This position is for one (1) vacancy in the Tulsa, Oklahoma Clinic of the Eastern Oklahoma VA Health Care Systems as a Physician Assistant in Surgical Care. This position will cover all specialties as well as inpatients and may have a outpatient orthopedic clinic. You must be willing to travel between Jack C. Montgomery VHA Muskogee, OK; Ernest Childers VA Outpatient Clinic, Tulsa, OK; and James Mountain Inhof VA Medical Center, Tulsa, OK. This position will be part of on call rotations.
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. Preferred Experience: Orthopedic Experience 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 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, 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is PA-III. The actual grade at which an applicant may be selected for this vacancy is in the range of PA-I to PA-III. Physical Requirements: Heavy Lifting (45 lbs and over); Heavy Carrying (45 lbs and over); Straight Pulling (up to 4 hours); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours); Standing (up to 8 hours); Repeated bending (up to 4 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Hearing (aid permitted).
Eastern Oklahoma VA Health Care System Tulsa (James Mountain Inhofe VAMC) facility VA offers a comprehensive total rewards package. SCOPE OF PRACTICE: Acute and chronic diseases of the elderly, including dementias, as well as functional assessment, physiologic and psychologic aspects of senescence and end-of-life care. Advanced health assessment and management of illnesses, disorders and injuries of the adult, including but not limited to conditions of the heart, kidney, lung, musculoskeletal system, skin, eye and nervous system, and including multi-system diseases such as diabetes mellitus, HIV/AIDS and cancer, and including the care of patients requiring admission to intensive care. Other duties may include but are not limited to: First Assistant to a variety of surgery procedures Anterior nasal packing for epistaxis Cryotherapy Dressing changes Ear irrigation Excision/biopsy/destruction of superficial lesions Foreign body removal. I&D Abscess Management of medication and injections. Order IV drips and blood transfusions Order inhalation therapy Order, place and remove nasogastric tubes for suction or feeding purpose. Exchange of feeding tubes. Order and perform routine urethral catheterizations Exchange of suprapubic catheters Ordering and preliminary reading of basic cardiovascular, chest, abdomen, extremities, etc. X-rays and EKG. Splinting / Casting Suturing / local / regional anesthesia injection Women's health, including illnesses, disorders, and injuries of the female reproductive and genitourinary systems. Psychiatric disorders in, emotional aspects of non-psychiatric disorders, psychopharmacology, alcoholism, and other substance abuse. Burn care/ Wound care including wound vac changes The management of uncomplicated minor closed fractures and uncomplicated dislocations. Aspiration & injection of joints Central lines-Int jugular, subclavian, and femoral with your without Ultrasound guided. Insert/removal Tunnel Hemodialysis catheter Chest Tube placement and management including pleurodesis Digital block Thoracentesis TRUS directed prostate biopsy Paracentesis Use of fluoroscopy Moderate Sedation and analgesia Emergency Airway Management (OOORAM) Work Schedule: Monday-Friday 7:30am to 4:00pm Telework: Ad-hoc as determined by the agency policy.