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Summary The VA in Eastern Oklahoma is currently recruiting for a Physician Assistant - Emergency Medicine at the Tulsa Oklahoma location. Responsibilities Duties include but are not limited to: History and physical, admission, discharge and discharge summary, evaluation, assess, diagnose, treat, manage, monitor, promote health, protect from disease, manage illnesses and injuries. Assess, stabilize, determine disposition of patients with emergent conditions consistent with medical staff policy regarding emergency and consultative call services. Coordinate and supervise the delivery of outpatient care for Emergency Department patients including patient evaluation; treatment including biopsies, order appropriate medications, schedule follow-up as needed, appropriate referrals as needed Perform new patient Emergency Department consultation and return Emergency Department visits and telephone follow up visits and collaborate with Emergency Department staff. Establish a comprehensive plan of care based on clinical findings and standards of care. Establish mutual goals with patient/family. Prescribe medications based on patients' status, accepted scientific guidelines, prescriptive authority, and ongoing evaluation of therapies. Lead and direct others in Emergency Department to assure access to and continuity of care across the VA continuum, between referral bases, and transitioning from inpatient/observation status toward outpatient follow-up care. Order and interpret diagnostic tests, including but not limited to biopsies, laboratory tests, and appropriate radiology studies. Help triage requests for outpatient Emergency Department consultation in a timely manner, coordinate tests and visits based on clinical urgency, and assist in facilitating IFC consults Demonstrate ability to function independently in advanced leadership, critical thinking, problem solving, and project management skills Performs procedures within the approved scope of practice and based on documented competencies: Performing diagnostic and stabilization procedures based on ACLS protocol. Performing procedures such as incision and drainage, joint aspiration, suturing Screening patients to determine the need for hospital admission Screening patients to determine the need for further health care including consultation Performing medical clearance exams on patients being admitted to inpatient mental healt Other duties may include serving on committees and administrative duties as directed by Chief of Medicine Inpatient and ER. Consultation/referrals. Screening and counseling to individuals/appropriate populations. Women's health, including illnesses, disorders, and injuries. Performance of screening evaluation for psychiatric disorders, emotional aspects of non-psychiatric disorders, psychopharmacology, alcoholism, substance abuse and violence. Ordering and interpretation of diagnostic and laboratory tests. The management of uncomplicated minor closed fractures and uncomplicated dislocations, soft tissue injections and such other procedures that are extensions of the same techniques and skills, injection/aspiration: joint, bursa, ganglion cyst, and trigger point. Arterial punctures for blood testing and cannulation for blood pressure monitoring, Lumbar puncture, Emergency Vascular Access, Diagnostic paracentesis, Chest tube placement, Central line placement, Moderate Sedation Level, Cardiopulmonary resuscitation including cardioversion/defibrillation and transcutaneous pacing, Thoracentesis, Gastric lavage Foley catheter placement, Epistaxis control, Fracture/dislocation - initial management, including splints, Cervical Spine immobilization, and Arthrocentesis. VA offers a comprehensive total rewards package. Work Schedule: Variable, dependent on clinical need/patient volume and flow Requirements Conditions of Employment All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens. 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. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. 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. 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: Emergency Medicine experience, bed side procedure experience (incision & drainage, foreign body removal, suturing, etc.) 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: (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 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. (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/. Physical Requirements: Engages in physical activities that involve lifting, carrying, pushing, pulling, stooping, balancing, and kneeling to provide patient care in a changing environment. 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.