The Prosthetist or Orthotist/Prosthetist communicates and interacts with physicians, allied health professionals, patients, and caregivers in various interdisciplinary clinical settings, rehabilitation medicine, orthopedics, neurosurgery, vascular care, podiatry, oncology, etc., to assist in development of the orthotic and/or prosthetic treatment plan. The work includes patient analyses in accordance with established procedures for patients with unusual conditions, multiple complex conditions, interrelated conditions, etc.; assessment of the patient for indications/contra-indications, and discussing the assessment with the physician/requesting provider for the purpose of developing the overall treatment plan with considerable influence in the development of that plan; consideration of new and emerging technologies in designing unique or innovative devices to accommodate or treat a wide range of complex medical conditions which include unusual problems or complications.The Prosthetist or Orthotist/Prosthetist at this level is expected to recognize physical abnormalities, deviations, and complicating conditions with potentially life threatening complications. Assists supervisor in the overall management of the orthotic laboratory and provision of orthotics, prosthetics and footwear devices. Assist the professional staff in the treatment and care of seriously disabled veterans to include amputees, spinal cord injury patients, and those with related disabilities requiring the use of orthotic, prosthetic, and footwear devices to take the place of, or assist a part, or function of the body which is lost or impaired. Incumbent strives for continuous improvement of the use of equipment and funding sources in order to eliminate delays of delivery that reduce hospital days and to expedite rehabilitation of patients so that they may return to their daily lives. At the lower grade level, incumbent will perform the duties described for the full performance level position, but with closer supervision and guidance provided.