Physician Assistant (Cardiology)

Veterans Affairs, Veterans Health Administration | Philadelphia, PA

Posted Date 8/12/2019
Description The Cardiology Physician Assistant is responsible for both independent and supervised assessment and medical management of patients in the cardiology clinic.The position is located at the Corporal Michael J. Cresenz VA Medical Center, Philadelphia, PA (CMC VAMC). The incumbent functions as a Physician Assistant at the CMCVAMC with a primary responsibility to provide care to patients on the Cardiology Service. The Cardiology Physician Assistant is responsible for supporting the Cardiology section of Medical Service as a mid-level provider. He/she utilizes advanced skills in problem identification and clarification, treatment, planning and implementation of the treatment plan for Veterans with cardiac conditions. The incumbent works in collaboration with other members of the healthcare team to improve the quality of care delivered to the Veteran.

In addition to providing direct patient care, the mid-level provider also provides patient and family teaching; staff education; consults and collaborates with other health care providers; prescribes medications and adjunctive modalities, refers patients to other specialties and may participate in
research. The provider adheres to the pertinent professional societies and national guidelines.


Work Schedule: Monday - Friday 8:00am - 4:30pm
Financial Disclosure Report: Not requiredTo qualify for this position, applicants must meet all requirements by the closing date of this announcement, 08/26/2019.

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.
  • 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.
  • Certification. Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA. (COPY OF CERTIFICATION MUST BE SUBMITTED.)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.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.
  • 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).
Preferred Experience:
  • Staff a busy Cardiology Clinic.
  • 1-2 years' experience in cardiology with the ability to perform cardiac stress testing.
  • Prefer at least 2 years' experience as an Physician Assistant.
  • Prefer Cardiology Physician Assistant with interest in Cardiac Electrophysiology.
  • Aptitude in triage of cardiology consults.
  • Aptitude to evaluate implanted cardiac devices including pacemakers, defibrillators, and implanted loop recorders
Grade Determinations: In addition to the basic requirements stated in paragraph above, 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.

Intermediate Grade. 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) 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.
(2) Clinical Competencies
(a) 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.
Senior Grade. In addition to meeting the basic requirements under paragraph 2 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) 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.
(2) Clinical Competencies
(a) 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.
Chief Grade. In addition to meeting the basic requirements under paragraph 2 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 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.
(1) Experience / 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.
(2) Clinical Competencies
(a) 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.

References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-8 Physician Assistant Qualification Standard, Dated September 5, 2014. This can be found in the local Human Resources Office.

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