Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 733710200
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. Grade Determinations: (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: 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. (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 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 1 to 3. Physical Requirements: Walking, bending, stooping, and some lifting in the direct care of patients. There may also be extended periods of sitting. ["The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. Physician Assistants (P.A.s) are an integral part of the professional health care team providing cardiology services at this medical center. This position description describes the training requirements, duties, responsibilities, and supervisory controls relating to the professional activities of a P.A.-C for the Department of Cardiology at NWIHC system. The incumbent will provide care for Veterans to assure all care is timely, evidence based, appropriate, of high quality and cost effective within the realm of cardiac care. These positions may also require PA student mentoring/teaching responsibilities. Other duties to be determined based upon VA mission needs. Appointment of the P.A. requires appropriate documentation of education, training and certification/licensure. A physician assistant must be a graduate of a primary care training program approved by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) and have been certified by the entrance exam of the National Board of Medical Examiners. The physician assistant must maintain licensure in good standing and recertify when necessary. All of the items listed below are recognized competencies within the scope of practice for a graduate of a Physician Assistant Education Program accredited by the Council on Allied Health Education of the American Medical Association. Additional duties may be assigned by the Chief, Cardiology, or Chief of Medicine which may include provisions for special training to assure proficiency. These positions will provide care for Veterans across the spectrum of care for cardiac medicine to ensure all care is timely, evidence based appropriate, of high quality and cost effective within the realm of Occupational Health. The primary duty of the practitioner is to provide cardiology services in support of the program and mission of NWI and the cardiology department. A progress note must be entered for all clinic visits and the associated encounter form must be properly completed and closed out for all patient appointments. Timely documentation is necessary in all areas in accordance with departmental policy. All administrative work should be completed in a timely fashion. All visit associated documentation should be entered into the computerized patient record system (CPRS)/the medical record directly by the provider. Prohibited abbreviations should not to be used. Cardiology practitioners will work within their privileges at all times unless necessitated by an emergency. have skills in the interpretation of electrocardiograms for the recognition and management of cardiovascular disease and arrhythmias Advanced skills in cardiovascular physical examination be versed in the prevention and management of cardiac diseases, including but not limited to hypertension, heart failure with preserved and reduced ejection fraction, cardiomyopathies, arrhythmias, cardiovascular disease, and valvular heart disease have advanced knowledge of cardiovascular medications, their use, monitoring, interactions, and contraindications Know the indications for and appropriate use of cardiac testing, including echocardiography, stress testing of all forms, coronary angiography, and other forms of cardiac imaging Know the indications for intracardiac device placement, including pacemakers, defibrillators, cardiac resynchronization devices and implantable loop recorders. Work Schedule: The tour of duty for this position is typically Monday-Friday, 08:00Am-04:30pm. Additional information may be provided during the interview process. ADHOC: May be authorized (Employees Telework on an part time, occasional, episodic, or short-term, and have completed required telework training and telework agreement). This is not a virtual position. Financial Disclosure Report: Not required"]
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