Our hospital provides primary care and specialty health services, including bariatric surgery, mental health care, palliative and hospice care, suicide prevention, women's health care, and more. Below, you'll find our address and hours, parking and transportation information, and the other health services we offer at Washington DC VA Medical Center. To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. BASIC REQUIREMENTS: Citizenship. Citizen of the United States [in accordance with section 7402(c) to title 38, United States Code (U.S.C.). Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with 38 U.S.C. § 7407(a).] Education. 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. Additionally, candidates must meet one of the following: Master's degree in any discipline. OR Bachelor's degree in any discipline with one year of experience as a PA. Certification. Must have successfully passed the PA National Certifying Exam (PANCE). Licensure. PAs must possess an active, current, 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. NOTE: Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is no longer required for employment in VHA. English Language Proficiency. PAs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met: (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. (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. 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. AA 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. Preferred Experience: Experience in Cardiovascular imaging including imaging Cardiac CTS and Cardiac MRI scanning. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is VN-03. The actual grade at which an applicant may be selected for this vacancy is in the range of VN-01 to VN-03. Physical Requirements: Heavy lifting, 45 pounds and over; heavy carrying, 45 pounds and over; straight pulling - intermittent hours; pushing; reaching above shoulder; use of fingers; both hands required; walking/standing 8 hours; occasional kneeling; repeated bending; both legs required; ability for rapid mental and muscular coordination simultaneously; far vision correctable in one eye to 20/20 and to 20/40 in the other; specific visual correction to read fine print; ability to distinguish basic colors; ability to distinguish shades of color; hearing (aid permitted); and mental/emotional stability. ["This Physician Assistant will be an Advanced Practice Provider for the Non-Invasive/Cardiovascular Imaging group in the Cardiology Section under the Medical Service Line. The incumbent will provide clinical support to the collaborating physicians of Non-Invasive/Cardiovascular Imaging group. This PA will be fully qualified and certified, providing a full range of patient care services. The PA will function in both a clinical and administrative role, and in accordance with the guidelines and policies of the DC Veteran Affairs Medical Center. This individual is delegated the authority and responsibility to assume clinical, educational, research, and administrative duties and responsibilities related to the patients and staff of the Cardiology Section. Clinical: Primary focus of practice is to provide emergent, urgent and non-urgent care supporting cardiovascular imaging (cMRI, CT, nuclear stress, ETT, CTA, TEE, DSE) Direct performance and patient supervision during nuclear SPECT stress testing Direct performance and patient supervision of patients during ETT Care coordination, scheduling and preparation of patients for cMRI Care coordination, scheduling and preparation of patients for CTA Care coordination, scheduling and preparation of patients for TEE Care, coordination, scheduling and preparation of patients for DSE Assists with clinical aspects of care for patients undergoing preoperative· cardiovascular evaluation both on an elective outpatient and more emergent in-patient basis. This includes evaluations, the writing of orders, doing procedures based on the scope of practice and direction from the supervising physician. The PA has the authority to order all tests and procedures necessary to conduct these evaluations, and orders will fall within the guidelines and bylaws of the Washington DC VA Medical Center. Performance of initial data processing and post processing for MRI, CT, and nuclear studies. This includes preparation of image data set and initial measurements for physician review. Coordinate care and prepare patients for transesophageal echocardiography including obtaining informed consent, completing pre-procedure moderate sedation notes, assisting with conscious sedation, acquisition of echocardiographic data and processing of datasets. Perform initial evaluation of inpatients patients requiring cardiovascular evaluation and risk stratification prior to planned surgery. Coordinates referrals and evaluation of veterans at the DC Veteran Affairs Medical Center in addition to outside VA's and private sector referrals of Veterans for valvular surgery and cardiovascular imaging. Facilitates response/actions to patient inquires for care and treatment provided by the Cardiology Section. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. 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: 8am to 430pm, Monday to Friday."]

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