Summary

The Physical Therapist serves as a clinician within Physical Medicine & Rehabilitation Services (PM&RS). Clinical responsibilities include independent chart review - complex physical therapy evaluations - establishing PT diagnoses - determining appropriate rehabilitation interventions - and modifying plans of care based on ongoing assessment. Treatments integrate Whole Health principles and may require coordination with Prosthetics for assistive devices and specialized clinics.

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
• English Language Proficiency: Individuals appointed under authority of 38 U.S.C. chapters 73 or 74 - to serve in a direct patient-care capacity in VHA must be proficient in written and spoken English
• See Chapter 2 - section D - paragraph 5a - this part
• Education and experience: The individual must meet at least one of the requirements below: Bachelor's degree in Physical Therapy AND five (5) years of progressively independent experience as a physical therapist
• Master's degree in Physical Therapy AND two (2) years of progressively independent experience as a physical therapist
• Doctorate degree in physical therapy
• NOTE: Prior to 1995 the terminal degree for PT's was either a bachelors or master's degree
• In 1995 CAPTE accredited all baccalaureate - master's - and Doctor of Physical Therapy terminal degree programs
• Effective 2002 - CAPTE changed its scope of accrediting activities of PT education programs to include only those programs that culminate in postbaccalaureate degrees(eliminating the baccalaureate degree)
• Effective 2015 - professional physical therapy education programs have only offered the Doctor of Physical Therapy (DPT) degree to all new students
• NOTE: Individuals must be a graduate of a Commission on Accreditation in Physical Therapy Education (CAPTE) accredited college or university
• The CAPTE is the only accreditation agency recognized by the United States Department of Education (USDE) and the Council for Higher Education Accreditation (CHEA) to accredit entry-level physical therapy programs
• Verification of accredited programs may be obtained from the American Physical Therapy Association (APTA) at www.apta.org
• Foreign Graduates
• Graduates of foreign physical therapy programs meet the requirements in subparagraph 3b if they have a full unrestricted and current license to practice physical therapy in a State - Territory or Commonwealth of the United States - or in the District of Columbia
• Licensure: Individuals hold a full - current - and unrestricted license to practice physical therapy in a State - Territory or Commonwealth of the United States - or in the District of Columbia
• Non-licensed PTs - who otherwise meet the basic requirements in this standard - may be given a temporary appointment as a graduate PT at the GS-11 grade level under the authority of 38 U.S.C. 7405 (a)(1)(D) for a period not-to-exceed two years from the date of employment on the condition that such PT provide care only under the supervision of a PT who is licensed
• Failure to obtain licensure during that period is justification for termination of the temporary appointment
• May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria)
• Grade Determinations: GS-11 Physical Therapist (Entry): Education - Experience - and Licensure: None beyond the basic requirements
• GS-12 Physical Therapist (Full Performance Level): Education - Experience and Licensure: In addition to the basic requirements - candidates must possess one year of experience equivalent to the GS-11 grade level - hold a valid unrestricted state license and demonstrate all the KSAs below: Demonstrated Knowledge Skills and Abilities: In addition to the experience above - the candidate must demonstrate all of the following KSAs: Ability to make autonomous clinical decisions in a Direct Access environment
• This includes ability to independently evaluate and treat patients who seek physical therapy services
• Skill in performing examinations and evaluations of individuals who have or may develop impairments - activity limitations - and participation restrictions related to conditions of the musculoskeletal - neuromuscular - cardiovascular - pulmonary - and/or integumentary systems while considering the effects attributable to unique psychosocial and environmental factors
• Ability to interpret findings from examination and evaluation - select appropriate test and measures - and integrate findings into the physical therapy plan of care for the full range of patient populations
• Ability to establish a diagnosis within the scope of physical therapy and identify the appropriate rehabilitation intervention - including referral to another provider for further consultation as clinically indicated
• Ability to determine physical therapy prognosis by incorporating examination findings with the patient's preferences in order to set clinically appropriate treatment goals - optimize outcomes and maximize functional independence
• Ability to independently provide clinical oversight of Physical Therapy Assistants as well as students on clinical affiliations who are in Doctoral PT Programs or PTA Programs
• Preferred Experience: Community Living Center or Skilled Nursing Rehab experience
• Experience with outpatient ortho - custom wheelchair and seating - and durable medical equipment
• 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-12
• The actual grade at which an applicant may be selected for this vacancy is in the range of GS-11 to GS-12
• 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 evaluation or examination.

Duties

• Major duties include but are not limited to the following: Evaluation and Treatment Education Receives the patient's referral from an appropriate physician/ provider or via Direct Scheduling / Direct Access protocols within NWIHCS
• Demonstrates the ability to make autonomous clinical decisions in a Direct Access environment
• Adheres to the VA scheduling directive
• Independently provides assessment and treatment interventions to inpatients and outpatients received through healthcare provider referrals and patient self-referrals
• This encompasses (but is not limited to) the following environments of care within NWIHCS: Community Living Center - Outpatient Clinics - Acute Inpatient - Amputee Clinic - W/C Seating and Mobility Clinics - Primary Care (PT in Primary Care) - Specialty Pain Clinics - Whole Health - etc
• Chart review is routinely performed to assess appropriateness of the referral and contraindications for evaluation/treatment
• Evaluation includes a medical history - results - and interpretation of the appropriate tests and measurements performed
• tests are frequently complex and are adapted as needed due to multiple physical disabilities or present medical condition
• Guided by differential and movement diagnoses - the PT performs exams and evaluations of individuals who have or may develop impairments - activity limitations - and participation restrictions related to conditions of the musculoskeletal - neuromuscular - cardiovascular - pulmonary - and/or integumentary systems while considering the effects attributable to unique personal and environmental factors
• PTs interpret findings from examination - diagnostic studies /medical tests and - during evaluation - select appropriate clinical tests and measures - and then integrate findings into the physical therapy plan of care for the full range of patient populations
• Evaluative data is used to implement a comprehensive patient treatment plan that is based on current research - education - and outcomes data
• (Evidence-based care.) A physical therapy prognosis is identified
• Establishes a diagnosis within the scope of physical therapy and identifies the appropriate rehab intervention - including referral to another provider for further consultation as clinically indicated
• Demonstrates sound knowledge of clinical signs and symptoms needed to make appropriate referrals for further medical attention/assessment
• Evaluates the patient's needs for assistive devices and procures these devices from the Prosthetic Department or works with Prosthetics to schedule the patient for the appropriate Prosthetics /Orthotics Clinic for prescription and fabrication
• Determine and provide appropriate equipment needed to substitute for loss of function or to substitute for limited function
• NWIHCS is one of 18 flagship sites for Whole Health
• Physical Therapists within our system will integrate concepts of Whole Health into their plans
• This includes incorporating examination findings with the patient's preferences to set clinically appropriate treatment goals - optimize outcomes - optimize functional independence and actionize concepts of whole person care
• To better meet established goals - treatment plans are routinely modified according to evaluative findings found during on-going assessment of the patient's status
• Routinely employs unusual motivational techniques to enlist patient participation and adapts equipment/procedures to carry out a full range of complex treatment activities Education Provides and documents patient and/or significant other education appropriate to the disability being treated and goals to be achieved
• Participates in continuing education programs both on and off station for professional and personal growth
• Provides in service training as requested by Manager - PM&RS
• Assists in the orientation of new staff members and students
• Independently provides clinical oversight of Physical Therapy Assistants as well as PTA students on clinical affiliations
• Independently provides clinical oversight to PT students who are in Doctoral PT Programs
• NWIHCS is a multi-affiliated organization that offers ongoing clinical opportunities for both PT and OT students
• Discharge Planning Appropriately plans for discharge and ongoing needs for continuing physical therapy treatment
• Coordinates discharge with patient - significant others - and appropriate members of the health care team
• Consistently arranges patient's discharge equipment needs prior to discharge
• Home program and/or instruction are consistently completed prior to discharge
• Work Schedule: Monday-Friday 8:00am-4:30pm - weekend coverage PRN Telework: Not eligible Virtual: This is not a virtual position
• Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized