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This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. 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 complete review of the EDRP application. 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) (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. 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. 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. References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-8 Physician Assistant Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Bending, pushing, pulling, reaching and occasional kneeling, crawling and squatting; lifting, carrying, bending, and manipulation of equipment; patient assistance and positioning; walking and prolonged standing; the ability to read written orders, computer screens, patient records, and equipment controls; and the ability to communicate with patients, physicians, and coworkers. Near visual acuity to assess patient's physical condition when performing exams, and evaluating images for diagnostic quality. Must be able to speak and hear to communicate with patients; ability to make critical decisions, interact with patients of different ages and health conditions, maintain patient confidentiality, work under stressful conditions, such as operating or emergency rooms. ["Position Title: Advanced Practice Provider Service: Medicine Specialty: Gastroenterology The following description covers the most significant duties performed but does not exclude other responsibilities which may be assigned. Position Functions: Physician Assistant for Gastroenterology at the Salisbury VA Medical Center whose primary areas of responsibility will involve but not limited to outpatient general Gastroenterology consult clinic. It will include participation in existing and new specialty clinics and may involve inpatient care. This PA will be fully qualified and certified to function in both a clinical and administrative role and in accordance with the guidelines and policies of the Salisbury Veterans Affairs Medical Center. This individual is delegated the authority and responsibility in his/her area of expertise to assume major clinical, consultative, educational, research, and administrative duties and assignments related to the care of Gastroenterology patients. Duties and Responsibilities: Clinical: 1.Primary focus of practice is the clinical management of health care for patients in the gastroenterology continuity and procedure clinics and inpatient consult service. 2.Promotes, directs, evaluates and is responsible for the management of safe patientcare to gastroenterology patients. 3.Participates as a member of the multidisciplinary team to assess and monitor gastroenterology patients. 4.Facilitates patient's entry and exit from various health care systems by establishing and maintaining liaison with a variety of medical specialists and associated staff. 5.Utilizes and promotes approved standards of care, procedures, methods and techniques, safety precautions and protocols in their application to the gastroenterology patient population in all settings. 6.Collaborates with other health care resources to ensure continuity of care. 7.Keeps abreast of latest trends, skills, procedures, and protocols relevant in the area of specialty and serves as a resource person for the medical center staff. 8.Attends and manages outpatient Gastroenterology Clinics Administrative: 1.Primary resource for outpatient gastroenterology consults, assessing patient acuityand appropriately schedules evaluations. 2.Monitors and maintains consult tracking package. 2 3.Maintains gastroenterology database and monitors laboratory evaluations for theoutpatient gastroenterology population. 4.Completes patient's disability and insurance forms as needed. 5.Arranges for gastroenterology procedures and interventions with the Radiology andSurgery services. 6.Oversees scheduling to the outpatient gastroenterology clinics with resolution of scheduling conflicts. Education/Research: 1.Promotes and participates in the delivery of patient and family health and gastroenterology education. 2.Participates, directs, and provides opportunities for staff development through in-service education as needed. 3.Assures self-development responsibilities and maintains current knowledge of trends in gastroenterology and clinical medicine. 4.Participates in Gastroenterology Section's clinical research programs when appropriate. Qualification: See VA Handbook 5005/27, Part II, Appendix G6. Supervisory Controls: Is under the overall supervision and technical direction of the Chief, Gastroenterologist (MD/DO). The incumbent is expected to know the wide range of Cardiology procedures and therapies required to carry out assignments. Generally, the work is evaluated for technical soundness, appropriateness, and conformity to policy and requirements. Customer Service: Relationships with management, co-workers, patients, and the general public is consistently courteous, respectful, and cooperative in nature. Incumbent will display a cooperative attitude and will effectively work together to implement the organization's mission and goals. Incumbent will ensure productivity is maintained at the established level for the program for which he/she is responsible. EDRP Authorized: Contact: Brenda Katro,brenda.katro@va.gov the EDRP Coordinator for questions/assistance Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: Monday-Friday 7:30am-4:00pm"]

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