Physician Assistant I/40 Hrs/Days/Bwh Inpatient-Obgyn (Bogg)

Brigham And Women's Hospital Westwood , MA 02090

Posted 2 months ago

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.


Principle Clinical Duties and

Responsibilities:
Provides direct patient care, counseling, and teaching to a designated 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 appropriate to the patient population In some settings, the PA may first assist in procedural areas or the operating room Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting Practices cost effective medicine in an efficient manner, maximizing available resources 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 Participates in QA/QI projects as appropriate 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

WORKING CONDITIONS:

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.

SUPERVISORY RESPONSIBILITY:

The Physician Assistant I does not have any supervisory responsibility.

FISCAL 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



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VIEW JOBS 11/9/2019 12:00:00 AM 2020-02-07T00:00 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. Principle Clinical Duties and Responsibilities:• Provides direct patient care, counseling, and teaching to a designated 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 appropriate to the patient population• In some settings, the PA may first assist in procedural areas or the operating room• Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting• Practices cost effective medicine in an efficient manner, maximizing available resources• 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• Participates in QA/QI projects as appropriate• 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 WORKING CONDITIONS: 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. SUPERVISORY RESPONSIBILITY: The Physician Assistant I does not have any supervisory responsibility. FISCAL 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 Partners Healthcare System Westwood MA

Physician Assistant I/40 Hrs/Days/Bwh Inpatient-Obgyn (Bogg)

Brigham And Women's Hospital