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Announcement #881301300

Physician Assistant (Gastroenterology)

Veterans Health Administration · Salisbury, North Carolina
Open to the public

What you'd do

The W.G. (Bill) Hefner Salisbury VA Medical Center is seeking a Certified Mid-level Physician Assistant within the Specialty Care- Gastroenterology section of Medicine Service for treatment of patients with Gastroenterology conditions. The incumbent will evaluate and diagnose common Gastrointestinal conditions to develop effective treatment strategies in accordance with accepted societal and VA guidelines.

Major duties

The W.G. (Bill) Hefner Veterans Affairs Medical Center is seeking a Certified Mid-level Physician Assistant in Gastroenterology for the Specialty Care section within Medicine Service in Salisbury, North Carolina. The Physician Assistant will assist the Advanced Endoscopy faculty in expanding the ERCP /EUS/ program as well as Interventional Endoscopy services. The Physician Assistant will establish and maintain professional relationships within Medicine Service, and with other services and facility management which result in improved patient care. Duties include but are not limited to the following: Clinical: Manage patients with pancreaticobiliary disease and GI cancers Understand advanced procedures like Endoscopic Ultrasound and Endoscopic Retrograde Cholangio pancreatography Maintain predominantly out patient clinics in advanced GI (pancreaticobiliary disease) with a few sessions of general GI Drive additional volumes, growth of procedure volumes and off load follow up return patient care Have shared clinics and supervision for the first year or until needed. Rounding on inpatient EUS/ERCP patients in SBY or post procedure admissions (as needed) Recognize differences between acute and chronic conditions and with a specialized skill set, when something is NOT attributable to gastrointestinal dysfunction. Be able to analyze results of specific serologic tests, imaging and ancillary testing specific to gastrointestinal problems. Distinguish between those patients based on history, physical findings, objective testing Vets needing care and follow up vs those who can be set back to Primary Care for management. Facilitates patient's entry and exit from various health care systems by establishing and maintaining liaison with a variety of medical specialists and associated staff. Utilizes and promotes approved standards of care, procedures, methods and techniques, safety precautions and protocols in their application to the gastroenterology patient population in all settings. Collaborates with other health care resources to insure continuity of care. Keeps abreast of latest trends, skills, and protocols relevant in the area of specialty and serves as a resource person for the medical center staff Administrative: Serve as the primary resource for outpatient pancreaticobiliary consults, assessing patient acuity and appropriately schedules evaluations. Maintains advanced GI database and monitors laboratory evaluations for the outpatient gastroenterology population. Completes patient's disability and insurance forms as needed. Arranges for gastroenterology procedures and interventions with the Radiology and Surgery services. Oversees scheduling to the outpatient gastroenterology clinics with resolution of scheduling conflicts. Education/Research: Promotes and participates in the delivery of patient and family health and gastroenterology education. Participates, directs, and provides opportunities for staff development through in-service education as needed. Assures self-development responsibilities and maintains current knowledge of trends in gastroenterology and clinical medicine Participates in Gastroenterology Section's clinical research programs when appropriate. VA offers a comprehensive total rewards package. Work Schedule: Mon -Fri 8:00am -4:30pm (No night or weekend calls) Compressed/Flexible: May be available at supervisory discretion Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized.

What you need to qualify

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): Experience and Education. None beyond the basic requirements. This is the entry level for PAs. 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: Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care. Ability to perform patient history and physical. Ability to formulate a plan and provide treatment to the patient. Ability to provide patient care that is abreast of changing concepts and advancements in the profession. Physician Assistant-II (PA-II): 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: 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. 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: Skills to analyze and solve complex medical problems. Ability to function autonomously and make independent medical decisions. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. Ability to practice with colleagues and peers collaboratively. Physician Assistant-III (PA-III): 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: 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, 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. 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: Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care. 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). Ability to present clinical findings and recommendations to appropriate management officials. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel. 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. Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records. The full performance level of this vacancy is VN-0603-03. The actual grade at which an applicant may be selected for this vacancy is in the range of 01 to 03. Preferred Experience: Managing patients with pancreaticobiliary disease and knowledge in advanced GI procedures (EUS , ERCP). Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: This work requires some standing, bending and carrying light items. The incumbent must have the ability to stand and walk for prolonged periods of time to interact with the patients and other services. The incumbent must be able to perform all activities of the position without restriction in accordance with VA Directive and Handbook 5019.

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