Summary The Physician Assistant (PA) will be an advanced practice provider for the Surgical Service. The PA will work directly for the Assistant Chief of Surgery located at the Lee County Healthcare Center (LCHCC) in Cape Coral, Florida. Responsibilities VA offers a comprehensive total rewards package. The General Surgery Physician Assistant will practice medicine as a member of a team with their Supervising Surgeon. Duties and responsibilities include, but are not limited to: Participate in all aspects of the preoperative, intraoperative, and postoperative processes as it relates to the surgical care of the patients Discuss proposed surgical procedures with the patient and obtain Informed Consent Coordinate multidisciplinary care for complex patients including expediting necessary VA and Non-VA Community Care studies, as well as any necessary follow up. Coordinate and expedite VA diagnostic studies, labs, etc. and any necessary surgical clearances. Assist in the operating room. Serve as an intraoperative bedside assistant for robotic surgery. Attend necessary training and certification courses if needed, not at the expense of the PA. Follow patients post operatively, including rounds, orders, discharge summaries and prescribing/adjusting medications. Function as a provider in the Surgery Clinics, when required Triage new consults, secure messages, and clinical questions Initiate and follow pre-clinic and pre-operative workup including labs, imaging, biopsies or other procedures indicated. Perform pre-operative History & Physicals Performs routine clinic procedures including but not limited to dressing changes, drain removal, suture removal, etc. Follow-up on results of diagnostic and therapeutic procedures ordered by the PA, attending surgeon or surgical resident in a timely fashion, interpretation of diagnostic tests, communicate results with the Attending Surgeon, then relay results and plan to the patient. Attend surgical meetings including Morbidity & Mortality conference. Work Schedule: 7:30am - 4:00pm. Telework: Ad-hoc Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized for highly qualified, eligible candidate. Permanent Change of Station (PCS): Not Authorized Requirements Conditions of Employment All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. 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 identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical evaluation/examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement. Qualifications 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. Preferred Experience: At least 5 years experience as PA working on a hospital-based Surgical Service. Preference given for experience in Surgical specialties. Experience in operating room to include First Assistant and including Robotic cases. Ability to independently perform Minor Procedures is an advantage. 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. Demonstrated Knowledge, Skills, and Abilities. PAs at this grade are expected to present the following minimum skill set: Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care. Ability to perform patient history and physical. Ability to formulate a plan and provide treatment to the patient. Ability to provide patient care that is abreast of changing concepts and advancements in the profession. Physician Assistant-II (PA-II): Experience and Education. PAs 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. PAs at this grade should be able to demonstrate, develop, or acquire the following skill set 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 (PA-III): Experience and Education. PAs at this 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. -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. Demonstrated Knowledge, Skills and Abilities. PAs at this level should be able to demonstrate, develop, or acquire the following skills set not met upon appointment for PA-III: 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is PA-III. The actual grade at which an applicant may be selected for this vacancy is in the range of PA-II to PA-III. Physical Requirements: This work is mostly sedentary and requires some standing, bending and carrying light items. The PA must have the ability to stand and walk for prolonged periods of time to interact with the patients and other services. Education 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 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. 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. 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.
