This position functions primarily as a clinical staff member in the Mobile Prosthetics and Orthotic Clinic (MoPOC) unit as part of the Fargo VA HCA Prosthetics and Sensory Aides Service Line. The MoPOC clinical provider will be required to travel to satellite clinics, and on occasion, to Veteran's homes to provide clinical care using a specialized vehicle equipped as a mobile laboratory. ****Recruitment or relocation incentive may be authorized for highly qualified applicants**** 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 Determinations: GS-12 Experience. Completion of 1 year of experience equivalent to the next lower grade level as an orthotist/prosthetist functioning as a full member of the clinical team which includes significant involvement in treatment plan development for the most complex types of conditions. Examples of Specialized Experience may include but not necessarily be limited to: Participated as a full member of the treatment team with considerable influence in the development of the treatment plan Conducted clinical patient analyses such as gait, range of motion, lifestyle etc. for patients with a wide range of complex medical conditions which include unusual problems or complications Designed unique or innovative devices to accommodate complex/unusual patient conditions or complications Recognized physical abnormalities, deviations and complicating conditions with potentially life-threatening implications Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate the following KSA and demonstrate the potential to acquire the assignment specific KSAs designated by an asterisk (*): Knowledge of regulatory requirements established by the ABC, BOC, the National Committee for Orthotic/Prosthetic Education (NCOPE), the International Association of Orthotists and Prosthetists (IAOP), the American Academy of Orthotists and Prosthetists (AAOP), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), etc. *Knowledge of administrative functions including budget development and management, inventory management, space and workload planning, as well as knowledge of the National Prosthetic Patient Database (NPPD), knowledge of the Prosthetic National Software (PNS) package, Decision Support System (DSS), and knowledge of accreditation requirements for orthotic and prosthetic laboratories and certification requirements for individuals. *Ability to analyze data and provide reports using CPRS, Vista, DSS, HCPCS codes and other patient database information. *Ability to provide training to orthotists/prosthetists in new technologies and innovations in devices. Advanced Practitioner. The orthotist/prosthetist assignment at this level is intended for smaller, independent laboratories. In addition to functions typical of the GS-11 grade level, the assignment involves responsibility for assuring the accreditation of the laboratory, regulation compliance, and a variety of administrative duties such as developing a budget; managing inventory and resources; overseeing contract employees; planning the orthotics and prosthetics clinical schedule; conducting site surveys of commercial vendors; devising short and long range goals in accordance with local, VISN, and VHA Central Office direction; and conducting quality assurance activities; etc. The orthotist/prosthetist communicates and interacts with physicians, allied health professionals, patients, and caregivers in various interdisciplinary clinical settings, rehabilitation medicine, orthopedics, neurosurgery, vascular care, podiatry, oncology, etc., as a subject matter expert to develop the orthotic and/or prosthetic treatment plan. The work includes complex patient analyses in accordance with established procedures for patients with unusual conditions, multiple complex conditions, interrelated conditions, etc.; assessment of the patient for indications/contra-indications and discussion of the assessment with the physician/requesting provider for the purpose of developing the overall treatment plan with considerable influence in the development of that plan; consideration of new and emerging technologies in designing unique or innovative devices to accommodate or treat a wide range of complex medical conditions which include unusual problems or complications. The orthotist/prosthetist at this level is expected to recognize physical abnormalities, deviations, and complicating conditions with potentially life-threatening implications. References: VA Handbook 5005, Part II, Appendix G32 Orthotist/Prosthetist Qualification Standard, Veterans Health Administration. Physical Requirements: The incumbent functions primarily within VA medical facilities; environmental exposures and physical demands vary depending upon the location. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued sitting, with intermittent bending, pulling, and pushing. Movement between work areas within the health care system is expected. Occasional lifting of objects up to 45 pounds may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing appropriate to the health care environment. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, and be able to shift priorities based on patient and department needs. ["Responsible for assuring accreditation of the laboratory, regulatory compliance and a variety of administrative duties such as budget development, managing inventory and resources, overseeing contract employees, planning the orthotic and prosthetic schedule, conducting site surveys of commercial vendors, devising short- and long-range goals in accordance with local, VISN, and VHA central office direction; and conducting quality assurance activities. Conducts administrative functions including budget development and management, inventory management, space and workload planning, as well as knowledge of the national prosthetic patient database, national prosthetics software package, decision support system, and accreditation requirements for O&P laboratories and individuals. They can analyze data and provide reports using CPRS, VISTA, DSS, HCPCS codes and other patient database information. Communicates and interacts with physicians, allied health professionals, patients, and caregivers in various interdisciplinary clinical settings, rehabilitation medicine, orthopedics, neurosurgery, vascular care, podiatry, oncology, etc. as a subject matter expert to develop the orthotic and/or prosthetic treatment plan. The work includes complex patient analysis in accordance with established procedures for patients with unusual conditions, multiple complex conditions, interrelated conditions, etc.; assessment of the patient for indications/ contraindications and discussion of the assessment with the physician / requesting provider for the purpose of developing the overall treatment plan with considerable influence in the development of that plan; consideration of new and emerging technologies in designing unique or innovative devices to accommodate or treat a wide range of complex medical conditions which include unusual problems or complications. The orthotist prosthetist at this level is expected to recognize physical abnormalities, deviations, and complicating conditions with potentially life-threatening implications. Attends clinics and participates as a member of the treatment team with considerable influence in the development of the treatment plan for the most complex types of conditions. This requires advanced knowledge of medical terminology, anatomy, physiology, biomechanics, kinesiology, physics, and etiology of diseases as well as knowledge of psychology and age-related competencies. Conducts clinical patient analysis such as gait, range of motion, lifestyle, etc. for patients with a wide range of complex medical conditions which include unusual problems or complications and will design unique devices to accommodate those conditions. Maintains a patient load, and completes all required documentation including VISTA, CPRS, encounters, FLOW3, and other requirements as they evolve. This may also include stock posting items delivered for inventory control, managing lab equipment inventory, placing orders using established procedures for patient specific needs, quote review from outside vendors, etc. to ensure seamless care. Reviews and triages prosthetics requests and communicates with scheduling team as to which patients to schedule in-house vs. those to be sent to outside commercial vendors. Provides custom devices to patients as prescribed by the physician. This may include but is not limited to: casting, digitizing, scanning, positive model preparation and modification, selecting appropriate materials and components, thermoforming, trimming, assembling devices, evaluating workmanship and fabrication performed by outside central fabrication facilities, ensuring structural safety and manufacturer recommendations are followed for final delivery to patients. Provides ongoing care and periodic evaluation to assure, maintain, and document optimal fit and function of prostheses, orthoses, soft goods, inserts, shoes, and compression devices provided to patients. Provides oversight of fitters and/ or technicians as assigned based on certification requirements. Provides educational in-services to physician groups such as podiatry, primary care, PMRS, orthopedics, etc. or other groups as assigned Work Schedule: Monday-Thursday 7:30 am-5:30 pm Compressed/Flexible: Compressed Telework: Ad Hoc Virtual: This is not a virtual position. Functional Statement #: 00000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
