Orthotist-Prosthetist

Summary This position functions primarily in the Orthotic‑Prosthetic Laboratory Section of the Prosthetic and Sensory Aids Service. The Orthotist‑Prosthetist or Orthotist/Prosthetist provides appropriate orthotic and/or prosthetic devices and treatment. Qualifications 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: A bachelor's degree or higher in orthotics and prosthetics from a Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredited program OR – A bachelor's degree or higher in any major along with a post‑graduate orthotics or prosthetics certificate from a CAAHEP accredited program 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 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) Grandfathering Provision Orthotists‑prosthetists‑or orthotist/prosthetists employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and certification that are part of the basic requirements of the occupation For employees who do not meet all the basic requirements required in this standard – but who met the qualifications applicable to the position at the time they were appointed to it – the following provisions apply: Orthotists‑prosthetists‑or orthotist/prosthetists that do not meet the basic requirements for education and certification may be reassigned – promoted up to and including the full performance (journey) level – or demoted within the occupation – but may not be promoted beyond the journey level or placed in supervisory or managerial positions Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed – on a temporary or permanent basis – until they fully meet the basic requirements of the standard Employees initially grandfathered into this occupation who subsequently obtain additional education and/or certification that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation If an employee who was retained under this provision leaves the occupation – the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation Grade Determinations: In addition to the basic requirements – you must also meet the grade level requirements Orthotist/Prosthetist is an allied health professional specifically trained to provide or manage the provision of custom designed, fabricated, modified and fitted orthoses and prostheses based upon the independent or consultative clinical assessment of the patient’s unique needs and desires – as well as their expectations and pursuant to a physician’s prescription GS‑11 Orthotist/Prosthetist (Full Performance Level): Experience – Completion of 1 year of experience as an orthotist/prosthetist equivalent to the next lower grade level (GS‑09) that demonstrates possession of the knowledge, skills and abilities needed to provide orthotic/prosthetic services in a hospital setting Demonstrated Knowledge, Skills and Abilities (KSAs) In addition to the experience above – the candidate must demonstrate the following KSAs: 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 Ability to conduct clinical patient analyses such as gait, range of motion, lifestyle 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 Ability to recognize physical abnormalities, deviations and complicating conditions with potentially life‑threatening implications Reference: For more information on this qualification standard – please visit The full performance level of this vacancy is GS11 The actual grade at which an applicant may be selected for this vacancy is GS11 Physical Requirements: See VA Directive and Handbook5019. Duties The Orthotist‑Prosthetist or Orthotist/Prosthetist provides appropriate orthotic and/or prosthetic devices and treatment Examination of the patient and assessment of their individual needs and desires Compliance with the treatment plan Design, component selection, measurement/casting of the patient, fabrication and fitting of the device to the patient Proper documentation of the patient record Continuing care and periodic examination of the patient and the orthotic/prosthetic device to assess fit, function and changing needs of the patient Communicates with patient and/or caregiver about the recommended treatment plan to involve them in orthotic or prosthetic care Includes disclosure of potential risks/benefits Verifies patient care by documenting history, ongoing care and follow‑up using established record‑keeping techniques Refers patient – if appropriate – to higher level Orthotist and/or Prosthetist for intervention beyond orthotic/prosthetic scope of practice or privileging Consults with higher‑level Orthotist and/or Prosthetist to clarify or with physician/referral source to modify – if necessary – the original prescription and/or treatment plan Identifies material, design and components to support anticipated outcome Informs patient, family and/or caregiver of the orthotic/prosthetic procedure – possible risks and time involved in the procedure Selects appropriate material/techniques to implement treatment plan Provides patient with preparatory care for orthotic/prosthetic treatment Prepares patient for procedure required to initiate treatment plan Consults technical component/material resources as required Prepares delineation/impression/template for modification/fabrication Fabricates/assembles prescribed device by assembling selected materials/components to prepare for fitting and/or delivery Assesses device for structural safety and ensures that manufacturers’ guidelines have been followed prior to patient fitting/delivery Assesses/align orthosis/prosthesis for accuracy in sagittal, transverse and coronal planes to provide maximum function/comfort Provides gait training / functional‑use training Ensures that materials, design and components are fit/delivered as prescribed Completes fabrication process after achieving optimal fit of orthosis/prosthesis Educates/counsel patient and/or caregiver about the use and maintenance of the orthosis/prosthesis Reassesses orthosis/prosthesis for structural safety prior to patient delivery Documents treatment using established record‑keeping techniques to verify implementation of treatment plan Solicits subjective feedback from patient and/or caregiver to determine status Assesses patient’s functional level Assesses patient’s skin condition Assesses patient’s general health – height and weight – and notes any changes Assesses patient’s psychosocial status – and notes any changes Assesses fit of orthosis/prosthesis with regard to strategic contact to determine need for changes relative to initial treatment goals Assesses fit of orthosis/prosthesis with regard to anatomical relationships to orthosis/prosthesis to determine need for changes relative to initial treatment goals Formulates plan to modify orthosis/prosthesis based on findings Informs patient and/or caregiver of plan to modify orthosis/prosthesis Makes specified modifications to orthosis/prosthesis Assesses modified device for structural safety – and ensures that manufacturers’ guidelines have been followed Evaluates modifications to orthosis/prosthesis – including static and dynamic assessment to confirm that goals and objectives of modifications have been met Reassesses patient knowledge and understanding of goals and objectives to ensure proper use of orthosis/prosthesis relative to modifications Documents all findings and actions and communicates with appropriate health care professionals Adheres to established policies and procedures in compliance with all applicable federal and state laws and regulations as well as professional and ethical guidelines (e.g., FDA, ADA, OSHA, MSDS, ABC and BOC) and communicates roles and expectations of employer and employees by providing documentation to create a professional − cooperative working environment and improve patient care Participates in continuing education and/or provides such education for other health care professionals – orthotic and prosthetic practitioners Participates in education for residents, students and trainees Participates in product development research, clinical trials and outcome evaluation studies Participates in/with consumer organizations and nongovernmental organizations to promote competency and enhancement of orthotic/prosthetic profession VA offers a comprehensive total rewards package Work Schedule: Monday − Friday8:00 am − 4:30 pm Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not authorized #J-18808-Ljbffr