The incumbent for this position will work closely with the GI Hepatology staff and/or GI fellows assigned to the liver clinics, writing progress notes, performing outpatient consults as well as seeing patient in the "follow-up" clinic. Additional responsibilities are as follows:
Obtain and interpret a complete health history on patients seen in assigned Hepatology clinics.
Perform a complete and problem focused physical examination on patients seen in assigned Hepatology clinics.
Order laboratory tests, x-rays, abdominal CAT scans, liver MRIs, liver Ultrasounds, liver biopsies, nuclear medicine tests, other ancillary tests and multidisciplinary consults employing the judgment necssary to arrive at an accurate assessment, diagnosis, and management plan.
Educate patients and families about the diagnosis, progmosis, treatement options, and side effects of treatments.
Assist Hepatology Staff and/or GI fellows assigned to the liver service in performing liver biopsies or large volume paracentesis.
Perform large volume paracentesis for patients assigned to the liver service as defined by the Medicine Service Line Director.
Accept phone calls from patients, physicians, or family members regarding a change in patient's statuts or questions regarding their card. When necessary, confer with the supervising physiican. Accept calls regarding follow-up laboratory tests done locally and, when necessary, make determinations of changes in the clinical management.
Coordinate referral of VA patients with decompensated cirrhosis or hepatocellular carcinoma for liver trasplantation along with the assessment of the supervising Hepatologist.
Participate in the care of patients in Hepatology clinical research and help coordinate therapy per protocol.
Work Schedule: Day Shift Clinical Hours - typically 8:00am - 4:30pm
Functional Statement Title/#: Physician Assistant
a. Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.)
b. Education or Training. The candidate must meet one of the following:
(1) A bachelor's degree from a PA training program which is certified by the Accreditation Review Commission on Education of the Physician Assistant (ARC-PA); or
(2) Graduation from a PA training program of at least 12 months duration which is certified by the ARC-PA and a bachelor's degree in a health care occupation or a health-related science; or
(3) Graduation from a PA training program of at least 12 months duration which is certified by the ARC-PA and a period of progressively responsible health care experience such as an independent duty medical corpsman, licensed practical nurse, registered nurse, medical technologist, or medical technician. The duration of approved academic training and health care experience must total at least 5 years.
c. Certification.As of March 12, 1993, certification by the National Commission on Certification of Physician's Assistants (NCCPA) is a requirement for employment. This requirement does not apply to non-certified PAs on VA rolls as of that date.
d. Physical Standards. Applicant must meet the physical standards established for this position.
e. 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), and 7407(d).
GRADE REQUIREMENTS. In addition to the basic requirements stated in paragraph 2 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 under paragraph 2 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 under paragraph 2 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 under paragraph 2 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.
Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard.This can be found in the local Human Resources Office.
Physical Requirements: Able to meet the physical demands of the position. Ability to withstand periods of standing, walking, recurring bending, lifting, stooping, stretching, and similar activities. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Must have good manual dexterity and keyboarding skills. Must be able to express or exchange ideas by means of the spoken word. Must be able to view and read information on computer screens.
All applicants are required to submit the following supporting document type(s): *Resume
Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
*Cover Letter *OF-306 *Other *Other Veterans Document *SF-15 *SF-50 *Transcript
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 1993714.
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.