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Primary Care - Physician Assistant

Company: US Department of Veterans Affairs
Location: Grand Junction
Posted on: September 4, 2019

Job Description:

Provides effective care to patients characterized by the use of sound judgment in assessing, planning, implementing, documenting, and evaluating patient care for assigned patients.

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Full Grade. 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 Education for 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 from an accredited college or university recognized by the U.S. Department of Education.

Intermediate Grade, Education: 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.

- Senior Grade, Education: Two 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.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.Full Grade, 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.

Professional Development:

1. Obtains additional knowledge and skills appropriate to the practice setting to improve performance.

2. Provides patient education in an effective manner.

Ethics: Safeguards patient privacy and confidentiality. Provides care in a nonjudgmental, non-discriminatory manner respecting the patient's values and beliefs.

Interpersonal Skills: Works effectively with patients, families, caregivers, and other professional and support personnel.

Research:

1. Demonstrates awareness of research application to practice.

2. Researches medical literature and applies evidenced-based medicine to improve clinical practice.

Work Schedule: M-F, 0800-1630

Financial Discloser Report: Not requiredTo qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/26/2019. .

Basic Requirements:

a. Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3, g, of this part.)

b. Certification

(1) Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA.

(2) Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis (38 U.S.C. 7405), for a period not to exceed two years, as provided in VA Handbook 5005, Part II, Chapter 3, Section G, Paragraph 5.

(3) If a PA's NCCPA certification is suspended, revoked or expires, the PA must be removed from the occupation which may result in termination of employment.

Full Grade. In addition to meeting the above basic requirements, individuals appointed to this grade must meet all the following requirements:



  • 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.

    - Professional Development

    1. Obtains additional knowledge and skills appropriate to the practice setting to improve performance.

    2. Provides patient education in an effective manner.



    • Ethics. Safeguards patient privacy and confidentiality. Provides care in a nonjudgmental, non-discriminatory manner respecting the patient's values and beliefs.
    • 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 under paragraph 2 above, candidates must meet all requirements described in this standard 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:
      • 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

        - 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.

        - 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.



        • Ethics


          1. Identifies medical ethical issues and takes appropriate actions.

          2. Supports and enhances patient self-determination.



          • 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 under paragraph 2 above, candidates must meet all requirements described in this standard 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
            • Experience


              (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



              • 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.

                - 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.



                • 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.

                  - Ethics. Identifies and addresses ethical issues that impact patients and staff including participation in ethics consultations if appropriate to the area of assignment.

                  References: VA HANDBOOK 5005/78

                  Physical Requirements: See VA Directive and Handbook 5019, Part II, Appendix A.

Keywords: US Department of Veterans Affairs, Grand Junction , Primary Care - Physician Assistant, Healthcare , Grand Junction, Colorado

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