Veterans Affairs, Veterans Health Administration Physician Assistant (Vascular) in San Francisco, California
Veterans Affairs, Veterans Health Administration
1 vacancy in the following location:
- San Francisco, CA
Work Schedule is Full Time - Excepted Service Permanent
Opened Monday 9/26/2016 (30 day(s) ago)
** Closes Monday 9/25/2017 (334 day(s) away)
About the Agency
*This position has been identified as part of the Veterans Access, Choice, and Accountability Act of 2014 (VACAA), also known as the Choice Act.
NOTE: A Recruitment Incentive may be authorized to a highly qualified candidate for this position.
Vacancy Identification Number (VIN): 1809373
Our Mission: To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans.
As a VA professional, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities and leadership positions at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the Nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. For more information on the Department of Veterans Affairs, go to: http://www.vacareers.va.gov/
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.
*NOTE: Preferred Candidates will have experience in the vascular specialty.
The incumbent serves as a Physician Assistant (PA) in the Surgical Service, at the San Francisco VA Medical Center (VAMC), California. The PA acts as an agent of the assigned supervising physician (SP) and exercises no independent authority. The PA and a SP will be in daily contact, and no patient care will be rendered by the PA in the event no SP is available. As an agent of a supervising physician, the PA is authorized to write medical orders on patients cared for by the assigned Surgery Section. All orders written by the PA must be within the parameters of his/her scope of practice. All histories and physicals (H&P;s) will be reviewed and signed by a SP for concurrence or addendum, as indicated. All progress notes, consultation requests, H&Ps;, and the like that are completed by the PA will clearly identify himself/herself as a physician assistant.
The PA is authorized to perform basic procedures within his/her scope of practice. This scope is defined prior to appointment into this position. These procedures will be performed as an agent of the SP, who will be responsible for insuring that any procedures are performed in accordance with community standard of care and within the framework of patient care delivery by the assigned surgery section.
The PA is authorized, per protocol, to refill previously prescribed medications and supplies for inpatients, inpatients going on pass or upon discharge, and outpatients. The PA is authorized to prescribe medications that are part of standing post-operative order sets, per protocol. The PA is authorized to prescribe other new medications after consultation with a SP and/or when instructed to do so by a physician with direct patient care responsibilities for that particular patient, including hospitalists and house officers.
- Work schedule: Monday through Friday, 8:00AM to 4:30PM.
- Fair Labor Standards Act (FLSA) Status: Exempt (not covered).
- Bargaining Unit Position: Yes.
- Position Title / PD#: Physician Assistant, Title 38 - position covered by a Scope of Practice.
- Must be a citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens.)
- Physician Assistants (PAs) appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).
- Education. Must be a graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor organizations; AND; possess a Bachelors degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education.
- Certification. (a) Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA. (b) Recent PA graduates who are eligible to take the Physician Assistant National Certifying Examination (PANCE) may be employed by VA on a temporary basis (38 U.S.C. 7405), for a period not to exceed two years, as provided in VA Handbook 5005, Part II, Chapter 3, Section G, Paragraph 5. (c) If a PAs NCCPA certification is suspended, revoked or expires, the PA must be removed from the occupation which may result in termination of employment.
- Not Required
- Must pass pre-employment examination.
- Designated and/or Random Drug Testing required.
- Background and/or Security Investigation required.
- Selective Service Registration is required for males born after 12/31/1959.
- Must be proficient in written and spoken English.
- You must be a U.S. citizen to apply for this job.
To qualify for this position, applicants must meet all requirements (basic requirements above and grade requirements below) by 11:59 PM (EST) Monday, September 25, 2017.
- Full Grade (GS-09). In addition to meeting the basic requirements above, individuals appointed to this grade must meet all the following requirements: (1) Education/Experience. None beyond the basic requirements outlined above; (2) Clinical Competencies and Clinical Proficiency. (a) Provides effective care to patients characterized by the use of sound judgment in assessing, planning, implementing, documenting, and evaluating patient care for assigned patients. This includes possessing the skill and competency to obtain thorough medical histories, perform comprehensive physical examinations, order appropriate diagnostic studies, interpret and analyze medical data, establish diagnoses, formulate and implement treatment plans, and modify treatment plans when appropriate. (b) Works effectively and makes appropriate requests for assistance from the assigned physician and recognizes complex patient care situations where referral is appropriate. (c) References quality improvement information and organizes patient care needs to assure safe, efficient and cost-effective care. (d) Initiates effective actions in emergencies. (3) Professional Development. (a) Obtains additional knowledge and skills appropriate to the practice setting to improve performance. (b) Provides patient education in an effective manner; (4) Ethics. Safeguards patient privacy and confidentiality. Provides care in a nonjudgmental, non-discriminatory manner respecting the patients values and beliefs; (5) Interpersonal Skills. Works effectively with patients, families, caregivers, and other professional and support personnel; (6) Research. (a) Demonstrates awareness of research application to practice. (b) Researches medical literature and applies evidenced-based medicine to improve clinical practice.
- Intermediate Grade (GS-11). In addition to meeting the basic requirements above, candidates must meet all requirements described in this standard for Full Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Intermediate Grade will have demonstrated the ability to analyze and solve more complex medical problems and meet the following requirements: (1) Education/Experience. (a) 1 year of professional practice as a PA; OR; (b) Successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; OR; (c) A Masters degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education. (2) Clinical Competencies and Clinical Proficiency. (1) Effectively treats patients with more complex medical problems requiring a higher degree of clinical skill and competency than that expected of the previous grade. (2) Performs more complex diagnostic and therapeutic procedures requiring skills and competency, as applicable to the assignment, beyond that expected in the previous grade. (3) Practices with a higher degree of autonomy and seeks guidance from the assigned physician less frequently than expected of the previous grade. (4) Evaluates the delivery system of patient care within the area of assignment, presents findings and recommendations, and contributes to changes that enhance the quality and timeliness of care. (b) Professional Development. (1) Acquires knowledge and skills to maintain expertise in area of practice. (2) Shares medical literature research findings with colleagues to enhance patient care delivery. (3) Participates in educational activities to improve clinical knowledge and enhance role performance. (4) Serves as a clinical preceptor to healthcare students. (5) Serves on service level committees or subcommittees when assigned. (c) Ethics. (1) Identifies medical ethical issues and takes appropriate actions. (2) Supports and enhances patient self-determination. (d) Interpersonal Skills. Collaborates effectively with other occupations and services to identify, analyze, and resolve patient care problems. (e) Research. (1) Shares medical literature research findings with colleagues to enhance patient care delivery. (2) Uses a body of research to validate or change group practice.
Senior Grade (GS-12). In addition to meeting the basic requirements above, candidates must meet all requirements described in this standard for Intermediate Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Individuals appointed or advanced to Senior Grade will have demonstrated the behaviors or responsibilities listed in one or more of the following categories: Clinical Proficiency, Education, Professional Development, Management/Administrative, and Research, as applicable to the assignment. (1) Education/Experience. (a) 3 years of professional practice as a PA; OR; (b) 2 years of professional practice as a PA and successful completion of a PA post-graduate residency program accredited by ARC-PA or by the U.S. Armed Forces; OR; (c) 2 years of professional practice as a PA and a Masters degree from a PA training program certified by ARC-PA or in another health-related field from an accredited college or university recognized by the U.S. Department of Education; OR; (d) A Doctoral degree in a health-related field from an accredited college or university recognized by the U. S. Department of Education. (2) Management/Administrative. One of the following responsibilities must be demonstrated: (a) Evaluates service level patient care delivery systems and validates or identifies barriers to safe, effective care. Presents findings and recommendations to appropriate management officials and participates in implementation of changes. (b) Manages patient quality management data bases such as the National Surgical Quality Improvement Program (NSQIP) if assigned. (c) Serves on service or facility committees/task forces if applicable to the assignment. (d) Coordinates consult referrals within the service assigned. (e) Coordinates and facilitates inter-service agreements. (3) Clinical Competencies and Clinical Proficiency. (1) Manages patients with complex or multi-system medical problems. (2) Practices with a significant degree of autonomy and seeks guidance from assigned physicians with less frequency than expected at the previous grade. (3) Performs more complex diagnostic and therapeutic procedures beyond what is expected at the previous grade. (4) First or second assists in surgical procedures. (b) Professional Development. (1) Acts as a consultant/mentor to PAs in lower grades and other clinical and support staff. (2) Serves as a clinical preceptor for students or organizes and participates in facility clinical educational programs. (3) Makes sustained contribution to health care by sharing expertise within and/or outside the medical facility. (c) Ethics. Identifies and addresses ethical issues that impact patients and staff including participation in ethics consultations if appropriate to the area of assignment. (d) Interpersonal Skills. (1) Communicates and collaborates effectively with other facility staff and outside institutions when applicable to the area of assignment. (2) Effectively promotes the physician assistant profession to health care staff, patients and other stakeholders at the local level. (3) Makes significant contributions which serve to enhance the distinctive role of PAs within the local institution and the health care system. (e) Research. (1) Collaborates with others in research activities to improve patient care, OR; (2) Authors, or collaborates with others, on a paper or study for publication.
Chief Grade (GS-13). In addition to meeting the basic requirements above, candidates must meet all requirements described in this standard for Senior Grade through VA employment or non-VA PA positions with equivalent scope and complexity. Appointment or promotion to Chief Grade is based on the individuals demonstrated high level of clinical expertise, leadership ability, and the ability to function with a high degree of autonomy. Further, the PA candidate for Chief Grade will have demonstrated all the requirements of one or more of the following categories: Management/Administrative, Clinical Proficiency, Professional Development and Research. (1) Education/Experience. (a) Generally, an individual in this grade is able to demonstrate the behaviors listed in the areas below after 5 years of professional practice as a PA; AND; (b) The minimum education for this grade is a Masters Degree from a PA training program accredited by ARC-PA or in a health-related field of study. However, experience as a PA may be substituted for the Masters degree where the individual has an equivalent knowledge of the profession and has successfully undertaken a combination of difficult or complex assignments in several clinical, administrative, research and educational arenas which required a high degree of competence. (2) Management/Administrative. (a) Accepts substantial and continuing responsibility for managing or coordinating a healthcare program including follow-up actions to ensure compliance with regulatory bodies required by internal and external review organizations and accrediting bodies, AND; (b) Successfully integrates the activities of the employees assignment with other patient care programs at the facility or with similar programs on a broader geographic basis, AND;
(c) Develops policies and procedures and participates in executive level decision making deliberations, AND; (d) Participates in long range program planning and model development for effective delivery of services, AND; (e) Performs a full range of administrative duties relative to the assignment. (3) Clinical Competencies and Clinical Proficiency. (1) Evaluates facility patient care delivery systems and validates or identifies barriers to safe, effective care. Presents findings and recommendations to appropriate management officials and participates in implementation of changes, AND; (2) Exhibits leadership in initiating changes in patient care programs based on current concepts and findings from research and/or studies, AND; (3) Facilitates the delivery of patient care in collaboration with health professionals, health managers and other health care personnel, AND; (4) Exhibits exceptional clinical skills and consistently demonstrates a high level of expertise in diagnosing and treating seriously ill, multi-symptomatic patients. (b) Professional Development. (1) Develops and implements education and training programs involving a variety of specialties in widely diversified activities, AND; (2) Provides personnel with the vital link between education and practice. (3) Coordinates clinical training of healthcare students including facilitation of clinical rotations, recruitment preceptors and evaluation of student, AND; (4) Maintains close relationships with affiliated schools and healthcare training programs and coordinates clinical rotations with curriculum needs, AND; (5) Serves on education and training committees, advisory groups and special task forces concerned with managing education and career development activities. (c) Ethics. (1) Provides leadership in addressing ethical issues that impact patients and staff at the medical facility and the local health care community. (2) Participates in the education of facility staff in ethical concepts and encourages staff participation in ethics educational programs. (d) Interpersonal Skills. (1) Demonstrates leadership in developing productive working relationships with groups in other programs, services, academic settings, and community agencies. (2) Effectively collaborates and interacts with other regional medical facilities to enhance seamless coordination of inter-facility patient care.
What To Expect Next
After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your resume and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by e-mail (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USAJOBS account and clicking on Application Status. For a more detailed update of your status, click on more information. Information regarding applicant notification points can be found in the USAJobs Resource Center: https://help.usajobs.gov/index.php/WhyhaveInotheardanythingbackafterapplying%3FHowlongdoesittaketohearfromanagencyafterIhaveapplied%3F
Review our benefits
- The VA offers a comprehensive benefits package.
- Annual leave shall accrue at the rate of 26 days per leave year (1 day per pay period) for full-time employees in this position.
Veterans' Preference: When applying for Federal jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD-214(s) and documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation.
Additionally, disabled Veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" (http://www.opm.gov/forms/pdffill/sf15.pdf) with required proof as stated on the form. For more information, please review the information for disabled Veterans in the application checklist found here: http://www.va.gov/OHRM/joblistings/applicantchecklist.pdf or visit: http://www.fedshirevets.gov/job/vetpref/index.aspx.
Your application, resume, C.V., and/or supporting documentation will be reviewed. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. In describing your experience, please be clear and specific. We may not make assumptions regarding your experience.
- It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
- This job opportunity announcement may be used to fill additional vacancies.
Salary Range: $58,132.00 to $130,325.00 / Per Year
Series & Grade: VN-0603-00/00
Supervisory Status: No
Who May Apply: United States Citizens
Control Number: 451422200
Job Announcement Number: NQ-16-KEB-1809373-4CA-BU