Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 647152100
The Eastern Colorado Health Care System is currently recruiting for one Physician Assistant (Surgery) position at the Denver location. PA's utilize advanced clinical knowledge and judgement in decision making and evaluating outcomes. Responsibilities: The PA assigned to the Surgical Service will be accountable for: (1) Inpatient ward management of surgical patients on all surgical sub-specialties under the direction of sub-specialty surgeons and their surgical teams. (2) Timely evaluation on admission with performance and completion of a history and physical with formulation of a plan of care and institution of treatment consistent with the policies of PA practice and provide daily inpatient management of surgical ward patients. (3) Coordinating discharges with discharge management team and timely processing of discharges on day of discharge from hospital. (4) Providing inpatient geriatric specific care for older adult Veteran's on all surgical specialties. (5) Arranging, facilitating , interpreting and communicating inpatient evaluations for postoperative conditions. (6) Communication and coordination of care of surgical patient with primary surgical sub-specialty team. (7) Adhering to established Medical Center policies and procedures and A Directives. (8) Implementing and complying with administrative review of the service's operations to assure compliance with all internal and external review requirements. 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. 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: Physician Assistant-I (PA-I) a) Experience and Education. None beyond the basic requirements. This is the entry level for PAs. b) Demonstrated Knowledge, Skills, and Abilities. The following list of knowledge, skills, and abilities (KSA) present the minimum skill set expected of an Entry Level PA. This practice may include, but is not limited to: i. Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care. ii. Ability to perform patient history and physical. iii. Ability to formulate a plan and provide treatment to the patient. iv. Ability to provide patient care that is abreast of changing concepts and advancements in the profession. Physician Assistant-II (PA-II) a) Experience and Education. The PA at this grade is at the intermediate grade level and has had progressively increasing responsibility and experiences as indicated in the KSAs listed below. Individuals will have demonstrated the ability to analyze and solve more complex medical problems than at the entry level grade and can utilize their training in the successful practice of patient care and participate in team problem solving. Individuals demonstrate the KSAs of PA-II intermediate level by: September 27, 2020 VA Handbook 5005/134 PART II APPENDIX G8 II-G8-5 i. 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, U.S. Armed Forces, or another accrediting agency. OR a) doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education. b) Demonstrated Knowledge, Skills, and Abilities (KSAs). PAs at this level are not required to meet each individual KSA listed below to qualify, but should be able to demonstrate, develop, or acquire those not met upon appointment for PA-II: i. Skills to analyze and solve complex medical problems. ii. Ability to function autonomously and make independent medical decisions. iii. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care. iv. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. v. Ability to practice with colleagues and peers collaboratively. Physician Assistant-III (PA-III) a) Experience and Education. PAs at the PA-III grade are at the full performance level and lead and organize patient care independently, practice within multi-disciplinary teams, and coordinate all aspects of patient care across the health care system. They utilize advanced clinical knowledge and judgment in decision-making and evaluating outcomes. They function as experts in clinical practice and/or in areas related to the assigned roles and responsibilities, may serve as mentors for transitioning PAs, and may provide training for health care students. Individuals can demonstrate the KSAs for the full performance level by: i. Three years of successful practice as a PA. OR VA Handbook 5005/134 September 27, 2020 PART II APPENDIX G8 II-G8-6 ii. 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, U.S. Armed Forces, or another accrediting agency and one year of professional practice as a PA. OR a) doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education and one year of professional practice as a PA. b) Demonstrated Knowledge, Skills, and Abilities. PAs at this level are not required to meet each individual KSA listed below to qualify, but should be able to demonstrate, develop, or acquire those not met upon appointment for PA-III: i. Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care. ii. Skill to consistently demonstrate an elevated level of expertise and autonomy in diagnosing and treating seriously ill, multi-symptomatic patients through facility Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE). iii. Ability to present clinical findings and recommendations to appropriate management officials. iv. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel. v. Ability to implement and initiate clinical changes to established treatment protocols based upon new medical literature research findings to enhance patient delivery care for improved patient outcomes. vi. Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-8 Physician Assistant Qualification Standard. This can be found in the local Human Resources Office. The full performance level of this vacancy is PA3. The actual grade at which an applicant may be selected for this vacancy is in the range of PA1 to PA3. Physical Requirements: Light carrying less than 15 pounds Use of fingers of at least one hand Walking 1 hour or less (gait/mobility aid permitted) Standing 1 hour or less (gait/mobility aid permitted) Mostly sitting Near vision correctable at 13" to 16" to Jaeger 1-4 Far vision correctable to 20/40 Hearing (aid permitted) Working with hands in water Working closely with others Protracted or irregular work hours ["The Physician Assistant (PA) is directly accountable to the Section Chief of General Surgery. Physician Assistant will spend a majority of time working with the surgical teams on the inpatient wards. The incumbent may also be assigned to perform other clinical duties as assigned with in the service. Surgical Service at the Rocky Mountain Regional Hospital is composed of the following sections: General Surgery, Cardiac Surgery , Otolaryngology, Gynecology, Neurosurgery, Ophthalmology, Orthopedic Surgery, Plastic Surgery, Podiatry, Thoracic Surgery,. Urology and Vascular Surgery. Work Schedule: Monday through Friday 6:00am - 6:00pm\nTelework: Not Available\nVirtual: This is not a virtual position.\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.