The Pelvic Rehabilitation program is an innovative healthcare program to enhance access to treatment for pelvic health. This model leverages multiple modes of access, including telemedicine, specific technology for pelvic floor health. This program provides access and care by efficient integration and collaboration with Women's Health at the Salem VAMC. 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 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. 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. Physical Requirements. Pre-placement and periodic physical examinations are required for hybrid occupations to ensure workers are placed in positions where they can perform the essential functions of their job considering their physical, mental and emotional capacities, without endangering their health or the health of their co-workers. See VA Directive and Handbook 5019. g. 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. 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- 13 Physical Therapist - Clinical Specialist (a) Experience. In addition to meeting the basic requirements, one year of progressively complex experience equivalent to the GS-12 grade level and one of the following: 1. Evidence of a minimum of 2,000 hours of clinical practice directly in the specialty area. This time must be between the past two and five years; or 2. Board Certification in the specialty area recognized by the ABPTS; or 3. Completion of a fellowship program; or 4. An additional advanced degree in a related field. In addition, the candidate must demonstrate the all following KSAs. (b) Demonstrated Knowledge, Skills, and Abilities 1. Advanced knowledge and expert skill in a range of specialized interventions and treatment modalities used in a specialized treatment area of physical therapy. 2. Ability to serve as a consultant and subject matter expert for health care providers regarding the delivery of care within a specialized content area of physical therapy (see paragraph 2i). 3. Ability to teach and mentor medical center staff in a specialized content area of physical therapy. 4. Ability to guide the work of a multi-disciplinary team in a specialized content area of physical therapy. 5. Advanced knowledge and expert skill to perform and interpret specialized procedures and tests in evaluating the treatment outcomes in the assigned specialty content area (see Definitions, paragraph 2. i.). (c) Assignment. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and variety. Clinical Specialists spend at least 25% or greater of their time working with specialized population(s) within their department. Physical therapists at this level perform assignments in specialty areas such as geriatrics, neurology, cardiopulmonary, orthopedics, spinal cord injury, amputee, wound care, chronic pain, electromyography, women's health or pelvic health, polytrauma, brain injury, lymphedema, vestibular, assistive technology, seating and mobility. The individual is assigned responsibility for serving as the subject matter expert in the content specialty area and as a consultant to physical therapy and other medical center staff in evaluating and treating patients in the specialty area. Clinical Specialists have advanced knowledge and demonstrate expert clinical practice skills in providing assessment and treatment interventions across the continuum of care. He/she utilizes advanced knowledge and expertise to modify treatment plans and to identify therapeutic activity interventions based on the changing needs, goals and performance of patients. Clinical Specialists have advanced training in specialized technology related to their area of practice. References: VA HANDBOOK 5005/99 PART II APPENDIX G12 The full performance level of this vacancy is 13. The actual grade at which an applicant may be selected for this vacancy is in the range of 13 to 13. Physical Requirements: The physical demands of a Physical Therapist are considered "medium duty: with regards to strength and endurance according to the Department of Labor. Medium work entails exerting 20-50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and /or greater than negligible up to 10 pounds of force constantly to move objects. Frequent standing, walking, bending, sitting, crouching/kneeling, and changing from one position to the other frequently throughout the day. Sitting at a desk and using upper extremities to reach, grasp, and place papers, charts, and binders. Reaching, lifting, carrying, pushing, and pulling: 1-10 pounds constantly, 10-25 pounds frequently, and 20-50 pounds occasionally. ["Duties: Primary function is direct patient/client care. Has advanced knowledge of contemporary Physical Therapy across multiple areas of practice gained through completion of rotations within the various PT clinics or outside facility experience, and the demonstrated ability to apply this advanced knowledge to provide clinical guidance to Staff Physical Therapists, residents, and PT interns. Provides clinically appropriate treatment programs for client evaluation and treatment, within this Veterans Administration Medical Center, with great autonomy. Performs and interprets tests and measures to assess normal parameters of physiological functions, as well as, pathophysiological, pathomechanical, electrophysiological, ergonomic, and developmental deficits of bodily systems to determine diagnosis, treatment, prognosis, and prevention. Develops, coordinates, and implements highly specialized treatment programs within his/her assigned clinic, based on best practices for patient/client management, to relieve pain, restore or enhance performance, and maximize independence in functional abilities. Demonstrates competence in treating both males and females with pelvic floor dysfunction. A minimum of 50% of this clinician's time is devoted to the practice of this specialty service. Demonstrates clinical expertise in evaluation, interpretation, and treatment utilizing Biofeedback and specialty stimulation equipment such as Pathway CTS 2000 Continence Evaluation and Training System. Serves as a mentor/trainer to other staff in utilizing these devices. Demonstrates the ability to interpret and assimilate diagnostic testing from other disciplines related to pelvic dysfunctions including Urology, Gynecology, Neurology and Colorectal Services. Demonstrates skill in educating other staff in the utilization of this specialized information for effective client care. Demonstrates advanced manual therapy skills especially for the lumbar, sciatic, hip, and pelvis. Performs assessment of muscles, ligaments, nerves and bony landmarks within the pelvic floor and pelvic girdle. Skills include perineal sensory assessment, ligamentous provocation, muscle strength testing, restriction and pain assessment of pelvic girdle muscles, fascia and nerves, and coordination of pelvic floor muscles with functional activities. Directly assists the Supervisor of Physical Therapy in clinic development, outcome management, and strategic planning related to the Pelvic Rehabilitation Program. Recognizes the appropriateness of responses to treatment based on indications, precautions, and contraindications. Recognizes when to refer conditions outside the scope of physical therapy practice to the appropriate provider. Provides clients and their families with counseling, education, information, and training regarding the nature of their impairments, functional limitations, treatment plan, goals, home program, and/or disability. This is accomplished individually or with the interdisciplinary team, family, and patient. Demonstrates physical therapy competencies at the full performance level of clinical specialist physical therapist within the physical therapy scope of practice. Work Schedule:7:45AM-4:30PM Monday-Friday Functional Statement/#: Physical Therapist Clinical Specialist (Pelvic Rehab)/000000 Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required VA Careers - Physical Therapy: https://youtube.com/embed/Gi2hoFqIoqY"]

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