The Physician Assistant provides clinical evaluation of Veterans through new patient intake program including prevention and patient self-management. Promotes, directs, evaluates and is responsible for referral to management of clinical concerns that are found during these evaluations. Functions as a member of a Primary Care intake team, collaborating clinical and administrative support members to provide timely, quality, coordinated care. Located at Gladstone, MI CBOC
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. 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: (1) 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. (2) 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. (3) 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. 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 01 to 03. Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service
VA offers a comprehensive total rewards package. ADMINISTRATIVE RESPONSIBLITIES: 1. Provide guidance and support to the nurse practitioners assigned to Primary Care in their respective areas of responsibility. 2. Participates in and attends medical center committees as assigned by the ACOS of Primary Care and the Chief of Staff. 3. Demonstrates commitment to high quality customer service, including specific measures Identified as performance goal measures by the Medical Center. 4. Identifies individual professional learn needs and participates in formal programs, workshops, Seminars, conferences, as well as self-directed learned and facility wide mandatory TMS training. 5. Actively participates in the Performance Improvement process of the medical center and/or assigned CBOC. Integrates pertinent aspects of the performance improvement program into his/her professional practice. CLINICAL RESPONSIBLITIES: 1. Provides quality patient-centered patient care to both inpatients and outpatients for adults age18- 65 and older adults age 65+ as assigned by ACOS of PC Service or designee. 2. Demonstrate sound decision-making skills, both clinical and administrative, which bring credit to the profession and serve to enhance the distinctive and contributory role of physician assistants. 3. Facilitate the delivery of appropriate patient care in collaboration with other health professional, medical center staff, and management. 4. Participates in peer review process when requested. 5. Participates in multidisciplinary activities involving the treatment plan and discharge plans of patients. 6. Systematically evaluates patient care programs in all Medicine venues. 7. Exhibits leadership in initiating changes in patient care programs based on current concepts and finding from research and studies. Keeps informed of developments in the management and treatment of diseases and illness through continuing medical education, both formal and informal. 8. Successfully integrates patient care activities on Clinical Services and other patient care programs at the medical center and in the community such as Social Work, Prosthetics, Home Based Primary Care (HBPC), and private nursing homes. 9. Consistently demonstrates expertise in diagnosing and treating seriously ill, multi-symptomatic patients when clinical assignments so dictate. 10. Completes all medical record documentation in CPRS within prescribed timeframes and accuracy. 11. Includes patient/family/significant other/health care provider in establishing realistic, measurable goals related to health education and treatment plan and in planning care on a continuum; assists staff in the process of mutual goal setting. 12. Demonstrates skill in implementation of clinical practice guidelines and protocols for patients with complex medical care needs. 13. Utilizes problem solving methodologies to resolve problems that impact on patient care or staff performance and makes decisions based on professional standards. 14. Prescribe pharmacotherapeutic and non-pharmacotherapeutic regimes according to clinical privileges. 15. Monitors and evaluates patients' responses to treatment plans. 16. Actively participates in the Performance Improvement process of the medical center and/or assigned CBOC. Integrates pertinent aspects of the performance improvement program into his/her professional practice. 17. Promote professional development through independent study and by attending education programs to increase knowledge base and maintain professional certification. Work Schedule: Monday - Friday; 08:00am-4:30pm Telework: Adhoc Virtual: This is not a virtual position.