Bargaining Unit Position
Work Schedule: Monday- Friday, 8:00am-4:30pm, However flexible work hours to include weekends, holidays and extended hours maybe required.
The Physician Assistant (PA)will beassigned within the Thoracic Surgery Section, Surgical Service, at the Central Texas Veterans Health Care System (CTVHCS) and will provide backup coverage to the Vascular and General Surgery Sections. The Chief, Thoracic Surgery Section is direct supervisor and the Associate Chief of Staff, Surgical Service is the second-line supervisor.
The PA functions as a defined level of autonomy, but not as an independent practitioner. The PA and supervising physician will be in daily contact with regard to patient care activities, and no independent care except for emergent situations will be rendered by the PA in the event no supervising physician is available. The supervising physician need not be physically present when patient care is being provided by the PA, but must be readily available for consultation by telephone or other electronic methods. The PA performs the full scope of duties as identified on authorized "privileges" provided by the CTVHCS Credential Office. Functioning within the Thoracic Surgery Section, the PA duties include, but are not limited to the following.
Duties include, but are not limited to:
- Performs initial and follow-up (preoperative and postoperative) clinical examinations: diagnosing and treating complex patients in collaboration with attending physicians, most often in the outpatient clinic setting.
- Makes practice decisions autonomously and in collaboration with physicians and other health care professionals to evaluate and manage acute and chronic illnesses of the surgical client through assessment, diagnosis, treatment and evaluation.
- Independently and in collaboration with surgical staff orders laboratory and diagnostic imaging necessary for diagnosis, treatment and expediting surgical plan of care, as well as surveillance of postoperative clients.
- Provides education to clients and family regarding disease processes; pharmacological vs. non-pharmacological treatments; surgical vs. non-surgical treatments; risks and benefits of surgery; counsels on issues which could potentially impact surgical outcome; and postoperative expectations across the continuum of care.
- Independently and in collaboration with other members of the health care team provides quality, comprehensive, cost-effective care to clients.
- Triages consults and serves as consultant to Primary Care and other specialty providers to ensure appropriate access and care.
- Liaison to other providers and ancillary staff as defined by the Patient Aligned Care Team (PACT).
- Maintainsstable conditions and preventative health care and screenings as appropriate.
- May round with physicians on "in-patients", collaborating with providers and ancillary staff such that the "in-patient" needs are met.
- Prescribes pharmacological and non-pharmacological treatments as indicated within the provider's scope of practice and in consultation with collaborating physician as indicated.
- US Citizenship
- A 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 or one of its predecessor
- 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
- A current& continuous certified by the National Commission on Certification of Physician Assistants
- Proficient in spoken and written English
- Pass a preemployment examination.
Exp/Ed: Clinical Proficiency: 1.Provides effective care to patients characterized by the use of sound judgment in assessing, planning, implementing, documenting,& evaluating patient care for assigned patients.This includes possessing the skill & competency to obtain thorough medical histories, perform comprehensive physical examinations, order appropriate diagnostic studies, interpret & analyze medical data, establish diagnoses, formulate& implement treatment plans, & modify treatment plans when appropriate.2.Works effectively & makes appropriate requests for assistance from the assigned physician & recognizes complex patient care situations where referral is appropriate.3.References quality improvement information& organizes patient care needs to assure safe, efficient& cost-effective care.4.Initiates effective actions in emergencies.
Professional Development: 1.Obtains additional knowledge & skills appropriate to the practice setting to improve performance.2.Provides patient education in an effective manner.
Ethics: Safeguards patient privacy & confidentiality; Provides care in a nonjudgmental, non-discriminatory manner respecting the patient's values & beliefs.
Interpersonal Skills: Works effectively with patients, families, caregivers,& other professional & support personnel.
Research: 1.Demonstrates awareness of research application to practice.2.Researches medical literature & applies evidenced-based medicine to improve clinical practice.
Intermediate Grade: Exp/Ed: a.1 yr 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 US Dept of Ed.
Clinical Proficiency: 1.Effectively treats patients with more complex medical problems requiring a higher degree of clinical skill & competency than that expected of the previous grade.2.Performs more complex diagnostic & therapeutic procedures requiring skills & competency, as applicable to the assignment, beyond that expected in the previous grade.3.Practices with a higher degree of autonomy & seeks guidance from the assigned physician less frequently than expected of the previous grade.4.Evaluates the delivery system of patient care within the area of assignment, presents findings & recommendations, & contributes to changes that enhance the quality & timeliness of care.
Professional Development: 1.Acquires knowledge & skills to maintain expertise in area of practice.2.Shares medical literature research findings with colleagues to enhance patient care delivery.3.Participates in educational activities to improve clinical knowledge & enhance role performance.4.Serves as a clinical preceptor to healthcare students.5.Serves on service level committees or subcommittees when assigned.Ethics: 1.Identifies medical ethical issues& takes appropriate actions.2.Supports & enhances patient self-determination.
Interpersonal Skills: Collaborates effectively with other occupations & services to identify, analyze, & resolve patient care problems.
Research: 1.Shares medical literature research findings with colleagues to enhance patient care delivery.2.Uses a body of research to validate or change group practice.
Exp/Ed: a.3 yrs of professional practice as a PA; or b.2 yrs of professional practice as a PA & successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S.Armed Forces; or c.2 yrs of professional practice as a PA & 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 US Depat of Ed.
Management/Administrative: 1 of the following responsibilities must be demonstrated: a.Evaluates service level patient care delivery systems & validates or identifies barriers to safe, effective care.Presents findings & recommendations to appropriate management officials & participates in implementation of changes.b.Manages patient quality management data bases such as the National Surgical Quality Improvement Program (NSQIP) if assigned.c.Serves on service or facility committees/task forces if applicable to the assignment.d.Coordinates consult referrals within the service assigned.e.Coordinates & facilitates inter-service agreements.
Clinical Proficiency: 1.Manages patients with complex or multi-system medical problems.2.Practices with a significant degree of autonomy & seeks guidance from assigned physicians with less frequency than expected at the previous grade.3.Performs more complex diagnostic & therapeutic procedures beyond what is expected at the previous grade.4.First or second assists in surgical procedures.
Ethics: Identifies & addresses ethical issues that impact patients & staff including participation in ethics consultations if appropriate to the area of assignment.
Interpersonal Skills: 1.Communicates & collaborates effectively with other facility staff & outside institutions when applicable to the area of assignment; 2.Effectively promotes the physician assistant profession to health care staff, patients & other stakeholders at the local level; 3.Makes significant contributions which serve to enhance the distinctive role of PAs within the local institution & the health care system.
Research: 1.Collaborates with others in research activities to improve patient care, or; 2.Authors, or collaborates with others, on a paper or study for publication.
Chief Grade: 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 & Research
Exp/Edu: 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;&
The min 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 & has successfully undertaken a combination of difficult or complex assignments in several clinical, administrative, research & educational arenas which required a high degree of competence.
a.Accepts substantial & continuing responsibility for managing or coordinating a healthcare program including follow-up actions to ensure compliance with regulatory bodies required by internal & external review organizations & accrediting bodies, &;
b.Successfully integrates the activities of the employee's assignment with other patient care programs at the facility or with similar programs on a broader geographic basis, &;
c.Develops policies & procedures & participates in executive level decision making deliberations, &;
d.Participates in long range program planning & model development for effective delivery of services, &;
e.Performs a full range of administrative duties relative to the assignment.
1. Conducts approved, merit-reviewed research projects; performs independent research; serves as a contributing member of a research team or serves as a member of a research committee; formulates research proposals & protocol submissions for merit review; & develops publishable material for appropriate professional journals or speaks to peer groups, &;
2. Effectively researches problems of major scaope; directs independent research of considerable interest & value, where the research contribution is highly productive & of such quality & originality as to have marked the PA as a significant contributor to advances in patient care & services.
Reference: VA Handbook 5005, Part II, Appendix G8 PA Qual Std, Dte 9/5/14. This can be found in the local Human Resources Office.
Experience refers to paid & unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) & other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, & skills & can provide valuable training & experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Physical Requirements: Must pass a pre-employment physical. Heavy lifting, 45 pounds and over; heavy carrying, 45 pounds and over; moderate carrying, 15-44 pounds; pushing, 1 hour; use of fingers; both hands required; walking, up to 3 hours; standing, up to 3 hours; repeated bending, 1-2 hours; both legs required; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted). All applicants are required to submit the following supporting document type(s):
Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
*Executive Core Qualifications (ECQs)
*Other(VA Form 10-2850, Copy of NCCPA Certification)
*Other Veterans Document
Please use this checklist to ensure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, etc. You will not be contacted for additional information.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), or 10pt (CP/CPS, XPP, XP), or for Sole Survivor Preference (SSP), on the Occupational Questionnaire in the section(s) provided. A legible copy of your DD214(s) indicating character of service, disability certification, SF-15 (if claiming 10 pt. preference) or if you are currently serving on active duty and expected to be released or discharged within 120 days; documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), or dates of impending separation. Documentation is required for eligibility verification.
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1930377.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.