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DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency ProgramPrimary Care PhysicianAssistant PostgraduateResidency Program Manual2022- 2023North Florida South GeorgiaVeterans Health System –Malcom Randall VA MedicalCenterGainesville, Florida1 Page
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency ProgramACKNOWLEDGEMENTSThe North Florida South Georgia VAMC Primary Care Physician Assistant PostgraduateResidency Program Director, Adrienne Feinglass, MMS, PA-C wishes to acknowledge thecontribution of the Primary Care Physician Assistant Postgraduate Residency ProgramManual by the Clement J Zablocki VA Medical Center in Milwaukee, Wisconsin and theNF/SG Psychiatric-Mental Health Nurse Practitioner Residency Program Handbookprovided by Dr. Kerry Creasy, PhD, APRN. Both of which served as a primary source ofinspiration and content for this handbook. Ms. Feinglass, MMS, PA-C also wishes to thankthe following for their contributions in the development of this handbook: the Office ofAcademic Affiliations, Nursing Education, VA Policies, NF/SG VHS Pharmacy Residencyand our University of Florida College of Physician Assistant Studies.2 Page
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency ProgramTABLE OF CONTENTSAcknowledgements 2Welcome 6Mission Statement & Description . .7Program Purpose . 7Objective . 7Program Goals .8Program Competencies .9Department of Veterans Affairs Mission Statement . 11PIV Card/Employee ID Badge . . .12Program Faculty and Staff 12VHA Core Values . 13Preceptor/Clinical Rotation Contacts .13Duty Hours .15Resident Leave 16Fatigue and Resident Stress .18Performance Evaluation of PA Residents .18PA Resident Evaluation of Rotation and Preceptor .18Resident/Faculty Lectures 18Grading Scale .18Remediation .18NCCPA Certification Requirement 19Licensure Requirements .19Promotion and Graduation .203 Page
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency ProgramRotation Schedule Changes . .20Resident Office 20Housing .20Parking .20Gym Access .20Resident Supervision Policy: Responsibilities of Supervising Practitioner, PA Resident, andPA Residency Program; PA Resident rights . .20Basic Life Support 26Lab Coats and Scrubs . 26Educational Loan Forbearance .26Primary Care PA Residency SharePoint site .26Patient Rights and Privacy .26Withdrawal from the Program .27Cough Masks and Face Shields .28E-mail .28Microsoft Teams .28Home Access .28Clinical Rotation Objectives 28PA competency self-assessment .28Program Director Quarterly Meetings: .29General AppendicesAppendix A: North Florida / South Georgia VAMC Primary Care Physician AssistantResidency Program Policies and Procedures 304 Page
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency Program*Accreditation Status . .31*Hiring Preference Policy . .31*Required Academic and Eligibility Requirements . 32*Requirements prior to the start of the postgraduate PA Residency Program 33*Required PA Competencies and Technical Standards 33*Curricular Components .34*Stipend, Benefits, and Program Costs 35*Malpractice Insurance .37*Duty Hours .37*Advanced Placement Policy .38*Academic credit Policy .38*Moonlighting Policy 38*Graduation Requirements .38*Reduction in size or closure of postgraduate PA Program .39*Grievance Policy .40Appendix B:Primary Care Postgraduate PA Residency Program Self-Evaluation Tool 46Malcom Randall VAMC PA Residency Program Clinical Rotation / PreceptorEvaluation Form .52Competency Form (Resident Evaluation Form by Preceptors) 55PCPA Advising Form .56University of Florida & NF/SG VA Medical Center Continuing Medical EducationEvaluation Form .575 Page
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency ProgramAppendix C: Clinical Rotation Syllabi .59Primary Care Continuity Clinic Syllabus .59Primary Care Rotation Syllabus .68Internal Medicine Rotation Syllabus 79Cardiology Rotation Syllabus 85Psychiatry Rotation Syllabus . 91Emergency Medicine Rotation Syllabus .99Endocrinology Rotation Syllabus 107Palliative Care Rotation Syllabus .112Infectious Disease Rotation Syllabus .117Dermatology Rotation Syllabus .122General Surgery Rotation Syllabus 127Pulmonary Rotation Syllabus . 134Appendix D: Acknowledgement of Residency Manual .140Welcome! Welcome to the North Florida South Georgia VA Medical Center PrimaryCare Physician Assistant Postgraduate Residency Program. This PA Residency Programbegan in 2012 after the NF/SG VA Medical Center was one of 6 sites selected nationallyto establish a pilot residency training program in Primary Care adult medicine. Thisprogram is a postgraduate education program designed to facilitate the professionalgrowth of Physician Assistants, with emphasis on recent Physician Assistant graduates.The residency is designed to mentor the skills required by a Primary Care PhysicianAssistant. It strives to enhance the clinical knowledge and skills of the Physician Assistantprovider to aptly care for the typical, complex patient in a VA primary care setting. TheResidency Program will also instruct the PA Resident on the VA Primary Care deliveryconcept of the Patient Aligned Care Teams or PACTs through clinical experience. ThePACT methodology of care reflects the ongoing efforts of the continuous, team-based,6 Page
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency Programefficient, comprehensive and coordinated. The PA Residency Program hopes toincrease the availability of providers that can assist in the care of Veterans within thePatient Aligned Care Teams. The Residency program is designed as a one year (12month) course of study integrating clinical experiences as well as didactic learning. Allof the clinical rotations are within the NF/SG Malcom Randall VAMC (unless a VA CBOCor another site is mutually agreed upon by the PA Resident and the Program Director).Mission Statement: The mission of the NFSG Veteran Affairs Primary CarePostgraduate Physician Assistant Residency Program is to recruit and train highlyqualified graduate physician assistants to provide high-quality, safe and efficient careto patients within the Veterans Affairs system to enter the field of primary care asexemplary providers with deep broad evidence-based knowledge about commondisease processes which are seen in veteran patients.Description: The North Florida South Georgia Veterans Health System endeavors toprovide an atmosphere conductive to the education of future primary care physicianassistants (PAs). The residency also stresses the importance of commitment to selfdirected, life-long learning. The resident will be a PA who understands the limits of his orher own abilities and knowledge, and who knows when to seek advice andconsultation. PAs that complete the residency will be competent to provide effective,quality health care to their patients with direct and indirect supervision.Program Purpose: The North Florida South Georgia VA Medical Center PrimaryCare PA Residency Program builds upon graduate Physician Assistant education tocontribute to the development of physician assistants responsible for providing adultprimary care medicine to veteran patients with a wide range of conditions.Program Objectives:1. Integrate evidence-based knowledge, ethical principles, and clinical excellence inprimary care Physician Assistant residents while caring for the Veteran population.2. Develop the role of exceptional Physician Assistant residents with a commitment toexcellence and quality outcomes.3. Develop collaborative skills through interprofessional relationships and team-basedcare approaches.7 Page
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency Program4. Integrate quality, efficiency, and cost effectiveness while supporting awareness ofthe complex health care delivery system.5. Provide physician assistant residents with depth, breadth, volume, and intensity ofclinical training necessary to serve as primary care providers in the VA.6. Train physician assistant residents in a model of Veteran-centric care that iscompassionate, valued, and effective in promoting health and preventing illness.Program Goals:Goals of the North Florida South Georgia VA Primary Care Postgraduate PhysicianAssistant Residency Program are derived from and modeled after the Principles ofPatient Centered Medical Home Model (PCMH) which is a patient-driven, team-basedapproach that delivers efficient, comprehensive and continuous care through activecommunication and coordination of healthcare services. The Veterans HealthAdministration desires to remain at the forefront of health care delivery and thus hasdeveloped initiatives to integrate key components of Patient Centered Medical Homeinto care provided to the Veteran Patient, called the Patient Aligned Care Team orPACT. The Primary Care Postgraduate PA Residency Program aims to integrate PACTprinciples into its curriculum to aid in a seamless transformation of VHA Primary Care tothe PACT Model.Graduates of the North Florida South Georgia VA Primary Care Postgraduate PhysicianAssistant Residency Program will be able to:1) Act as the Primary Care Provider within the Veterans Health Administration (VHA)Patient Aligned Care Team (PACT) Design.2) Work as a member of the PACT interdisciplinary team which includes the Veteranpatient, RN care manager, clinical and administrative staff as well as other clinicalservices (specialists) necessary to meet the health goals and needs of the VeteranPatient.3) Provide comprehensive care to the veteran patient by using education, preventivecare services, lifestyle coaching, appropriate consultation, and early detectionscreenings to deliver whole person oriented care.4) Focus on the veteran patient as a person rather than a condition or disease entity inorder to establish a partnership with the veteran patient, their families and/or caregiversto ensure that the veteran patient’s wants, needs and preferences are respected andat the hub of decision-making.5) Direct the members of the PACT team in its responsibility for delivering all of theveteran patient’s health care needs and for appropriately arranging care with otherqualified professionals when necessary.8 Page
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency Program6) Communicate with the veteran patient honestly, respectfully, reliably and withcultural sensitivity allowing the veteran patient to offer truthful communication withoutfear of judgment or repercussions.7) Coordinate across all elements of the health care system to assure that veteranpatients make informed choices and get the agreed upon care when and where theyneed and want it in the appropriate manner.8) Build upon the foundation of skill and knowledge laid by graduate level “generalist”Physician Assistant training with emphasis on Primary Care of the Veteran Patient andthe physical, mental and social complexities and medical co-morbidities that oftenpresent within this special group of patients.9) Develop a deep and broad knowledge base of the common disease processesseen in a typical, complex VA patient, understanding the pathophysiology, variouspresenting clinical presentations and disease prognosis.10) Develop a diverse differential diagnosis and respective diagnostic/treatment planbased upon patient’s presenting symptoms along with evidence-based and costeffective medical care.Program Competencies:Upon completion of the North Florida South Georgia Primary Care PostgraduatePhysician Assistant Residency Program, the graduate PA will exhibit competency in thefollowing six key areas required for successful practice as a Physician Assistant in a VAPrimary Care setting: Medical Knowledge, Interpersonal & Communication Skills, PatientCare, Professionalism, Practice-Based Learning and Improvement, and Systems-BasedPractice.Medical Knowledge: The Primary Care PA within the VA Patient Aligned Care Team(PACT) will: Understand etiologies, risk factors, underlying pathologic process, andepidemiology for medical conditions seen in patients in a primary care settingIdentify signs and symptoms of medical conditions commonly seen in a primarycare setting and Select and interpret appropriate diagnostic or lab studiesManage general medical conditions to include understanding the indications,contraindications, side effects, interactions, and adverse reactions ofpharmacologic agents and other relevant treatment modalitiesIdentify the appropriate site of care for presenting conditions, includingidentifying emergent cases and those requiring admission or referralIdentify appropriate interventions for prevention of conditions in a primary caresetting as well as detection of conditions in an asymptomatic individual9 Page
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency ProgramAppropriately use history and physical findings and diagnostic studies toformulate a differential diagnosis Provide appropriate care to patients with chronic conditions in a primary caresettingInterpersonal & Communication Skills: The Primary Care PA within the VA PatientAligned Care Team (PACT) will: Use effective listening, nonverbal, explanatory, questioning, and writing skills toelicit and provide informationWork effectively with physicians and other healthcare professionals as a memberor leader of a health care team or other professional groupCreate and sustain a therapeutic and ethically sound relationship with patientsAppropriately adapt communication style and messages to the context of theindividual patient interactionDemonstrate emotional resilience and stability, adaptability, flexibility, andtolerance of ambiguity and anxietyAccurately and adequately document and record information regarding thecare process for medical, legal, quality, and financial purposesPatient Care: The Primary Care PA within the VA Patient Aligned Care Team (PACT)will: Work effectively with physicians and other health care professionals to providepatient-centered careDemonstrate caring and respectful behaviors when interacting with patients andfamiliesGather essential and accurate information about their patientsDevelop and carry out patient management plansCounsel and educate patients and their familiesProvide health care services and education aimed at preventing healthproblems or maintaining healthMake informed decisions about diagnostic and therapeutic interventions basedon patient information and preferences, up-to-date scientific evidence, andclinical judgmentProfessionalism: The Primary Care PA within the VA Patient Aligned Care Team (PACT)will:10 P a g e
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency Program Understand their role as the medical provider of the care team whilecollaborating effectively with physicians and other health care providers of theinterdisciplinary teamBe responsive to the needs of the primary care patients while exhibiting respect,compassion, integrity, and sensitivity with regards to patient’s culture, age,gender, and disabilityCommit to excellence and on-going professional development in the area ofPrimary Care MedicineFoster an environment of self-reflection, clinical curiosity, and initiativePractice-Based Learning and Improvement: The Primary Care PA within the VAPatient Aligned Care Team (PACT) will: Apply information technology to manage information, access on-line medicalinformation, and support their own clinical educationFacilitate the learning of students and/or other health care professionalsRecognize and appropriately address gender, cultural, cognitive, emotional,and other biases; gaps in medical knowledge; and physical limitations inthemselves and othersApply knowledge of study designs and statistical methods to the appraisal ofclinical studies and other information on diagnostic and therapeuticeffectivenessObtain and apply information about the Veteran population of patients in aprimary care settingLocate, appraise, and integrate evidence from scientific studies related toVeteran patients’ health problemsAnalyze practice experience and perform practice-based improvementactivities using a systematic methodology in concert with other members of thehealth care delivery teamSystems-Based Practice: The Primary Care PA within the VA Patient Aligned CareTeam (PACT) will: Effectively interact with other healthcare systems outside of the VA hospital toobtain pertinent patient medical record informationAppropriately utilize the VA Joint Legacy Viewer and Remote Data systems toobtain comprehensive patient medical informationPartner with physicians, health care managers, and other health care providersto assess, coordinate, and improve the delivery of health care and patientoutcomes.11 P a g e
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency Program Appropriately fill out patient encounter forms to properly capture levels of careprovided and ensure proper coding and billing for services providedDepartment of Veterans Affairs Mission Statement: To fulfill President Lincoln'spromise “To care for him who shall have borne the battle, and for his widow, and hisorphan” by serving and honoring the men and women who are America’s veterans.VHA Core Values: VA’s five core values underscore the obligations inherent in VA’smission: Integrity, Commitment, Advocacy, Respect, and Excellence. The core valuesdefine “who we are,” our culture, and how we care for Veterans and eligiblebeneficiaries. Our values are more than just words – they affect outcomes in our dailyinteractions with Veterans and eligible beneficiaries and with each other. Taking the firstletter of each word—Integrity, Commitment, Advocacy, Respect, Excellence—createsa powerful acronym, “I CARE,” that reminds each VA employee of the importance oftheir role in this Department. These core values come together as five promises wemake as individuals and as an organization to those we serve. Integrity: Act with high moral principle. Adhere to the highest professionalstandards. Maintain the trust and confidence of all with whom I engage.Commitment: Work diligently to serve Veterans and other beneficiaries. Bedriven by an earnest belief in VA’s mission. Fulfill my individual responsibilitiesand organizational responsibilities.Advocacy: Be truly Veteran-centric by identifying, fully considering, andappropriately advancing the interests of Veterans and other beneficiaries.Respect: Treat all those I serve and with whom I work with dignity andrespect. Show respect to earn it.Excellence: Strive for the highest quality and continuous improvement. Bethoughtful and decisive in leadership, accountable for my actions, willing toadmit mistakes, and rigorous in correcting them.Visit the I CARE website for more information.PIV Card/Employee ID Badge: Employee Identification badge and PIV card(Location: Portable T-7, 352-548-6000 ext: 107561)12 P a g e
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency ProgramProgram Faculty and Staff:Program Director:Adrienne Feinglass, MMS, PA-CAdrienne.Feinglass@va.govMedical Director:Saji Packal, MDSaji.Packal@va.govClerkship Director:Naghma Ahmed PA-CNaghma.Ahmed@va.govAssoc. Chief of Staff – Office of Education:Laurence Hood, MDLaurence.hood@va.govPrivacy Officer:Patrick CheekPatrick.Cheek@va.gov(352) 5487174HR Specialist:Kimball HubbardKimball.Hubbard@va.gov352-548-6000 EXT: 107669Equal Employment OpportunityPatricia HawkPatricia.Hawk@va.gov(352) 374-6193Program duate-programs/Preceptors/Clinic Rotation Contacts:Primary Care:13 P a g e
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency ProgramDr. Dung N Le - Dung.Le1@va.govDr. Saji Packal - Saji.Packal@va.govDr. Malathi Krishnaswamy – Malathi.Krishnaswamy@va.govCardiology:Don Chapman PA-C – Don.Chapman@va.govInternal medicine:Chris Bumgarner PA-C - :Dr. Hans Ghayee - Hans.Ghayee@va.govDr. Majlinda Xhikola - Majlinda.Xhikola@va.govNaghma Ahmed PA-C – Naghma.Ahmed@va.govPsychiatryConsult Service:Dr. Cheong – Josepha.cheong@va.govAnkit H Patel PA-C- Ankit.Patel4@va.govInpatient Substance Abuse/Detox:Dr. Leonardo Rodriguez - Leonardo.Rodriguez@va.govMichelle Hudleston PA-C - Michelle.Hudleston@va.govGeneral Surgery:Dr. Lindsey E. Goldstein – Lindsey.Goldstein@va.govShonda VanDuyne - Shonda.VanDuyne@va.gov (office administrator)Amy Mullikin ARNP – Amy.Mullikin@va.govInfectious Disease:Dr. Gary Ping Chuan Wang – gary.wang@medicine.ufl.eduDr. Asmita Gupte – Asmita.Gupte@medicine.ufl.eduEmergency Medicine:Dr. Eric Colon - Eric.colon@va.govDr. Steve Sims - steven.sims@va.govPalliative Care:Dr. Shayna E. Rich - Shayna.Rich@va.govDermatology:Dr. Kimberly Merkel - Kimberly.Merkel1@va.govJessica Rountree PA-C – Jessica.Rountree@va.govAdrienne Feinglass PA-C - Adrienne.feinglass@va.govPulmonary:Dr. Peruvemba Sriram - Peruvemba.sriram@va.govDiana Obradovic PA-C - Diana.Obradovic@va.govSally E. Thompson PA-C Sally.Thompson@va.gov14 P a g e
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency ProgramNorth Florida/South Georgia VA Primary Care ResidencyThe North Florida/South Georgia PA residency information can be found at thefollowing duate-programs/Internships And Fellowships VA North Florida/South Georgia Health Care VeteransAffairsDuty Hours: The average duty hours for this residency program are 40 hours perweek between clinical, didactic and asynchronous education. Duty hours vary basedon clinical rotation.Providing Physician Assistant Residents with a sound academic and clinical educationmust be carefully planned and balanced to ensure patient safety and trainee wellbeing. The residency program must ensure that the learning objectives of the programare not compromised by excessive reliance on trainees to fulfill serviceobligations. Didactic and clinical education must have priority in the allotment oftrainees’ time and energies. This institution is committed to the promotion of aneducational environment, support of the physical and emotional well-being of itsgraduate physician assistants and the facilitation of high quality patient care.The Primary Care PA Residency Program is coordinated such that the programcomplies with the ACGME 2015 Approved Duty Hours Standards (currently in effect)and Specialty-Specific Duty Hours Definitions, as published by the Accreditation Councilfor Graduate Medical Education (ACGME) (www.acgme.org).a. Most of the clinical rotations are outpatient experiences and do not require callhours.b. The Emergency Medicine rotation may require scheduling of shifts during “off”business hours i.e. not during 8AM – 5PM, unless in the urgent care clinic.c. PA Residents will have a primary care continuity clinic every Tuesday located onthe first floor PACT Clinic for the entire duration of the program.d. Residents are expected to arrive at least 15 min prior to the start of every shift.e. Rotations will vary in terms of shifts, days, and holidays.15 P a g e
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency Programf.Resident is responsible for approximately 40 hours per week devoted toresidency training between duty hours (onsite training, conferences, rotations),reading, grand rounds and research activitiesg. Residents are expected to work the schedule set by preceptor and/or programdirector which may consist of days, evenings, nights, weekends and holidays.**There are no overnight in-house or at home call duties for this residency programat this time**Resident Leave(annual and sick)a) Department of Veterans Affairs Time Away from Work (VA Observed holidays listedhere): http://www.va.gov/jobs/job benefits/time away.aspb) As PA trainees within the VA, PA Residents will accrue annual leave (AL) at the rateof 4 hours for each full biweekly pay period and sick leave (SL) at the rate of 4 hours foreach full biweekly pay period, therefore 13 days of AL and 13 days of SL for the year.Residents may take annual leave for personal reasons i.e. already scheduledvacations, etc. or sick leave for medical appointments, illnesses or to care for sick familymembers, however consideration should be made as to not miss a significant amountof time away from respective clinical rotations. PA Residents should notify both theprogram director and clinical preceptor of sick days and/or vacation days. PAResidents should discuss with their clinical preceptor making up sick and/or vacationdays during didactic time if possible. PA Residents should enter sick time and AL timein the VATAS system: https://vatas.va.gov/webta/Loginc) PA Residents are eligible to receive time off for federal holidays including New Year’sDay, Birthday of Martin Luther King, Jr., Washington’s Birthday, MemorialDay, Juneteenth Day, Independence Day, Labor Day, Columbus Day, Veteran’s Day,Thanksgiving Day and Christmas Day. When a holiday falls on a non-workday (Saturdayand Sunday) the holiday usually is observed on Monday (if the holiday falls on aSunday) or Friday (if the holiday falls on a Saturday). If a PA Resident is on an inpatient16 P a g e
DEPARTMENT OF VETERANS AFFAIRSNorth Florida/South Georgia Veterans Health SystemMalcom Randall VA Medical Center1601 SW Archer RoadGainesville, FL 32608-1135Primary Care Physician Assistant Postgraduate Residency Programrotation or in the emergency room when a federal holiday falls, the PA resident may berequired to work the
Malcom Randall VA Medical Center 1601 SW Archer Road ville, FL 32608-1135 1 Page Primary Care Physician Assistant Postgraduate Residency Program Primary Care Physician Assistant Postgraduate Residency Program Manual . 2022- 2023 . North Florida South Georgia Veterans Health System - Malcom Randall VA Medical Center . Gainesville, Florida
