Physician Assistant - Internal Medicine

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.

01Grade Determinations

Physician Assistant-I (PA-I) Experience and Education. None beyond the basic requirements. This is the entry level for PAs. 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.

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: 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is 03. The actual grade at which an applicant may be selected for this vacancy is in the range of 01 to 03.

02Physical 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.

VA offers a comprehensive total rewards package. Across Medical services, a Physician Assistant is authorized to perform the following core medical functions, while working under close supervision of a designated physician; with limited independence in decision-making in care decisions.

Duties for this position include but are not limited to: Provides comprehensive inpatient medical care to adult veterans, including evaluation and management of acute, episodic, and chronic conditions Practices with appropriate clinical autonomy within granted privileges in collaboration with and supported by supervising internal medicine physician faculty.

Serve as a primary provider on the Direct Care service and the General Internal Medicine/GIM Teaching services, managing daily patient care activities including admissions, ongoing management, care coordination, and discharge planning Coordinates and oversees inpatient care, coordinates timely communication, safe transitions of care Provides clinical guidance and continuity for Internal Medicine residents, medical students, and other trainees involved in patient care Lead and support resident teams in addressing all aspects of inpatient care, with a focus on patient safety, high value care, and adherence to evidence based practices Demonstrates accountability to established VA policies, procedures, and standards of care Utilizes advanced skills in assessment, diagnosis, clinical decision making, treatment planning and implementation of the patient's care plan Delivers patient centered care to a diverse veteran population (ages 18 through geriatric) incorporating medical, psychosocial, spiritual, and cultural considerations Collaborates with other members of the health care team to design and/or continuously improve the quality of care delivered to Veterans Care Management: Formulating, implementing, and managing long-term treatment plans for patients with acute, chronic, and complex diseases.

Diagnostic Ordering: Ordering and interpreting laboratory tests, specialized diagnostic imaging (e.g., X-rays, CT scans, MRIs), and electrocardiograms (EKGs). Prescriptions & Orders: Writing medical orders and prescribing medications in alignment with VA national formularies, federal laws, and applicable state regulations. Consults & Referrals: Initiating specialty consults within the VA infrastructure and coordinating requests for non-VA community care.

Patient Education: Counseling veterans and their families regarding preventive care, health promotion, disease management, and the proper use of prescribed treatments. Electronic Health Records: Utilizing the VA's electronic charting systems (such as CPRS or updated platforms) to thoroughly document clinical notes, encounters, and consents. Performance Metrics: Maintaining strict compliance with VA performance guidelines, quality improvement initiatives, and safety metrics (e.g., SAIL metrics).

Peer Review & Training: Participating in facility peer reviews, auditing clinical processes, and instructing or assisting medical residents with orders and VA navigational systems. Work Schedule: Tour of Duty is based on team: (1) Direct Care Team: These include weekends and holidays OR (2) Resident-Led Team: - Monday - Friday do not work holidays, 7:00 am - 3:30 pm