Brigham and Women's Hospital
Description 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 PA II position is designed for those physician assistants who have advanced clinical skills and who are experienced enough to take on additional clinical, administrative, and\/or leadership responsibilities above that of a PA I. The PA II position entails those responsibilities defined by the department\/division that will become part of the performance evaluation process. PRINCIPAL DUTIES AND RESPONSIBILITIES: Principal Clinical 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 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 Additional duties and responsibilities as required by the department\/division Qualifications 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 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 WORKING CONDITIONS: Work settings may includeambulatory 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 spenteither standing or walking and the position may require heavy lifting ofequipment and patients. The PA may be exposed toradiation, potentially infectious bodily fluids, and sharp instruments such asneedles and scalpels.Knowledge ofUniversal Precautions and proper use of surgical sharp instruments may berequired.The consequences ofcontamination from bodily fluids or from being stuck with a sharp instrumentinclude the possibility of physical harm to the employee or others.BWH is a fast paced, dynamic environment witha very large and complex patient volume; exposure to stress in the workplace isexpected. SUPERVISORY RESPONSIBILITY:\u00a0 ThePhysician Assistant II may have elements of supervisory responsibility; pleaserefer to the addendum section for details. FISCAL RESPONSIBILITY: The Physician Assistant II mayhave elements of fiscal responsibility; please refer to the addendum sectionfor details. ADDENDUM: The Center for ClinicalInvestigation (CCI) physician assistants serve as integral members of amultidisciplinary team to provide routine and specialized research proceduresand services to Harvard-affiliated research investigators. This position is responsible, within thelegal limitations, for assisting the physician staff of the CCI in theprovision of research services in a variety of treatment areas including themain ED, hospital clinics, inpatient units, and discrete inpatient andoutpatient research centers. The PA mustwork collaboratively with CCI coworkers and study team members by utilizingadvanced practice skills and knowledge to effectively enhance the clinical,consultation, education, and research services provided by the CCI. TheCCI PA will: \u00b7Under the supervision and direction of the responsible physician,provides research procedures to study participants in various hospitaloutpatient clinics and inpatient settings, as assigned and across a continuumof age and acuity. The staff member mustbe able to demonstrate the knowledge and skills necessary to provide careappropriate to the age of the patients served on his\/her assigned unit. \u00b7Performs complete and accurate health histories and physicals whenevernecessary. May perform medical histories and physical exams as a member of thestudy team for an IRB approved research protocol. \u00b7Exercises autonomy in decision-making by using sophisticated clinicalknowledge to demonstrate a high level of accountability to supervisingphysician, research investigators, other staff, and research participant. \u00b7Collaborates with multiple disciplines in the development andimplementation of protocol procedures to provide optimal patient care. Performs diagnostic, therapeutic, or otherprocedures as outlined in research protocol. \u00b7Provides follow-up to research investigators\/acts as liaison betweenthe research center staff and the study investigators to address patientproblems and responses to treatment \u00b7In collaboration with supervising physicians, provides education tostudy participants and healthcare personnel in regards to medical treatment& follow-up, study procedures and risks, & the role of the PA bydiscussion, didactic sessions, and development of materials and programs, asappropriate. \u00b7Assists in orienting new staff and evaluating clinical competence ofstaff. \u00b7Collaborates with the department administrator and associate programdirector on education, outreach, quality improvement, and other duties asassigned. Whilethe PA can expect a relatively predictable work schedule planned wheneverpossible, scheduling variations may occur to cover clinical needs as theybecome apparent to the department\/division\/clinic. The PA may be asked to take call, pick upadditional shifts, work variable hours, and\/or provide backup coverage as needed. EEO Statement Brigham and Women\u2019s Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, ancestry, age, veteran status, disability unrelated to job requirements, genetic information, military service, or other protected status.
Brigham and Women's Hospital
Website : http://www.brighamandwomens.org
Boston's Brigham and Women's Hospital (BWH) is an international leader in virtually every area of medicine and has been the site of pioneering breakthroughs that have improved lives around the world. A major teaching hospital of Harvard Medical School, BWH has a legacy of excellence that continues to grow year after year. Brigham and Women’s Health Care – the parent corporation for Brigham and Women’s Hospital, Brigham and Women’s Faulkner Hospital and the Brigham and Women’s Physician Organization – includes 150 outpatient practices with over 1,200 physicians. We serve patients from New England, throughout the United States, and from 120 countries around the world.BWH is an internationally-known referral center for the most complex cases in nearly all areas of medicine. In fact, US News and World Report consistently ranks us among the nation’s top ten hospitals and in the top ten for specific specialty areas that in 2015 include cancer, cardiology and heart surgery, diabetes and endocrinology, geriatrics, gynecology, nephrology, neurology and neurosurgery, orthopedics, pulmonology, and rheumatology. The BWH name is a reflection of our history. In 1980 three of Boston’s oldest and most prestigious Harvard Medical School teaching hospitals - the Peter Bent Brigham Hospital, the Robert Breck Brigham Hospital, and the Boston Hospital for Women – merged to form Brigham and Women’s Hospital. As a national leader in improving health care quality and safety, we have helped to develop some of the industry’s best practices including computerized physician order entry (CPOE) to prevent medication errors. The CPOE is now a nationally-accepted safety practice. The BWH Research Institute (BRI) is one of the most powerful biomedical research institutes in the world and the second largest recipient of National Institutes of Health (NIH) funding among independent hospitals in the United States. With over $640 million in total research funding and over 1,000 principal investigators, BWH has long had great success in research as measured by the number of important discoveries made, the size and scope of its research portfolio and the volume of publications annually.