Physician Assistant (Primary Care)

Summary The incumbent will perform all work within Primary Care clinics located at the Hampton VA Medical Center. Promotes and maintains patient health by providing medical services under the supervision of a physician. Assesses patient health by interviewing patients and performing physical examination including obtaining, updating, and studying medical histories. Duties

Functions or Scopes of

PRACTICE: Responsible for comprehensive care to patients with acute or chronic medical conditions. Clinical expertise in dealing with patients with acute or chronic health illnesses or acute injuries. Utilizes critical thinking to synthesize and analyze collected data. Provides care that is patient and family centered, compassionate, appropriate and effective for the promotion of health and treatment of disease across the lifespan. Utilizes clinical assessments to develop patient centered plans of care which reflect therapeutic, educational, preventative and rehabilitative. Performs a comprehensive patient assessment including health history, physical examination, evaluations of deviations from the norm and age specific disease screening, immunizations and health counseling. Formulates differential diagnosis and initiates appropriate intervention based on physical findings. Determines the need for consultation and referral of patients to specialty services when medically indicated. SUPERVISORY CONTROLS: The incumbent will practice under the direction of a supervising Physician (Section Chief). The Chief of Primary Care assigns the incumbent to the Section Chief of the applicable clinic to which he/she is assigned. The Section Chief is responsible for orienting, familiarizing and clarifying the incumbent with facility/clinic procedures, practices and policies. QUALIFICATIONS REQUIREMENTS: Meets the Medical Practice and Administrative Qualification Standards commensurate with area of licensure and specialty Board eligibility/certification (i.e., physician, nurse practitioner, psychologist).

Customer Service

REQUIREMENT: Meets the needs of all customers while supporting the Medical Center and Service missions. Consistently communicates and treats customers (patients, visitors, volunteers, and all Medical Center staff) in a courteous, tactful, and respectful manner. Provides the customers with consistent information according to established policies and procedures. Handles conflict and problems in dealing with the customer constructively and appropriately. AGE,

Development and Cultural Needs of

PATIENTS: Provides care and/or services appropriate to the age of the patients being served, and which is appropriate to the cognitive; emotional, and chronological maturation of the patient. Assesses data reflective of the patient's status and interpret the information needed to identify each patient's requirements relative to their age-specific needs and to provide care needed as described in the services' policies and procedures. Takes into consideration age-related differences of the various veteran populations with this institution. Work Schedule: 8:00am-4:30pm Monday-Friday Compressed/Flexible: Available Telework: Ad Hoc Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 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. 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. ii. iii. 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. 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: 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. ii. iii. 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. 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

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. ii. iii. Ability to clinically evaluate facility patient care deliver