Details
Posted: 06-May-22
Location: Dallas, Texas
Salary: Open
Categories:
Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 652711500
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more 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: Experience in Evaluation of patients with musculo-skeletal problems both in the outpatient and inpatient setting. Previous operating room experience as a first assist in Joint arthroplasty/arthroscopy. Previous experience in assessment of patients in the Emergency room with fractures/joint infections/tendon injuries .Closed reduction and Splinting of fractures. Perform Joint injections/aspirations of knee/shoulder/elbow/hip/bursal injections in the clinic. Grade Determinations: PA I a) Experience and Education. None beyond the basic requirements 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. 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. 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 03. The actual grade at which an applicant may be selected for this vacancy is in the range of 01 to 03. Physical Requirements: Light lifting and carrying 15 pounds; Pulling hand over hand (1hr); Use of fingers; Walking (4hrs); Standing (4hrs); Depth perception; Hearing (aid permitted). ["The Physician Assistant (PA) participates, as an agent of the supervising physician, in primary care clinics, specialty clinics, inpatient medical coverage, medical coverage to acute psychiatric units, and compensation and pension examinations as needed. The PA delivers holistic and comprehensive patient-focused services as the agent of the Pain provider, utilizing the process which includes: Assessment, Diagnosis, Planning, Implementation and Evaluation, and modification based upon the response to the plan of care. Serves as an agent of the Pain provider, prescribing and monitoring the implementation of pharmacological and other management methods for health promotion. The PA clinical responsibilities include, but may not be limited to: Performing initial histories and physical examinations on inpatients and outpatients. All admitting inpatient history and physical exams will be reviewed and countersigned by a physician. Provides ongoing outpatient care for assigned patients. Performing periodic physical examination on nursing home, residential and domiciliary residents. Screening outpatients to determine need for further care. Prescribing medications within defined scope of practice. Orders diagnostic studies (such as laboratory tests, x-rays, electrocardiograms, etc.) Carry out health promotion and disease prevention activities Draws blood specimens for testing and performing other comparable lab procedures, if needed. Initiates and expedites requests for consultations and scheduling special tests and studies. Make interim summaries of the patient's medical record. Initiates requests for consultation services with other VA and Non-VA services, with supervisory approval. The PA enters all veteran/family contacts in the electronic record using appropriate formats and templates. This information must be entered in a complete, confidential, and professional manner to ensure information on the patient is shared with other VA staff. This information is to be reviewed on a regular basis. The PA will collaborate in the performance improvement processes and comply with performance measures as required by the VHA and for the Pain Service. This work will include referring cases for Protected Peer Review and Intensive Case Review. The Physician Assistant will participate in activities that obtain feedback from clients and work to enhance services as needed. Additional duties may be required to be performed, as needed. Work Schedule: 7:30 am to 4:00 pm or 8:00 am to 4:30 pm, Monday thru Friday\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Authorized\nEDRP Authorized: Contact the EDRP Coordinator for questions/assistance\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]