The Urology Physician Assistant is responsible for managing patients with emergent and/or urgent medical complaints in an clinical setting. Management is achieved through assessment, planning, implementation, collaboration and evaluation to meet the needs of patients. The Physician Assistant provides patient and family teaching, staff education; consults and collaborates with other health care providers; prescribes medications and adjunctive modalities; and refers patients.

Duties

This is a (100%) (full-time) clinical position involving the provision of Surgical Service, Urology Section. 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. Provides care coordination between service lines; and communication with patients and/or their appropriate surrogates regarding findings and management plans. The incumbent must demonstrate leadership, strong clinical and physical assessment skills. The Physician Assistant works in close collaboration with the Urology Section Chief, staff physicians, other Physician Assistants or Nurse Practitioners, Urology nursing staff, as well as fellows and residents. - Coordinate and supervise the delivery of outpatient care for Urology patients including patient evaluation; treatment including biopsies, order appropriate medications, schedule follow-up as needed, appropriate referrals as needed. - Serve as primary provider for an independent panel of Urology clinic patients after an initial training period. - Perform new patient consultation and return visits and telephone follow up visits and collaborate with 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 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 Urology consultation in a timely manner, coordinate tests and visits based on clinical urgency, and assist in facilitating IFC consults and referrals from other VA facilities. - Support and enhance the mission and goals of the VA Loma Linda Health Care System. - 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. - Is proactive in identifying potential emergency/crisis situations and providing appropriate interventions. - Performs procedures within the approved scope of practice and based on documented competencies: o Performing procedures such as incision and drainage, wound care, suturing and penile injections o Screening patients to determine the need for hospital admission o Screening patients to determine the need for further health care including consultations o Ordering and interpreting diagnostic studies such as laboratory test, X-rays, electrocardiograms, PFT's, CT, MRI, stress testing, nuclear medicine studies o Ordering and/or inserting nasogastric suction catheters o Ordering or performing bladder catheterization o Ordering and/or starting IV solutions and medications o Performing other procedures as listed in credentialing packet - Other duties may include serving on committees and administrative duties as directed by Urology Section Chief or Chief of Surgery. Preferred Experience: Urology experience Work Schedule: TBD Telework: Not Available Virtual: This is not a virtual position. EDRP Authorized: Contact [email protected], the EDRP Coordinator for questions/assistance. Learn more 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. United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy English Language Proficiency. PAs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determinations: Physician Assistant-I. a. Experience and Education. None beyond the basic requirements. 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. 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: 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 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: 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. 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: 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. (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. The full performance level of this vacancy is PA-III. The actual grade at which an applicant may be selected for this vacancy is in the range of PA-I to PA-III. Reference: 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. Physical Requirements: This work is mostly sedentary and requires some standing, bending and carrying light items. The incumbent must have the ability to stand and walk for prolonged periods of time to interact with the patients and other services.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Jerry L Pettis Memorial Veterans Hospital 11201 Benton Street Loma Linda, CA 92357 US
• Name: Michele Howard
• Phone: 909-871-7413
• Email: [email protected]