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 Sr. 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 Sr. 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:
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
For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations served
No Direct Patient Care
All age groups
Adolescence (13 to 17 years)
Neonates (birth to 1 month)
Young Adult (18 to 25 years)
Infant (1 month to1year)
Adult (26 to 54 years)
Early Childhood (12 months to 5 years)
Senior Adult (55 to 64 years)
Late Childhood (6 to 12 years)
Geriatric (65 years and up)
The appropriate candidate will have successfully completed a graduate level physician assistant program (Master's 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 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 Sr PA may have elements of supervisory responsibility; please refer to the addendum section for details.
The Sr. PA may have elements of fiscal responsibility; please refer to the addendum section for details.
The Sr PA (in addition to the clinical and leadership duties above) will be responsible for the Outpatient PAs in the Division of Cardiac Surgery including the TAVR program PAs that are in Cardiac Surgery. Duties will include.
Schedule responsibilities regarding the Outpatient PAs in clinic as well as TAVR PAs.
Performance Reviews for the Outpatient PAs in conjunction with the Chief PA
Onboarding of new outpatient PAs in conjunction with the Chief PA
Professional Development of outpatient PAs, in conjunction with Chief PA as needed
Collaborate on policies and procedures that need revision or update regarding the outpatient clinic.
Involved in any HR issues that may arise regarding the outpatient PAs.
Projects as they arise from Chief, Chief PA or Administrative Director
Input and implementation of clinic changes or ways to optimize the flow of the clinic.