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Grade: 11

1 Do you have one year of specialized experience (equivalent to at least the GS-09) to perform the duties of the position, to include making employment suitability determinations; applying clinical medical concepts and principles consistent for a licensed clinician or practitioner; interpreting tests results and determining whether further tests are warranted before final determinations; preparing individual medical documentation and communicating with difficult and/or hard to understand patients? Answer to this question is required
  • Yes
  • No
2 Have you successfully completed the National Commission on Certification of Physician Assistants (NCCPA) examination, to include completion of all requirements for continuing medical education (CME) and re-certification? Answer to this question is required
  • Yes
  • No
3 Have you graduated from a physician assistant educational program, accredited by the Accreditation Review Committee on Education for the Physician Assistant (ARC-PA)or its predecessors, at a college, university, or educational institution that is accredited by an accrediting body or organization recognized by the Secretary, U.S. Department of Education? Answer to this question is required
  • Yes
  • No

Grade: 12

1 Do you have one year of specialized experience (equivalent to at least the GS-11) to perform the duties of the position, to include making employment suitability determinations; applying clinical medical concepts and principles consistent for a licensed clinician or practitioner; interpreting tests results and determining whether further tests are warranted before final determinations; preparing individual medical documentation and communicating with difficult and/or hard to understand patients? Answer to this question is required
  • Yes
  • No
2 Have you successfully completed the National Commission on Certification of Physician Assistants (NCCPA) examination, to include completion of all requirements for continuing medical education (CME) and re-certification? Answer to this question is required
  • Yes
  • No
3 Have you graduated from a physician assistant educational program, accredited by the Accreditation Review Committee on Education for the Physician Assistant (ARC-PA)or its predecessors, at a college, university, or educational institution that is accredited by an accrediting body or organization recognized by the Secretary, U.S. Department of Education? Answer to this question is required
  • Yes
  • No

Grade: 13

1 Do you have one year of specialized experience (equivalent to at least the GS-12) to perform the duties of the position, to include making employment suitability determinations; applying clinical medical concepts and principles consistent for a licensed clinician or practitioner; interpreting tests results and determining whether further tests are warranted before final determinations; preparing individual medical documentation and communicating with difficult and/or hard to understand patients? Answer to this question is required
  • Yes
  • No
2 Have you successfully completed the National Commission on Certification of Physician Assistants (NCCPA) examination, to include completion of all requirements for continuing medical education (CME) and re-certification? Answer to this question is required
  • Yes
  • No
3 Have you graduated from a physician assistant educational program, accredited by the Accreditation Review Committee on Education for the Physician Assistant (ARC-PA)or its predecessors, at a college, university, or educational institution that is accredited by an accrediting body or organization recognized by the Secretary, U.S. Department of Education? Answer to this question is required
  • Yes
  • No

Grade: All Grades

YOUR RESPONSES TO THE FOLLOWING QUESTIONS MUST BE SUPPORTED IN YOUR RESUME.
1 Do you have experience conducting medical suitability evaluations of applicants for Federal transportation operators licenses and/or credentials? Answer to this question is required
  • Yes
  • No
2 I have experience and/or knowledge of medical conditions that may affect the safe operation for holders of a Federal transportation operator’s licenses and/or credential. Answer to this question is required
  • Yes
  • No
3 Do you have experience conducting medical fitness-for-duty determinations associated with the issuance of transportation industry credentials? Answer to this question is required
  • Yes
  • No
4 Which of the following best describes your experience in determining if physical and/or medical impairment will affect an individual's abilities to perform the duties required for a specific job? Answer to this question is required
  • I have no experience in performing this work behavior.
  • I have limited experience in performing this work behavior. I have had exposure to this work behavior but would require additional guidance, instruction, or experience to perform it at a proficient level.
  • I have experience performing this work behavior across routine or predictable situations with minimal supervision or guidance.
  • I have performed this work behavior independently across a wide range of situations. I have assisted others in carrying out this work behavior. I seek guidance in carrying out this work behavior only in unusually complex situations.
  • I am considered an expert in carrying out this work behavior. I advise and instruct others in carrying out this work behavior on a regular basis. I am consulted by my colleagues and/or superiors to carry out this work behavior in unusually complex situations.
5 Which of the following best describes your experience in interpreting results of a medical examination or evaluation including specialty tests for a patient? Answer to this question is required
  • I have no experience in performing this work behavior.
  • I have limited experience in performing this work behavior. I have had exposure to this work behavior but would require additional guidance, instruction, or experience to perform it at a proficient level.
  • I have experience performing this work behavior across routine or predictable situations with minimal supervision or guidance.
  • I have performed this work behavior independently across a wide range of situations. I have assisted others in carrying out this work behavior. I seek guidance in carrying out this work behavior only in unusually complex situations.
  • I am considered an expert in carrying out this work behavior. I advise and instruct others in carrying out this work behavior on a regular basis. I am consulted by my colleagues and/or superiors to carry out this work behavior in unusually complex situations.
6 Which of the following best describes your experience in reconciling and/or clarifying contradictions and inconsistencies on medical documents? Answer to this question is required
  • I have no experience in performing this work behavior.
  • I have limited experience in performing this work behavior. I have had exposure to this work behavior but would require additional guidance, instruction, or experience to perform it at a proficient level.
  • I have experience performing this work behavior across routine or predictable situations with minimal supervision or guidance.
  • I have performed this work behavior independently across a wide range of situations. I have assisted others in carrying out this work behavior. I seek guidance in carrying out this work behavior only in unusually complex situations.
  • I am considered an expert in carrying out this work behavior. I advise and instruct others in carrying out this work behavior on a regular basis. I am consulted by my colleagues and/or superiors to carry out this work behavior in unusually complex situations.
7 Which of the following best describes your experience in requesting additional tests or information in order to reach a final medical diagnosis and any imitations for a patient? Answer to this question is required
  • I have no experience in performing this work behavior.
  • I have limited experience in performing this work behavior. I have had exposure to this work behavior but would require additional guidance, instruction, or experience to perform it at a proficient level.
  • I have experience performing this work behavior across routine or predictable situations with minimal supervision or guidance.
  • I have performed this work behavior independently across a wide range of situations. I have assisted others in carrying out this work behavior. I seek guidance in carrying out this work behavior only in unusually complex situations.
  • I am considered an expert in carrying out this work behavior. I advise and instruct others in carrying out this work behavior on a regular basis. I am consulted by my colleagues and/or superiors to carry out this work behavior in unusually complex situations.
8 Which of the following best describes your experience in preparing medical waivers for patients certifying that their medical condition does not pose any danger to the community or workplace environment? Answer to this question is required
  • I have no experience in performing this work behavior.
  • I have limited experience in performing this work behavior. I have had exposure to this work behavior but would require additional guidance, instruction, or experience to perform it at a proficient level.
  • I have experience performing this work behavior across routine or predictable situations with minimal supervision or guidance.
  • I have performed this work behavior independently across a wide range of situations. I have assisted others in carrying out this work behavior. I seek guidance in carrying out this work behavior only in unusually complex situations.
  • I am considered an expert in carrying out this work behavior. I advise and instruct others in carrying out this work behavior on a regular basis. I am consulted by my colleagues and/or superiors to carry out this work behavior in unusually complex situations.
9 Which of the following best describes your experience in making sound medical determinations based on professional experience, technical expertise and related precedents? Answer to this question is required
  • I have no experience in performing this work behavior.
  • I have limited experience in performing this work behavior. I have had exposure to this work behavior but would require additional guidance, instruction, or experience to perform it at a proficient level.
  • I have experience performing this work behavior across routine or predictable situations with minimal supervision or guidance.
  • I have performed this work behavior independently across a wide range of situations. I have assisted others in carrying out this work behavior. I seek guidance in carrying out this work behavior only in unusually complex situations.
  • I am considered an expert in carrying out this work behavior. I advise and instruct others in carrying out this work behavior on a regular basis. I am consulted by my colleagues and/or superiors to carry out this work behavior in unusually complex situations.
10 Which of the following best describes your experience in delivering 'fitness for duty' determinations for individuals in certain occupations? Answer to this question is required
  • I have no experience in performing this work behavior.
  • I have limited experience in performing this work behavior. I have had exposure to this work behavior but would require additional guidance, instruction, or experience to perform it at a proficient level.
  • I have experience performing this work behavior across routine or predictable situations with minimal supervision or guidance.
  • I have performed this work behavior independently across a wide range of situations. I have assisted others in carrying out this work behavior. I seek guidance in carrying out this work behavior only in unusually complex situations.
  • I am considered an expert in carrying out this work behavior. I advise and instruct others in carrying out this work behavior on a regular basis. I am consulted by my colleagues and/or superiors to carry out this work behavior in unusually complex situations.
11 Which of the following best describes your experience in applying the Health Insurance Portability and Accountability Act (HIPAA) laws and regulations when accessing patient records? Answer to this question is required
  • I have no experience in performing this work behavior.
  • I have limited experience in performing this work behavior. I have had exposure to this work behavior but would require additional guidance, instruction, or experience to perform it at a proficient level.
  • I have experience performing this work behavior across routine or predictable situations with minimal supervision or guidance.
  • I have performed this work behavior independently across a wide range of situations. I have assisted others in carrying out this work behavior. I seek guidance in carrying out this work behavior only in unusually complex situations.
  • I am considered an expert in carrying out this work behavior. I advise and instruct others in carrying out this work behavior on a regular basis. I am consulted by my colleagues and/or superiors to carry out this work behavior in unusually complex situations.
12 Which of the following best describes your experience in determining if medical conditions of an individual may affect the safe operation of a vessel or boat? Answer to this question is required
  • I have no experience in performing this work behavior.
  • I have limited experience in performing this work behavior. I have had exposure to this work behavior but would require additional guidance, instruction, or experience to perform it at a proficient level.
  • I have experience performing this work behavior across routine or predictable situations with minimal supervision or guidance.
  • I have performed this work behavior independently across a wide range of situations. I have assisted others in carrying out this work behavior. I seek guidance in carrying out this work behavior only in unusually complex situations.
  • I am considered an expert in carrying out this work behavior. I advise and instruct others in carrying out this work behavior on a regular basis. I am consulted by my colleagues and/or superiors to carry out this work behavior in unusually complex situations.
13 Which of the following best describes your experience in discussing the medical condition of a patient to other licensed practitioners and/or the patient's medical representative? Answer to this question is required
  • I have no experience in performing this work behavior.
  • I have limited experience in performing this work behavior. I have had exposure to this work behavior but would require additional guidance, instruction, or experience to perform it at a proficient level.
  • I have experience performing this work behavior across routine or predictable situations with minimal supervision or guidance.
  • I have performed this work behavior independently across a wide range of situations. I have assisted others in carrying out this work behavior. I seek guidance in carrying out this work behavior only in unusually complex situations.
  • I am considered an expert in carrying out this work behavior. I advise and instruct others in carrying out this work behavior on a regular basis. I am consulted by my colleagues and/or superiors to carry out this work behavior in unusually complex situations.
14 Which of the following best describes your experience in preparing information on various medical disorders and the anticipated complications and therapeutic interventions? Answer to this question is required
  • I have no experience in performing this work behavior.
  • I have limited experience in performing this work behavior. I have had exposure to this work behavior but would require additional guidance, instruction, or experience to perform it at a proficient level.
  • I have experience performing this work behavior across routine or predictable situations with minimal supervision or guidance.
  • I have performed this work behavior independently across a wide range of situations. I have assisted others in carrying out this work behavior. I seek guidance in carrying out this work behavior only in unusually complex situations.
  • I am considered an expert in carrying out this work behavior. I advise and instruct others in carrying out this work behavior on a regular basis. I am consulted by my colleagues and/or superiors to carry out this work behavior in unusually complex situations.