Physician Assistant
The Physician Assistant (PA) functions as a Primary Care Provider (PCP). VA PCPs manage a complex panel of patients, providing comprehensive medical care, emphasizing health promotion, disease prevention and chronic disease management. PCPs deliver care within Patient Aligned Care Teams. PCPs work with a team of nursing staff and other members of an interdisciplinary health care team. Most practices have registered dieticians, clinical pharmacists, and mental health providers within the practice. PCPs provide general and gender-specific care to both men and women Veterans that range in age from 18 through the geriatric years. This provider will be a designated Women's Health Provider for the practice. The VA utilizes a national electronic medical record and is known for delivering high quality, evidence based care within a culture of continuous improvement. The VA is in the midst of redesigning primary care towards a more patient centered, healthcare team approach with emphasis on improving health care outcomes through developing better systems for care management and coordination. The incumbent is accountable for adhering to the established policies, standards of care and practice and achieving the goals for the Clinical Practice Guidelines and Prevention Indicators. The PA works in collaboration with other members of the health care team to improve the quality of care delivered to veterans. He/she utilizes advanced skills in assessment, problem identification and clarification, treatment, planning and implementation of the patient's treatment plan. The PA will have prescription authority with a scope of practice. He or she provides care for Veterans ranging in age from 18 through the geriatric years, taking into consideration diagnosis, psychosocial, spiritual and cultural issues. The incumbent must be able to function with a high degree of autonomy and collaborate with other members of the interdisciplinary team to facilitate efficient and successful medical management of patients. The incumbent will provide leadership in the application of knowledge and clinical skills in organizing, processing and improving clinical outcomes to patients. The incumbent will serve as an expert to identify, analyze and resolve patient care problems and enhance team effectiveness. Work Schedule:
Full Time Monday- Friday Financial Discloser Report:
Not required NOTES:
This position is an AFGE Bargaining Unit position. Travel and relocation expenses are not authorized. This position is covered by a special rate. Selectee may be required to work at any Boston Healthcare System campus, as needed. This position is in the Excepted Service. The Professional Standards Board (a peer-review group) will recommend the grade and salary for new appointments. For internal selectees being promoted, the board will determine grade and HR will determine step in accordance with policy Drug Testing Position:
Applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Applicants will not be appointed to the position if a verified positive drug test result is received. Selectee will be required to complete additional forms to proceed with employment process. Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held. Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis for a period not to exceed two years. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/13/2019. . 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:
The candidate must meet the following:
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 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. Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis for a period not to exceed two years. If a PA's NCCPA certification is suspended, revoked or expires, the PA must be removed from the occupation which may result in termination of employment. Preferred
Experience:
Experience in a Primary Care setting. Minimum of three (3) years of increasingly complex clinical experience, demonstrating a high degree of competence. Ability to work in a collegial and collaborative relationship while directing an interdisciplinary healthcare team; demonstrating strong organizational skills with the ability to communicate effectively both orally and in writing with professional and administrative staff. Demonstrated administrative knowledge and skill which includes ability to plan and develop primary care. References:
VA Handbook 5005/78 Part II Appendix G8 Grade Determinations:
In addition to the basic requirements stated above, the following qualifications criteria must be met in determining the appropriate grade for appointment or promotion eligibility. Requirements for appointment or promotion to a specific grade are based on the candidate's ability to demonstrate the elements described. Full Grade. In addition to meeting the basic requirements listed above, you must meet all the following requirements:
Experience / Education. None beyond the basic requirements listed above. Clinical Competencies - Clinical Proficiency 1. Provides effective care to patients characterized by the use of sound judgment in assessing, planning, implementing, documenting, and evaluating patient care for assigned patients. This includes possessing the skill and competency to obtain thorough medical histories, perform comprehensive physical examinations, order appropriate diagnostic studies, interpret and analyze medical data, establish diagnoses, formulate and implement treatment plans, and modify treatment plans when appropriate. 2. Works effectively and makes appropriate requests for assistance from the assigned physician and recognizes complex patient care situations where referral is appropriate. 3. References quality improvement information and organizes patient care needs to assure safe, efficient and cost-effective care. 4. Initiates effective actions in emergencies. Intermediate Grade. In addition to meeting the basic requirements listed above, you must meet all requirements described above 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 1 year of professional practice as a PA; or Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or 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. Clinical Competencies - Clinical Proficiency 1. Effectively treats patients with more complex medical problems requiring a higher degree of clinical skill and competency than that expected of the previous grade. 2. Performs more complex diagnostic and therapeutic procedures requiring skills and competency, as applicable to the assignment, beyond that expected in the previous grade. 3. Practices with a higher degree of autonomy and 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 and recommendations, and contributes to changes that enhance the quality and timeliness of care. Senior Grade. In addition to meeting the basic requirements listed above, you must meet all requirements described above for the 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:
3 years of professional practice as a PA; or 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 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 A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education. Chief Grade. In addition to meeting the basic requirements under paragraph 2 above, 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:
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 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.
Estimated Salary: $20 to $28 per hour based on qualifications.
Full Time Monday- Friday Financial Discloser Report:
Not required NOTES:
This position is an AFGE Bargaining Unit position. Travel and relocation expenses are not authorized. This position is covered by a special rate. Selectee may be required to work at any Boston Healthcare System campus, as needed. This position is in the Excepted Service. The Professional Standards Board (a peer-review group) will recommend the grade and salary for new appointments. For internal selectees being promoted, the board will determine grade and HR will determine step in accordance with policy Drug Testing Position:
Applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Applicants will not be appointed to the position if a verified positive drug test result is received. Selectee will be required to complete additional forms to proceed with employment process. Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held. Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis for a period not to exceed two years. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/13/2019. . 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:
The candidate must meet the following:
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 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. Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis for a period not to exceed two years. If a PA's NCCPA certification is suspended, revoked or expires, the PA must be removed from the occupation which may result in termination of employment. Preferred
Experience:
Experience in a Primary Care setting. Minimum of three (3) years of increasingly complex clinical experience, demonstrating a high degree of competence. Ability to work in a collegial and collaborative relationship while directing an interdisciplinary healthcare team; demonstrating strong organizational skills with the ability to communicate effectively both orally and in writing with professional and administrative staff. Demonstrated administrative knowledge and skill which includes ability to plan and develop primary care. References:
VA Handbook 5005/78 Part II Appendix G8 Grade Determinations:
In addition to the basic requirements stated above, the following qualifications criteria must be met in determining the appropriate grade for appointment or promotion eligibility. Requirements for appointment or promotion to a specific grade are based on the candidate's ability to demonstrate the elements described. Full Grade. In addition to meeting the basic requirements listed above, you must meet all the following requirements:
Experience / Education. None beyond the basic requirements listed above. Clinical Competencies - Clinical Proficiency 1. Provides effective care to patients characterized by the use of sound judgment in assessing, planning, implementing, documenting, and evaluating patient care for assigned patients. This includes possessing the skill and competency to obtain thorough medical histories, perform comprehensive physical examinations, order appropriate diagnostic studies, interpret and analyze medical data, establish diagnoses, formulate and implement treatment plans, and modify treatment plans when appropriate. 2. Works effectively and makes appropriate requests for assistance from the assigned physician and recognizes complex patient care situations where referral is appropriate. 3. References quality improvement information and organizes patient care needs to assure safe, efficient and cost-effective care. 4. Initiates effective actions in emergencies. Intermediate Grade. In addition to meeting the basic requirements listed above, you must meet all requirements described above 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 1 year of professional practice as a PA; or Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or 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. Clinical Competencies - Clinical Proficiency 1. Effectively treats patients with more complex medical problems requiring a higher degree of clinical skill and competency than that expected of the previous grade. 2. Performs more complex diagnostic and therapeutic procedures requiring skills and competency, as applicable to the assignment, beyond that expected in the previous grade. 3. Practices with a higher degree of autonomy and 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 and recommendations, and contributes to changes that enhance the quality and timeliness of care. Senior Grade. In addition to meeting the basic requirements listed above, you must meet all requirements described above for the 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:
3 years of professional practice as a PA; or 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 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 A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education. Chief Grade. In addition to meeting the basic requirements under paragraph 2 above, 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:
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 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.
- Department:
0603 Physician Assistant - Salary Range:
$100,440 to $146,935 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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