GENERAL OVERVIEW/SUMMARY STATEMENT:
Under the supervision and direction of Luke S. Oh, MD in the Massachusetts General Hospital (MGH) Sports Medicine Service, and in accordance with the rules and regulations of Board of Registration in the Commonwealth of Massachusetts governing the practice of Physician Assistant or Nurse Practitioners, the Physician Assistant (PA) or Nurse Practitioner (NP) will be responsible for the care of patients in this practice.
The PA/NP will coordinate and perform preoperative assessments, coordinate treatment for patients, act as a first assistant in the operating room when necessary, assist in the management of postoperative care, perform discharge planning coordination, and independently conduct outpatient clinics. The PA/NP will obtain patient histories, perform comprehensive physical examinations to evaluate patients for surgery and for post-surgical readmission, coordinate tests and consultations, implement treatment plans, communicate with referring physicians and patients, perform patient education, and prepare patients for discharge.
The practice location for the PA/NP includes the MGH Sports Medicine Center in Boston (1-2 days/week), the MGH West Sports Medicine Center in Waltham (1-2 days/week), and the Brigham and Women's/Mass General Health Care Center in Foxborough (2-3 days/week). As needed, there may be opportunities for the PA/NP to provide sideline coverage at sporting events as well.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Performs initial interview and assessment of patient.
Assists in preoperative evaluation and education. Obtains a detailed, accurate medical history and performs a comprehensive physical examination on patients to assess readiness for surgery.
Reviews diagnostic data and verifies laterality.
Obtains preoperative surgical consents.
Performs preoperative preparation of patients and reinforces information presented by the attending physician to the patient and/or family as necessary. Orders necessary diagnostic tests, consultations, and procedures as indicated or requested by the attending physician. Prescribes medications as necessary.
Presents preoperative patients at team meetings.
Identifies patients requiring preoperative nutritional assessments.
Communicates/coordinates with Pre-Admission Testing Area, surgical scheduling areas and nursing units.
Communicates any abnormal findings to chief residents, fellows, and/or attending surgeons for inpatients and to attending surgeon for outpatients.
Tracks and obtains radiographic studies required preoperatively for patients.
Postoperative Hospitalization and Discharge:
Assists with postoperative management of patients. Under the direction of the attending surgeons and in conjunction with the resident staff, executes a wide range of management plans for patients.
Discusses the care of each patient with the attending surgeon, and other consult service(s) involved with the care of that patient. Maintains communications with referring physicians.
Prepares patients for discharge, including patient and family discharge teaching, continuing care and rehabilitation arrangements in conjunction with nursing, writing discharge prescriptions, and confirming primary care or referring physician follow-up.
Prepare formal discharge summaries of patients for the attending surgeon's review and signature.
Attends daily rounds with the surgical team and rounds independently, as needed.
Assists with and coordinates patient diagnostic procedures.
Obtains consultations from other services at the request of the attending physician or senior surgical resident.
Coordinates patient discharge along with nursing staff to include special needs at home, medications, proper referrals (VNA, PT, etc), and coordinates proper follow-up appointments as deemed appropriate by chief resident and team.
Coordinates follow-up at outside facilities and assist in communication with other facilities in questions of patient care.
Arranges for admissions to the floor (H&P, orders).
Renews medications, transfer orders and general orders under supervision of physician.
Participates in Department of Orthopaedic Surgery grand rounds, sports medicine conference, journal club, and other educational activities with students, residents, and fellows residents assigned to the Sports Medicine Service.
Assists with ongoing clinical research through follow-up of patients currently involved in clinical outcome studies.
Assists the attending surgeon, fellows, and resident with current clinical and biomechanics research.
Possess the maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending surgeon.
Eligible for state and federally controlled substances registration.
Diagnose and treat health problems; obtain patient histories, perform comprehensive physical exams, perform simple diagnostic tests, prepare a diagnosis and implement treatment procedures for illnesses; and prescribe medications.
Experience in managing adult patients and pediatric patients (aged 10 years and over).
The work may require the lifting of heavy objects and patients, as well as exposure to potentially infective material. Work requires contact with needles and other sharp instruments, electric-cautery devices, monitoring devices, and other state-of-the-art equipment. Prolonged standing can be expected. Walking to and from the patient care units can be expected. Hazards present from exposure to combustible anesthetic or disinfecting agents are minimized when safety precautions are strictly adhered.
LICENSES, CERTIFICATIONS, and/or REGISTRATIONS (if applicable):
Graduate of an accredited American Medical Association-approved Physician Assistant training program or Nurse Practitioner program. Must possess an unrestricted license to practice as a Physician Assistant/Nurse Practitioner in the Commonwealth of Massachusetts.
Must be certified by the National Commission on Certification of Physician Assistants within one year of hire; must maintain this certification by completing required 100 hours of Continuing Medical Education credits every two years. In addition PA must demonstrate continued competence by passing a re-certification exam every six years.
Qualified in all basic and advanced cardiac life support standards as established by the American Heart Association.
Prior experience as a practicing Physician Assistant/Nurse Practitioner in orthopaedic surgery or sports medicine preferred.
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