Physician Assistant (Sleep Medicine)
- United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- Education: Graduate from a training program which is accredited by the Accreditation Review Commission on Education of PA (ARC-PA) or one of its predecessor organizations and must meet the following: 1) Master's degree in any discipline OR 2) Bachelor's degree in any discipline with one year of experience as a PA.
- 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. (Exceptions: PAs who otherwise meet the basic requirement, but do not possess the required licensure, may be appointed, pending licensure, as a graduate PA on a temporary full-time appointment not-to-exceed two years under the authority of 38 U.S.C 7405(c)(2)(B). Graduates PAs may only be appointed at the entry grade level and may not be promoted/converted until certification is obtained. Temporary graduate PA appointments may not be extended beyond two years or converted to a new temporary appointment.
- Certification: Must have successfully passed the PA National Certifying Exam (PANCE).
- English Language Proficiency: PAs appointed to direct patient-care positions must be proficient in spoken and written English as required by the 38 U.S.C 7402(d).
Grandfathering Provision: All persons employed in VHA in this occupation series that are also performing the duties as described in the qualification standards on the effective date (September 27, 2020) of this qualification standard are considered to have met qualification requirements for the grade held including positive education and licensure/certification. For employees who do not meet all the basic requirements required in t his standard, but who met the qualification applicable to the position at the time they were appointed to it, the following provision apply:
- If a PA is certified by the NCCPA, but not licensed on the effective date of the qualification standard, they are not required to obtain or maintain a license to remain employed in VHA. However, if they lose or fail to maintain their NCCPA certification after this qualification standard is effective and do not possess a full, valid, and unrestricted license, they are no longer qualified for employment as a PA in the VHA.
- If a PA who was retained under this provision leaves this occupation, the employee will lose protected status within the occupation, but may not be promoted beyond the full performance level or placed in supervisory or managerial position
Grade Determination: 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 (PA-I):
- Experience and Education: None beyond the basic requirement. This is the entry level for PAs. Demonstrate Knowledge, Skills, and Abilities: 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; Ability to provide patient care that is abreast of changing concepts and advancement in the profession.
- Physician Assistant (PA-II):
- Experience and Education: The PA at this grade is a the intermediate grade level and has had progressively increasing responsibility and experiences as indicate in the KSAs listed below. 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. Demonstrates KSAs of PA-II intermediate level by: Two years of successful practice as 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 OR A doctoral degree in a health-related field from an accredited college or university recognized by the U.S. Department of Education. Demonstrate Knowledge, Skills, and Abilities (KSAs): 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; Ability to work effectively in an interdisciplinary environment for improvement of services for patient care; Ability to practice with colleagues and peers collaboratively.
- Physician Assistant (PA-III):
- 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. Utilize advance clinical knowledge and judgement in decision-making and evaluating outcomes. Functions as an expert 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. Demonstrate the KSAs for the full performance level by: Three years of successful practice as a PA OR Successful completion of a PA post-graduate residency program sponsored by the VHA Office of Academic Affiliations or other postgraduate residency programs accredited by the VA, ARC-PA, U.S. Armed Forces, or other accrediting agency and one year of professional practice as a PA OR 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. Demonstrated Knowledge, Skills and Abilities (KSAs): PAs at this level are not required to meet each individual KSA listed, but should be able to demonstrate, develop, and acquire those not met upon appointment for PA-III: Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care; Skill to consistently demonstrate an elevate 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); Ability to present clinical findings and recommendations to appropriate management officials; Ability to clinically facilitate the delivery of patient care in collaboration with health professional, health managers, and other health care personnel; 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; Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records.
Physical Requirements: Heavy Lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 1 hour); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 6 hours); Standing (up to 8 hours); Repeated bending (up to 1 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Hearing (aid permitted). Education
IMPORTANT: A transcript must be submitted with your application.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.