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. Basic Requirements United States Citizenship: Must be a US Citizen.

01Education

Must be a 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 & must also 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 Physician Assistant.

02Certification

Successfully passed the PA National Certifying Exam (PANCE) (or is in the process of taking the exam). License: 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. PAs must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State. English Language Proficiency: In accordance with 38 U.S.C.

7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.

03Preferred Experience

Experience in Gastroenterology and Hepatology.

04Grade Determinations

In addition to the basic qualification requirements, the grade level of a PA is based on a combination of training and experience. Physician Assistant-I (PA-I): Experience and Education. None beyond the basic requirements. Demonstrated Knowledge, Skills, and Abilities. PAs at this grade are expected to present the following minimum skill set: 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. PAs 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- 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 grade should be able to demonstrate, develop, or acquire the following skill set 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 this 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 should be able to demonstrate, develop, or acquire the following skills set 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.

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

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.

05Physical Requirements

The incumbent must successfully complete a pre-employment physical examination in accordance with VA Handbook 5019, administered by VA Occupational Health. The position require require frequent sitting, standing, walking, bending, reaching, and the use of computers and other clinical equipment. The incumbent may be required to lift, carry, push, or pull equipment and supplies; assist with patient positioning and transfers; and respond to urgent or emergent clinical situations.

The position requires sufficient visual, auditory, and motor skills to assess patients, perform clinical procedures within the approved scope of practice, review medical information, and communicate effectively with patients and staff. The incumbent must be able to safely perform the essential functions of the position, with or without reasonable accommodation, and respond appropriately to routine and emergent clinical situations.

This position will be filled as either a Physician Assistant (PA) - Gastroenterology or a Nurse Practitioner (NP) - Gastroenterology, as determined by the selecting official. This announcement is intended exclusively for applicants seeking consideration for the PA position. Applicants interested in the NP position should apply under Vacancy Announcement CBTC-13095145-27-AVM. VA offers a comprehensive total rewards package.

As a Licensed Independent Provider, the Physician Assistant (PA) practices autonomously while collaborating with health care professionals and other members of the care team. The PA provides a comprehensive range of health care services, including the diagnosis and management of acute, chronic, and complex health conditions; health promotion; disease prevention; patient education; and counseling for individuals, families, groups, and communities.

Other duties and responsibilities include, but are not limited to: Provide comprehensive, patient-centered gastroenterology care within the approved scope of practice and applicable VA policies, regulations, and clinical guidelines. Evaluate, diagnose, and manage acute, chronic, and complex gastrointestinal and hepatobiliary conditions. Obtain and document medical histories, perform physical examinations, and develop individualized treatment plans.

Order, interpret, and follow up on laboratory studies, imaging, pathology reports, and other diagnostic tests. Assess and manage gastrointestinal symptoms and conditions, including abdominal pain, gastrointestinal bleeding, dysphagia, reflux, inflammatory bowel disease, liver disease, and altered bowel habits. Evaluate patients for endoscopic procedures, including colonoscopy and upper endoscopy, and provide appropriate pre- and post-procedure care.

Prescribe medications and perform procedures in accordance with applicable authorities, clinical privileges, training, and scope of practice. Educate patients and families regarding diagnoses, treatment options, medications, procedure preparation, health maintenance, and follow-up care. Collaborate with gastroenterologists and interdisciplinary health care team members to coordinate referrals, consultations, treatment, and transitions of care.

Maintain accurate medical records and participate in quality improvement, patient safety, clinical education, and other activities supporting the VA academic health care program. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm (Note: Work schedules are determined and approved by the supervisor. The incumbent may be required to work various shifts on a permanent or temporary basis based on facility/patient care needs). Telework: Not authorized. Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized.