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Salisbury, North Carolina
Posted · 29.09.2026
USAJOBS

# Physician Assistant (Emergency Medicine)

Veterans Health Administration

The Emergency Care Service Line (EMSL) Physician Assistant practices general emergency medicine, which has a vast scope of practice. Services offered will include the provision of appropriate medical treatment and management of general medical problems of adult patients in an emergency medicine setting(s). Conditions requiring further specialty care will be referred to specialty clinics within the VA system or to Community Care resources.
VA offers a comprehensive total rewards package. A board- certified Physician Assistant (PA-C) provides duties and responsibilities for patients being seen and evaluated in the Emergency Department and Urgent Care locations. Services will be needed seven days a week and 24 hours a day. This may include Federal holidays. 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. The incumbent must be able to satisfactorily carry out any duty of a Physician Assistant, and perform the following: Duties and Responsibilities: 1. PAs at this level should be able to demonstrate, develop, or acquire KSAs listed below to qualify for the appointment for PA-I-III: a. Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care. b. Skill to consistently demonstrate and 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). c. Ability to present clinical findings and recommendations to appropriate management officials. d. 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. e. Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records. 2. Treatment and professional directives as outlined in the privileges and as noted in the credentialing process, some of which are listed below: a. Primary evaluation of applicants for care at the VA Health Systems facilities including history and physical examination, ordering of pertinent laboratory and radiology tests, and initial diagnosis and disposition of these patients. b. Obtain appropriate consultation from on-call specialists and communicate pertinent medical information to other health care providers/institutions. c. Enter all reports for incorporation into the computerized patient record system (CPRS) on the day of the visit and satisfy VHA and medical center policies and Joint Commission requirements for documentation. The PA must possess computer skills to access CPRS utilized by the VA. Orientation to CPRS will be provided by the VA. d. Prescribe medications for patients according to the established drug formulary at this facility. Variance from the formulary should occur only when clinically indicated and compliance with the procedures established. e. Any administrative requirement for referral and/or transfer to another medical facility will be completed by VA personnel and approved by the ACOS/Emergency Medicine Chief of Staff, or designee prior to transfer. f. Perform services within VA policies, procedures, and the regulations of the medical staff by-laws of the VA facility. g. The PA will also perform administrative duties such as quality assurance, peer reviews, serving on various committees as directed by the ACOS/EM or Administration. The PA may also participate in the instruction of medical and allied health care students assigned to Emergency Medicine Service Line. The PA will also perform other related duties as assigned. Reviewed May 2026 3. The ACOS/Emergency Medicine is responsible for the overall clinical and administrative function of the Emergency Medicine Service Line. 4. Additional Functions: a. Staff PAs provide or assist other specialists in the process of evaluation and treatment of the psychiatric patient and actively participate in corrective actions against untoward responses to psychiatric interventions. b. Staff PAs evaluate the patient to assess changes in the patient's physical and mental status. A progress note is written in the patient's chart using CPRS. c. Staff PAs are appropriately credentialed and privileged and may participate in various hospital committees, departmental and hospital in-service programs, and education programs of the department and the hospital. d. The PA may initiate Advanced Cardiac Life Support in accordance with current ACLS protocols, to include defibrillation/cardioversion in life threatening situations, if ACLS certified. Work Schedule: Various Shifts Compressed/Flexible: Supervisory Discretion Telework: Supervisory Discretion Relocation/Recruitment Incentives: Not Autherized
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: None 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: (1) 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. (2) 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 Officeof 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. (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: 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. (3) Physician Assistant-III (PA-III) (a) Experience and Education. PAs at the PA-III grade are at the full performance level and lead and organize patient care independently, practice within multidisciplinary 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 6 ii. Successful completion of a PA post-graduate residency program sponsored by VHA Officeof 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 iii. 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: i. Ability to clinically evaluate facility patient care delivery systems and validate or identify barriers to safe and effective patient care. ii. 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). iii. Ability to present clinical findings and recommendations to appropriate management officials. iv. Ability to clinically facilitate the delivery of patient care in collaboration with health professionals, health managers, and other health care personnel. v. 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. vi. 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 VN-III. The actual grade at which an applicant may be selected for this vacancy is in the range of VN-I to VN-III. Physical Requirements: See VA Handbook and Directive 5019
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.
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/.

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