Physician Assistant - Gastroenterology

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.

Grade Determinations

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-1 to PA-III. 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. 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. 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 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. (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.

Preferred Experience

Minimum of 2 years of clinical practice as a Physician Assistant, preferably within gastroenterology, hepatology, or related subspecialties. Experience managing IBD patients independently. Demonstrated expertise in managing common GI conditions (e.g., GERD, IBD, IBS, liver disease, GI bleeding, motility disorders) in outpatient and/or inpatient settings. Proficiency in ordering, interpreting, and acting on relevant laboratory and imaging studies specific to gastrointestinal conditions.

Familiarity with evidence-based practice guidelines in gastroenterology and ability to apply them in direct patient care. Strong background in patient education and counseling, including lifestyle, nutrition, and medication adherence for chronic GI conditions. Prior experience with interdisciplinary care coordination involving physicians, nurses, dietitians, and other specialists.

Knowledge of VA or large integrated healthcare systems, including electronic medical record documentation and consult management preferred. Demonstrated ability to work independently in a fast-paced specialty clinic environment while also functioning effectively within a multidisciplinary team. Experience with quality improvement projects or participation in program development related to specialty care.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements

Walking, bending, stooping, and some lifting in the direct care of patients. There may also be extended periods of sitting.

This position will provide comprehensive gastroenterology support with a special emphasis on IBD management. PA responsibilities in Gastroenterology may include the following specialty-focused duties: Under the supervision of the collaborating physician will see general GI patients in a clinic setting. These patients will have Gastroenterological diseases or symptoms. This involves necessary communication with the collaborative physician.

Conducts care coordination for patients seen in the clinic setting, including evaluation of the patient, history and physical exam, treatment plan, follow up care and documentation in CPRS. This includes active role with collaborating physician a team approach. Conducts care coordination for patients diagnosed with Hepatitis Band Hepatitis C; evaluates patient, coordinates treatment plan, follow up care and documents in CPRS under the supervision of the collaborating physician.

Coordinate, manage and direct the motility and pH services at the VA. This includes reviewing of consult requests for the service, scheduling, determining appropriate plans for the each patient; follow up and documentation in CPRS. Evaluate patient for other healthcare needs and request consultation as indicated. Coordinate transplant programs and assist staff physicians with plans to provide transplant services for patients who qualify and are approved by the VA for such procedures.

Under the direction of the collaborating physician, reads and interprets, Capsule Endoscopy results and makes recommendations for treatment plans and follow up care. In conjunction with the collaborating physicians, teaches, counsels, and assists patients and families in assuming health maintenance responsibility for current medical problems and preventative health behaviors, especially as related GI. Support clinical access initiatives to improve clinic flow and reduce waiting times.

Perform other duties as assigned. Work Schedule: Monday - Friday, 7:30am - 4:00pm VA offers a comprehensive total rewards package. Telework: Not available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized