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 OB/GYN Administrative Manager 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.
Within the Brigham Obstetrics & Gynecology Group (BOGG), the PA is part of the care team, which supports attending physicians, fellows, and residents in the medical management of patients in both the inpatient and outpatient settings. This role is primarily focused on providing general gynecologic and obstetrical care at our Westwood practice site, and may also be assigned to duties at other sites in Boston and Chestnut Hill.
Work settings may include ambulatory clinics, treatment rooms, inpatient areas, intensive care units, operating rooms, 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/or 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.
The Physician Assistant I does not have any supervisory responsibility.
The Physician Assistant I does not have any fiscal responsibility.
ADDENDUM: PA with 1-2 years of PA experience preferred
Inpatient Clinical Duties Competencies and tasks in routine care of hospitalized gynecologic or postpartum patients: Perform admission history and physical exam and accurately record in the patient record Change surgical dressings, including wound packing and vacs, and removal of sutures and staples Write daily progress notes and orders Write prescriptions Implement attending physician instructions for patient management in close cooperation with nursing staff Round with individual residents/teams as requested, report back to team leaders Perform procedures within the PA scope of practice and as directed by the attending physician Order and interpret appropriate laboratory testing and other special examinations as requested Dictate discharge summaries, complete discharge paperwork Prepare succinct and accurate sign-out to facilitate the smooth transition of patient care from one PA to another PA or physician Assist in making appropriate post hospitalization appointments and referrals Communicate with referring health care providers and institutions Additional competencies and tasks in routine care of postpartum patients: evaluate stability and progress of routine postpartum patient Physical exam: appropriately evaluate uterine size, tenderness; perineal discomfort and healing; quality of Lochia; breast exam; cesarean section incision. Vital signs/chart/history: appropriately interpret vital signs in normal postpartum patient and in patient with complications including hypertension, bleeding, infection; appropriately interpret postpartum symptoms/issues including bleeding, lactation, extremity edema and tenderness Counsel and educate patients and family about postpartum events, activities, lactation, and contraception
Care of Outpatient Obstetric and Gynecologic Patients Competencies and tasks in routine care of ambulatory gynecologic or obstetric patients: Routine gynecologic and obstetrical examinations Perform pap smears Diagnose and treat common vaginal symptoms such as yeast, BV and sexually transmitted infections Provide contraception counseling and perform IUD and nexplanon insertions Endometrial, colposcopy, vulvar and cervical biopsies Providing prenatal and postpartum care
Brigham And Women's Hospital