Physician Assistant is responsible for managing patients with emergent and/or urgent medical and psychological complaints in an Emergency Department setting. The Physician Assistant promotes self-care and enlists the participation of patients in establishing realistic health goals. Physician Assistant works in close with the Emergency Department section chiefs, staff physicians, other PAs, Nurse Practitioners, fellows and residents. 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. Preferred Experience: One year of experience in Emergency Room and Urgent Care with experience in bedside procedures. Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met in determining the appropriate grade assignment of candidates. Grade and Step determinations of the selected applicant will be determined by the appropriate Physician Assistant Professional Standards Board and will be based on the selected individuals education and experience. Physician Assistant-I (PA-I) Experience and Education: None beyond the basic requirements. This is the entry level for PA's Demonstrated Knowledge, Skills, and Abilities: 1. Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care 2. Ability to perform patient history and physical 3. Ability to formulate a plan and provide treatment to the patient 4. Ability to provide patient care that is abreast of changing concepts and advancements in the profession Physician Assistant-II (PA-II) Experience and Education: 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, US Armed Forces, or another accrediting agency OR a doctoral degree in a health-related field from an accredited college or university recognized by the US Department of Education. Demonstrated Knowledge, Skills, and Abilities: 1. Skills to analyze and solve complex medical problems 2. Ability to function autonomously and make independent medical decisions 3. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care4. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care 5. Ability to practice with colleagues and peers collaboratively. Physician Assistant-III (PA-III) Experience and Education: 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, US Armed Forces, or another accrediting agency 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 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. Physical Requirements: The work requires standing or walking for a major portion of the workday. In the clinics you may need to assist patients into the examination rooms when in wheelchairs or on carts, which could consist of a variety of standing, walking, twisting, turning, sitting, bending, pushing, carrying and light lifting. This may be considered demanding physical activity. ["The Emergency Department (ED) Physician Assistant is responsible for managing patients with emergent and/or urgent medical and psychological complaints in an ED setting. Management is achieved through assessment, planning, implementation, collaboration and evaluation to meet the needs of patients. The Physician Assistant promotes self-care and enlists the participation of patients in establishing realistic health goals. In addition to providing direct patient care, the Physician Assistant also provides patient and family teaching, staff education; consults and collaborates with other health care providers; prescribes medications and adjunctive modalities; and refers patients. The Physician Assistant adheres to the American Standards of Practice for the Acute Care Physician Assistant. DUTIES: Coordinate and supervise the delivery of outpatient care for Emergency Department patients including patient evaluation; treatment including biopsies, order appropriate medications, schedule follow-up as needed, appropriate referrals as needed. Serve as primary Emergency Department provider for an independent panel of clinic patients after an initial training period. Perform new patient Emergency Department consultation and return Emergency Department visits and telephone follow up visits and collaborate with Emergency Department staff. Establish a comprehensive plan of care based on clinical findings and standards of care. Establish mutual goals with patient/family. Prescribe medications based on patients' status, accepted scientific guidelines, prescriptive authority, and ongoing evaluation of therapies. Lead and direct others in Emergency Department to assure access to and continuity of care across the VA continuum, between referral bases, and transitioning from inpatient/observation status toward outpatient follow-up care. Order and interpret diagnostic tests, including but not limited to biopsies, laboratory tests, and appropriate radiology studies. Help triage requests for outpatient Emergency Department consultation in a timely manner, coordinate tests and visits based on clinical urgency, and assist in facilitating IFC consults. Work effectively with others to initiate and lead interdisciplinary groups and establish relationships with professional and/or other related groups within the community. Demonstrate ability to function independently in advanced leadership, critical thinking, problem solving, and project management skills. Performs procedures within the approved scope of practice and based on documented competencies: Performing diagnostic and stabilization procedures based on ACLS protocol. Performing procedures such as incision and drainage, joint aspiration, suturing Screening patients to determine the need for hospital admission Screening patients to determine the need for further health care including consultations Ordering and interpreting diagnostic studies such as laboratory test, X-rays, electrocardiograms, PFT's, CT, MRI, stress testing, nuclear medicine studies Ordering and/or starting IV solutions and medications Ordering and/or inserting nasogastric suction catheters Ordering or performing bladder catheterization Ordering \"one on one\" status on patients with SI or at risk for elopement Performing medical clearance exams on patients being admitted to inpatient mental health Performing other procedures as listed in credentialing packet Other duties may include serving on committees and administrative duties as directed by Chief of Medicine Inpatient and ER VA offers a comprehensive total rewards package. Work Schedule: Is Variable and can be compress. Hours worked will be discussed during the interview process and at the time of hire. Contract Buy Out Program: This position may be eligible for the Physician / Provider Contract Buy Out Program (CBOP), which authorizes VHA to buy out service contracts (Locum agreements, loan repayments, sign-on bonus contracts, Physician-owned practices) in exchange for employment at certain rural or highly rural facilities for a period of obligated service (minimum 4 years). For additional information and eligibility requirements, contact the VHA Contract Buy Out Program Manager at vacontractbuyoutprog@va.gov."]

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