Physician Assistant (Surgery)

Duties

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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.

VA offers a comprehensive total rewards package.

EDRP: Authorized for highly qualified candidates.

Telework: Not Available

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: May Be Authorized.

EDRP Authorized: Former EDRP participants ineligible to apply for incentive.Contact , the EDRP Coordinator for questions/assistance. Learn more

Contract Buy Out Program: This position may be eligible for the Physician / Provider Contract Buy Out Program (CBOP), which authorizes VHA to buy out service contracts (Locum agreements, loan repayments, sign-on bonus contracts, Physician-owned practices) in exchange for employment at certain rural or highly rural facilities for a period of obligated service (minimum 4 years). For additional information and eligibility requirements, contact the VHA Contract Buy Out Program Manager at [redacted].

Duties include, but are not limited to:

• Obtaining medical histories and performing physical examinations.
• Providing and coordinating medical care for assigned patients in any care setting, including establishing diagnoses, formulating, and implementing care plans, and providing follow-up care. Evaluating outpatients to determine the need for further health care.
• Ordering diagnostic studies and other special tests, such as Magnetic Resonance Imaging (MRI), Computerized Tomography (CT) scans, etc.
• Carrying out health promotion, disease prevention, and patient education activities.
• Ordering or obtaining laboratory specimens.
• Ordering ancillary services, such as, pharmacy, social services, physical medicine and rehabilitation therapies, prosthetic services, etc.
• Ordering VA specialty service consults and initiating requests for non-VA medical care and consults in accordance with VHA and local facility policy and procedures.
• Ordering patient care supplies.
• Admitting and discharging patients in consultation with, and on behalf of, the collaborating physician, obtaining admission history and performing physical examinations, conducting patient rounds, documenting progress notes and summaries in the patient record, and writing patient orders on assigned patients. PAs may be delegated the responsibility of documenting operative notes if the PA was present for the procedure, but the operative surgeon must review and co-sign the note. The PA may also be delegated the task of documenting the discharge summary, but the collaborating physician must write a discharge note, or co-sign the discharge summary written by the PA in accordance with The Joint Commission standards that are applicable.
• Other patient record entries by PAs, including medical histories, physical examinations, progress notes, service consults, and patient orders do not require physician co-signature unless specifically required by Federal law, VA policy, or the standards of applicable external accrediting bodies.
• Obtaining and documenting informed consent for treatments and procedures for which the PA is responsible. The PA's Scope of Practice must authorize obtaining informed consent for the treatment or procedure being performed. In addition, the Scope of Practice must authorize the PA to perform the procedure or provide the treatment for which the consent is being obtained or to actively participate as an integral member of the treatment team performing the procedure such as assisting the primary surgeon. NOTE: The PA need not participate in the particular procedure the patient is scheduled to undergo but the PA must be authorized to perform or participate in the procedure by their Scope of Practice and must have sufficient knowledge and training in the treatment or procedure, its indications, risk and benefits, complications, and alternative treatments, to effectively counsel the patient.
• Providing education and counseling of patients and families in preventive care, medical conditions, and the use of prescribed treatments and drugs.
• Writing orders for or prescribing medications as allowed.

Other related duties as assigned.

• OR first assist
• Orthopedics clinic

PA-I : $106,331-112,709

PA II- : $127,447-135,093

PA III-: $151,552-160,643

Work Schedule: Monday-Friday, 8:00am-4:30pm.

Requirements

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Conditions of employment

• All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical evaluation/examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

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.
• Physician Assistants must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State.
• Physical Requirements. See VA Directive and Handbook 5019, Employee Occupational Health Service.
• English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. a7 7403(f).

Grade Determinations: Grade Determinations: Physician Assistant-I (PA-I)

• Experience and Education. None beyond the basic requirements. This is the entry level for Physician Assistants. AND
• Demonstrated Knowledge, Skills, and Abilities. The following list of knowledge, skills, and abilities (KSA) present the minimum skill set expected of an Entry Level Physician Assistant. This practice may include, but is not limited to:
  
  1. Ability to utilize the principles of Physician Assistant 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 Physician Assistant 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:
  
  • Two years of successful practice as a PA. OR
  • Successful completion of a Physician Assistant 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
  • 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 (KSAs). Physician Assistants 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. 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. Physician Assistants 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 Physician Assistants, and may provide training for health care students. Individuals can demonstrate the KSAs for the full performance level by:
  
  • Three years of successful practice as a PA. OR
  • Successful completion of a Physician Assistant 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
  • 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. Physician Assistants 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. 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 Physician Assistant 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 3.The actual grade at which an applicant may be selected for this vacancy is in the range of 1 to 3.

Preferred Experience: Graduate of a training program which is accredited by the Accreditation Review Commission on Education of PA (ARC-PA) or one of its predecessor organizations. Additionally, candidates must meet one of the following: Master's degree in any discipline or a bachelor's degree in any discipline with one year of experience as a Physician Assistant.

Physical Requirements: Eligible applicants must be 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. Howeve