This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. Must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.
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. Physician Assistant Basic Requirements Master's degree in any discipline or a bachelor's degree in any discipline with one year of experience as a Physician Assistant ~AND~ Successfully passed the PA National Certifying Exam (PANCE) (or are you in the process to taking the exam) ~AND~ Currently hold, or will hold, a full and unrestricted license to practice in a State, Territory, or Commonwealth of the United States or in the District of Columbia. Grade Determinations: Physician Assistant-I (PA-I) Experience and Education. None beyond the basic requirements. This is the entry level for PAs. 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: Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care. Ability to perform patient history and physical. Ability to formulate a plan and provide treatment to the patient. Ability to provide patient care that is abreast of changing concepts and advancements in the profession. 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: Two years of successful practice as a PA. OR 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 A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education. 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: Skills to analyze and solve complex medical problems. Ability to function autonomously and make independent medical decisions. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. Ability to practice with colleagues and peers collaboratively. 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: Three years of successful practice as a PA. OR 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 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. 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: Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care. 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). Ability to present clinical findings and recommendations to appropriate management officials. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel. 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. Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records. Preferred Experience: Prior surgery experience preferred but not required. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: This position requires light lifting (under 15 pounds); light carrying (under 15 pounds); reaching above shoulder; use of fingers; both hands required; walking/standing (5-10 hours); and hearing (aid permitted). Environmental Factors: Working with hands in water and working closely with others.
The Urology team consists of attending and resident surgeons, midlevel practitioners, nurses, and other supporting staff who provide comprehensive surgical care to patients within the Operative Care Division (OCD) of the VA Portland Health Care System (VAPORHCS). The Physician Assistant in Urology is a member of an interdisciplinary team providing medical services to patients in need of Urology care. The PA works under the direction and supervision of a licensed physician with delineated clinical privileges granted by the Medical Staff. Within the physician/PA relationship, physician assistants exercise autonomy in medical decision-making and provide a broad range of diagnostic and therapeutic services. Duties include but are not limited to: Performs initial screening of patients in outpatient clinics and/or phone clinics. Prescribes all routine medications as listed in the VA Pharmacy Formulary to include chemotherapeutic, immunotherapy, androgen deprivation therapy and intracavernosal medications. Initiates evaluations and therapy for patients and my write prescriptions for medications as commensurate with their VA prescriptive privileges. Provides ongoing care for a panel of patients with urologic conditions. Participates in the screening of in-hospital consultations received, may be written or verbal, as outlined in, and in determining appropriate disposition. Performs simple suturing; venipuncture; arterio-puncture; urinary catheterization and irrigation; suture removal; administration of IV fluids; administration of intramuscular, subcutaneous, intracavernosal and intradermal injections; administers local nerve blocks, administration of local anesthetics and corticosteroids; and cleansing and debridement of wounds as needed. Conducts pre-operative workups and post-operative care for urology patients. Conducts urology patient and family teaching/education to provide continuity of care. Assists in the operating room as needed. Participates as needed in Process and Quality Improvement projects and programs within the assigned surgical program(s). Performs consults on ward and ED as first evaluator. Performs minor surgical procedures independently, such as cystoscopy, urodynamics, nerve blocks, prostate biopsies, circumcisions and urologic imaging, chemotherapy intravesical administration, intracavernosal injections. Works with other staff members of the Surgical Team to provide a consistent interdisciplinary, collaborative approach to patient care, education, and communication within the assigned surgical program(s). Participates in the team as well as multiple Services and Divisions throughout the Medical Center to emphasize efficient and cost-effective service delivery. Helps foster a high level of patient and staff satisfaction. VA offers a comprehensive total rewards package. Work Schedule: Monday-Friday 6:00 am-6:00 pm tour varies as needed Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact V20CompensationTeam@va.gov and VHA.ELRSProgramSupport@va.gov for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized