This is an Physician Assistant job opportunity within Pulmonary - Medicine Service at the Wilmington VA Medical Center. 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: 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 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. 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: See VA Directives and Handbook 5019, Employee Occupational Health Service. ["VA offers a comprehensive total rewards package. Clinically, the PA reports to the chief of the Pulmonary Medicine Department and Administratively, the PA reports directly to the Chief of medicine. In addition, the PA works with both primary care and other specialty providers within the Wilmington VA Medical Center and affiliated CBOCs. 1. The following is a list of those duties in which the PA is responsible for but not limited to: A) Pulmonary and Sleep Clinic (1) Consultations:- Provide detailed History and Physicals for all outpatient consults and inpatient consults (when necessary) referred to the Pulmonary department for input and recommendations.- For outpatient consults, order appropriate diagnostic studies such as laboratory tests, Pulmonary Functions, and sleep studies as well as other procedures and radiological studies. Additionally, medications or non-pharmacological treatment, immunizations, devices and supplies will be ordered by the PA.- Inpatients: PA will be responsible for providing a detailed history and physical on all inpatient consults and facilitate the scheduling of those patient who require a bronchoscopy or other procedures within 24- 48 hours with appropriate written orders as per protocol. For all other inpatient consults, the PA will recommend appropriate diagnostic studies such as laboratory tests, imaging studies, radiological procedures, medications or non- pharmacological treatment, immunizations, devices and supplies in collaboration with the supervising physician or alternate physician.- Provide appropriate follow up care for outpatient and/or inpatient consults as indicated by the scope of the consultation. (2) Follow up Patients- Provide appropriate follow up care for those pulmonary and sleep patients seen in as a consult as indicated by the scope of the consultation.- Order appropriate diagnostic studies such as laboratory tests, bronchoscopies, pulmonary function studies as well as other procedures and radiological studies.- Order and/or renew pharmacological medications (including controlled substances authorized by state licensure), non-pharmacological treatment measures, immunizations, and devices and supplies.- Prescribe medications within defined his/her Scope of Practice.- Initiate and expedite requests for consultations and scheduling special tests and studies.- Respond to phone calls and unscheduled clinic visits to deal with medical and other problems encountered by patients seen or followed in the pulmonary department. (3) All Pulmonary/Sleep patients- Provide patient education to Pulmonary and Sleep patients regarding their diagnosis, treatment plan, results of tests, and upcoming procedures such as Bronchoscopy /PET scans and their accompanying preparation instructions.- Administrative duties: i.e., checking out patients, scheduling appointments. The PA can assist the supervising physician during these procedures: 1. Bronchoscopy 2. Thoracentesis 3. Oxygen studies Other Responsibilities include:- Participate in clinical research- Precept APN/PA students- Committees and workgroup participation.- Other administrative duties as assigned by immediate or alternative supervisors. Work Schedule: Monday - Friday, 8:00am - 4:30pm. These may change based on the needs of the Service Line and/or the needs of the Veterans serviced. Financial Disclosure Report: Not required"]

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