This position will work 80% of the time in the Dermatology Mohs Micrographic Surgery clinic and 20% of the time in Pathology. The histopathology technologist is responsible for setting up and maintaining the Mohs laboratory and performing all essential tasks per accrediting agency guidelines. 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. English Language Proficiency. Histopathology Technologists must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). Certification. Candidates must currently possess the Histotechnologist (HTL) certification given by 3 the ASCP Board of Certification. The ASCP requires completion of one of the following for a candidate to be considered "board eligible" to take the certification exam: Successful completion of a Histotechnician or Histotechnology program accredited by the National Accrediting Agency for Clinical Laboratory Science (NAACLS); OR, One year of full time experience in all of the following: fixation, embedding, microtomy, processing, and staining in a histopathology (clinical, veterinary, industry, or research) laboratory. Education. Individuals must meet one of the requirements below: Successful completion of a full four-year course of study from an accredited college or university, leading to a bachelor's or higher degree, that included a major study in an academic field related to health sciences or allied sciences appropriate to the work of a histopathology technologist, such as, but not limited to clinical biology, microbiology, physiology, pre-medical, medical lab technology, chemistry, immunology, physiology, anatomy; OR, Baccalaureate degree from a regionally accredited college/university with a combination of 30 semester hours (45 quarter hours) of biology and chemistry (must include credit hours in both); OR, Successful completion of two years of progressively higher level graduate education, leading to a master's degree or equivalent graduate degree, with a major study in an academic field related to health sciences or allied sciences appropriate to the position of histopathology technologist, such as clinical biology, microbiology, physiology, pre- medical, medical lab technology, chemistry, immunology, physiology, anatomy. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: In addition to meeting the basic requirements stated above, the following qualifications criteria must be met in determining the appropriate grade assignment of candidates. Histopathology Technologist, GS-11: Must meet one of the following: One year of creditable experience equivalent to the GS-9 grade level, which is directly related to the position to be filled; Three full years of progressively higher-level graduate education that included a clinical practicum; A Ph.D. or equivalent doctoral degree in histopathology technology or a directly related field that included a clinical practicum. While we no longer require essay-style responses to our Knowledge's Skills, Abilities, and Other Characteristics (KSAOs), you must be able to demonstrate that you possess the (below) competencies which are necessary to perform the work of the position. Please ensure your resume/CV/application contains sufficient information to support the level of experience/education/training; In addition to the experience or education above, the candidate must demonstrate KSAs (a)-(f) and additional KSAs based on the specific duties assigned. Demonstrated Knowledge, Skills and Abilities GS-11 (a) Knowledge of histopathology techniques, chemistry, anatomy and physiology principles, theories, concepts, and methodologies sufficient to process specimens and perform a full range of routine and specialized tests. (b) Knowledge of the operation and maintenance of the instrumentation necessary to prepare specimens for diagnosis. (c) Skill in applying professional, complex anatomic pathology principles, practices, concepts, and theories in performing new or difficult specialized testing methods or techniques. (d) Ability to identify and test suboptimal specimens and take corrective action to minimize or eliminate the impact on patient's sample. (e) Ability to organize, coordinate, and prioritize simultaneous work assignments, both individual and team related. (f) Knowledge of laboratory information technology systems and inter-connectivity. (g) Skill in performing detailed Mohs procedures. (h) Ability to perform ultrathin microtomy, and operate an electron microscope. Knowledge of microanatomy sufficient to note ultrastructural and microchemical findings. (i) Ability to convey knowledge of safety regulations and guidelines from organizations such as College of American Pathologists (CAP), The Joint Commission (TJC), and Occupational Safety and Health Administration (OSHA), to ensure staff compliance with safety requirements, including continuing education and employee orientation. (j) Skill in planning and administering an ongoing continuing education program for the laboratory to meet accreditation standards. (k) Skill in maintaining and troubleshooting computers and laboratory system instrumentation. Assignment. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty) and range of variety, and be performed by the incumbent at least 25% of the time. At the advanced level, the histopathology technologist independently performs a full range of specialized tests, applying histopathology techniques and broad scientific principles from the fields of biology, chemistry, anatomy, and physiology. Must be able to operate, maintain, and troubleshoot instrumentation utilized while preparing specimens for diagnosis; perform advanced procedures and analysis of tissue samples; and guide staff in the preparation of the most difficult specimens. Act as a technical resource, troubleshooting a variety of specialized lab tests, identifying suboptimal issues, and using independent judgment and resources to resolve concerns. Organize, coordinate, and prioritize work assignments. The histopathology technologist uses professional skills in applying complex anatomic pathology principles, practices, concepts, and theories in performing new or difficult specialized testing methods or techniques. At the advanced level, the histopatholgy technologists introduce new tests, including stain protocol research, test protocol setup, validation testing, and record-keeping and documentation. Utilize information technology to perform tasks related to histotechnology. In addition to histochemical and immunohistochemistry (IHC) testing, the technologist is responsible for advanced testing including, but not limited to, fluorescence in-situ hybridization (FISH), chromogenic in-situ hybridization (CISH), and gross dissection, as dictated by the lab's needs. NOTE: Advanced duties may include one or more of the tasks identified below. Additionally, when these duties are required, the advanced histopathology technologist must demonstrate the corresponding KSAs as identified in KSAs (g) through (k): Mohs: Performs color mapping, embedding with precise orientation, cryostat sectioning, and staining of all types of Mohs specimens under the direction of the Mohs surgeon. Electron Microscopy (EM): Utilizes an electron microscope, performs ultrathin-cryomicrotomy, and carries out staining of ultrastructural components. Safety Coordination: Oversees safe handling of specimens, chemicals, and equipment by all staff and ensures adherence to safety regulations Laboratory Education: Plans and administers an ongoing continuing education program for laboratory staff to meet accreditation requirements. Automated Data Processing Applications Coordinator: Carries out day-to-day operations related to laboratory information systems/computer use and system maintenance. ["The technologist is responsible for advanced Anatomic Pathology laboratory testing to include, but not limited to, gross dissection and interoperative frozen section preparation as dictated by Pathology laboratory needs. The histopathology technologist is responsible for Mohs laboratory maintenance and quality assurance documentation and will assist the Pathology Quality Manager with quality monitors related to the Mohs and/or Anatomic Pathology laboratory. Histopathology technologists possess broad knowledge of biological sciences and the skills necessary to process anatomic pathology specimens. The work performed by histopathology technologists is vital for pathologists and Mohs surgeons to interpret laboratory results and provide diagnoses and prognosis that allow for planning appropriate and life-saving treatments. Histopathology technologists independently perform a full range of specialized tests, applying histopathology techniques and broad scientific principles from the fields of biology, chemistry, anatomy, and physiology. Histopathology technologists must be able to operate, maintain and troubleshoot instrumentation utilized while preparing specimens for diagnosis. They perform advanced procedures and analysis of tissue samples and guide staff in the preparation of the most difficult specimens. The histopathology technologist must be skilled in applying professional, complex anatomical pathology principles, practices, concepts and theories in performing new or difficult specialized testing methods or techniques. The technologist assists with the introduction of new tests including stain protocol research, test protocol setup, validation testing, record keeping, and documentation. They research, develop tests, optimize and validate complex histochemical stains, immunohistochemistry (IHC) and/or in situ hybridization protocols, including, but not limited to, new antibodies, probes, detection protocols/kits, new lots and concentrated antibody titrations. They troubleshoot a variety of specialized lab tests as well as equipment by using independent judgment and resources available to resolve issues. The technologist identifies suboptimal testing and takes corrective action to minimize or eliminate impact on patient samples. They monitor and make work assignments, resolve daily workplace issues and assuring coverage of all areas of responsibility; conducting ongoing reviews to endure quality of work; providing guidance to staff members, assist with needed changes in policies and procedures; distributing and balancing workload; orienting and providing on the job training for new and current employees; and ensuring all training requirements are met in addition to organizing the work structure of his/her assigned areas. Work Schedule: Monday - Friday from 8:00am until 4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 30306-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.
