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Physician Assistant (Cardio-Thoracic)
Veterans Affairs, Veterans Health Administration
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Details
Posted:
18-Feb-22
Location:
Hines, Illinois
Salary:
Open
Categories:
Advanced Practice Registered Nurses / Physician Assistants
Internal Number:
637686700
An opportunity exists for a full-time Physician Assistant-Cardiovascular and Thoracic Surgery and Endoscopic Vein Harvesting at the Edward J. Hines VA Medical Center located in Hines, IL. Recruitment/Relocation Incentive may be authorized. 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: Current certification by the National Commission on Certification of Physician's Assistants (NCCPA) Note: Current VA Physician Assistant's employed prior to March 12, 1993 who are not NCCPA certified, remain exempt. 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: 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. 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: 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. 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: 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. References: VA Handbook 5005/78 Part II, Appendix G8 Physician Assistant Qualification Standard Preferred Experience: 5 years CVT experience preferred Physical Requirements: The work requires standing or walking for a major portion of the work day. In the clinics you may need to assist patients into the examinations rooms when in wheel chairs or on carts, which could consist of a variety of standing, walking, twisting, turning, sitting, bending, pushing, carrying and light lifting. This may be considered demanding physical activity. [Senior Grade Physician Assistant (PA) Participates as a formal trained first-assist in cardiovascular surgery in all cases including coronary artery bypass grafting, valve repair/replacement, aortic dissections, heart and lung transplants and Endoscopic Vein Harvest. Provides direct support to physicians in the care and treatment of patients in the CV clinic and surgery. Establishes and enforces administrative support in the outpatient CV clinic and surgery. Evaluates service level patient care delivery systems and validate or identify barriers to safe, effective care. Presents findings and recommendations to appropriate management officials and participates in implementation of changes. Duties of this position involve clinical, administrative, research and training/mentoring of students and as as follows, but not limited to: Manages patient quality management data bases such as the National Surgical Quality Improvement Program (NSQIP) if assigned. Serves on service or facility committees/task forces if applicable to the assignment. Coordinate and schedule surgeries for CVT patients First or second assists with surgical procedures. Acts as a consultant/mentor to PAs in lower grades and other clinical and support staff. Serves as a clinical preceptor for students or organizes and participates in facility clinical educational programs. Communicates and collaborates effectively with other facility staff and outside institutions when applicable to the area of assignment Manages patients with complex or multi-system medical problems. Perform initial histories and physicals examinations on new consults in clinic. Coordinates consult referrals within the service assigned Performs more complex diagnostic and therapeutic procedures beyond what is expected at the journeyman grade. Perform evaluation/clinical assessments of inpatients and outpatients with cardiothoracic problems. Screening outpatients to determine need for further care. Prescribing medications within defined ·scope of practice. Ordering diagnostic studies such as laboratory tests, x-rays, PFTs, carotid u/s, electrocardiograms (EKGs) Carrying out health promotion and disease prevention activities. Drawing blood specimens for testing and performing other comparable lab procedure. Initiating and expediting requests for consultations and scheduling special tests and studies. Making daily rounds to observe and record each patient's medical progress. Updating and summarizing medical records, changing orders when appropriate, and notifying the responsible physician of significant changes in the patient's condition. Making interim summaries of patient's medical records. Inputting progress notes, procedures, orders, etc., into the computer for which the PA is responsible. Providing education and counseling of patients and families in preventive care, medical conditions, and use of prescribed treatments and drugs. Complete CICP data risk assessments for cardiac surgery patients each month. Assist as needed with surgeries on patients scheduled for cardiac surgery. Continue to be the study coordinator for CSP #474 Perform other duties as assigned in CV surgery section and in surgical service. Work Schedule: Monday - Friday 7:00 AM - 3:30PM Telework: Not Available.nVirtual: This is not a virtual position.nRelocation/Recruitment Incentives: AuthorizednPermanent Change of Station (PCS): Not Authorized.nFinancial Disclosure: Not required]
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