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Veterans Affairs, Veterans Health Administration Physician Assistant - Ambulatory Care (Cedar Rapids) in Cedar Rapids, Iowa

Summary

Iowa City VA Health Care System is recruiting for a full time Physician Assistant to be located at the Cedar Rapids, Iowa Community Based Outpatient Clinic (CBOC). The Physician Assistant will report directly to the Associate Chief of Staff for Ambulatory Care Services and the Clinic Medical Director will be designated as alternate supervising physician. The Physician Assistant will work with regular staff physicians, and consulting specialists.

Responsibilities

Common duties of the position include, but are not limited to the following:

  1. Performs comprehensive history and physical examinations and initiates treatment when indicated for acute and chronic medical conditions. 2. Orders diagnostic laboratory and imaging tests as needed. Interprets and applies findings to make a medical diagnosis.

  2. Uses prescriptive authority granted by licensure to prescribe and administer routine therapeutics including medications, devices and procedures.

  3. Uses electronic record for documentation. Initiates consultation requests and records required notes on all procedures or patient visits in the in the electronic medical record. Participates in peer review and process improvement

  4. Performs procedures that are delineated by scope of practice. Emergency procedures may be required in situations where the physician is not immediately available and may include initiation and assisting in management of cardiac arrest, acute respiratory failure and first aid for life threatening injuries.

  5. Provides customer focused and cost-effective approach to all aspects of patient care.

  6. Educates and counsels veterans and families for promotion and maintenance of health as well as prevention of illness and disability. Instructs patients and families concerning treatment, medications and reportable signs and symptoms associated with their diagnoses.

  7. Ensures that the practice is consistent with Joint Commission, CARF, VA policies and procedures, clinical practice emergency medicine guidelines, VISN standards, national statutes and regulations, medical record documentation, mandatory continuing education, and HIPPA policies.

  8. Engages in systematic evaluation and improvement of the quality and effectiveness of patient care. Work Schedule: Monday - Friday 8:00 am - 4:30 pm

Financial Discloser Report: Not required

Requirements

Conditions of Employment

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. Basic Requirements: United States Citizenship. Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education. (1) Graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor organizations; and (2) A Bachelor's degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education. Certification. Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA. Note: Current VA Physician Assistant's employed prior to March 12, 1993 who are not NCCPA certified, remain exempt. 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). Grade Determinations: The full performance level of this vacancy is Chief Grade 13. The actual grade at which an applicant may be selected for this vacancy is in the range of 9/11/12/13. Applicant's education and experience will be reviewed by a Professional Standards Board and utilized in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy. Please see below for definitions of grade determinations: Full Grade (9). In addition to meeting the basic requirements, individuals appointed to this grade must meet all the following requirements:

Experience / Education: None beyond the basic requirement.

Intermediate Grade (11). In addition to meeting the basic requirements, candidates must meet all requirements described for Full Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Intermediate Grade will have demonstrated the ability to analyze and solve more complex medical problems and meet the following requirements:

Experience / Education: (a) 1 year of professional practice as a PA; or (b) Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or(c) A Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education.

Senior Grade (12). In addition to meeting the basic requirements, candidates must meet all requirements described for Intermediate Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Senior Grade will have demonstrated the behaviors or responsibilities listed in one or more of the following categories: Clinical Proficiency, Education, Professional Development, Management/Administrative, and Research, as applicable to the assignment.

Experience / Education: (a) 3 years of professional practice as a PA; or (b) 2 years of professional practice as a PA and successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or (c) 2 years of professional practice as a PA and a Master's degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education; or (d) A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education.

Chief Grade (13). In addition to meeting the basic requirements, candidates must meet all requirements described in this standard for Senior Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Appointment or promotion to Chief Grade is based on the individual's demonstrated high level of clinical expertise, leadership ability, and the ability to function with a high degree of autonomy. Further, the PA candidate for Chief Grade will have demonstrated all the requirements of one or more of the following categories: Management/Administrative, Clinical Proficiency, Professional Development and Research.

Experience / Education: (a) Generally, an individual in this grade is able to demonstrate the behaviors listed in the areas below after 5 years of professional practice as a PA; and, (b) The minimum education for this grade is a Master's Degree from a PA training program accredited by ARC-PA or in a health-related field of study. However, experience as a PA may be substituted for the Master's degree where the individual has an equivalent knowledge of the profession and has successfully undertaken a combination of difficult or complex assignments in several clinical, administrative, research and educational arenas which required a high degree of competence. References: VA Handbook 5005/78 Part II, Appendix G8 Physician Assistant Qualification Standard Physical Requirements: Walking, bending, stooping, and some lifting in the direct care of patients. There may also be extended periods of sitting. All providers must maintain current BLS certification, and ACLS certification if indicated per medical center policies.

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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional Information

This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.

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