Physician Assistant I/ Urology Inpatient - Faulkner
Brigham & Women's Hospital(BWH)

Boston, Massachusetts

Posted in Health and Safety


Job Info


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:

Clinical Duties:

The PA should display the following skills and take part in the following tasks:

  • Performs patient admitting histories and physicals; records information accurately in patient record in a timely fashion.
  • Performs routine preoperative and postoperative procedures, e.g.: insertion/removal of tubes, lines, sutures; performs postoperative wound care.
  • Examines and evaluates patients and assists in development of their treatment plan with resident physicians and attending surgeons.
  • Appropriately responds to emergency situations; manages patient issues as they arise, to the extent that the PA will obtain and evaluate studies/labs, write orders, obtain consultations and interpret lab values and radiologic images with the assistance of the supervising physicians as necessary.
  • Provides age specific care to surgical intensive care patients from early adolescence through the geriatric ages.
  • Will work with physician trainees and will alternate with them in scheduled shifts for patient care.
  • Will work under the direction of supervising critical care attending and fellows.
  • Provides teaching to medical students and physician assistant students and other health care personnel as appropriate.
  • Stays up to date on the latest literature in surgical urology care practice.
  • Participates in quality improvement efforts and research efforts as directed by the service leadership. The PA should also initiate quality improvement and research efforts as appropriate.


  • Non-Clinical Duties:
  • Leadership
  • Mentoring of various health care personnel.
  • Being available to offer additional help when needed
  • Professionalism/Professional Development
  • Attend continuing education courses as appropriate
  • Practice professional behavior at all times.
  • Engage in activities to develop growth of self and growth of Division.
  • Operations Support, Administrative Responsibilities
  • Keep proficient in all IS systems appropriate to position.
  • Maintain awareness of documentation and its effect on reimbursement.
  • Continue to find ways to practice efficiently
  • Advocate for quality of care
  • Partner with attendings and other care providers to provide high quality patient care.


  • The PA will work primarily on the inpatient floor taking care of patients admitted to the urology service. This role is intended to cover inpatient service at Brigham and Women's Faulkner Hospital but there may be occasions when PA is asked to cover at BWH Main Campus based on staffing needs. Additionally, anticipate training will occur with the inpatient PAs at BWH Main Campus.

    The anticipated schedule will be 4 ten hour shifts per week.

    The PA will be the primary responding clinician for issues and will work as a team with resident, fellow and attending physicians.

    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 work at both Brigham and Women's Hospital and Brigham and Women's Faulkner Hospital, as outlined above.

    Additional Clinical Duties:

    Perform routine urologic procedures including catheter placement/removal, drain removal, wound care, intravesical instillation and other procedures as appropriate.

    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)

    X

    Infant (1 month to1year)

    Adult (26 to 54 years)

    X

    Early Childhood (12 months to 5 years)

    Senior Adult (55 to 64 years)

    X

    Late Childhood (6 to 12 years)

    Geriatric (65 years and up)

    X

    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
    • 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:

    The PA shall demonstrate the following clinical knowledge, skills and competencies:
  • Clinical skills and knowledge as well as professionalism of the PA candidate are assessed by a surgical attending under the direction of the Division Chief.
  • If a candidate does not pass the competency assessment, surgical attendings will provide feedback on additional development needs. Re-assessment is possible after 6 months of focused development.
  • Competencies are assessed by surgical intensive care attendings either through direct observation or verbal communication. The attending physician(s) performing the assessment will complete a competency assessment (designed by dept/division). The candidate is responsible to provide example cases, which he or she has cared for patients with the most common diagnosis.


  • Physical and mental abilities required:
  • Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
  • Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
  • Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
  • Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.
  • Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care.


  • The PA shall demonstrate the following professional knowledge and skills:
  • Proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, BICS, etc.
  • Consistently provide high quality and timely documentation, including admission notes, progress notes, discharge summaries and dictation.


  • The PA shall demonstrate appropriate direct patient care:
  • Must have broad knowledge of the medical environment, surgical practices, and performance goals of BWH and the division of urology.
  • Must exercise the highest degree of professional judgment under the direction and guidance of a licensed physician.
  • Must be able to accept instruction and guidance and assume responsibility in complex teamwork concept.
  • Must be able to administer such care and treatment and exercise such independent originality in solving problems to meet the needs of patients.


  • EEO Statement
    Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.



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