federal agency employees.\nThe incumbent may be required to travel to other VA Boston Healthcare System campuses and CBOC's."]
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.