<b>Duties</b><br /><br /><b>Summary</b><br /><br />The main role of the Urologic Surgery Physician Assistant is to give care to patients referred to Urologic Surgery. The Physician Assistant will assist with the pre-op evaluation of the patients. He/she may also first assist and second assist with the urology cases.<br /><br />Learn more about this agency <br /><br /><b>Responsibilities</b><br /><br />The responsibilities also include but may not be limited to: <ul> <li>Post op care in the SICU</li> <li>Daily rounding and progress notes and follow-up in the clinic.</li> <li>Following up with diagnosis and treatments of our Veteran patients</li> <li>Working closely with attending Physicians, other Pas, surgical residents, medical staff, ancillary support, PA students and medical students</li> <li>Assisting with documentation standards as set forth by the VAMC including but not limited to patient encounters, clinic note ( examination, assessment and treatment documentation) and other performance standards</li> <li>Functioning as a department resource while promoting the team's functions</li> <li>Maintaining all medical education requirements as outlined by the VAMC.</li> </ul> <strong>Work Schedule:</strong> Monday-Friday, 7:30 am-4:00 pm, other tours, holidays, and weekend may be required based upon patient care needs.<br /> <strong>Financial Disclosure Report:</strong> Not required <br /><br /><b>Travel Required</b><br /><br />Not required<br /><br />Supervisory status <br /> No <br /><br />Promotion Potential <br /> None <br /><br /></li> <b>Requirements</b><br /><br /><b>Conditions of Employment</b><br /><br /><ul> <li>United States Citizenship Required; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.</li> <li>Designated and/or random drug testing required</li> <li>Selective Service Registration is required for males born after 12/31/1959</li> <li>Must be proficient in written and spoken English</li> <li>You may be required to serve a probationary period</li> <li>Subject to a background/security investigation</li> <li>Selected applicants will be required to complete an online onboarding process</li> <li>Must pass pre-employment physical examination</li> </ul> <br /><br /><b>Qualifications</b><br /><br />To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/05/2019.<br /><br /><b>Basic Requirements</b>: <ul> <b>Citizenship:</b> US Citizen (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with policy)</li> </ul> <ul> <b>Education:</b> Graduate of a PA training program, or of a surgical assistant program which is accredited by the ARC-PA or one of its predecessor organizations; and 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.</li> </ul> <ul> <b>Certification</b>: Current and continuous certification by NCCPA.<br /> <b>Physical Standards:</b> Must pass a pre-employment exam. </li> <b>English Language Proficiency.</b> PAs appointed to direct patient-care positions must be proficient in spoken and written English as required by policy.</li> </ul> <b>Preferred Experience:</b> <ul> <li>Evaluating and managing patients in both outpatient and inpatient setting</li> <li>Administrative responsibilities to include data collection, surgery scheduling, etc</li> <li>Serving as a liaison for the patient through surgical scheduling communication</li> <li>Performing urodynamic testing</li> <li>Evaluating outside consultations and determine appropriate disposition, routing and urgency of those consults</li> </ul> <strong>Grade Determinations</strong>:<br /> <strong>Full Grade:</strong> In addition to meeting the basic requirements individuals must meet all the following requirements:<br /> Experience/Education: None beyond the basic requirements.<br /><br /><strong>Intermediate Grade:</strong> In addition to meeting the basic requirements, individuals must meet all requirements for Full Grade through VA, will have demonstrated the ability to analyze and solve more complex medical problems and meet the following requirements:<br /> Experience/Education <ul> <li>1 year of professional practice as a PA; or</li> <li>Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or</li> <li>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.</li> </ul> Clinical Competencies<br /> Clinical Proficiency<br /> 1. Effectively treats patients with more complex medical problems requiring a higher degree of<br /> clinical skill and competency than that expected of the previous grade.<br /> 2. Performs more complex diagnostic and therapeutic procedures requiring skills and competency, as<br /> applicable to the assignment, beyond that expected in the previous grade.<br /> 3. Practices with a higher degree of autonomy and seeks guidance from the assigned physician less<br /> frequently than expected of the previous grade.<br /> 4. Evaluates the delivery system of patient care within the area of assignment, presents findings and<br /> recommendations, and contributes to changes that enhance the quality and timeliness of care.<br /> Professional Development<br /> 1. Acquires knowledge and skills to maintain expertise in area of practice.<br /> 2. Shares medical literature research findings with colleagues to enhance patient care delivery.<br /> 3. Participates in educational activities to improve clinical knowledge and enhance role performance.<br /> 4. Serves as a clinical preceptor to healthcare students.<br /> 5. Serves on service level committees or subcommittees when assigned.<br /> Ethics<br /> 1. Identifies medical ethical issues and takes appropriate actions.<br /> 2. Supports and enhances patient self-determination.<br /> Interpersonal Skills. Collaborates effectively with other occupations and services to identify,<br /> analyze, and resolve patient care problems.<br /> Research<br /> 1. Shares medical literature research findings with colleagues to enhance patient care delivery.<br /> 2. Uses a body of research to validate or change group practice.<br /><br /><strong>Senior Grade:</strong> In addition to meeting the basic requirements, candidates must meet all requirements for Intermediate Grade, will have demonstrated the behaviors or responsibilities listed in one or more of the<br /> following categories: Clinical Proficiency, Education, Professional Development, Management/Administrative, and Research, as applicable to the assignment.<br /> Experience / Education <ul> <li>3 years of professional practice as a PA; or</li> <li>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</li> <li>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</li> <li>A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education.</li> </ul> Management/Administrative. One of the following responsibilities must be demonstrated:<br /> (a) Evaluates service level patient care delivery systems and validates or identifies barriers to safe,<br /> effective care. Presents findings and recommendations to appropriate management officials and<br /> participates in implementation of changes.<br /> (b) Manages patient quality management data bases such as the National Surgical Quality<br /> Improvement Program (NSQIP) if assigned.<br /> (c) Serves on service or facility committees/task forces if applicable to the assignment.<br /> (d) Coordinates consult referrals within the service assigned.<br /> (e) Coordinates and facilitates inter-service agreements.<br /> Clinical Competencies<br /> Clinical Proficiency<br /> 1. Manages patients with complex or multi-system medical problems.<br /> 2. Practices with a significant degree of autonomy and seeks guidance from assigned physicians with<br /> less frequency than expected at the previous grade.<br /> 3. Performs more complex diagnostic and therapeutic procedures beyond what is expected at the<br /> previous grade.<br /> 4. First or second assists in surgical procedures.<br /> Professional Development<br /> 1. Acts as a consultant/mentor to PAs in lower grades and other clinical and support staff.<br /> 2. Serves as a clinical preceptor for students or organizes and participates in facility clinical<br /> educational programs.<br /> 3. Makes sustained contribution to health care by sharing expertise within and/or outside the medical<br /> facility.<br /> Ethics. Identifies and addresses ethical issues that impact patients and staff including<br /> participation in ethics consultations if appropriate to the area of assignment.<br /> Interpersonal Skills<br /> 1. Communicates and collaborates effectively with other facility staff and outside institutions when<br /> applicable to the area of assignment.<br /> 2. Effectively promotes the physician assistant profession to health care staff, patients and other<br /> stakeholders at the local level.<br /> 3. Makes significant contributions which serve to enhance the distinctive role of PAs within the local<br /> institution and the health care system.<br /> Research<br /> 1. Collaborates with others in research activities to improve patient care, or;<br /> 2. Authors, or collaborates with others, on a paper or study for publication.<br /><br />Please see Education portion for continuation of Grade Determinations.<br /><br /><strong>References:</strong> VA HANDBOOK 5005/78, PART II, APPENDIX G8<br /><br /><strong>Physical Requirements:</strong> This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patient and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, and able to shift priorities based on patient needs. <br /><br /><b>Education</b><br /><br /><strong>Grade Determinations:<br /><br />Chief Grade:</strong> In addition to meeting the basic requirements individuals must meet all requirements for Senior Grade, demonstrates high level of clinical expertise, leadership ability, and the ability<br /> to function with a high degree of autonomy. Further, the PA candidate for Chief Grade will have<br /> demonstrated all the requirements of one or more of the following categories: Management/Administrative, Clinical Proficiency, Professional Development and Research.<br /> Experience/Education <ul> <li>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,</li> <li>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.</li> </ul> Management/Administrative<br /> (a) Accepts substantial and continuing responsibility for managing or coordinating a healthcare<br /> program including follow-up actions to ensure compliance with regulatory bodies required by internal<br /> and external review organizations and accrediting bodies, and;<br /> (b) Successfully integrates the activities of the employee's assignment with other patient care<br /> programs at the facility or with similar programs on a broader geographic basis, and;<br /> (c) Develops policies and procedures and participates in executive level decision making<br /> deliberations, and;<br /> (d) Participates in long range program planning and model development for effective delivery of<br /> services, and;<br /> (e) Performs a full range of administrative duties relative to the assignment.<br /> Clinical Competencies<br /> Clinical Proficiency<br /> 1. Evaluates facility patient care delivery systems and validates or identifies barriers to safe, effective<br /> care. Presents findings and recommendations to appropriate management officials and participates in<br /> implementation of changes, and;<br /> 2. Exhibits leadership in initiating changes in patient care programs based on current concepts and<br /> findings from research and/or studies, and;<br /> 3. Facilitates the delivery of patient care in collaboration with health professionals, health managers<br /> and other health care personnel, and;<br /> 4. Exhibits exceptional clinical skills and consistently demonstrates a high level of expertise in<br /> diagnosing and treating seriously ill, multi-symptomatic patients.<br /> Professional Development<br /> 1. Develops and implements education and training programs involving a variety of specialties in<br /> widely diversified activities, and;<br /> 2. Provides personnel with the vital link between education and practice.<br /> 3. Coordinates clinical training of healthcare students including facilitation of clinical rotations,<br /> recruitment preceptors and evaluation of student, and;<br /> 4. Maintains close relationships with affiliated schools and healthcare training programs and<br /> coordinates clinical rotations with curriculum needs, and;<br /> 5. Serves on education and training committees, advisory groups and special task forces concerned<br /> with managing education and career development activities.<br /> Ethics<br /> 1. Provides leadership in addressing ethical issues that impact patients and staff at the medical<br /> facility and the local health care community.<br /> 2. Participates in the education of facility staff in ethical concepts and encourages staff participation<br /> in ethics educational programs.<br /> Interpersonal Skills<br /> 1. Demonstrates leadership in developing productive working relationships with groups in other<br /> programs, services, academic settings, and community agencies.<br /> 2. Effectively collaborates and interacts with other regional medical facilities to enhance seamless<br /> coordination of inter-facility patient care.<br /> Research<br /> 1. Conducts approved, merit-reviewed research projects; performs independent research; serves as a<br /> contributing member of a research team or serves as a member of a research committee; formulates<br /> research proposals and protocol submissions for merit review; and develops publishable material for<br /> appropriate professional journals or speaks to peer groups, and;<br /> 2. Effectively researches problems of major scope; directs independent research of considerable<br /> interest and value, where the research contribution is highly productive and of such quality and<br /> originality as to have marked the PA as a significant contributor to advances in patient care and services.<br /><br /><strong>IMPORTANT: </strong>A transcript must be submitted with your application if you are basing all or part of your qualifications on education.<br /><br /><strong>Note: </strong>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 . <br /><br /><b>Additional information</b><br /><br />This job opportunity announcement may be used to fill additional vacancies.<br /><br />It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.<br /><br />This position is in the Excepted Service and does not confer competitive status.<br /><br />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.<br /><br />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.<br /><br />If you are unable to apply online view the following link for information regarding an Alternate Application . <br /><br /><b>How You Will Be Evaluated</b><br /><br />You will be evaluated for this job based on how well you meet the qualifications above.<br /><br /><strong>IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.<br /><br />NOTE: </strong>A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy.<br /><br />Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. <br /><br /><b>Background checks and security clearance</b><br /><br />Security clearance <br /> Other <br /><br />Drug test required <br /> Yes <br /><br /></li> <b>Required Documents</b><br /><br />To apply for this position, you must provide a complete Application Package which includes:<br /><br /><ul><li>VA Form 10-2850c</li><li>Resume</li></ul><br /><br />VA Form 10-2850c can be found at: http: www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search . <strong>REQUIRED</strong> <br /><br />The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.<br /><br /><ul><li>Cover Letter</li><li>DD-214/ Statement of Service</li><li>OF-306</li><li>VA Form 10-2850c</li><li>Other (2)</li><li>Resume</li><li>SF-15</li><li>SF-50/ Notification of Personnel Action</li><li>Transcript</li></ul><br /><br />Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit http: www.fedshirevets.gov/job/vetpref/index.aspx . <br /><br /><b>If you are relying on your education to meet qualification requirements:</b><br /><br />Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education . <br /><br />Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.