Physician Assistant - Cardiothoracic Surgery (Surgical Service)

Employer
USAJobs
Location
Richmond, Virginia
Posted
Oct 05, 2022
Closes
Oct 08, 2022
Hours
Full Time
Duties

The Physician Assistant - Cardiothoracic Surgery (Surgical Service) at Richmond, will engage in surgical health care decision making; obtain advanced competencies and skills for assessing physical and psychosocial health/illness status of individuals, families, and groups; promote health maintenance and protection against disease; and manage the care of certain patients within the scope of preparation and accountability and promote safe, effective patient-centered and timely care to patients.

Specific duties include, but are not limited to:

-Evaluates CT Surgery Consults and determines the appropriate disposition, routing and priority of those consults.

-Facilitates access to the CT Surgery team for other Health Care Providers.

-Sees pre- and post-operative Surgery patients in assigned clinics.

-Performs initial and interim history and physical examinations.

-Orders laboratory, EKGs, radiologic and other diagnostic tests and provides initial interpretation.

-Formulates a diagnosis based on history, physical examination and clinical findings, review of radiographic and cardiovascular imaging. Discusses development and implementation of a treatment plan with the attending surgeon.

-Assesses patient's learning needs, development, and implementation of plan to meet needs and instructing patients and families in self-care and treatment, documentation of assessments, reassessments, differential diagnosis, plan of care and patient education in the clinical record.

-Makes referrals to other healthcare professionals or community agencies as appropriate.

-Responds to secure messages from patients.

-Assures appropriate medical work-up is completed prior to surgery.

-Completes insurance paperwork, home health orders and documentation paperwork as needed.

-Enters admission certifications.

-Enters admission orders.

-Performs the role of First and Second Assistant for Surgery cases in the Operating Room.

1. First assistants with adult cardiac surgery including Ventricular Assist Device (VAD), transplant, and thoracic program.

2. Performs radial artery and saphenous vein harvesting.

3. Performs chest tube insertion, thoracentesis, central line placement, and balloon pump removal.

-Enters post-operative orders and manages care of patients at the SICU, step-down, and floor level.

-Completes discharge summary/discharge instructions.

-Prescribes appropriate post-op medications.

-Performs inpatient rounds with the Surgery Team.

-Performs initial evaluation of Surgery patients in the Emergency Department or inpatient wards.

-Provides for the coordination and tracking of surveillance testing and imaging as required by selected services.


Work Schedule: 8:00AM - 4:30PM , Monday through Friday
Telework: Not Authorized
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

Requirements

Conditions of Employment


  • All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.
  • All 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.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • You may be required to serve a probationary period.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.


Qualifications

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.

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. [Graduate of a training program which is accredited by the Accreditation Review Commission on Education of PA (ARC-PA) or one of its predecessor organizations. Additionally, candidates must meet one of the following:
    • 1) Master's degree in any discipline; OR
    • (2) Bachelor's degree in any discipline with one year of experience as a PA.
  • Certification. [Must have successfully passed the PA National Certifying Exam (PANCE).NOTE: Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is no longer required for employment in VHA. (See paragraph 3a in this standard for additional information regarding the certification requirement for employees grandfathered into the occupation.
  • Licensure. PAs must possess an active, current, full, and unrestricted license to practice in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. PAs must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State.
Grade Determinations:
  • 1) 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.
  • (2) 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:
      • i. Two years of successful practice as a PA.OR
      • 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. OR
      • iii. 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.
  • (3) 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
      • 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
      • iii. 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 Handbook 5005/134 Part II Appendix G8, effective September 27, 2020. This can be found in the local Human Resources office.

The actual grade at which an applicant may be selected for this vacancy is in the range of PA-1 to PA-3.

Preferred Experience:
-Previous experience (within the past 3 years) as a First Assistant in the Operating Room is preferred.
-Previous experience (within the past 3 years) working as part of a multi-disciplinary team is preferred.


Physical Requirements: See VA directive and Handbook 5019, Employee Occupational Health Service.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/ . If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html .

Additional information

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application .