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Veterans Affairs, Veterans Health Administration Physician Assistant in Aurora, Colorado

Summary

This position is located in the Urology Section, Rocky Mountain Regional VA. Provides support to the Chief of Urology and the Chief, Surgery Service in carrying out the mission of the service and VA Medical Center.

Responsibilities

The Physician Assistant will be responsible for: Participating in a team approach to patient care with surgeons, fellows, residents, medical students, ancillary staff, other services, and patient and family members. Providing care wither as a primary provider or supporting provider in clinics to include face-to-face appointments; telehealth appointments and E-consults. Assisting with routine discharge planning including coordination of home care, long-term stay planning, outpatient medications, and other outpatient postoperative needs assessments. Outpatient care of urology surgery patients including participation in urology surgery clinics, with appropriate assessments of patients. Assisting with routine outpatient preoperative work-ups including coordination of noninvasive vascular laboratory tests, radiological tests, cardiology, nephrology, and other service's workups, scheduling of surgery and surgical consents. Assisting surgeons and/or primarily performing procedures in urologic procedural clinics, as qualified and deemed appropriated by determination of the Section Chief in Urology. Assisting urologic surgeons in the operating room as qualified and deemed appropriate by the surgeon being supported. Act in adherence to clinical principles of physician assistants and the medical profession as a whole. Participate in coordinating and organizing ongoing projects within the medical center and overall system. Assist with documentation standards as set forth by the VAMC including, but not limited to, patient encounters, answering consults correctly, and appropriate clinical notes. Refer patient to medical specialists or other practitioners when necessary. Interacts with the veteran as well as family members, significant others, community agencies and providers, and other staff. Participates in the teaching of residents and medical students. Participates in the administration of programs, committees, and other staff functions as delegated by the Chief of Surgery Service. Work Schedule: Monday - Friday 7:30 am - 4:00 pm

Financial Disclosure Report: Not required

Requirements

Conditions of Employment

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. 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. The candidate must meet the following:(1) Graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor organizations; and(2) A Bachelor's degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education. Certification (1) Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA.(2) Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis (38 U.S.C. 7405), for a period not to exceed two years, as provided in VA Handbook 5005, Part II, Chapter 3, Section G, Paragraph 5.(3) If a PA's NCCPA certification is suspended, revoked or expires, the PA must be removed from the occupation which may result in termination of employment. English Language Proficiency. PAs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d). Grade Determinations: Full Grade. In addition to meeting the basic requirements in paragraph 2, individuals appointed to this grade must meet all the following requirements: (1) Experience / Education. None beyond the basic requirements in paragraph 2 of this standard. (2) Clinical Competencies Intermediate Grade. In addition to meeting the basic requirements under paragraph 2 above, candidates must meet all requirements described in this standard for Full Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Intermediate Grade will have demonstrated the ability to analyze and solve more complex medical problems and meet the following requirements: (1) Experience / Education (a) 1 year of professional practice as a PA; or(b) Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or(c) A Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education. (2) Clinical Competencies Senior Grade. In addition to meeting the basic requirements under paragraph 2 above, candidates must meet all requirements described in this standard for Intermediate Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Senior Grade will have demonstrated the behaviors or responsibilities listed in one or more of the following categories: Clinical Proficiency, Education, Professional Development, Management/Administrative, and Research, as applicable to the assignment (1) Experience / Education (a) 3 years of professional practice as a PA; or (b) 2 years of professional practice as a PA and successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or (c) 2 years of professional practice as a PA and a Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education; or (d) A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education. (2) Management/Administrative. One of the following responsibilities must be demonstrated: (a) Evaluates service level patient care delivery systems and validates or identifies barriers to safe, effective care. Presents findings and recommendations to appropriate management officials and participates in implementation of changes. (b) Manages patient quality management data bases such as the National Surgical Quality Improvement Program (NSQIP) if assigned. (c) Serves on service or facility committees/task forces if applicable to the assignment. (d) Coordinates consult referrals within the service assigned. (e) Coordinates and facilitates inter-service agreements. (3) Clinical Competencies Chief Grade. In addition to meeting the basic requirements under paragraph 2 above, candidates must meet all requirements described in this standard for Senior Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Appointment or promotion to Chief Grade is based on the individual's demonstrated high level of clinical expertise, leadership ability, and the ability to function with a high degree of autonomy. Further, the PA candidate for Chief Grade will have demonstrated all the requirements of one or more of the following categories: Management/Administrative, Clinical Proficiency, Professional Development and Research. (1) Experience / Education (a) Generally, an individual in this grade is able to demonstrate the behaviors listed in the areas below after 5 years of professional practice as a PA; and, (b) The minimum education for this grade is a Master's Degree from a PA training program accredited by ARC-PA or in a health-related field of study. However, experience as a PA may be substituted for the Master's degree where the individual has an equivalent knowledge of the profession and has successfully undertaken a combination of difficult or complex assignments in several clinical, administrative, research and educational arenas which required a high degree of competence. (2) Management/Administrative (a) Accepts substantial and continuing responsibility for managing or coordinating a healthcare program including follow-up actions to ensure compliance with regulatory bodies required by internal and external review organizations and accrediting bodies, and; (b) Successfully integrates the activities of the employee's assignment with other patient care programs at the facility or with similar programs on a broader geographic basis, and; (c) Develops policies and procedures and participates in executive level decision making deliberations, and; (d) Participates in long range program planning and model development for effective delivery of services, and;(e) Performs a full range of administrative duties relative to the assignment. (3) Clinical Competencies References: VA Handbook 5005, Part II, Appendix G8 The full performance level of this vacancy is 13. The actual grade at which an applicant may be selected for this vacancy is in the range of VN-9 to VN-13. Physical Requirements: The PA must be able to physically and mentally able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to themselves or others. Depending on the essential duties of a specific position, usable vision, color vision, hearing, or speech may be required. However, in most cases, a specific physical condition or impairment will not automatically disqualify an applicant for appointment. The loss or impairment of a specific function may be compensated for by the satisfactory use of a prosthetic or mechanical aid.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional Information

This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.

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