Physician Assistant - Primary Care

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

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.

Grade Determinations:

Physician Assistant-I (PA-I)

• Experience and Education. None beyond the basic requirements. This is the entry level for PAs.

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:

1. Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care.
2. Ability to perform patient history and physical.
3. Ability to formulate a plan and provide treatment to the patient.
4. Ability to provide patient care that is abreast of changing concepts and advancements in the profession.

Physician Assistant-II (PA-II)

• 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:

1. Two years of successful practice as a PA. OR
2. 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
3. A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education.

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:

1. Skills to analyze and solve complex medical problems.
2. Ability to function autonomously and make independent medical decisions.
3. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care.
4. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care.
5. Ability to practice with colleagues and peers collaboratively.

Physician Assistant-III (PA-III)

• 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:

1. Three years of successful practice as a PA OR
2. 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
3. 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.

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-II:

1. Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care.
2. 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).
3. Ability to present clinical findings and recommendations to appropriate management officials.
4. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel.
5. 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.
6. 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 PA III. The actual grade at which an applicant may be selected for this vacancy is in the range of PA I to PA III.

Physical Requirements: This work is mostly sedentary and requires some standing, bending and carrying light items. The incumbent must have the ability to stand and walk for prolonged periods of time to interact with the patients and other services.

Responsibilities:

This Physician Assistant position is located within Primary Care at the Jamaica Plain, MA campus. This is a multidisciplinary posting for Physician Assistants and Nurse Practitioners. To apply for the Nurse Practitioner posting, please apply through this announcement: CBTD-12965719-26-JL. This is a full time position.

VA offers a comprehensive total rewards package.

Duties include, but are not limited to:

• Provide coordinated comprehensive primary care to a prescribed number of patients, including the referrals to specialists as indicated
• Facilitate the ordering of diagnostic tests, ie lab work, x-rays, EKGs, consults, and similar studies; documenting in the medical record all procedures performed for which the PA is responsible.
• Documenting clinical findings and progress in the medical record consistent with timelines and appropriateness standards of practice and consistent established policies.
• Initiate and monitor health maintenance in conjunction with the patient, family/significant other members of the multi-disciplinary team.
• Initiate and adjust plans of care and emergency treatment indicated.
• Provide and prompt psychological support, in collaboration with interdisciplinary team members, to patients and their support network.
• Act as consultant to nursing personnel, physicians, and other health care consultants in their area of clinical experience.
• Contribute to the formation of health policies or programs that make a sustained contribution for the health care of patient's/significant others.
• Participate in interdisciplinary team conferences to assure the highest quality patient care and panel management.

Work Schedule: Monday - Friday; determined by supervisor.
Telework: Not available
Virtual: This is not a virtual position.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive.Contact Karen.Chapman@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not authorized.

Salary : $125,779 - $200,000