PHYSICIAN ASSISTANT (SURGERY)

Seeking exceptional candidates for the position of Physician Assistant in the General Surgery/Surgical Oncology Department. Responsible for reporting patient care activities. Authorized to enter clinical orders of patients admitted to the Operative Care Line for care. Responsible for all orders, progress notes, consultation requests, discharge summaries, reports of histories and physical examinations. Assist in surgical procedures as first or second assistant when needed.

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

• 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: Experience in evaluating general surgery/surgical oncology patients.

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:

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 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/.

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 01 to 03.

Physical Requirements: This position requires evaluating outpatients/inpatients in an outpatient clinical setting. Requires long periods of walking (2 hours), standing (4 hours), bending and carrying/lifting light items (under 15lbs). Must have the ability to reach above shoulder, use fingers, both legs and both eyes. Must have the ability for rapid mental and muscular coordination simultaneously, distinguish basic colors and shades of colors and have depth perception.

Environmental Factors: Will be working both outside and inside as well as working with electrical energy. Will be working around machinery with moving parts and around moving objects or vehicles. Will be working closely with others and may have protracted or irregular hours of work.

Responsibilities:

The Michael E. DeBakey VAMC and the Baylor College of Medicine, Department of Surgery are currently seeking exceptional candidates for the position of Physician Assistant in General Surgery/Surgical Oncology Department at the Michael E. DeBakey Veterans Affairs Medical Center. As a medical professional, you will be responsible for reporting patient care activities in the medical record. As a Physician Assistant, you will be authorized to enter clinical orders in the medical records of patients admitted to the Operative Care Line for care. Responsible for all orders, progress notes, consultation requests, discharge summaries, reports of histories and physical examinations. Assist in surgical procedures as first or second assistant when needed. Perform all procedures in the clinic including but not limited to management of acute and chronic health problems; ordering, interpreting and performing interventions based on diagnostic studies including radiology and laboratory studies; prescribing pharmacologic agents (per VHA Directive 2008-049; MCP 118CPO-002; VHA Directive 10-95-020 -General Guidelines for Establishing Medication Prescribing Authority for Clinical Nurse Specialists, Nurse Practitioners, Clinical Pharmacy Specialists, and Physician Assistants): providing consultation; admitting and discharging of patients, conducting patient rounds or providing Medical Officer of the Day responsibilities.

The Michael E. DeBakey VAMC is the most complex level 1A facility within the VA system and has the most complex surgical service offering state of the art surgical technologies. MEDVAMC serves as the acute tertiary care referral center for a large veteran population in East Texas, Louisiana, Arkansas, Oklahoma and Mississippi.

Major duties for the Physician Assistant - Surgery include, but are not limited to:

• Conducting history and physical examinations, assessment, diagnosis and management of acute and chronic health problems
• Ordering, interpreting and performing interventions based on diagnostic studies including radiology and laboratory studies
• Prescribing pharmacologic agents (per VHA Directive 2008-049; MCP 118CPO-002; VHA Directive 10-95-020 -General Guidelines for Establishing Medication Prescribing Authority for Clinical Nurse Specialists, Nurse Practitioners, Clinical Pharmacy Specialists, and Physician Assistants)
• Providing consultation
• Admitting and discharging of patients, conducting patient rounds or providing Medical Officer of the Day responsibilities
• Prescribe medications
• Clinical research, clinical instruction to health care students, administrative duties and professional or community related activities.
• First assist in the OR as needed
• Debridement of wounds
• Minor surgical procedures
• Minor procedures such as excision of soft tissue, lumps, hemorrhoids, banding, etc
• Administration of local anesthesia
• Incision and drainage of wounds
• Proctoscopies
• Maintain the operating room schedule and daily posting in consultation with the chief resident and the staff.
• Facilitate communication scheduling and work up with the pre-op medicine and pre-operative clinic.
• Maintain continuity of care of the surgical oncology patient

VA offers a comprehensive total rewards package.

Work Schedule: Monday - Friday; 8:00a - 4:30p; Subject to change to fit VA needs
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Salary : $117,417