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.
The Senior PA position is designed for those physician assistants who have both advanced clinical skills and demonstrated administrative experience to take on additional clinical, administrative, and/or leadership responsibilities outside of the standard PA scope. The Senior PA position entails those responsibilities defined by the department/division that will become part of the performance evaluation process; one must complete a formal interview process to receive an offer for this position.
PRINCIPAL DUTIES AND RESPONSIBILITIES: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation.
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
Presents annually, or as needed, at a Chief PA meeting(s) and/or PA Steering Committee meeting
Reviews progress quarterly, or as needed, with departmental leadership
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
WORKING CONDITIONS: Describe the conditions in which the work is performed.
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 III may have elements of supervisory responsibility; please refer to the addendum section for details.
The Physician Assistant III may have elements of fiscal responsibility; please refer to the addendum section for details.
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.
The Senior PA will be expected to support the Chief PA toward the goals of moving PAs towards panel expansion in collaboration with an M.D. and/or independent panel management by a PA.
The Senior PA will be expected to co-manage or manage a panel size consistent with the policy of the department.
The Senior PA will be located within their primary care clinic site and will travel to additional primary care and BWH sites as needed.
The Senior PA will have one clinical session dedicated and reserved for work associated with their Senior PA role.
The Senior PA shall be responsible for being the primary preceptor for 3 PA students per year .
The Senior PA will be responsible for co-leading a major ongoing project to create and sustain a successful education program for all PA students that rotate through the department as well as for all of our PAs who precept these students. The senior PA will co-create a curriculum for our PA students that will aim to satisfy the objectives of the rotation as well as make sure the students are exposed to core concepts in primary care .The Senior PA will also be responsible for providing in person support to all PA students & their preceptors during their rotation as well as facilitating the completion of a survey by the students at the end of their rotation that allows us to under the strengths & weaknesses of our student program.
In addition, they will co-lead the creation of appropriate student competencies that correlate with where the student is in their clinical year.
They will assist Chief PA in exploring creation of a Post graduate PA Primary Care track or program.
They will also be responsible for creating a professional development program for all of our PAs that includes quarterly topics such as Giving Effective Feedback, Having Difficult Conversations, Upstander training.
The Senior PA will have an Administrative focus with revenue/efficiency/throughput implications that they will focus on within their project to offset associated costs. Examples include:
Quality and efficiency:
The Senior PA will be responsible for supporting our newer PAs in learning how to document thoroughly but efficiently.
They will also be responsible for helping her PAs who are mentoring these newer PAs, to learn how to continue to increase their efficiency so that being a Mentor does not negatively impact the quality and efficiency of the care they provide.
making sure that our PA students are providing quality care that is safe.
Making sure that we are providing our PA students with enough support and education to allow them to make a safe transition from being a PA student to being a practicing PA.
Regular chart reviews of PA student notes will be conducted by the Senior PA as well as the preceptor as one way to help monitor this.
creating and supporting Novel clinical pathways
Creating ways that we can utilize systems that are already in place for educating clinicians, so that our newer PAs have access to those systemssuch as the resident precepting and training program.
Status reviewed annually by Chief PA/MD lead to confirm that engagement remains commensurate with Senior PA JD via presentation at Chief PA meeting OR PA Steering Committee meeting
Report out project status quarterly to Chief PA/MD lead/DA or designee
The Senior PA shall provide leadership and participation in selected organizational committees, councils, and initiatives (may also add those outside BWH such as AAPA, PAEA, MAPA, etc).
The Senior PA shall be capable of independently orienting, onboarding, and/or training new hire PAs within the department/division.
The Senior PA shall be actively involved in ongoing quality improvement and patient safety initiatives.
QUALIFICATIONS: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)
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 four years of experience practicing as a PA to qualify for the PA III position; additional education may be considered
Must have evidence of administrative responsibility
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
Candidates must have at least two letters of recommendation for reference
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)
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
Brigham And Women's Hospital