The Primary Care Service Line Physician Assistant practices general internal and/or family medicine. A board certified Physician Assistant (PA) provides duties and responsibilities for patients enrolled in Primary Care clinics. Services will be needed Monday through Friday, excluding Federal holidays but including some weekends. Services offered will include the provision of appropriate medical treatment and management of general medical problems of adult patients in a primary care setting.

Duties

Duties and Responsibilities: The incumbent must be able to satisfactorily carry out any duty of Grade 1/Grade 2 Physician Assistant, and perform the following: 1. Treatment and professional directives as outlined in the privileges and as noted in the credentialing process, some of which are listed below: a. Primary evaluation of applicants for care at the medical center including history and physical examination, ordering of pertinent laboratory and radiology tests, and initial diagnosis and disposition of these patients. b. Obtain appropriate consultation from on-call specialists and communicate pertinent medical information to other health care providers/institutions. c. Enter all reports for incorporation into the computerized patient record system (CPRS) on the day of the visit and satisfy VHA and medical center policies and Joint Commission requirements for documentation. The PA must possess computer skills to access the computerized patient record system (CPRS) utilized by the VA. Orientation to CPRS will be provided by the VA. d. Prescribe medications for patients according to the established drug formulary at this facility. Variance from the formulary should occur only when clinically indicated and in compliance with the procedures established. e. Any administrative requirement for referral and/or transfer to another medical facility will be completed by VA personnel and approved by the Associate Chief of Staff Primary Care (ACOS/Primary Care), Chief of Staff or designee prior to transfer. f. Perform services within VA policies and procedures and the regulations of the medical staff by-laws of the VA facility. g. The PA will also perform administrative duties such as quality assurance, peer reviews, serving on various committees as directed by the ACOS/PC or Administration. The PA may also participate in the instruction of medical and allied health care students assigned to Primary Care. The PA will also perform other related duties as assigned. 2. The ACOS/Primary Care Service is responsible for the overall clinical and administrative function of the Primary Care Service Line 3. Additional Functions: a. Staff PAs provide or assist other specialists in the process of evaluation and treatment of the psychiatric patient and actively participate in corrective actions against untoward responses to psychiatric interventions. b. Staff PAs evaluate the patient to assess changes in the patient's physical and mental status. A progress note is written in the patient's chart. c. Staff PAs are appropriately credentialed and privileged and may participate in various hospital committees, departmental and hospital in-service programs, and education programs of the department and the hospital. d. The PA may initiate Advanced Cardiac Life Support in accordance with current ACLS protocols, to include defibrillation/cardioversion in life threatening situations, if ACLS certified. Work Schedule: Monday-Friday 8:00am-4:30p.m 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. Preferred Experience: Minimum 2 years of Primary care experience 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: (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. 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. 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 VN-03. The actual grade at which an applicant may be selected for this vacancy is in the range of VN-01 to VN-03. Physical Requirements: See VA Handbook

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 WG Bill Hefner Salisbury VA Medical Center 1601 Brenner Avenue Salisbury, NC 28144 US
• Name: Alicia Fraser
• Phone: 9085607880
• Email: [email protected]