The Stratton VAMC in Albany, NY is seeking a full-time Physician Assistant - Surgical Nocturnist. The Stratton VAMC offers the right candidate the opportunity to work with a wonderful population and a dedicated professional staff. Albany Stratton has 53 operating beds, including ICU, acute and telemetry, as well as five operating rooms. The Stratton VAMC is affiliated with the Albany Medical College (AMC), providing first class training to students, residents, and fellows. 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. 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. English Language Proficiency. Education: Graduate of a 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: (1) Master's degree in any discipline; OR (2) Bachelor's degree in any discipline with one year of experience as a PA. Certification: Must have successfully passed the PA National Certifying Exam (PANCE). Licensure: PAs must possess an active, current, full, and unrestricted license to practice in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. PAs must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State. Must remain current with CME requirements ACLS/BLS certification Preferred Experience: Surgical inpatient experience 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) (a) Experience and Education: None beyond the basic requirements. This is the entry level for PAs. (b) Demonstrated Knowledge, Skills, and Abilities: The following list of knowledge, skills, and abilities (KSA) present the minimum skill set expected of an Entry Level PA. This practice may include, but is not limited to: i. Ability to utilize the principles of PA practice in the care of assigned patients to provide appropriate care. ii. Ability to perform patient history and physical. iii. Ability to formulate a plan and provide treatment to the patient. iv. Ability to provide patient care that is abreast of changing concepts and advancements in the profession. Physician Assistant-II (PA-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: i. Two years of successful practice as a PA. OR ii. 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 iii. 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 (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: i. Skills to analyze and solve complex medical problems. ii. Ability to function autonomously and make independent medical decisions. iii. Skill to incorporate training and experience into the successful practice of patient Physician Assistant-III (PA-III) Experience and Education: PAs at the PA-III 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: i. Three years of successful practice as a PA.OR ii. 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 iii. 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 (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: i. Skills to analyze and solve complex medical problems. ii. Ability to function autonomously and make independent medical decisions. iii. Skill to incorporate training and experience into the successful practice of patient care including telehealth medical care. iv. Ability to work effectively in an interdisciplinary environment for improvement of services for patient care. v. Ability to practice with colleagues and peers collaboratively. References: VA Handbook 5005/78 Part II, Appendix G8, Physician Assistant Qualification Standard ["The Physician Assistant Surgical/Nocturnist is a fully credentialed licensed practitioner providing direct patient care as part of an integral surgical team with the Department of Surgical Services. Shifts are designed to provide day tour, evening, and overnight coverage as well as holiday and weekend tours. The Surgical PA Nocturnist is responsible for perioperative care of surgical patients on the Surgical Wards and in the Surgical ICU. In addition, the Surgical PA/Nocturnist is responsible for initial evaluation of consultations to surgery from the Medical Wards and the Emergency Department. The incumbent is a member of an interdisciplinary team providing quality care to surgical patients. Duties will include admission history and physical exams, initial evaluation of surgical consultations and perioperative management. In addition, coverage for Community Living Center as well as occasional Medicine units during WHEN hours are expected. Duties\nPrimary duties and responsibilities include, but are not limited to:\n· Provide advanced level care for Veteran patients, in collaboration with the attending physician.\n· Assess and diagnose patients' conditions through history taking, record reviews, physical examinations, treatment plans, etc.\n· Write orders for diagnostic testing including laboratory, X-rays, imaging studies/EKGs, ventilator management, blood and urine tests and any other special testing and studies whenever indicated.\n· Prescribe medications and provide education and counseling to Veterans and their families regarding medical condition, prescribed treatments and drugs, diagnostic options, review of treatment plans, discussions of patient goals, etc. for patients to attain optimum physical, physiological, sociological and psychological balance within the limitations imposed by their illnesses.\n· Establish professional working relationship with clinical service providers within the medical center, Outpatient Clinics (OPCs), and the Community Base Outpatient Clinics (CBOCs), provide telephone consultation, screen consults for appropriate and timely care prior to scheduling and communicate with inpatient multidisciplinary team members, such as pharmacy, dietary, IT, lab, other specialists/providers.\n· Work independently and demonstrate expertise in judgment, as allowed by VA policies, with delegated prescriptive authority for appropriate classes of medications.\n· Provide patient care in accordance with professional standards, core values and commitment to service excellence. Additional duties specific to this position include:\n· Provide day-time, night-time, and weekend inpatient care for surgical patients (majority of patients are general surgery, vascular surgery, orthopedic and thoracic surgery).\n· Primary responsibility will be to care for patients in the surgical intensive care and inpatient units.\n· Evaluate new surgical consults from other inpatient services and/or the emergency room.\n· Admission history and physical and orders, daily rounds, electronic record entry of progress note discharge and transfer summaries, collaboration with surgery attendings and resident staff in providing inpatient and critical care.\n· Perform minor procedures such as central venous access, tube thoracotomy placement, and arterial line placement for which PA is credentialed and in compliance with the agreed upon care plan with the attending or managing physician. Work Schedule: Some flexibility is available in tour; however, evening, night, holiday and weekend tours are expected. Additional day shift hours will be available to provide first assistance in the OR when needed. Hours may vary depending on the needs of the service and patient care. (Note: Work schedules are determined and approved by the supervisor. The incumbent may be required to work various shifts on a permanent or temporary basis based on patient care needs.) EDRP Authorized: This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more"]