Summary Incumbent at this is responsible for the design, fabrication and fitting of orthotic/prosthetic devices for common disability levels. These are achieved through consultation with physician, caregiver, therapist and/or senior Orthotist/Prosthetist staff members, which enables incumbent to become proficient in essential occupational tasks Responsibilities A) Performs a comprehensive assessment of the patient to obtain an understanding of the patients orthotic/prosthetic needs: Review patient's prescription/referral Take a comprehensive patient history, including demographic characteristics, family dynamics, previous use of an orthosis/prosthesis, diagnosis, work history, vocational activities, signs and symptoms, medical history reimbursement status, patient expectations and results of diagnostic evaluations Assist in formulating the treatment plan by performing a diagnosis-specific functional clinical examination, including manual muscle-testing, gait assessment and evaluation of sensory function, cognitive ability, range of motion, joint stability, skin integrity and compliance Communicate with patient and/or caregiver about the recommended treatment plan, and any optional plans, to involve them in orthotic or prosthetic care; include disclosure of potential risks/benefits Refer patient, if appropriate, to other health care professionals B) Create a comprehensive orthotic/prosthetic treatment plan to meet the needs and goals of the patient: Evaluate the findings to determine an orthotic/prosthetic recommendation Formulate treatment goals and expected orthotic/prosthetic outcomes to reduce pain/increase comfort, enhance function and independence, provide stability, prevent deformity, address cosmesis and/or promote healing Consult with physician/referral source to modify, if necessary, the original prescription and/or treatment plan Identify material, design and components to support anticipated out come Develop a plan for patient needs, including patient education and follow-up C) Perform the necessary procedures to deliver the appropriate orthotic/prosthetic services, which may include fabrication of the orthosis/prosthesis: Inform patient, family and/or caregiver of the orthotic/prosthetic procedure, possible risks and time involved in the procedure Select appropriate material/techniques to implement treatment plan Provide patient with preparatory care for orthotic/prosthetic treatment Prepare patient for procedure required to initiate treatment plan Select appropriate materials, components and specifications for orthosis/prosthesis based on patient criteria to ensure optimum strength, durability and function as required Consult technical component/material resources as required Prepare delineation/impression/template for modification/fabrication Fabricate/assemble prescribed device by assembling selected materials/components to prepare for fitting and/or delivery D) Provide continuing patient care and periodic evaluation to assure/maintain/document optimal fit and function of the orthosis/prosthesis: Assess fit of orthosis/prosthesis with regard to strategic contact Assess fit of orthosis/prosthesis with regard to anatomical relationships to orthosis/prosthesis to determine need for changes relative to initial treatment goals Formulate plan to modify orthosis/prosthesis based on findings; inform patient and/or caregiver of plan to modify orthosis/prosthesis. Make or delegate modifications to orthosis/prosthesisAssess modified device for structural safety, and ensure that manufacturers' guidelines have been followed Evaluate modifications to orthosis/prosthesis, including static and dynamic assessment to confirm that goals and objectives of modifications have been met Reassess patient knowledge and understanding of goals and objectives to ensure proper use of orthosis/prosthesis relative to modifications E) Complies with policies, procedures and regulations regarding human resource management, physical environment management, business/financial management and organizational management: Adheres to established policies and procedures in compliance with all applicable federal and state laws and regulations as well as professional and ethical guidelines Demonstrates proper documentation of patient history and financial records by using established record-keeping techniques to verify patient care and other pertinent information Communicates roles and expectations of employer and employees by providing documentation to create a professional, cooperative working environment and improve patient care F) Participate in personal and professional development through continuing education, training, research and organizational affiliations: Participates in continuing education and/or provide such education for other health care professionals, orthotic and prosthetic practitioners, associates, technicians and office staff Participates in product development research, clinical trials and outcome evaluation studies Participates in/with consumer organizations and nongovernmental organizations to promote competency and enhancement of orthotic/prosthetic profession Work Schedule: Monday-Friday 8am-4:30pm Telework: Not Authorized Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. Qualifications 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: (1) A bachelor's degree or higher in orthotics and prosthetics from a Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredited program. OR, (2) A bachelor's degree or higher in any major along with a post-graduate orthotics or prosthetics certificate from a CAAHEP accredited program. Board Certification: Candidates must be board certified by the American Board for Certification in Orthotics and Prosthetics (ABC) or the Board for Orthotist/Prosthetist Certification (BOC) as an orthotist, prosthetist, or orthotist/prosthetist. The board certificate must be current and the applicant must abide by the certifying body's requirements for continuing education. Certification as a technician, pedorthist, assistant or fitter does not meet this requirement. English Language Proficiency: Orthotists, prosthetists, or orthotist/prosthetists must be proficient in spoken and written as required by 38 U.S.C. 7402(d). Grade Requirements: GS-11: Experience. Completion of 1 year of experience as an orthotist/prosthetist equivalent to the next lower grade level that demonstrates possession of the knowledge, skills, and abilities needed to provide orthotic/prosthetic services in a hospital setting. AND Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Ability to attend clinics and participate as a fully participating member of the treatment team with considerable influence in the development of the treatment plan. This includes advanced knowledge of medical terminology, anatomy, physiology, biomechanics, kinesiology, physics, and etiology of diseases as well as knowledge of psychology and age related competencies. 2. Ability to conduct clinical patient analyses such as gait, range of motion, life style, etc., for patients with a wide range of complex medical conditions which include unusual problems or complications, and to design unique or innovative devices to accommodate those conditions. 3. Ability to recognize physical abnormalities, deviations, and complicating conditions with potentially life threatening implications Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-11. Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of the evaluation or examination. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the @context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.