* The otolaryngology PA will triage and evaluate new consults in the outpatient, inpatient, and emergency room settings by providing complete otolaryngologic medical care. This includes performing a detailed otolaryngologic history and physical examination, obtaining medically appropriate ancillary investigations, and initiating management of otolaryngologic diseases or conditions that involve the ears, nose throat, head, and neck.
* The otolaryngology PA will perform common outpatient diagnostic procedures such as binocular microscopy of the ear, flexible laryngoscopy, rigid sinonasal endoscopy, biopsy of lesions of the head and neck.
* The otolaryngology PA will perform common outpatient and inpatient therapeutic procedures such as otologic debridements, placement of ear wicks, removal of ear foreign bodies, removal of skin sutures/staples, changes of wound dressing, sinonasal debridements, removal of intranasal or extranasal stents, changes of tracheostomy tubes.
* The otolaryngology PA will perform appropriate follow-up examinations and diagnostic evaluations on patients who return to the clinic for continuity of care. Assessment of the examination and evaluation will guide decision making for treatment planning and future care.
* The otolaryngology PA will provide counseling and education to patients and their family members regarding otolaryngologic management, procedures, and follow-up. This may occur in the inpatient or outpatient setting.
* The otolaryngology PA position offers on-the-job monitoring and supervision to ensure the employee's prior experience in otolaryngology is on par with the current standard practice of the otolaryngology section at the VA. The appointment and its tour of duty will be discussed in more details during the interviews, which will be offered to applicants who fulfill the qualification and otolaryngologic experience.
* The otolaryngology PA will function as the primary supervisor of all outpatient otologic and neurotologic care.
* The otolaryngology PA will be responsible for appropriate and thorough clinical documentation for all patient encounters.
* The otolaryngology PA will also assist the otolaryngology team with administrative duties.
Work Schedule: (1st Shift 8:00 am to 4:30 pm, Monday - Friday)
Functional Statement Title/#:Physician Assistant (ENT)/ FS#000000
- U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- Education. The candidate must meet the following:
(1) 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
(2) A Bachelor's 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.
(1) Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA.
(2) 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.
(3) If a PA's NCCPA certification is suspended, revoked or expires, the PA must be removed from the occupation which may result in termination of employment.
- Physical Standards. See VA Directive and Handbook 5019, Part II, Appendix A.
- 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).
Restriction. Under no circumstances may this occupation be used to employ physicians or other health care providers who do not meet the applicable qualification standards for their occupation. All PAs must meet the requirements in paragraphs 2a through f above.
Grandfathering Provision. Effective with the issuance of this new qualification standard all PA's are required to have a Bachelor's Degree and maintain certification. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply:
a. PAs on VA rolls prior to the implementation date of this standard who do not meet the minimum academic level of a Bachelor's degree are exempted from this requirement.
b. PAs on VA rolls prior to March 12, 1993 who are not NCCPA certified remain exempt from the NCCPA certification requirement. However, a PA who subsequently became or becomes certified is no longer exempt and must maintain certification as a condition of employment.
c. PAs who have been grandfathered and subsequently leave the PA occupation lose the grandfathered status and must meet the full VA qualification standard requirements in effect at the time of reentry to the PA occupation, unless a waiver is approved by the Under Secretary for Health.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
GRADE REQUIREMENTS. In addition to the basic requirements statedabove, the following qualifications criteria must be met in determining the appropriate grade for appointment or promotion eligibility. Requirements for appointment or promotion to a specific grade are based on the candidate's ability to demonstrate the elements described.
Full Grade. In addition to meeting the basic requirements, individuals appointed to this grade must meet all the following requirements:
(1) Experience / Education. None beyond the basic requirements.
Intermediate Grade. In addition to meeting the basic requirements, 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:
Experience / Education
(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 Master's 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.
Senior Grade. In addition to meeting the basic requirements, 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
Experience / Education
(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 Master's 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.
Chief Grade. In addition to meeting the basic requirements, 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 individual's 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.
xperience / Education
(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 Master's 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 Master's 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.
Reference: VA Handbook 5005, Part II, Appendix G8, Physician Assistant Qualification Standard.This can be found in the local Human Resources Office.
The following supporting documents are required:
1. CV or Resume;
2. Responses to the Occupational Questionnaire
3. VA Form 10-2850c - Application for Associated Health Occupations (Available at http://www.va.gov/vaforms/medical/pdf/vha-10-2850c-fill.pdf);
4. If applying as a current permanent employee of VHA the following is also required: Most recent SF-50 showing title, series, and grade. If you're a current/former federal employee include your most recent SF-50. Do not submit an award SF-50, since it does not reflect your past/current grade and step. If you have never held a position in the federal government, this form does not apply to you.
5. Optional Form 306, Declaration of Federal Employment. Please complete form, print, sign/date and upload. http://www.opm.gov/forms/pdf_fill/of0306.pdf
6. Copy of Transcripts. (Indicating date degree was conferred)
7. Copy of Certification by the National Commission on Certification of Physician Assistants (NCCPA)
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), or 10pt (CP/CPS, XPP, XP), or for Sole Survivor Preference (SSP), on the Occupational Questionnaire in the section(s) provided. A legible copy of your DD214(s) indicating character of service, disability certification, SF-15 (if claiming 10 pt. preference) or if you are currently serving on active duty and expected to be released or discharged within 120 days; documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), or dates of impending separation. Documentation is required for eligibility verification.
Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1937995.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.