This is a full-time clinical position involving the provision of Emergency Department. These services will be rendered in a thoughtful and resource effective manner consistent both with VA policies and with the highest standards of medical care. The Physician Assistant works in close collaboration with the Emergency Department and general medicine section chiefs, staff physicians, other PAs, Nurse Practitioners, Emergency Department nursing staff, fellows and residents

Duties

This is an open continuous announcement. Applications will be accepted and referred on an ongoing basis until the position is filled. The Emergency Department Physician Assistant is responsible for managing patients with emergent and/or urgent medical and psychological complaints in an Emergency Department setting. Management is achieved through assessment, planning, implementation, collaboration and evaluation to meet the needs of patients. The Physician Assistant promotes self-care and enlists the participation of patients in establishing realistic health goals and adheres to the American Standards of Practice for the Acute Care Physician Assistant. Duties include but not limited to: Coordinate and supervise the delivery of outpatient care for Emergency Department patients including patient evaluation; treatment including biopsies, order appropriate medications, schedule follow-up as needed, appropriate referrals as needed. Serve as primary Emergency Department provider for an independent panel of clinic patients after an initial training period. Perform new patient Emergency Department consultation and return Emergency Department visits and telephone follow up visits and collaborate with Emergency Department staff. Establish a comprehensive plan of care based on clinical findings and standards of care. Establish mutual goals with patient/family. Prescribe medications based on patients' status, accepted scientific guidelines, prescriptive authority, and ongoing evaluation of therapies. Lead and direct others in Emergency Department to assure access to and continuity of care across the VA continuum, between referral bases, and transitioning from inpatient/observation status toward outpatient follow-up care. Order and interpret diagnostic tests, including but not limited to biopsies, laboratory tests, and appropriate radiology studies. Help triage requests for outpatient Emergency Department consultation in a timely manner, coordinate tests and visits based on clinical urgency, and assist in facilitating IFC consults. Work effectively with others to initiate and lead interdisciplinary groups and establish relationships with professional and/or other related groups within the community. Develop a professional practice by leadership and accomplishments in the development and implementation of best-practice guidelines in the patient care and healthcare delivery. Demonstrate ability to function independently in advanced leadership, critical thinking, problem solving, and project management skills. Provides patient and family teaching, staff education; consults and collaborates with other health care providers Support and enhance the mission and goals of the Eastern Oklahoma VA Healthcare System. Other duties as assigned. Work Schedule: Week on/off- rotating tour Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not Authorized 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. Exceptions for Graduate PAs. PAs who otherwise meet the basic requirements, but do not possess the required licensure, may be appointed, pending licensure, as a graduate PA on a temporary full-time appointment not-to-exceed two years under the authority of 38 U.S.C. ? 7405(c)(2)(B). Graduate PAs may only be appointed at the entry grade level and may not be promoted/converted until certification is obtained. Temporary graduate PA appointments may not be extended beyond two years or converted to a new temporary appointment. Preferred Experience: Emergency Room training/certification Bedside procedure proficiency 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. Grade and Step determinations of the selected applicant will be determined by the appropriate Physician Assistant Professional Standards Board and will be based on the selected individuals education and experience. Physician Assistant-I (PA-I) Experience and Education: None beyond the basic requirements. This is the entry level for PA's Demonstrated Knowledge, Skills, and Abilities: 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: Two years of successful practice as a PA OR 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, US Armed Forces, or another accrediting agency OR a doctoral degree in a health-related field from an accredited college or university recognized by the US Department of Education. Demonstrated Knowledge, Skills, and Abilities: 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: Three years of successful practice as a PA OR 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, US Armed Forces, or another accrediting agency AND one year of professional practice as a PA. 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 Grade 3. The actual grade at which an applicant may be selected for this vacancy is in the range of Grade 1 to Grade 3. Physical Requirements: The work requires standing or walking for a major portion of the workday. In the clinics you may need to assist patients into the examination rooms when in wheelchairs or on carts, which could consist of a variety of standing, walking, twisting, turning, sitting, bending, pushing, carrying and light lifting. This may be considered demanding physical activity.

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 Jack C Montgomery VA Medical Center 1011 Honor Heights Drive Muskogee, OK 74401 US
• Name: Katie Marcucci
• Phone: 303-202-8164
• Email: [email protected]