The Wilmington VA Medical Center is looking to hire a full-time Physician Assistant (Neurology). The Full Time Neurology Physician Assistant will assist the Neurologist, under their supervision with outpatient clinic coverage, as well as inpatient consults, ER, and CLC consults.
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: 1-3yrs experience in neurology Grade Determinations: Grade and Step determinations of the selected applicant will be based on the selected individuals education and experience. Physician Assistant-I (PA-I) Experience and Education: None beyond the basic requirements. This is the entry level for PA's 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: Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care Ability to perform patient history and physical Ability to formulate a plan and provide treatment to the patient Ability to provide patient care that is abreast of changing concepts and advancements in the profession Physician Assistant-II (PA-II) 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: Two years of successful practice as a PA OR 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, US Armed Forces, or another accrediting agency OR A doctoral degree in a health-related field from an accredited college or university recognized by the US Department of Education. 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-II: Skills to analyze and solve complex medical problems Ability to function autonomously and make independent medical decisions Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care Ability to work effectively in an interdisciplinary environment for improvement of services for patient care Ability to practice with colleagues and peers collaboratively Physician Assistant-III (PA-III) 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: Three years of successful practice as a PA OR 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, US Armed Forces, or another accrediting agency AND one year of professional practice as a PA 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: Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care 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) Ability to present clinical findings and recommendations to appropriate management officials Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel 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 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 PA-III. The actual grade at which an applicant may be selected for this vacancy is in the range of PA-I to PA-III. Physical Requirements: Physical demands include repetitive body movements including the following: frequent reaching, standing, walking, and lifting of equipment and/or patients to provide patient care. This position requires extension of the hand(s) and arm(s) in any direction including above or below shoulder level, during the provision of patient care, including retrieval of needed equipment, supplies and to make contact with the patient. This position requires the maintenance of an upright position to perform duties associated with patient care. This position is typically non-sedentary, and frequently involves being in the standing position. This position requires moving about accomplish tasks, such as assisting with patient ambulation and moving one patient area to the next. This position requires the raising of objects from a lower position to a higher position or the movement of objects horizontally position to position. Lifting may be done to move a patient from one location to the next, i.e.- from the exam table to the chair, and in the movement of equipment or supplies.
The duties and responsibilities include, but are not limited to: Outpatient appointments, follow-up patients as directed by neurologist for longitudinal care and medication monitoring/management for conditions including, but not limited to: seizure disorder, dementia, MS, spine conditions, headache/migraine Work consults via telehealth Complete inpatient/ER/CLC consults as directed by Neurologist Fill out neurology related paperwork (e.g. DMV forms, FMLA forms, doctor/NP notes) Evaluate patients with a wide range of Neurology related issues Responsible for the assessment, diagnosis and case management of neurology patients in the outpatient and inpatient setting in accordance with State licensure and federal rules Perform phone and email triage for patient problems / questions for patients under his/her care, and for other patients as requested by attending neurology physician Attend at least bimonthly division meetings to review patient progress/troubleshoot Continuous collaboration with attending neurology physician to meet patient care goals Interact with coworkers, visitors, and other staff in a manner that is acceptable to VA policy Performing physical examinations and preventive health measures Ordering, interpreting and evaluating diagnostic tests Recording physical findings and formulating plans and prognosis based on the patient's condition Prescribing or recommending medications or other forms of treatment The PA will need to coordinate care of the patient with PCP as clinically appropriate Other duties as assigned, which might include coverage of neurology service during vacations of neurology attending Performing routine procedures/injections after sufficient training/under supervision of neurologist Work Schedule: Monday - Friday, 8:00am - 4:30pm. This may change depending on the needs of the Veterans. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized