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The incumbent is assigned as a Dermatology Physician Assistant in the Dermatology Section of Medicine Service and as such will provide for the health and well-being of veterans at the Loma Linda VA Medical Center in dermatologic medical and surgical care as well as preventive medicine safety and health. Provides clinical management of selected health problems under the supervision of his/her assigned managing physician by monitoring and maintaining treatment for patients with skin disease. 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 Master's degree in any discipline or a bachelor's degree in any discipline with one year of experience as a Physician Assistant ~AND~ Successfully passed the PA National Certifying Exam (PANCE) (or are you in the process to taking the exam) ~AND~ Currently hold, or will hold, a full and unrestricted license to practice in a State, Territory, or Commonwealth of the United States or in the District of Columbia. Must have successfully passed the PA National Certifying Exam (PANCE). The candidate must meet the following: (1) Graduate of a PA 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; Bachelor's degree in any discipline with on year of experience as a PA. Preferred Experience: Physician Assistant License from California Grade Determinations: Physician Assistant-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 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 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: 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 III & IV. Grade IV is at full performance level. a. Experience and Education. PAs at the PA-III grade will 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; AND Four years for Physician Assistant IV. 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 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. (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 & PA-IV: 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 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). Ability to present clinical findings and recommendations to appropriate management officials. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, 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. 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. The full performance level of this vacancy is 4. The actual grade at which an applicant may be selected for this vacancy is in the range of 2 to 4. Physical Requirements: Heavy lifting (45 lbs and over); Heavy carrying (45 lbs and over): Straight pulling and pushing; reaching above shoulder; use of fingers; both hands required; walking and standing up to 8 hours; repeated bending; Ability for rapid mental and muscular coordination simultaneously; hearing aid permitted. ["Incumbent works under the supervision of the Chief Dermatology Section. Works independently on most exams but confers with an attending physicians and supervisor on more difficult problems. Routine clinical duties which are performed on a regular basis include the following: a. Perform initial and interim histories and physical examinations. b. Screen patients for skin cancer c. Order routine laboratory, EKG, radiological, and diagnostic test on patients and provide initial interpretation of results. d. Initiate and/or expedite requests for consultations, special tests, or studies on assigned patients and will keep the managing physician apprised of results and progress. e. Perform biopsies on patients as requested by the physician. f. Evaluate patients/employees for specific Dermatologic conditions. g. Assist dermatologic surgeon with mohs surgical repairs and excisions; h. perform post surgical evaluations for suture removal. i. Add appropriate progress notes to the patients' medical records. j. Provide education and counseling of the patient and patient's family in preventive care, medical conditions, and the use of prescribed treatments and drugs. Participates and contributes to policy development, planning, resource management, and evaluation through: a. Support guiding principles of this medical center. b. Performs assigned duties in a manner that promotes quality health care, outstanding customer service, and the maintenance of an environment committed to servicing the veteran. c. Supporting the mission and goals of the VA and the Service d. Assisting the Mohs Surgeon with Mohs Lab monitoring. e. Assisting with compliance of clinical standards of accrediting bodies. f. Participation in development and implementation of clinical programs that relate to patient care management issues. g. In the performance of official duties, the incumbent has regular access to printed and electronic files containing sensitive data which must be protected under provision of the Privacy Act of 1974 and other applicable laws. h. Assisting with MyHealtheVet, PATS, WHH, and any patient complaints CI. Work Schedule: To be determined Financial Disclosure Report: Not required"]

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