Careers App
Medical Provider (FSMP - NP/PA)

United States Department of State
An Equal Opportunity Employer
How to Apply

Announcement Number: MP-2015-0004
Position Title: Foreign Service Medical Provider - MP - (NP/PA Corps)
Open Period: 08/19/2015 – 09/23/2015
Series/Grade: FP – 0610 - 03
Salary: $75,103 - $97,992 (Basic only - please see additional info)
Promotion Potential: Senior Foreign Service
Duty Locations: MANY Vacancies Throughout the World
For More Information: Medical Services Office, 202-663-1084,

Who May Apply

Potential applicants are strongly urged to read this entire Vacancy Information to ensure that they meet all of the requirements for this position before applying.

Applicants must be United States citizens and at least 20 years old to apply. They must be at least 21 years of age to be appointed. By law, all career candidates, except preference eligible veterans, must be appointed to the Foreign Service prior to the month in which they reach age 60.

Applicants are not eligible to reapply until one year after the application date of prior announcements.

No applicant will be considered who has previously been separated from the Foreign Service under sections 607 (Retirement for Expiration of Time-in-Class), 608 (Retirement Based on Relative Performance), 610 (Separation for Cause), or 612 (Termination of Limited Appointment) of the Foreign Service Act of 1980, as amended, or who resigned or retired in lieu of separation under these provisions. In addition, no candidate will be considered who has previously been separated from the Foreign Service 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. Specialists separated pursuant to these provisions may not re-apply to be a Foreign Service Specialist in the same skill code, but may apply for another skill code (or to be a Foreign Service Generalist).

Duration of Appointment

Permanent after being tenured by a Foreign Service Tenure Board.

Marketing Statement

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 and inclusive 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 Office of Medical Services in the Department of State maintains and promotes the health of employees and their eligible family members who represent U.S. Government 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 assumes 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-ordered list of eligible candidates to fill a limited number of Medical Provider (MP) vacancies. The specific number to be hired will depend on the needs of the Foreign Service in any given year and is subject to change.

Grade and Salary Range: FP-03, $75,103 - $97,992 (Basic only – please see additional info).

Key Requirements:

All applicants, in order to be considered for selection, must:

  • Be a U.S. citizen.
  • Be at least 20 years old to apply and at least 21 years of age to be appointed. By law (Foreign Service Act of 1980), all career candidates (except for preference-eligible veterans) must be appointed to the Foreign Service prior to the month in which they reach age 60.
  • Be available for worldwide service.
  • Be able to obtain a Top Secret Security Clearance.
  • Be able to obtain an appropriate medical clearance for Foreign Service work.
  • Be able to obtain a Suitability Clearance, based on a review of the candidate's record for conduct in accordance with suitability standards defined in Chapter 3 of the Foreign Affairs Manual. For more details see or

NOTE: Individuals who have been found unsuitable for employment by a Department of State Foreign Service Suitability Review Panel within the previous two years are ineligible to apply (unless the individual was a candidate for a Special Agent position with the Diplomatic Security Service and the decision to deny eligibility was based on the candidate’s inability to fulfill the unique duties of that position and not based on suitability standards).

For more details see or

Major Duties


In support of the employees of the United States Government and their eligible family members, a Medical Provider may work independently or in conjunction with other Foreign Service medical personnel. The Medical Provider duties include, but are not limited to, the following:

  1. 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 and spousal abuse, documents 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 their adjustments to the Foreign Service, 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.
  2. 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 non-Department of State agencies, advises 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 U.S. government property, and oversees the pre-employment or fitness for duty of local employees.
  3. Direct health unit administrative functions: Manages health unit 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 health unit, organizes representational events, manages immunization program, assists regional psychiatrist, submits statistical reports, adheres to quality assurance procedures, assists in facilitating Emergency Visitation Travel, and monitors currency of health unit staff competencies and continuing education.
  4. Coordinate emergency medical response duties: Oversees all medical aspects of his/her post’s emergency preparedness program which includes counter-terrorism measures and responses to terrorist attacks and incidents involving chemical, nuclear and biological weapons, and natural disasters. Updates the medical section of post or consulate’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.
  5. Accomplish regional management duties: Performs regional travel in collaboration with Regional Medical Officer/Manager, supervises health unit staff in region, liaises with other Regional Medical Officers/Managers, mentors new Medical Providers, and communicates with the Office of Medical Services in Washington, D.C.

Medical Providers are considered “essential personnel” and are on call to provide services 24 hours a day, seven days a week.


Foreign Service Medical Specialists (Regional Medical Officers (RMOs), Regional Medical Officer-Psychiatrists (RMO/Ps), Medical Providers (MPs), and Regional Medical Laboratory Scientists (RMLSs), are responsible for Department of State medical and safety policies, provision of a range of medical services, management of Health Unit operations, supervision of subordinate staff, and the actual performance of all of the essential functions in addition to routine family care. They:

  • Inspect and assess the care and capability of local clinics, hospitals, laboratories, and private practices in possibly hazardous environments, and/or where there are no special access accommodations.
  • Provide patient care that may include heavy lifting, pulling, stooping and twisting in adverse settings.
  • Travel independently to regional constituent posts (if applicable) utilizing air carriers and transportation facilities that may not have special access accommodations.

The essential RMO, RMO/P, and MP functions of providing emergency care include the following responsibilities:

  • Triage and management of care of injured persons in any location following an accident, natural disaster, or attack.
  • Provision of emergency care as required in a hostile or physically challenging environment, such as in buildings without elevators or in areas of irregular spaces that require kneeling, bending, lifting, and running. Transportation of patients via small aircraft, ambulance, or other vehicle with high floors.
  • Assistance with evacuation via land, sea or air in the event of political unrest.


Education Requirements:

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. A review panel will recommend that the most competitive candidates be invited to take a proctored writing examination as part of the final assessment. The ability to draft an essay which demonstrates a command of English grammar, spelling, and punctuation will be an important consideration in order to participate in an oral assessment, which is explained further in our website,, under Selection Process.

Education completed in foreign colleges or universities may be used to meet Federal job requirements for this position if the applicant can show that foreign education is comparable to education received in the United States. It is the responsibility of the applicant to provide such evidence when applying for Federal jobs. To view how foreign education is evaluated for federal jobs, please visit


Applicants must be currently licensed as a Family Nurse Practitioner (FNP) or Physician Assistant (PA) in a state, a territory of the United States or the District of Columbia and must have current national certification as a Family Nurse Practitioner (FNP) or the Physician Assistant-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. National Board certification and re-certification as a Family Nurse Practitioner or Physician Assistant must be maintained.


Applicants must have a minimum of five (5) 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 (4) out of the last five (5) 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 a Health Unit 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.


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.

  1. 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.
  2. 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.
  3. 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.
  4. 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.



Purpose: The Supplementary Questionnaire inside the application provides an opportunity to describe examples and accomplishments from your education, life and work experiences that relate to the required skills which best show you have the KSAOs listed above to accomplish the work of the Medical Provider.

Instructions: During the application process, you will be asked to individually address each of the numbered items listed below, limiting responses to 2,000 characters or less for each item. Examples can be drawn from any part of your personal experience, but must reflect personal accomplishments. The information you give may be used in your oral assessment/interview should you be invited and is an important factor in the competitive evaluation of applicants. You should compose your replies carefully, as one of the skills required of an experienced Medical Provider is the ability to write clearly and concisely.

  1. Clinical Experience:
    1. Describe your clinical experience working with well and acutely ill infants, children, and adolescents. Include the type of practice setting and the average number of patients seen weekly. Include a statement about your ability to manage care for a pediatric population in a remote setting.
    2. Provide the same information about your women's health care experience.
    3. Describe your clinical experience and give a self-assessment of your abilities to care for and stabilize multiple trauma patients prior to a medical evacuation.
    4. Describe a specific complex clinical case which demonstrates your skills in organizing patient problems and solutions.
  2. Organizational Abilities: Describe a specific achievement demonstrating your planning and organizational skills in the setting of a multidisciplinary clinical team or practice.
  3. Leadership and Teamwork Abilities: 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.
  4. Public Speaking and Teaching Ability: Describe specific examples demonstrating your public speaking and teaching abilities as part of an assignment or work-related task.
  5. Interpersonal skills: Provide an example of effectively dealing with difficult patients, colleagues, or situation at work utilizing your interpersonal skills.
  6. Crisis Management Skills: Describe an example in which your skills significantly contributed to the positive outcome of a complex or difficult clinical crisis situation.


How Candidates Will Be Evaluated:

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.


Applicants are subject to a Medical Credentialing process conducted by the Quality Improvement Staff of the Office 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.

How to Apply

We are currently accepting applications for this position.

Apply now at

To apply, applicants must first register on USAJOBS and create an online federal resume. Your online resume must be typed or you may cut and paste an existing resume into the space provided. Once you have completed the registration process, select the "Apply Online" button to the right of the vacancy ( This button will transfer you to Gateway to State. Please note that the deadline to submit completed applications is September 23, 2015.

Follow the "Apply Online" instructions at Gateway to State by answering self-assessment questions for the specific job to which you are applying. When completed, the information you provided at USAJOBS and the answers to the Gateway to State questions will become your application. Your registration, resume, and responses to questions will be used to evaluate your qualifications for this job. In addition, you must fax or upload some information to complete your application package.

Please note: Your application is automatically saved as you proceed through it. You may interrupt your application process and return to it until you submit it.

You have until 11:59 p.m. Eastern Time on the closing date of this announcement to complete the application process and supply the required documentation outlined in this vacancy announcement. Application packages must be complete and received by the closing date to receive consideration.

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 application announcement. It is the responsibility of the applicant to verify that required documents have been successfully attached to the application prior to the closing time. Applicants can do so by going back into their application and verifying that documents have been attached. Applications received without required documents will be deemed ineligible. You are encouraged to submit your application early and to go back into your application to confirm that your documents have been attached.


If you are having technical difficulty with the application process, please contact the helpdesk by calling 1-866-656-6830 or by emailing The helpdesk is open weekdays from 7am to 7pm ET.

Required Documents

As part of the online application, applicants must submit the following required documents:

  1. Completed Online Questionnaire.
  2. Copy of all current professional licenses as a Nurse Practitioner or Physician's Assistant in a state, a territory of the United States, or the District of Columbia.
  3. 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).
  4. Current Professional Liability Insurance fact sheet.
  5. Standard Educational Commission for Foreign Medical Graduates (ECFMG) certificate (if applicable).
  6. Application Form VA-10-2850 (Complete Items 1 through 17 and 31 through 40). This form can be found on the Department of Veterans Affairs website: Application Form, VA-10-2850. Upon completion you will need to save a copy to upload or print out and fax with the appropriate system generated fax sheet. (All documentation submitted under this vacancy announcement on the Veterans Affairs forms will be reviewed and verified by Department of State personnel ONLY.)
  7. Veterans Preference Documentation: If prior military service, please include your certificate of release or discharge from Active Duty (DD-214).

For additional details on how Veteran’s Preference is applied in the Foreign Service selection process, please click here.

Once you have completed the online questionnaire, you will be prompted to decide either to upload your documents or to print out cover sheets generated within the application that must be used to fax the above required documents.

If faxing, it is extremely important that only these system-generated cover sheets, and the phone number included on them, be used for faxing these documents. The cover sheets are coded to insure that your documents are automatically attached to your online application. Please ensure that each document is faxed separately with the appropriate system generated cover sheet.

What to Expect Next

Applications will be considered as their completed package arrives in the Department. The Department of State will be hiring a number of candidates. Please note that the average processing time for an application is seven to nine months, including the completion of the credentialing, medical, security and suitability clearances.


Newly hired Medical Provider career candidates are initially assigned to Washington, D.C. for a three-week orientation followed by onward training, including a two-day security seminar. Additional training may include language training (depending on the requirements of the first overseas post), area studies (an intensive study of the region of assignment), etc.

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.

Location: Individuals must be willing to serve worldwide. Generally, following a brief orientation period at the Department of State in Washington, D.C., newly hired Medical Providers will serve an initial two year tour at a Foreign Service post overseas, and will usually spend an average of 60 to 80 percent of their careers stationed abroad, moving at one-to-four year intervals. The remainder of their time will be spent at the Department of State in Washington, D.C., or Ft. Lauderdale, Florida.

Medical Providers are presently serving in Abidjan, Accra, Addis Ababa, Algiers, Ankara, Antananarivo, Ashgabat, Astana, Baghdad, Baku, Bangkok, Beijing, Beirut, Berlin, Bishkek, Bogota, Brasilia, Brussels & Antwerp, Bucharest, Budapest, Bujumbura, Cairo, Chengdu, Chisinau, Colombo, Conakry, Djibouti, Dushanbe, Erbil, Frankfurt, Freetown, Guatemala City, Hanoi, Havana, Herat, Hong Kong, Islamabad, Jakarta, Jerusalem, Juba, Kabul, Kampala, Karachi, Kathmandu, Kigali, Kinshasa, Kuala Lumpur, Kuwait, Kyiv, La Paz, Libreville, Lilongwe, London, Luanda, Lusaka, Managua, Manama, Manila, Maputo, Mexico City, Miami/Ft. Lauderdale, Monrovia, Moscow, Mumbai, Muscat, Nairobi, N’Djamena, New Delhi, Niamey, Nouakchott, Ouagadougou, Peshawar, Phnom Penn, Port au Prince, Prague, Pretoria, Pristina, Quito, Rabat, Rangoon, Santo Domingo, Sofia, Tashkent, Tbilisi, Tegucigalpa, Tel Aviv, Tirana, Tripoli, Tunis, Ulaan Baatar, Vienna, Vientiane, Washington, DC, Yaoundé, and Yerevan. There may be additional posts opening in the near future.

While the preference of an applicant for a particular post or area of assignment is given every possible consideration, assignments are dictated by "the needs of the service."


Health and medical coverage, federal retirement benefits, generous paid leave, and an unprecedented chance to see the world and experience different cultures. Overseas benefits include tax-free paid housing or a housing allowance and paid education for dependent children between K-12. (See Compensation and Benefits on our website,, for more information.)

Any Foreign Service Specialist hired after October 1, 2013, who demonstrates FSI-tested Arabic language ability, will receive a one-time recruitment bonus.

Initial Salary, Salary Increases and Tenure:

The salary for Medical Providers is FP-3, Step 5 through 14. The starting salary is dependent upon such factors as graduate level education and directly related specialized experience not used to satisfy qualifications criteria. Salary level will be determined at the time of a firm offer of employment. To be creditable, such education and specialized experience must be in excess of that which is required to qualify as described under Education and Specialized Experience Requirements. Individuals already working in government positions may be appointed based on highest previous rate as a Federal employee and will be determined at the time of a conditional offer of employment. While the hiring of all medical professionals will start at FP-3, Step 5, additional steps may be granted based on the following criteria:

  1. Two additional steps may be given for a doctoral degree in a work-related field, awarded before the date of the appointment.
  2. One step may be given for a master's degree from an accredited college or university in Public Health.

Medical Providers compete for promotion annually with others in their specialty up to the level of Senior Foreign Service. Career candidates will become eligible for tenure after a minimum of three years of service.

Other Information

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 may not 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 that 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 of State at within one week of receiving their invitation. Decisions for granting reasonable accommodations are made on a case-by-case basis.

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