The Physician Assistant is assigned to assist the Otolaryngology section of Surgical Services. The PA participates in all aspects of the Otolaryngology Program. Responsibilities include assisting with medical and surgical care in both inpatient and outpatient settings. Completes individual daily rounds; participates in clinical care of patients; performance of and assistance with procedures, admission and discharge of patients, follow-up planning, adjunctive therapy management, and education. 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: Preferred education, but not required, is a Master's degree or Doctoral degree Prefer, but not required, at least 1 year of clinical experience as a PA after graduation from PA program, ideally at least 3 years of experience after graduation. Prior/current experience in a multidisciplinary Otolaryngology and with procedures including: flexible laryngoscopy, tracheoscopy, stroboscopy, incision and drainage, otomicroscopy, nasal packing, rigid nasal endoscopy and debridement, foreign body removal from nose and ear, oral lesion biopsy, botox for headaches, and PE tube placement is particularly desirable. Other desirable qualities: experience with and/or interest in providing Complementary/Integrative Health (CIH) modalities; research experience Grade Determinations: 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: 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. 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. 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 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 VP-3. The actual grade at which an applicant may be selected for this vacancy is in the range of VP-1 to VP-3 Physical Requirements: moderate lifting (15-44lbs); moderate carrying (15-44lbs); use of fingers; both hands required; walking (4hrs); standing (4hrs); repeated bending (2hrs); ability for rapid mental & muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid may permitted); mental & emotional stability Environmental Factors: outside & inside; constant noise; dust; working closely with others; working alone ["CLINICAL PRACTICE The PA is responsible for providing and assisting with the coordination of care for patients in need of outpatient clinical, and perioperative surgical care in Otolaryngology within the Surgical Service line. The PA provides consultation service locally and regionally for providers working with complex Otolaryngology Head & Neck Surgical care. The PA provides education to patients and to providers regarding Otolaryngology services. The PA performs the following duties: 1. Completes detailed history and physical exams, as well as health inventories, orders and interprets diagnostic studies and prescribes appropriate medication and other treatment modalities. 2. Provides routine medical management of patient care (including diagnostic tests, x-rays, and medications within the scope of practice. 3. Provides initial evaluation of new patient consults, obtaining medical history and performing physical examinations and diagnostic clinic procedures, developing, and implementing plan of care with attending supervision; pre-operative evaluation of diagnostic studies 4. Provides care management that includes timely, thorough, and efficient documentation & coordination. 5. Reviews and follows up on diagnostic test results and communicates finding to patients and other providers. 6. Initiates consults as appropriate, follows the treatment plan of care, coordinates and discusses plan with other care providers and specialists as needed. 7. Establishes and maintains contact with other care providers, specialists, pharmacy, and ancillary staff as necessary within the facility and the private sector. 8. Review non-VA records and updates VA electronic health record systems with outside records. 9. Provides care in outpatient, inpatient and residential program settings and assists with call when requested. 10. Sharing primary on-call responsibilities with other Otolaryngology physician assistants/Advanced Practice Providers; reporting evaluations and duties performed directly to attending physicians. 11. Provides clinical coverage for other providers when requested by the Section Chief. 12. Provides supervision & training to rotating Health Professional Trainees. Work Schedule: Monday - Friday; 8am - 4:30pm Telework: NO - position not suitable Virtual: This is not a virtual position. Relocation/Recruitment Incentives: NOT authorized EDRP Authorized: Please contact the VISN 20 EDRP Coordinator, Stacy Hermann @ V20CompensationTeam@va.gov Financial Disclosure Report: Not required 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."]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.