Physician Assistant/ Per Diem/ Pulmonary/Renal Transplant

Brigham and Women’s Hospital • Boston, MA, United States • $200k - $250k / year • 1m ago

Job Description - Physician Assistant/ Per Diem/ Pulmonary/Renal Transplant (3302904)

The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department administrator or chief physician assistant administratively.

The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Clinical Duties and Responsibilities:

Provides direct care, counseling, and teaching to a transplant patient population in the ambulatory, inpatient and/or procedural setting
Performs complete histories and physical examinations
Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries
Performs bedside procedures as are appropriate to the patient population
Practices cost effective medicine in an efficient manner, maximizing available resources
Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
Demonstrates expert clinical judgment skills to function in an independent role
Additional duties and responsibilities as required by the department/division

Non-Clinical Duties and Responsibilities:

Demonstrates professional collaborative and consultative relationships with other providers
Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report
Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings
Maintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workers
Remains actively involved in continuing education with a commitment to self and departmental growth
Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation
Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care
Additional duties and responsibilities as required by the department/division

QUALIFICATIONS:

The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination
BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995
Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment
Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts
Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration
Must complete 100 hours of CME according to national and state regulations during each two year period of employment
Must complete the BWH Professionalism Program within three months of date of hire
Must complete the BWH Procedural Sedation Training if deemed necessary

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate
Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position
Must have the ability to utilize appropriate problem-solving and conflict resolution skills
Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care
Must be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred)
Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician

WORKING CONDITIONS:

Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients.

The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.

SUPERVISORY RESPONSIBILITY:

The Physician Assistant may have elements of supervisory responsibility; please refer to the addendum section for details.

FISCAL RESPONSIBILITY:

The Physician Assistant may have elements of fiscal responsibility; please refer to the addendum section for details.

ADDENDUM:

The pulmonary/renal PA is an inpatient role that supports the BWH Pulmonary Transplant, BWH Renal Transplant, and BWH/Boston Children’s Hospital Adult Cystic Fibrosis Programs. Duties include:

Rounding with multidisciplinary team daily
Responsible for developing plan, placing orders, calling consults, and completing H&Ps, progress notes, and discharge summaries accurately in conjunction with attending of record
Assisting with renal transplant biopsies
Minor procedures similar to that of inpatient hospitalist medicine service include ABGs, NG tube placement, and central line removal
Each PA will be expected to develop a “PA Project” that will be longitudinal project focused on quality improvement
The PA shall provide leadership and participation in organizational committees, councils, and initiatives.
The PA shall be capable of independently orienting, onboarding, and/or training new hire PAs within the department/division.
The PA shall be actively involved in ongoing quality improvement and patient safety initiatives

Scheduling expectations: Day shift position, 7a-7p, rotating scheduling including holidays and weekends. No on call requirements. While the PA can expect a relatively predictable work schedule planned in advance whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to take call, pick up additional shifts, work variable hours, and/or provide backup coverage as needed.

Requirements:Status reviewed annually by chief PA in conjunction with other departmental leadership to confirm that engagement remains commensurate with PA job description and is meeting all objectives and goals.

Brigham and Women’s Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.