The VAMC in Lexington, Kentucky is recruiting for a Physician Assistant to serve in the Cardiology service. The position is accountable to the Chief of Cardiology, for assuring the most effective delivery of state-of-the-art care by meeting or exceeding compliance standards.
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. Preferred Experience: Cardiology experience Grade Determinations: 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. 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 3. The actual grade at which an applicant may be selected for this vacancy is in the range of 1 to 3. Physical Requirements: The incumbent must be able to perform all activities of the position without restriction. This position involves considerable standing, walking, stooping, bending, reaching, lifting and turning. It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers. Mechanical devices when available are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight more than 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The positions require the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to protect him/herself from physically abusive patients.
VA offers a comprehensive total rewards package. Duties may include but are not limited to: Coordinate and supervise the delivery of complex outpatient care for cardiology patients including patient evaluation; order, schedule, and/or perform cardiologic diagnostic and therapeutic procedures such as cardioversions and pharmacologic stress tests; patient scheduling; and telephone triage for cardiac issues. Serve as primary Cardiology provider for an independent panel of clinic patients. Provide case management in support of physicians, as needed. Perform outpatient and inpatient cardioversions Help triage interfacility VA consults to the cardiology service Integrate research findings and practice changes based on evidence-based guidelines, including AHA and the ACC practice statements and other scientific inquiry. Coordinate and participate in research activities as identified within the Cardiology Section. Provide clinical consultation and education related to the management and care of the heart disease patient for staff, physicians, and other disciplines who may have contact with, or care responsibilities for, this patient population. Coordinate and participate in the implementation of clinical practice guidelines used within the Cardiology section and service line for the hospital. Obtain and document relevant health risks and medical history. Perform new patient Cardiology consultation and return Cardiology visits and Telephone follow up visits and collaborate with Cardiology staff. Establish a comprehensive plan of care based on clinical findings and current cardiac care guidelines and standards of care. Establish mutual goals with patient/family. Prescribe medications based on patients' status, accepted scientific guidelines, prescriptive authority, and ongoing evaluation of therapies. Lead and direct others in Cardiology to assure access to and continuity of care across the VA continuum, between referral bases, and transitioning from inpatient/observation status toward outpatient follow-up care. Order and interpret diagnostic tests, including but not limited to, x rays, EKGs, laboratory tests, stress tests, etc. Must be able to interpret EKGs in "real time" and correlate with clinical presentation, anticipating and responding quickly and appropriately in emergency situations. Triage requests for outpatient or inpatient Cardiology consultation in a timely manner, coordinate tests and visits based on clinical urgency, and assist in facilitating IFC consults and referrals from other VA facilities. Work effectively with others to initiate and lead interdisciplinary groups, and establish relationships with professional and/or other related groups within the community. Develop a professional practice by leadership and accomplishments in the development and implementation of best-practice guidelines in the patient care and healthcare delivery. Demonstrates an integral role in preparing and maintaining Joint Commission Accreditation. Demonstrate ability to function independently in advanced leadership, critical thinking, problem solving, and project management skills. Other Duties as assigned Work Schedule: 8:00am-4:30pm, Monday- Friday