United States Department of State
An Equal Opportunity Employer
How to Apply
We are currently accepting applications for Foreign Service Medical Provider (MP) positions.
Foreign Service Medical Providers; Family Nurse Practitioners and Physician Assistants with a family practice background, assume the role of a primary care provider in diagnosing and treating patients and will be responsible for administering a full range of community health care services, including preventive health education for the official mission community.
Announcement Number: MP-2016-0002
Position Title: Foreign Service Medical Provider – MP – (NP/PA Corps)
Open Period: May 27, 2016 – June 13, 2016
Series/Grade: FP – 6115 – 03
Salary: $75,854 – $98,972
Promotion Potential: Senior Foreign Service
Duty Locations: MANY Vacancies Throughout the World
Position Information: Permanent after tenure granted by a Foreign Service Specialist (FSS) Tenure Board.
Must be a U.S. citizen. Potential applicants should read the entire announcement to ensure that they meet all of the requirements and understand a Foreign Service career.
Applicants may not reapply for one year after the previous application for the same positon.
If a State Department Suitability Review Panel denied suitability in the last two years, you may not apply (except Diplomatic Security Special Agent (SA) candidates whose denial was based solely on the unique requirements for SAs.)
The U.S. Department of State, our country’s lead foreign policy agency, provides a rich international experience whether at home or abroad, and opportunities to become responsible leaders.
Each day, our employees make a difference as they contribute to our global society and defend and advance our country’s interests and values. They work on the business of diplomacy and high priority issues that impact the safety, security, and prosperity of our world – human rights, environment, energy, food security, public health, and technology – all while experiencing a unique career.
Our talented workforce reflects and champions all of our strengths and diversity – personal, professional, and educational. We offer a workplace that values and rewards leadership, collaboration and innovation, and personal and professional development.
The Mission Statement of the Office of Medical Services (MED) in the Department of State is to safeguard and promote the health and well-being of America’s employees and their eligible family members (EFM) who represent U.S. government (USG) agencies abroad. The Department assigns Medical Providers (MPs), Regional Medical Officers (RMOs), Regional Medical Officer/Psychiatrists (RMO/Ps) and Regional Medical Laboratory Scientists (RMLS) to select posts overseas. Many of these posts have significant health risks and local medical facilities are often inadequate to cope with them. The Medical Provider undertakes the role of primary care provider, and is responsible for administering a full range of community health care services, including preventive health education for the U.S. Embassy’s official community and on a regional basis when indicated.
The Department of State is developing a rank-order list of eligible hires for a limited number of FSS vacancies based on the needs of the Department.
To learn more about the Department of State and a career as an FSS, please visit us at http://careers.state.gov/work/foreign-service/specialist/career-tracks
- Be a U.S. citizen and available for worldwide service.
- Be able to obtain a Top Secret Security Clearance.
- Be able to obtain an appropriate Foreign Service Medical Clearance.
- Be able to obtain a favorable Suitability Review Panel determination.*
- Be at least 20 yea old and at least 21 years old to be appointed.
- Be appointed prior to age 60 (preference eligible veterans excepted).**
An FSS generally spends the majority of his/her career assigned to the Department of State’s overseas missions and at times, lives away from family and/or in difficult or isolated conditions.
Selected applicants will be notified of an Oral Assessment (OA) requirement in Washington D.C. For the selected applicants, all travel and other expenses incurred in connection with the OA are the sole responsibility of the applicant.
After completing orientation and initial training in Washington, D.C., an FSS usually is assigned to two overseas tours, each two years in length, directed by the Department. After the initial two tours, assignments will be for periods of one to three years overseas or in the United States.
In support of USG employees and their EFMs, an MP may work independently or in conjunction with other Foreign Service (FS) medical personnel. The MP duties include, but not limited to:
Provide primary and preventive health care services across the lifespan: obtains patient history, performs physical assessments to include diagnosis and treatment, emergency and other acute care services, analyzes diagnostic tests, provides routine and travel vaccinations, prescribes electronically, performs therapeutic procedures, offers mental health support, responds to child, elder and/or spousal abuse, documents protected patient information, uses electronic health records, coordinates inpatient care and monitoring, arranges and prepares for medical evacuation, emphasizes prevention of malaria and other tropical and infectious diseases, establishes healthy lifestyle programs and supports patients in adjusting to the FS, teaches CPR and first aid, ensures patient confidentiality, serves as patient advocate, consults with other health care team members, and maintains professional credentials and continuing education.
Engage in diplomatic responsibilities: collaborates with local healthcare officials, liaises with local and international experts, evaluates local hospitals, doctors and laboratories for types of services and standards of care, ensures safe blood supplies, reviews local pharmacies and pharmaceutical manufacturers, interacts with other USG agencies, advises the Ambassador on health issues affecting the Mission, attends country team, serves on Emergency Action Committee, comprehends Workman’s Compensation and health insurance plans, selects post medical advisors, advises consular personnel, collaborates with Center for Disease Control, acts as occupational health advisor, monitors food and water safety, provides emergency care for those on USG property, and oversees the pre-employment or fitness for duty of local employees.
Direct health unit (HU) administrative functions: Manages HU personnel and resources, maintains current inventory of medications and supplies, hires local employees, orients and trains new personnel, ensures universal precautions, oversees controlled substances, sets budget priorities and exercises fiscal responsibility, facilitates military access to care, maintains medical records, updates medical information booklet, maintains Medical Capabilities Information report, monitors satisfaction surveys and provides constructive feedback, contributes to post differential report, ensures appropriate security measures in the HU, organizes representational events, manages immunization program, assists RMO/P, submits statistical reports, adheres to quality assurance procedures, facilitates Emergency Visitation Travel, and monitors currency of HU staff competencies and continuing education.
Coordinate emergency medical response: Oversees all medical aspects of post’s emergency preparedness program which includes counter-terrorism measures, responses to terrorist attacks, incidents involving chemical, nuclear or biological weapons, and natural disasters. Updates the medical section of post’s Emergency Action Plan, provides emergency medical training, manages MED’s emergency response programs, coordinates post pandemic medical response, provides medical leadership in crises, provides emergency medical care, provides VIP medical coverage, and manages mass casualty evacuations.
Accomplish regional management duties: Performs regional travel in collaboration with RMO/Manager, supervises HU staff in region, liaises with other RMO/Managers, mentors new MPs, and communicates with MED.
MPs are considered “essential personnel” and on call to provide services 24 hours a day, seven days a week.
MPs are responsible for Department of State medical and safety policies, provision of a range of medical services, management of HU operations, supervision of subordinate staff, and the actual performance of all essential functions in addition to routine family care. Duties include, but not limited to:
Inspect and assess the care and capability of local clinics, hospitals, laboratories, and private practices in possibly hazardous environments, and/or without special access accommodations.
Provide patient care that may include heavy lifting, pulling, stooping or twisting in adverse settings.
Travel independently to regional posts utilizing air carriers and transportation that may not have special access accommodations.
Essential emergency care MP functions include:
Triage and management of care of injured persons in any location following an accident, natural disaster, or attack.
Provision of emergency care in a hostile or physically challenging environment, such as buildings without elevators or areas of irregular spaces requiring kneeling, bending, lifting, and running.
Transportation of patients via small aircraft, ambulance, helicopter, or vehicles with high floors.
Assistance with evacuation via land, sea or air.
Licensure and Certification
Applicants must be currently licensed as a Family Nurse Practitioner (FNP) or Physician Assistant (PA) in a state, a territory of the U.S., Puerto Rico, or the District of Columbia and must have current national certification as a FNP or the PA-equivalent from the American Nurses Credentialing Center, American Academy of Nurse Practitioners or the National Commission on Certification of Physician Assistants. Applications will not be accepted from Nurse Practitioners or Physician Assistants who are not currently licensed and certified. Licenses and national board certification and re-certification as a Family Nurse Practitioner or Physician Assistant must be maintained during employment with the Department’s Bureau of Medical Services.
Specialized Experience and Requirements
Applicants must have a minimum of five years clinical experience post NP or PA family practice certification. 75% of the NP or PA’s time must be involved in direct primary care for at least four out of the last five years.
The term “primary care” encompasses adult and pediatric diagnosis and treatment of acute illness and management of chronic diseases, routine gynecologic care, prenatal care, adult health maintenance and preventative health care, well child care and managing immunizations. It embraces the total family unit across the lifespan – including emotional and physical aspects that impact overall wellbeing. Emergency department and urgent care experience are a plus. The primary care provider utilizes and coordinates sub-specialty professional consultations when needed.
Applicants must have demonstrated a high degree of clinical and management expertise. The patient population covered is unique because of background and lifestyle as part of a diplomatic community overseas. This population also differs in terms of clinical and administrative needs and the national security concerns inherent in their employment. Previous experience working in an occupational setting and/or in an overseas setting is advantageous. Thorough understanding of the unique needs of the Department and the rigors of Foreign Service life is also preferable.
The candidate must demonstrate the ability to manage administrative aspects of an HU as well as the ability to cope with extraordinary medical crises, often in remote and isolated settings. Education and experience must demonstrate that the applicant can function as a public/community health provider.
The applicant must be a skilled and experienced primary health care practitioner with excellent interpersonal skills. The applicant must be able to function well within a complex organization and have experience working in a high stress environment and recognize and understand the problems of delivering health care to a large group of Americans posted in widely scattered locations where local medical resources are limited or non-existent. The ability to logically and objectively analyze patient problems and apply sound clinical judgment in assessing possible solutions is required. Experience in providing long distance triage and care via electronic communications such as telephone, telemedicine, radio, and e-mail to individuals is preferred.
Candidates must have the capacity to gain the cooperation and confidence of patients, co-workers, supervisors, and subordinates. Individuals must have experience in working in multidisciplinary practice as well as experience in team building, leadership and management. Effective written and oral communications skills are essential, as well as the ability to present medical findings in a clear and concise manner to medical and non-medical personnel. The demonstrated ability to teach or lecture to groups on medical issues is preferred.
Candidates must be able to develop, coordinate, and administer health care delivery programs. These include but are not limited to individual and community health promotion and disease prevention programs. This includes teaching health topics to both small and large groups. Candidates must provide comprehensive health assessments and medical care to individuals and families across the lifespan.
Candidates must be able to organize and supervise a diverse group of health care providers who have varying degrees of expertise, education, and command of the English language. Candidates must understand the unique cultural differences related to health care delivery in varied countries and address these differences in a positive manner. Candidates must be able to assess, diagnose, and treat infectious diseases.
Knowledge of medical regulations and policies of the Department of State is preferable. Applicants must possess a high degree of integrity, decisiveness and fairness in order to equitably apply the regulations and policies of the medical program to all eligible persons.
Knowledge and hands-on familiarity with computer systems are preferred.
Knowledge, Skills, and Abilities (KSA)
Education, work experience, and other qualifications are evaluated for evidence of knowledge, skills, abilities, and other requirements that have been identified as important to successful job performance as a Medical Provider based on extensive job analysis research. Not all of these attributes need to be met by a candidate; the attributes will be used as a set to evaluate candidates.
Knowledge of infectious diseases, pediatrics, obstetrics, gynecology, women’s health issues, dermatology, otorhinolaryngology, gastroenterology, urology, general surgery, orthopedics, neurology, radiology, psychiatry, nutrition, occupational medicine, epidemiology, vaccines, diagnostic testing, emergency techniques, clinical pharmacology, health-related environmental factors, medical aspects of terrorism, alcoholism and drug abuse, laboratory medicine, food safety and medical quality assurance procedures.
Specific skills in medical history-taking, physical examination, planning of evaluation and treatment, electrocardiography, minor surgery, triage, operating medical equipment, basic computer programs, research techniques, and working with limited resources.
Personal skills in social perceptiveness, oral communication, written communication, reading comprehension, active listening, critical thinking, active learning, judgment and decision making, complex problem solving, service orientation, teaching supervision, leadership, time management, acclimating to different cultures, collaborating, learning strategies, persuasion, and organizing events and projects.
Other attributes include empathetic personality, self-confidence, firmness of convictions, adaptability, unflappability, creativity, confidentiality, interest in Foreign Service work, loyalty to the United States, tolerance of non-scheduled work hours, physical endurance, worldwide availability, and tolerance of travel, tolerance of separation from family, and working and living in difficult and/or isolated conditions.
Superior oral and written communication skills: Applicants must demonstrate a strong command of the English language to include grammar, spelling and punctuation. FSS must consistently meet a high standard for English, both written (overall structure as well as grammar, spelling and punctuation) and spoken (overall structure as well as delivery, clarity and succinctness).
Candidates must be able to obtain and maintain a Top Secret Security Clearance, obtain an appropriate Medical Clearance, and be found suitable by a Department of State Foreign Service Suitability Review Panel.
In addition to the general requirements for employment in the Foreign Service, applicants must be a graduate of an accredited Family Nurse Practitioner (FNP) or Physician Assistant (PA) program at the time of application with a minimum of a Master’s degree in a health related field.
Education completed in foreign colleges or universities may be used to meet federal job requirements for this position if the applicant provides an international education evaluation certifying the degree earned is equivalent to education received in the United States. It is the responsibility of the applicant to provide such evidence when applying for federal jobs. For more information, please view How Foreign Education is evaluated for Federal Jobs.
Candidates will be evaluated on their total background including experience, education, awards, training, and self-development as it relates to the position. Selection for this position will be made only from among candidates possessing the best qualifications. Part-time work experience will be prorated.
Medical Credentialing and Indemnification
Applicants are subject to a Medical Credentialing process conducted by the Quality Improvement Staff of the Bureau of Medical Services. The Medical Credentialing process includes queries of the National Practitioner Data Bank and Physician Data Profile through the American Medical Association (AMA). Once hired, medical personnel are indemnified for official duties only through the U.S. Federal Tort Claims Act.
For more information FSS Benefits, please click here: http://careers.state.gov/work/benefits/fss
Health and medical coverage, federal retirement benefits, paid leave, a chance to see the world and experience different cultures. Overseas benefits include tax-free housing and tax-free education allowance for dependent children between K-12 overseas.
Continuing Medical Education (CME)
RMLSs receive at least 12 hours of Category 1 CME credit through annual State Department-sponsored CME program.
Medical Providers are assigned at the FP-3 level (step 5). The specific step (or salary) within that level will be determined at the time a firm offer of employment is made depending on other qualifications (education and experience).
Current Federal Civil Service employees (or former employees) will also be assigned at the FP-3 level. Specific step (or salary) within the FP-3 level will be set at the nearest possible salary rate of the current (or previous) grade.
For information on FS Salary, please visit https://careers.state.gov/faqs/faqs-wiki/foreign-service-salary-matching-pay-tables-danger-pay-overseas-moving-expenses-and-taxes.
*The Department of State Suitability Review Panel and standards are defined in Chapter 3 of the Foreign Affairs Manual. For more information please visit: http://www.state.gov/m/a/dir/regs/fam
**For more information about Veteran’s Preference and how it is applied in the FSS Selection Process, please visit: http://careers.state.gov/faqs/faqs-wiki/are-veterans-given-hiring-preference-
No applicant will be considered who has previously been separated from the Foreign Service under sections §607, §608, §610 or §611 of the Foreign Service Act of 1980, as amended, or who resigned or retired in lieu of separation under these provisions. In addition, no applicant will be considered who has previously been separated for failure to receive a career appointment under section §306 of the Foreign Service Act of 1980, as amended, or who resigned or retired in lieu thereof.
An FSS separated for failure to receive a career appointment under section 306 may not re-apply to be an FSS in the same skill code, but may apply for another skill code (or to be a Foreign Service Generalist).
Executive Branch agencies are barred by 5 US Code 3303 as amended from accepting or considering prohibited political recommendations and are required to return any prohibited political recommendations to sender. In addition, as mandated by 5 US Code 3110, relatives of federal employees cannot be granted preference in competing for these employment opportunities.
It is the policy of the Federal Government to treat all of its employees with dignity and respect and to provide a workplace that is free from discrimination whether discrimination is based on race, color, religion, sex (including gender identity or pregnancy), national origin, disability, political affiliation, marital status, membership in an employee organization, age, sexual orientation, or other non-merit factors.
The Department of State provides reasonable accommodation to applicants with disabilities. Applicants requiring reasonable accommodations for any part of the application or hiring process should so advise the Department at ReasonableAccommodations@state.gov, within one week of receiving their invitation to the oral assessment. Decisions for granting reasonable accommodations are made on a case-by-case basis.
We are currently accepting applications for this position.
Steps to Apply:
- Register on USAJOBS at www.usajobs.gov.
- Create an online federal resume. Your online resume may be typed or you may cut and paste an existing resume into the space provided. Your resume must include your work history for the last 10 years or since completing formal education, whichever is the shorter period.
- From the announcement, select the Apply Online button.
- Follow the online instructions and answer the application questions for the specific job to which you are applying, complete the required Accomplishments Questionnaire and Statement of Interest in the online application.
- Your application is automatically saved as you proceed through it. You may interrupt your application process and return to it until you submit it. As specified in the announcement, upload or fax required or supporting materials.
- For those uploading or faxing documents, multiple pages must be sent as a single document. Only the most recently uploaded documents will attach to your application and will replace previously uploaded documents.
- If faxing, you will be prompted to print out a fax coversheet once you have successfully completed your application. It is essential that you use this coversheet for all faxes, because it is bar-coded to link your fax to your application.
- Complete, review, and submit.
- After you complete and submit the above including attaching all required documents, this becomes your online application and will be used to evaluate your qualifications for this career.
- You have until 11:59 p.m. Eastern Time on the closing date of this announcement to complete the application process and successfully upload or fax any required documentation outlined in this announcement.
- Application packages must be complete and received by the closing date to be considered. There are no exceptions.
- You should submit your application early, and may make changes as often as needed, up until the closing date of the announcement. We strongly recommended that you go back into your application and verify that your documents are attached. Due to the volume of applications, fax lines can become jammed and documents may not successfully attach to your application on the final days/hours of the announcement.
If you are having technical difficulty with the application process, please contact the Help Desk by calling 1-866-656-6830 or by emailing firstname.lastname@example.org. The helpdesk is available Monday through Friday from 7 am to 7 pm Eastern Time.
For more information on the FSS hiring processes, please visit our FAQs at http://careers.state.gov/faqs. If you have any questions regarding FS careers, please visit our Careers.State.Gov site and post your question(s) on the appropriate Forum in the Connect section: http://careers.state.gov/connect/forums
It is the responsibility of the applicant to ensure all required documents are uploaded and the application is fully completed before the closing deadline of this announcement. Any missing required documents or incomplete applications will result in your application not being considered further.
- Completed online application which contains the completed required Accomplishments Questionnaire and Statement of Interest.
- Transcripts or other educational documents as stated in the Educational Requirements section.
- Official or unofficial transcripts may be submitted for the application process. It is essential that your transcript include your name, the school’s name, the degree and date awarded. A transcript missing any of the key elements above will not pass the minimum qualifications and your candidacy will be ended.
- Copies of diplomas may not be submitted in lieu of transcripts for education above high school level.
- Additional required documents such as certifications or professional licenses as stated in the Qualifications Required section.
- Copy of all current professional licenses as a Nurse Practitioner or Physician’s Assistant in a state, a territory of the U.S., or the District of Columbia.
- Proof of Board Certification (current national certification as an NP or PA from the American Nurses Credentialing Center/ANCC, American Academy of Nurse Practitioners Certification Program/AANPCP, or the National Commission on Certification of Physician Assistants/NCCPA).
- Current Professional Liability Insurance fact sheet.
- Standard Educational Commission for Foreign Medical Graduates (ECFMG) certificate (if applicable).
- Application Form VA-10-2850 (Complete Items 1 – 17 and 31 – 40), from the Veterans Affairs (VA) website: http://www.va.gov/vaforms/form_detail.asp?FormNo=2850. Upon completion save a copy to upload or print and fax (see How to Apply above). All documentation submitted for this announcement on the VA forms will be reviewed and verified by Department of State personnel only.
- If claiming a 5 pt. veteran’s preference, you must submit a copy of your DD-214. If claiming a 10 pt. veteran’s preference, you must submit your VA letter and SF-15, in addition to your DD-214.
The required questions provide an opportunity to describe examples and accomplishments from your education, life, and/or work experience that demonstrate your qualifications for becoming an FSS. Examples can be drawn from any part of your professional or personal experience. The information you give may be used in your oral assessment should you be invited and is an important factor in the competitive evaluation of applicants. Responses are limited to 300 words or fewer (maximum length 2,000 characters) for each item. You should compose your replies carefully, as one of the skills necessary to succeed as an FSS is the ability to write clearly and concisely. These items must be completed in the online application, not as attachment.
- Describe your clinical experience with well and acutely ill infants, children, and adolescents. Include type of practice, weekly average number of patients seen weekly and a statement about your ability to manage care for a pediatric population in a remote setting.
- Provide the same information about your women’s health care experience.
- Describe your clinical experience and self-assess your abilities to care for and stabilize multiple trauma patients prior to medical evacuation.
- Describe a specific complex clinical case which demonstrates your skills in organizing patient problems and solutions.
Organizational: Describe a specific achievement demonstrating your planning and organizational skills in a multidisciplinary clinical team or practice.
Leadership/Teamwork: Discuss your abilities to participate as a team member working toward a common goal, as well as examples of your ability to lead a team in the accomplishment of a goal.
Public Speaking and Teaching: Describe specific examples demonstrating your public speaking and teaching abilities in a work-related assignment.
Interpersonal skills: Provide an example of effectively dealing with difficult patients, colleagues, or work situation.
Crisis Management: Describe an example where your skills significantly contributed to a positive outcome of a complex or difficult clinical crisis.
Statement of Interest
Required narrative Statement of Interest equivalent to two-to-three pages typed and no more than 5000 characters, which discusses your:
- Motivation for joining the Foreign Service,
- Comments about your work experience, please include in your Statement special skills (e.g. computer), current licenses, honors, awards, special accomplishments, and/or training (with date completed) relating to this position,
- Experience living or working in a multicultural environment, overseas or in U.S.
The Statement of Interest must be completed inside the online application, not as an attachment.
Agency Contact Info
Medical Services Office, 202-663-1084
U.S. Department of State 2201 C St NW, Washington, DC 20520
What to Expect Next
Once submitted, your application status on USAJobs will change from “received” to “referred to hiring agency only” after the close of the announcement. After the announcement’s closing date, all “referred” applicants will be notified via e-mail from the U.S. Department of State of the status of their applications.
Please note that the “referred” status on USAJobs will not be updated throughout the entire evaluation process.
Due to the high volume of applications, we ask all applicants to remain patient and await communication. It is not uncommon for several months to pass before you are informed of the results of your applications.
We recommend adding the Department of State domain (@state.gov) as an approved sender.
For more information, please visit http://careers.state.gov/work/foreign-service/specialist/selection-process