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. 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. 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. (2) A bachelor's degree or higher in any major along with a post-graduate orthotics or prosthetics certificate from a CAAHEP accredited program. Graduates of foreign degree programs must have proof of a minimum of a Bachelor's degree from an accredited college or university (or foreign equivalent, as verified through an independent credential evaluation company), with a specialization in orthotics and prosthetics. 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 English as required by 38 U.S.C. 7402(d). 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: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. GS-5 (Entry Level) Experience. None beyond the basic requirements. (b) Assignment. Assignments at this grade level are entry level trainee in nature where the individual receives developmental assignments designed to build upon the base knowledge, skills, and abilities. The orthotist/prosthetist at this level receives training and instruction to develop proficiency in essential occupational tasks such as taking measurements, patient communication, and fabrication and fitting of simple appliances. The work is performed under close supervision. GS-7 Experience. One year of creditable experience as an orthotist/prosthetist equivalent to the next lower grade level. Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Knowledge of medical terminology, anatomy, physiology, biomechanics, kinesiology, physics, and etiology of diseases. 2. Knowledge of psychology and age-related competency. 3. Knowledge of materials science including materials such as plastics, composites, metals, and leather commonly used in fabrication. 4. Ability to use hand and power tools in the fabrication of devices. 5. Ability to communicate orally and in writing. Assignments at this grade level represent a developmental level where the individual continues developing the more complex knowledge, skills, and abilities to prepare for substantially independent functioning at the GS-9 grade level. The work includes consultation with the physician, therapist, and/or senior orthotist/prosthetist staff members to obtain and understand the prescription; taking measurements for fabrication and fitting for common disability levels including orthoses for the trunk and cervical spine, leg braces, and prostheses for short or long stumps; and fabrication and fitting of those appliances. Supervision is close for developmental assignments and more general in nature for assignments for which the individual has demonstrated competency. The supervisor is present at final fittings. GS-9 Education equivalent to 2 full years of progressively higher level graduate education or master's or equivalent graduate degree in orthotics and/or prosthetics, provided the applicant's total background demonstrates the core competencies for GS-9 level assignment . OR Experience: Completion of 1 year of experience equivalent to the next lower grade level which demonstrates possession of the knowledge, skills, and abilities needed to provide orthotic/prosthetic services in a hospital setting. In addition, the candidate must demonstrate the following Knowledge, Skills, and Abilities (KSAs): 1. Ability to attend clinics and participate as a member of the treatment team. This includes knowledge of medical terminology, anatomy, physiology, biomechanics, kinesiology, physics, and etiology of diseases as well as knowledge of psychology and age-related competencies. 2. Knowledge of the Healthcare Common Procedure Coding System (HCPCS). 3. Ability to conduct clinical patient analyses such as gait, range of motion, life style, etc., for patients with complex but typical conditions. 4. Ability to take necessary measurements, casts, or scans to develop positive molds of the affected area of the body to create orthoses and/or prostheses. GS-11 (Full Performance Level) Experience: Completion of 1 year of experience as an orthotist/prosthetist equivalent to the next lower grade level that demonstrates possession of the knowledge, skills, and abilities needed to provide orthotic/prosthetic services in a hospital setting. In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Ability to attend clinics and participate as a fully participating member of the treatment team with considerable influence in the development of the treatment plan. This includes advanced knowledge of medical terminology, anatomy, physiology, biomechanics, kinesiology, physics, and etiology of diseases as well as knowledge of psychology and age related competencies. 2. Ability to conduct clinical patient analyses such as gait, range of motion, life style, etc., for patients with a wide range of complex medical conditions which include unusual problems or complications, and to design unique or innovative devices to accommodate those conditions. 3. Ability to recognize physical abnormalities, deviations, and complicating conditions with potentially life threatening implications. References: VA Handbook 5005-91, Part II, Appendix G32 Dated: March 21, 2017. The full performance level of this vacancy is GS-11. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-11. Physical Requirements: See VA Directive and Handbook 5019 ["At the full performance the incumbent provides clinical services within all settings of the Butler VA Health Care System to include the Health Care Center (HCC), Domiciliary Residential Rehabilitation Treatment Program (DRRTP), Community Living Center (CLC), and Community Based Outpatient Clinics (CBOC). The Prosthetist/Orthotist 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. 1. The staff Prosthetist/Orthotist conducts detailed patient assessments to include gait analysis, range of motion, coordination and balance, and motor skills; interviews patients for lifestyle assessments; and can recognize physical abnormalities, deviations, and complicating conditions. 2. The incumbent contributes to the development of prescription criteria for prosthetic and orthotic devices and develops the final coding for all prosthetic limb and custom orthotic device prescriptions while in the clinic at the time of patient evaluation. 3. The Prosthetist/Orthotist attends clinics and provides information on standard and stock items which are readily available; is a member of the treatment team and contributes to the development of the treatment plan. The incumbent has knowledge of medical terminology, anatomy, physiology, biomechanics, kinesiology, physics and etiology of diseases as well as knowledge of psychology and age-related competencies. 4. The Prosthetist/Orthotist is knowledgeable with the Healthcare Common Procedure Coding System (HCPCS). 5. Incumbent fits prefabricated braces and serves as the subject matter expert for these types of services/products. 6. Incumbent fits, fabricates, adjusts and repairs custom prostheses and orthoses through various methods and materials and measures and fits patients for prefabricated devices. 7. The Prosthetist/Orthotist measures, casts and scans patients to develop positive molds of the affected area of the body to crate orthoses and/or prostheses. 8. Prepares negative cast for scanning for the use of digitizer, CAD-CAM software and carver, pouring of plaster/alginate, and shipping. 9. Prepares the positive mold and performs scans, tracing, and impressions of body segments for lamination and/or metal, thermoplastic, thermosetting acrylic or epoxy resins, carbon, fiberglass and nylon. 10. Performs biomechanical/bench alignment, formation of metal components and bench fabrication for prostheses and orthoses. 11. Follows all manufacturers' specifications related to patient safety, lab safety and component safety. 12. Evaluates the final product as to the specifications, trim lines, contours, quality, pleasing cosmetic aesthetics and safety of the item. 13. Submits, packs and ships necessary items as pertaining to the work. 14. Other Duties as assigned. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Contact Cynthia Powell at cynthia.powell2@va.gov , the EDRP Coordinator for questions/assistance. Learn more Financial Disclosure Report: Not required Travel: Occasional travel required to travel to the CBOC's on a weekly basis"]
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.
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