Physician Assistant (Primary Care)

FUNCTIONS OR SCOPES OF PRACTICE:

• Responsible for comprehensive care to patients with acute or chronic medical conditions.
• Clinical expertise in dealing with patients with acute or chronic health illnesses or acute injuries.
• Utilizes critical thinking to synthesize and analyze collected data.
• Provides care that is patient and family centered compassionate appropriate and effective for the promotion of health and treatment of disease across the lifespan.
• Utilizes clinical assessments to develop patient centered plans of care which reflect therapeutic educational preventative and rehabilitative.
• Performs a comprehensive patient assessment including health history physical examination evaluations of deviations from the norm and age specific disease screening immunizations and health counseling.
• Formulates differential diagnosis and initiates appropriate intervention based on physical findings.
• Determines the need for consultation and referral of patients to specialty services when medically indicated.

SUPERVISORY CONTROLS:

• The incumbent will practice under the direction of a supervising Physician (Section Chief).
• The Chief of Primary Care assigns the incumbent to the Section Chief of the applicable clinic to which he/she is assigned. The Section Chief is responsible for orienting familiarizing and clarifying the incumbent with facility/clinic procedures practices and policies.

QUALIFICATIONS REQUIREMENTS:

• Meets the Medical Practice and Administrative Qualification Standards commensurate with area of licensure and specialty Board eligibility/certification (i.e. physician nurse practitioner psychologist).

CUSTOMER SERVICE REQUIREMENT:

• Meets the needs of all customers while supporting the Medical Center and Service missions.
• Consistently communicates and treats customers (patients visitors volunteers and all Medical Center staff) in a courteous tactful and respectful manner.
• Provides the customers with consistent information according to established policies and procedures.
• Handles conflict and problems in dealing with the customer constructively and appropriately.

AGE DEVELOPMENT AND CULTURAL NEEDS OF PATIENTS:

• Provides care and/or services appropriate to the age of the patients being served and which is appropriate to the cognitive; emotional and chronological maturation of the patient.
• Assesses data reflective of the patients status and interpret the information needed to identify each patients requirements relative to their age-specific needs and to provide care needed as described in the services policies and procedures.
• Takes into consideration age-related differences of the various veteran populations with this institution.

Work Schedule: 8:00am-4:30pm Monday-Friday
Compressed/Flexible:Available
Telework: Ad Hoc
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the Required Documents section of this announcement.

As a condition of employment for accepting this position you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public determining if your employment advances the public interest we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period your employment will be terminated unless you receive certification in writing that your continued employment advances the public interest.

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

• Masters degree in any discipline or a bachelors 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.

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. ii. iii. 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. 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: 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. ii. iii. 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. 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 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. ii. 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. 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.

Perferred Experience: Minimum 3 years of Primary Care Experience

References: VA Regulations specifically VA Handbook 5005 Part II Appendix G-8 Physician Assistant Qualification Standard.

Physical Requirements: Applicants must meet physical standards for the position. A physical examination prior to placement is required. This is a designated drug testing position. After appointment you will be subject to random testing for illegal drug use. Requires lifting 15-44 pounds; pushing (approx. 2 hours); reaching above shoulder; use of fingers and both hands; walking and standing from 3-5 hours and kneeling. Ability for rapid mental and muscular coordination simultaneously. Must have depth perception and ability to distinguish basic colors and shades of colors. Hearing aid is permitted.