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Physician Assistant (Women's Health)
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Physician Assistant (Women's Health)
Veterans Affairs, Veterans Health Administration
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Details
Posted:
20-Feb-22
Location:
West Palm Beach, Florida
Salary:
Open
Categories:
Advanced Practice Registered Nurses / Physician Assistants
Internal Number:
638435900
The Physician Assistant (PA) functions as a Surgical PA under supervision of a licensed Physician. PA provides services including primary care Women's Health services, Gyn consult/referral review and triage, coordination of Gyn clinic using principles of advanced clinical access, pre-operative assessment, and post-operative care, and acting as first assistant during surgical procedures. Will provide direct clinical patient care and duties in accordance to Medical Center policies and practices. BASIC REQUIREMENTS: All applicants must meet the following basic qualifications. a. Citizenship. Citizen of the United States [in accordance with section 7402(c) to title 38, United States Code (U.S.C.). Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with 38 U.S.C. § 7407(a). b. 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. 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. c. 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 is no longer required for employment in VHA. d. 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. e. Physical Requirements. See VA Directive and Handbook 5019, Employee Occupational Health Service. f. English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). GRADE REQUIREMENTS (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 multidisciplinary 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. 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. [The Women's Health Surgical Physician Assistant assures implementation, maintenance and compliance with standards of professional practice of all health care personnel the Women's Health / Gynecology Service. Duties and responsibilities include, but are not limited to: Screening and responding to new GYN consults and triages for appropriate scheduling according to service agreement and complexity. Assessing, diagnosing, monitoring, promoting health and managing illnesses and injuries of the female patient including health counseling, well woman exams, assessment of breast masses, incontinence, fertility/contraception, osteoporosis, prenatal, and postpartum care. Assessing, stabilizing, and determining disposition of patients with emergent conditions consistent with medical staff policy regarding emergency and consultative call services. Completing assessments, work-ups, diagnosis, and provision of nonsurgical treatment of patients to include pap smears, breast examinations, care of uncomplicated gynecological patients (non-operative), cervical disorders, common STDs/infections, family planning, gynecological cancer screening, history and physical examinations, menstruation disorders management, incontinence, patient counseling and education, perform pelvic examination with associated laboratory evaluation , pelvic floor dysfunction management, peri-menopause/post-menopause management, pessary fitting and preventive health care. Effectively communicating with and utilizing other disciplines (e.g., nursing, medicine) to facilitate appropriate care for Veterans. Assisting in the Operating Room at the direction of the Gynecologist. Performing minor procedures within their realm of expertise and under the direction of the Gynecologist and in accordance with the individual's Scope of Practice. Obtaining and documenting informed consent for treatments and procedures for which the PA is responsible. Consistently communicating and treats customers (patients, visitors, volunteers, and all Medical Center staff) in a courteous, tactful, and respectful manner, and provides the customer with consistent information according to established policies and procedures. Tracking, reviewing, and coordinating care for patients with abnormal pathology results from procedures (Pap smears, endometrial biopsies, dilation and curettage, hysterectomy, oophorectomy, etc.), and abnormal radiology results, for the Gynecology Service. Sharing call coverage with other surgical mid-level providers. Administrative (5%) Facilitating response/actions to patient inquires to care and treatment received by the Gynecology Service. Functioning as a liaison between the Gynecologist, the Women's Health Center Director, the Department of Surgery, and the Ambulatory Care Service. Attending Women Veteran Health committee meetings and process action teams . Work Schedule: TBDnCompressed/Flexible Schedule: Not Authorized.nVirtual: This is not a virtual position.nFunctional Statement Title: Physician Assistant (Women's Health)nRelocation/Recruitment Incentives: Not Authorized.nFinancial Disclosure Report: Not Required]

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