The incumbent is responsible for providing medical services to Veterans of the Robert J. Dole VAMC. Although the PA must have a collaborating and alternate collaborating physician of record, the PA may provide care to all patients across all designated specialties during regular, off tour, and/or on call duty. The specialty physician(s) providing care to that patient then assumes the role of collaborating physician.

Duties

VA offers a comprehensive total rewards package. Duties: Performing and recording histories and physical examinations. Providing and coordinating comprehensive care of assigned patients in the assigned care setting including (but not limited to) documenting progress notes and summaries in the patient's medical record, ordering therapeutic regimens as well as various diagnostic tests, documenting a discharge summary (the collaborating physician must write a discharge note, or cosign the discharge summary in accordance with Joint Commission standards), obtaining education and counseling of patients and families in preventive care, medical conditions, and the use of prescribed treatments and drugs. May admit patients to their service with collaborating physician concurrence. PA with current NCCPA Certification may prescribe or order noncontrolled substances with authorization by the PA's Scope of Practice. Other duties may include consent for, and documenting procedures performed by the applicant or by a collaborating physician, providing insertion and removal of Foley catheters; IV's' nasogastric tubes' laceration repair, abscess incision and drainage, wound care and debridement; intramuscular subcutaneous and intradermal injections; skin lesion biopsy and excisions; assist in the intraoperative care of patients, proctor/teach students as appropriate, and participate in clinical research. Performing emergency duties, carried out for patients in life-threatening situation where a physician is not immediately available. The applicant initiates these activities as needed until physician or emergency medical personnel arrive. A licensed health care professional is permitted to perform, in emergency situations, any actions permitted by his or her licensure. The PA is required to maintain BLS, and/or ACLS as appropriate to the job requirement. Work Schedule: 8:00 am-4:30 pm Monday-Friday Telework Eligible: Yes Financial Disclosure Report: Not required

Requirements

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: prior Emergency Medicine experience Grade Determinations: (1) 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. (2) 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. (3) 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. 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 3. The actual grade at which an applicant may be selected for this vacancy is in the range of 1 to 3. Physical Requirements: Light lifting, under 15 pounds, light carrying under 15 pounds, pulling hand over hand 1.5 hours (varies), pushing, 1 hour (varies), reaching above shoulders, use of fingers, walking (6 hours-varies), standing (8 hours-varies), repeated bending (4 hours-varies), use of hands and fingers, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 12" to 16" Jaeger 1 to 4, hearing (aid permitted).

Education

Note: 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.

Contacts

• Address Robert J Dole VA Medical and Regional Office Center 5500 East Kellogg Drive Wichita, KS 67218 US
• Name: CHRISTOPHER CORDES
• Phone: 316-685-2221 X54647
• Email: [email protected]