Summary
The Physician Assistant (PA) practices in Endocrinology Service to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs (VA) mission. The PA provides advanced clinical practice - consultation - and management.
Summary
The Physician Assistant (PA) practices in Endocrinology Service to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs (VA) mission. The PA provides advanced clinical practice - consultation - and management.
Qualifications
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
- United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
- Education
- Graduate of a training program which is accredited by the Accreditation Review Commission on Education of PA (ARC-PA) or one of its predecessor organizations
- Additionally - candidates must meet one of the following: Master's degree in any discipline
- OR Bachelor's degree in any discipline with one year of experience as a PA
- Certification
- Must have successfully passed the PA National Certifying Exam (PANCE)
- Note: Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is no longer required for employment in VHA
- (See paragraph 3a in this standard for additional information regarding the certification requirement for employees grandfathered into the occupation.) Licensure
- PAs must possess an active - current - full - and unrestricted license to practice in a State - Territory - or Commonwealth of the United States - or in the District of Columbia
- PAs must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State
- English Language Proficiency
- Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. - 7403(f)
- 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) presents 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 experience 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: 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
- (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/
- Physical Requirements: This position provides direct services to patients and their families
- Incumbents must be physically and mentally able to efficiently perform the essential functions of the position without hazard to themselves or others
- Normal work of the position requires visual acuity (with the ability to read typewritten characters without strain - corrective lenses permitted) - keen hearing (ability to hear whisper voice - aid permitted) - clear distinctive speech - manual dexterity - and the ability to distinguish basic colors
- This position may require reaching above shoulder-level height and requires potentially moderate levels of lifting and carrying (15-44 pounds)
- The incumbent may occasionally be exposed to patients who are combative secondary to delfrium - dementia - or psychiatric disorders
- The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
- Must complete annual Employee Health requirements - such as annual TB screening or testing - as a condition of employment.
Duties
- The Endocrinology Physician Assistant (PA) is responsible for managing and providing comprehensive healthcare to patients with endocrine disorders
- This includes the diagnosis - treatment - and management of acute and chronic endocrine conditions such as diabetes - thyroid disorders - osteoporosis - and other hormonal imbalances
- The PA collaborates with a multidisciplinary team to deliver high-quality patient care
- Major Duties and responsibilities of the position: Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice
- Develops and implements and individualized plan to achieve optimal population health and disease management
- Demonstrates leadership and works collaboratively with the interdisciplinary team
- Orders and interprets labs - tests - and diagnostic studies
- Prescribes pharmacologic and non-pharmacologic interventions
- Initiate referrals and consultations to specialty services
- Provides education to patients and their families
- Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes
- Administrative Responsibilities Completes required documentation - care coordination tasks - consult management - and encounter closure within established timelines
- Participates in clinic management activities to improve access - efficiency - and patient satisfaction
- Complies with all VA performance measures - quality metrics - and national guidelines related to endocrine disorders (e.g. - Diabetes Mellitus Quality Indicators)
- Contributes to policy development - standard operating procedures - and quality-improvement initiatives within the Endocrinology clinic
- Performance Standards: Demonstrates clinical competence in endocrine care
- Consistently provides high-quality patient care
- Effectively collaborates with the healthcare team
- Maintains compliance with documentation and record-keeping standards
- Continually engages in professional development
- Work Schedule: Monday - Friday - Day Shift Telework: Not available Virtual: This is not a virtual position
- Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Contract Buy Out Program: This position may be eligible for the Physician / Provider Contract Buy Out Program (CBOP) - which authorizes VHA to buy out service contracts (Locum agreements - loan repayments - sign-on bonus contracts - Physician-owned practices) in exchange for employment at certain rural or highly rural facilities for a period of obligated service (minimum 4 years)
- For additional information and eligibility requirements - contact the VHA Contract Buy Out Program Manager at vacontractbuyoutprog@va.gov.