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. Learn more 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 United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). 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: (1) Master's degree in any discipline; OR (2) 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. 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)Experience and Education. None beyond the basic requirements. This is the entry level for PAs. 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:1. Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care.2. Ability to perform patient history and physical.3. Ability to formulate a plan and provide treatment to the patient.4. Ability to provide patient care that is abreast of changing concepts and advancements in the profession. Physician Assistant-II (PA-II)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 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. 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:1. Skills to analyze and solve complex medical problems.2. Ability to function autonomously and make independent medical decisions.3. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care.4. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care.5. Ability to practice with colleagues and peers collaboratively. Physician Assistant-III (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. 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: Three years of successful practice as a 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 and one year of professional practice as a PA.ORA 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. 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:1. Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care.2. 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).3. Ability to present clinical findings and recommendations to appropriate management officials.4. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel.5. 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.6. 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: Walking, bending, stooping, and some lifting in the direct care of patients. There may also be extended periods of sitting. ["A recruitment/relocation incentive may be authorized to highly qualified individuals. This position may be filled by a Physician Assistant or Nurse Practitioner. The primary care Physician Assistant as care provider demonstrates expertise in all elements of the patient's health care process. He / She serves as the primary care provider for the delivery of quality health care. This is done in conjunction with advice rendered by his/her supervising physician. The primary care Physician Assistant (PA) assists with the total care of the patient's medical needs by performing history and physical exams, ordering appropriate lab tests, evaluating those tests, and acting within the guidelines laid down by the supervising physician to ensure quality care of the patient. This will include providing preventative medicine services, managing chronic disease problems and providing outpatient follow-up as needed. The primary care PA assists in the preparation of the patient to include, but not be limited to, teaching, accumulating data and medical problems, and as needed, presenting patient-centered discussion of the medical problems with his/her supervising physician. The primary care PA will act as the focal point of the designated outpatient clinic by being the contact person for all other consultant-specialty services regarding patient care. The primary care PA will ensure that the care is coordinated and communicated to the outpatient. The primary care PA will provide services as directed to meet the needs of the patient population being served by the medical center. These duties may include backup coverage to areas under the supervision of the Clinical Lead, Ambulatory Care. The Nurse Practitioner must be flexible in the work assignments based upon the immediate needs of the service line. The primary care PA must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served by the Tomah VA Medical Center. The individual must demonstrate the knowledge of the changes associated with aging and possess the ability to provide care based upon physical, psycho/social, cultural, safety and other age related factors as noted in the competencies described in departmental and/or unit specific policies and procedures. VA offers a comprehensive total rewards package. Work Schedule: Full Time, 8am - 4:30pm\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: May be Authorized\nEDRP Authorized: Contact Eva.Gennara@va.gov, the EDRP Coordinator for questions/assistance\nFinancial Disclosure Report: Not required"]