Surgical Service at the Washington DC VA Medical Center is seekingto hire a Part-Time (32 hours bi-weekly)Physician Assistant (Bariatric Surgery). The PA will function in both a clinical and administrative role, and in accordance with the guidelines and policies of the DC Veteran Affairs Medical Center.
Duties include but are not limited to:
Assist the surgeon in the operating room.
Provide daily peri-operative care of Bariatric Surgery patients including routine pre-operative work-ups, post-operative assessments including but not limited to evaluation of neurologic status, hemodynamic status, respiratory status, kidney and GI function, extremity perfusion, and wound evaluations, and knowledge of appropriate treatments if necessary.
Assist with routine discharge planning including coordination of physical therapy, home care outpatient medications, and other outpatient post-operative needs, assessments; especially home nursing coordination for wound care.
Provide assistance with routine outpatient pre-operative work-ups including coordination of non-invasive vascular laboratory tests, radiological tests, cardiology, nephrology, and other services work-ups, scheduling of surgery, and appropriate information relating to patients and their family members.
Develop an understanding of wound care including dressings, biology indications, general interpretation, and understanding of results with knowledge of appropriate treatment if necessary.
Participate in a team approach to patient care with surgeons, fellows, residents, medical students, ancillary staff, other services, and the patient and family members.
Assist in coordination and organization of many on-going projects with the Section. These include: IRB approved clinical research projects as well as a wound center initiative which is putting forth to the VISN.
Assists with other documentation standards as set forth by the DC VAMC including but not limited to patient encounters, answering consults correctly, and appropriate clinical notes.
Participate in conferences sponsored by the Surgery Service.
Performs other related duties as assigned.
Work Schedule: Tuesday, 7:30am-4:00pm; Wednesday and Thursday, 8:00am-12 Noon.
Recruitment/Relocation Incentives are not approved for this position
Telework: This position is not approved for telework
This is a bargaining unit position
U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Education. The candidate must meet the following:
(1) 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
(2) 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's Assistant (NCCPA).
*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, pending NCCPA certification.
Physical Standards. See VA Directive and VA Handbook 5019, Part II, Appendix A.
English Language Proficiency. PAs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d).
GRANDFATHERING PROVISION. Effective with the issuance of this new qualification standard all PA's are required to have a Bachelor's Degree and maintain certification. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply:
a. PAs on VA rolls prior to the implementation date of this standard who do not meet the minimum academic level of a Bachelor's degree are exempted from this requirement.
b. PAs on VA rolls prior to March 12, 1993 who are not NCCPA certified remain exempt from the NCCPA certification requirement. However, a PA who subsequently became or becomes certified is no longer exempt and must maintain certification as a condition of employment.
c. PAs who have been grandfathered and subsequently leave the PA occupation lose the grandfathered status and must meet the full VA qualification standard requirements in effect at the time of reentry to the PA occupation, unless a waiver is approved by the Under Secretary for Health.
Grade Requirements: 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 in paragraph 2, individuals appointed to this grade must meet all the following requirements:
(1) Experience / Education: None beyond the basic requirements in paragraph 2 of this standard.
Intermediate Grade. In addition to meeting the basic requirements stated above, candidates must meet all requirements described in this standard 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:
(1) Experience / Education:
(a) 1 year of professional practice as a PA; or
(b) Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; or
(c) 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.
Senior Grade. In addition to meeting the basic requirements stated above, candidates must meet all requirements described in this standard for 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.
(1)Experience / Education:
(a) 3 years of professional practice as a PA; or
(b) 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
(c) 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
(d) 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 stated 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.
(1) Experience / Education:
(a) 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,
(b) 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.
~General knowledge of Bariatric procedures (gastric bypass, lap band, and gastric sleeve).
~General knowledge of Gastric Cancers.
~General knowledge of General Surgery procedures (hernia repair and pancreas surgery).
~Pre and post-operative care of Bariatric and General Surgery patients.
~Wound / infection debridement.
~Drain / feeding tube management.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Reference: VA Handbook 5005, Part II, Appendix G8. Physician Assistant Qualification Standard. This can be found in the local Human Resources Office.
Physical Requirements: Heavy lifting,over 45pounds;Heavy carrying,over 45pounds; Straight pulling and pushing; Reaching above shoulder; Use of fingers; Both hands required; Walking and Standing; Kneeling; Repeated bending; Ability for rapid mental andmuscular coordination simultaneously; Near vision correctable at 13" to 16" to jaeger 1-4; Far vision correctable in one eye to 20/20 and to 20/40 in the other eye.
All applicants are required to submit the following supporting document type(s):
1) CV or Resume (required)
2) VHA 10-2850c - Application for Associated Health Occupations
Please use this checklist to ensure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, etc. You will not be contacted for additional information.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), or 10pt (CP/CPS, XPP, XP), or for Sole Survivor Preference (SSP), on the Occupational Questionnaire in the section(s) provided. A legible copy of your DD214(s) indicating character of service, disability certification, SF-15 (if claiming 10 pt. preference) or if you are currently serving on active duty and expected to be released or discharged within 120 days; documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), or dates of impending separation. Documentation is required for eligibility verification.
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1945166.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.