GENERAL SUMMARY/ OVERVIEW STATEMENT:
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:
Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, 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
In some settings, the PA may first assist in the operating room or procedural areas
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
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
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
Must have at least two years of experience practicing as a PA to qualify for the PA II position
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
Work settings may include ambulatory clinics and 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 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 II may have elements of supervisory responsibility; please refer to the addendum section for details.
The Physician Assistant II may have elements of fiscal responsibility; please refer to the addendum section for details.
The Physician Assistant II will serve as the perioperative coordinator for the Total Joint Arthroplasty Service. Will be responsible for the implementation and oversight of all clinical aspects impacting patient care transitions, community-based health and wellness, and management of health care needs/development of services for selected patient populations on the Total Joint Arthroplasty Service.
Will provide strategies for engaging clinicians to address patient and population health needs.
Collaborates with clinicians from acute inpatient, rehabilitation services, and community-based practices to coordinate care and integrate components of care management for effective population health management.
Formulates, plans, and implements populations based high risk patient screening process to ensure effective and timely patient health care transitions and services. Ensures connectively in hang-off communication between and across providers and patients/families.
Will work in collaboration with the Orthopaedic attendings and Physician Assistants to review comprehensive risk assessments on all patients who present to the Orthopaedic clinic for a TKA (total knee arthroplasty) or THA (total hip arthroplasty). Based upon results will coordinate and enroll identified high risk patients into one or more risk modification programs.
Will appropriately optimize patients with the use of risk modification programs.
Coordinate and assign all referrals according to defined criteria, including location, transition models indicated, and special requirements as needed.
Will monitor outcomes and evaluating/revising practices as needed.
Develop and maintain positive relationships with healthcare professionals (e.g. physicians, physician assistants, discharge planners, social workers, healthcare coordinators) to provide updated information on service line offerings, guidelines and policies.
The PA II shall will see patients independently in clinic.
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 of the department as they become apparent to either the department/division/clinic.
The PA II is expected to provide leadership to the department with the following guidelines:
provide leadership and participation in selected organizational committees, councils, and initiatives.
provide training and education to PAs within the department/division.
Serve as preceptor for PA students as need warrants
Active involvement in ongoing quality improvement and patient safety initiatives.
An ongoing project to support the needs of the department.
All PA II criteria will be evaluated yearly as part of the PA annual review.
Brigham And Women's Hospital