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

Duties

A PA in the Emergency Department (ED) provides direct comprehensive patient care in the Emergency Department, with an emphasis on the lower acuity emergency care population but allows opportunities for more advanced patient care depending on provider experience and department need. The PA will have specialized and up-to-date knowledge related to basic aspects and clinical features of emergency medicine with strong preference for two (2) years of experience in an Emergency Department or Urgent Care setting. Provide patient care in the Emergency Department under the direction of a supervising physician with the ability to exercise autonomy in medical decision-making within the physician/PA relationship, seeking consultation with the ED physician-of-the-day as needed. Duties include but not limited to: Performing focused history and physical examinations and evaluations on adult patients. Provide care for assigned patients with documentation in the medical record in keeping with the bylaws of the Medical Center. Provide therapeutic interventions for which they have clinical privileges, including procedures such as: abscess/hematoma drainage, laceration repair, superficial foreign body removal, etc. and clinical practice including diagnostic assessment, medication evaluation, management, and ordering consultations as appropriate. Prescribe medications based on patients' status, accepted scientific guidelines, prescriptive authority, and ongoing evaluation of therapies. Order and interpret diagnostic tests, including but not limited to biopsies, laboratory tests, and appropriate radiology studies. Discriminate between normal and abnormal findings and make appropriate treatment decisions, in collaboration with the collaborating physician if necessary. Work effectively with others to initiate and lead interdisciplinary groups and establish relationships with professional and/or other related groups within the community. For life-threatening situations where the physician is not immediately available, the PA will provide Basic Life Support (BLS) and Advanced Care Life Support (ACLS) based care until the physician is available. Provides patient and family teaching, staff education; consults and collaborates with other health care providers. Other duties as assigned. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Work Schedule: 10 hr. Shifts to include covering weekdays, weekends, holidays, day shifts, swing shifts and some night-time hours. Compressed/Flexible: Available Telework: Ad-hoc only, at the discretion of the hiring manager. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized EDRP Authorized: Contact [email protected] the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 49-54 days of annual paid time offer per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)Licensure: 1 full and unrestricted license from any US State or territory Malpractice: Free liability protection with tail coverage provided

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 Requirement: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Licensure. PAs must possess an active, current, full, and unrestricted license to practice in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. PAs must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State. Education. [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: (1) Master's degree in any discipline; or (2) Bachelor's degree in any discipline with one year of experience as a PA. Certification. [Must have successfully passed the PA National Certifying Exam (PANCE). English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). 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: Physician Assistant-I (PA-I) 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: Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care. Ability to perform patient history and physical. Ability to formulate a plan and provide treatment to the patient. 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: 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, 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). 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: Skills to analyze and solve complex medical problems. Ability to function autonomously and make independent medical decisions. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. 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: 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, 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. 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: Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care. 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). Ability to present clinical findings and recommendations to appropriate management officials. 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. 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 Handbook 5005/134, Part II, Appendix G8 The full performance level of this vacancy is VN-3. The actual grade at which an applicant may be selected for this vacancy is in the range of VIN-1 to VN-3 Preferred Experience: 2 years experience within the past 5 years in an Emergency Department or Urgent Care setting. Experience and comfort with performing common medical procedures such as administration of local anesthesia (including digital blocks), laceration repair, incision and drainage, wound debridement, topical cautery, ocular SLIT lamp examination and obtaining intraocular pressure, epistaxis management, interpretation of EKGs, reduction of simple dislocations, aspiration of joint fluid, and simple fracture management and splinting. References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-8 Physician Assistant Qualification Standard. Physical Requirements: Heavy lifting, 45 lbs. and over, straight pulling (6 hrs), pushing (2hrs) reaching above shoulders, use of fingers, walking(6hrs.), standing(2hrs.), repeated bending(6hrs.), ability to distinguish basic colors, hearing (aid may be permitted). Environmental Factors: Working with hands in water, working closely with others.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Please attach the Certificate of Foreign Equivalency with your transcript in order to receive credit for that 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 VA Puget Sound Health Care System 1660 South Columbian Way Seattle, WA 98108 US
• Name: Shelly Graham
• Phone: 503 220-8262 X55320
• Email: [email protected]