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Summary PLEASE READ THE COMPLETE ANNOUNCEMENT TO ENSURE YOU UNDERSTAND THE QUALIFICATION REQUIREMENTS AND SUBMIT A COMPLETE APPLICATION PACKET. This is an OPEN CONTINUOUS ANNOUNCEMENT. Applications will be accepted on an ongoing basis and will remain on file through December 31, 2025. The first cut-off date is April 18, 2025. Eligible applicants will then be referred every 2 weeks until positions are filled. Responsibilities This job offer has been modified to remove the COVID-19 vaccine statement as this is no longer required for VA employment. The VA Caribbean Healthcare System's Surgical Care Service is seeking an experienced and dynamic Physician Assistant. Ideal applicants are those who want to contribute to the achievement of quality care standards, as well as the growth and development of a VA academic hospital program. This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You 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) and 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. As a Licensed Independent Provider, the Physician Assistant practices autonomously and in coordination with health care professionals and other individuals. The incumbent provides a wide range of health care services, including the diagnosis and management of acute, chronic, and complex health problems; health promotion; disease prevention; health education; and counseling to individuals, families, groups and communities. Must be an excellent communicator and team player who is adaptable to the needs of a growing medical center. The Physician Assistant provides quality patient care in collaboration with other health care professionals. The incumbent will perform specific duties within his/her approved scope of practice. Other duties and responsibilities include, but are not limited to: Accountable for the care of designated patients admitted under the CTS specialty as well as serving as surgical assistant at the Operating Room (OR). Serves as a liaison between the surgeon, the house staff, and the nursing staff in the SICU. Uses sound clinical judgement in assessing, planning, implementing, documenting, and evaluating care, resulting in a positive outcome/improvement in the CTS patient population. Prescribes and/or recommends laboratory tests, diagnostic studies, and/or medications based on current medical center, VHA, DEA policy and within scope of practice. Provides support in the performance of complex CTS procedures at the OR. Assumes a leadership role in utilizing problem-solving, methodologies to resolve system and/or process problems that impact on patient care, staff performance, and/or system (s) improvements. Analyzes ethical/care issues, applying appropriate theoretical principles and ensures application of institutional policy. Effectively manages the service resources to increase efficiency, cost effectiveness and maintains a safe environment. Properly utilizes information accessible via the Veterans Health Information Systems and Technology Architecture (VISTA) or other computer systems; accesses only data for which privileges are authorized. Initiates and leads others in the application of newly acquired knowledge to the care of veterans at the service or program level. Maintains knowledge of current techniques trends and professional issues. Evaluates practice of self and colleagues against standards of practice and relevant regulations (i.e. professional organizations, colleagues' acts, clinical practice guidelines, TJC, OSHA) and initiates actions to improve compliance. Demonstrates positive communication skill and behaviors that promote cooperation and teamwork with internal and external customers. Shares expertise within and/or external to the organization by leading or actively participating in interdisciplinary groups such as committees, task forces, projects, formal teaching, publishing, or professional activities. Incorporates current scientific and evidence-based findings into clinical practice, including clinical practice guidelines and/or preventive index measures. Other related duties as assigned. VA offers a comprehensive total rewards package. Work Schedule: Monday - Friday, 7:00 AM - 3:30 PM - Surgery Dates on Call (Note: Work schedules are determined and approved by the supervisor. The incumbent may be required to work various shifts on a permanent or temporary basis based on facility/patient care needs). Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Education Debt Reduction Program (Student Loan Repayment): Authorized. Former EDRP participants are not eligible to apply for EDRP. Contact the VISN 8 Compensation Center of Excellence at [email protected] for questions/assistance. Learn more. Permanent Change of Station (PCS): Not Authorized Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications 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. Basic Requirements: United States Citizenship: Must be a U.S. Citizen. Education: Must be a 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 and must also 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 Physician Assistant. Certification: Successfully passed the PA National Certifying Exam (PANCE); (or is in the process of taking the exam). License: 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. PAs must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State. English Language Proficiency: In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Selective Placement Factor (SPF). This position includes a skill, knowledge, ability or other worker characteristic basic to -and essential for- satisfactory performance of the job. Selective Placement Factors are a prerequisite to appointment and represent minimum requirements for a position. Applicants who do not meet it are ineligible for further consideration. Evidence of the SPF must be reflected in your resume. The SPF for this position is: In addition to the English Language Proficiency, you must also be proficient in basic written and spoken Spanish in order to perform the duties of this position. Preferred Experience and Certifications- These preferences are highly desired but are not required: Two (2) or more years experience as a Cardiothoracic Physician Assistant Grade Requirements: In addition to the basic qualification requirements, the grade level of a PA is based on a combination of training and experience. Physician Assistant-I (PA-I): Experience and Education. None beyond the basic requirements. Demonstrated Knowledge, Skills, and Abilities. PAs at this grade are expected to present the following minimum skill set: 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. PAs 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- 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. PAs at this grade should be able to demonstrate, develop, or acquire the following skill set 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 this 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 should be able to demonstrate, develop, or acquire the following skills set 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. 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: Must pass a pre-employment physical examination as required by VA Handbook 5019. This examination is administered by VA Occupational Health. This position requires moderate lifting up to 44 lbs., carrying objects up to 15 lbs., frequent reaching above shoulder, use of fingers, hands and legs, use of cranes and motor vehicles, walking and standing up to 8 hours, bending and climbing and able to hear whisper. The incumbent must be physically, emotionally and mentally stable in order to efficiently perform the essential functions of this position without hazard to themselves or others. Education Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.