POSITION SUMMARY :

• Under the general supervision of the Chief Physician Assistant, Attending physician and Operations Manager, the Physician Assistant is responsible for providing varied medical services, which may include : Initial and follow-up evaluation of orthopedic related complaints including formulating a diagnosis and treatment plan, ordering and interpreting laboratory tests and diagnostic studies;
• prescribing and / or dispensing medication; assisting in surgery or other invasive procedures; rounding on admitted patients;

counseling patients and families, preforming pre-operative and other patient care duties. Additionally, the Physician Assistant may be involved in a patient's medical care in any capacity the attending physician deems proper and consistent with applicable law, hospital regulations, delineation of privileges, and the Physician Assistant's training, knowledge, skills, and experience.

Position : Physician Assistant

Department : Orthopedic Clinic

Schedule : Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES :

• Provides direct care, counseling and teaching to a designated patient population in the ambulatory, inpatient, operative and / or procedure setting.
• Perform comprehensive and problem focused history and physical examination, interpret and correlate laboratory and diagnostic procedures.

Interpret and correlate subjective and objective data to formulate a differential diagnosis and establish a working diagnosis.

Formulate a management plan for orthopedic problems within scope of practice. Implement therapeutic intervention for specific conditions when appropriate.

Exercise judgment on problems requiring consultation, referral, or evaluation by the supervising orthopedic surgeon or other health care professionals

Order, collect, and perform appropriate laboratory or diagnostic procedures, and studies including but not limited to blood and tissue specimens.

Ordering or performing diagnostic studies such as but not limited to EMG, electrocardiogram, compartment pressure measurements, and diagnostics including special x-rays, CT, MRI, and bone scans etc.

• Perform diagnostic and therapeutic procedures including but not limited to joint and bursa aspirations, closed reduction of fractures and dislocations, injections of joints, tendons, trigger points and bursa, as well as bracing, and cast and splint applications.
• Presents and discusses the findings of the initial evaluation with the Attending Physician to determine the treatment plan.

Documents the treatment plan and writes appropriate orders and referrals.

Oversees the entire clinical experience to assure coordination and consolidation of patient care plans and execution of those plans to tie the service together.

Facilitates communication with other departments to ensure the delivery of excellent, cost effective, and efficient patient care.

• Under the countersignature of the attending physician, is responsible for producing preoperative and postoperative orders, as authorized by applicable law and department protocol.
• Writes orders on patients admitted to the hospital including medication, labs, diagnostic and therapeutic tests, and nursing activities.

May be authorized to write appropriate prescription orders, including those for narcotics, stimulants, and depressant drugs, investigational medications and pre and postoperative orders as necessary.

• Makes rounds to evaluate patients and writes progress reports.
• Educates patients and / or families about preventive care, medical issues, and use of prescribed medical treatments, injections, procedures and / or medications.
• Records and maintains legible, accurate and confidential patient medical records including initial evaluation, subsequent follow-up, unusual incidents or events, and patient progress to provide complete and up-to-date information for ongoing reference and evaluation.
• Provides pre-operative services including Pre-op H&P and SAFE protocol clearances.
• Participates in hospital level activities representing the department.
• Facilitates transitions of care from inpatient to outpatient setting, including performance of medication reconciliation, arrangement of appropriate and timely follow up, and completion of an accurate and concise discharge summary.
• Facilitates direct admission process as needed.
• Provides faculty support by monitoring all incoming patient requests including : phone calls, MyChart messages and any patient care related paperwork or correspondences.
• May assist in surgery to include but not limited to first assist, deep and superficial tissue closures, application of appliances and any other action delegated by the surgeon.

Conduct hospital, rounds, write orders, and respond to patient related calls for the orthopedic surgeon. Evaluate and clarify clinical conditions, formulate and implement a treatment or therapeutic plan for hospitalized patients, construct H&Ps and discharge summaries.

Provides general Wound Vac set-up, placement, and monitoring. Supports in clinic casting-splinting as needed.

• In addition to providing direct clinical support to our surgeons, holds independent clinical sessions as needed.
• Ensures treatment and consultations consistent with NCQA (National Committee for Quality Assurance), TJC (The Joint Commission on Accreditation of Healthcare Organizations), and federal and state regulatory standards.
• Engages in inpatient orthopedic care including but not limited to patient discharge planning, patient rounding / monitoring and bedside procedures.
• Works closely with the social work - case management partners to develop discharge strategies to support post-surgical home care.
• Attends scheduled weekly staff meetings, monthly departmental grand rounds and department daily huddles.
• Assist with research projects and their implementation as needed
• Order, prescribe, dispense, and administer Medication, orthosis, orthotics, braces and other orthopedic devices (durable medical equipments) as may be allowed by state legislation.
• Ensures professional growth and development through participation in educational programs and workshops and maintaining knowledge of industry standards and practices.
• Maintains patients’ confidentiality.
• Conforms to hospital standards of performance and conduct, including those pertaining to patient rights, so that the best possible customer service and patient care may be provided.
• Adheres to all of BMC’s RESPECT behavioral standards and utilizes hospital’s cultural beliefs as the basis for decision making and to support the hospital’s mission and goals.
• Follows established hospital infection control and safety procedures.
• Performs other duties pertaining to patient care and practice operations as required.

JOB REQUIREMENTS

EDUCATION :

Qualified Physician Assistants will hold at least a Master’s degree and must be a graduate of a PA Program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.

ARC-PA) or its predecessor.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED :

In order to apply for the position, the PA must be National Commission on Certification of Physician Assistant (NCCPA) PANCE eligible and eligible for PA licensure in the State of Massachusetts.

Documentation of Massachusetts PA license and initial NCCPA certification are required upon hire. Massachusetts Controlled Substances Registration and federal DEA Controlled Substance Registration are required.

EXPERIENCE :

Prior experience in similar clinical setting / specialty is preferred, but not mandatory.

KNOWLEDGE AND SKILLS :

• Successful candidates will be self-directed, demonstrate initiative and professionalism, and exercise expert clinical judgment to function independently in this role.
• Excellent interpersonal and communication skills in English are required in order to communicate complex medical information to collaborators such as patients and their families, physicians, staff, and community health workers.
• Physician assistants who have exceptional problem solving and conflict resolution skills are preferred. Individuals with an interest and / or expertise caring for diverse populations of patients with varying levels of health literacy are encouraged to apply for this position.

Barton has your next locum job! Our client, a hospital located in Massachusetts needs a locum tenens Physician Assistant Hospitalist for 30 days of coverage.

The ideal candidate will be able to start as soon as possible. Our client is requesting coverage 7am-5pm or 8am-5pm, 8-10 hour shifts / day totaling 40 hours / week.

Applicants should be comfortable with full joint replacement ortho cases including but not limited to : hips, knees, shoulders, elbows, & spines including medication management for post-op patients.

There is a chance for extension with this job. To learn more, apply now!

Job Description

Description

Home Hospital Advanced Practice Provider (NP or PA) full time 40 hour Days

Job Title : Home Hospital Advanced Practice Provider

General Overview

The Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home.

The MGB Home Hospital (HH) is an innovative strategic program that aims to improve the care of patients while increasing hospital capacity and reducing total costs of care.

The Home Hospital Advanced Practice Provider will support the work of Home Hospital by visiting (either in person or virtually) and managing patients in their home as a direct Home Hospital provider, supported by a multidisciplinary team that includes an attending physician (who oversees the direction of care for patients enrolled), a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (, physical therapist).

Upon admission to Home Hospital a patient will have an in-person visit (this can be done in the hospital or in the home).

Daily Home Hospital rounds for the Home Hospital APP consist of at least one daily visit (in-person or virtual depending on patient needs and circumstances), with medical decision-making and delivery of needed care as appropriate (see specific clinical duties below).

The HH APP will facilitate continuity between care settings, ensure home care and acute care protocols are seamlessly integrated in the home settings, and function as a lead clinician in the home environment.

The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, and confident clinician comfortable with autonomy, multidisciplinary team collaborations, complex clinical decision-making, level-of-care triaging, and telemedicine.

The role offers the potential to grow into a managerial / leadership position and / or the opportunity to broaden clinical duties.

Principle Roles / Responsibilities :

Provides acute-level care in the home setting (in-person and / or virtual) as a key member of the Home Hospital treatment team (including receiving the patient at his / her / their home, establishing a treatment plan, following Home Hospital protocols where appropriate, liaising between the home and other care settings, timely clinical documentation, and responding to patient needs with the ability to triage decisions around escalation of care).

Other clinical duties may include facilitating in-home diagnostics, point-of-care testing, administration of medications and other treatments, patient monitoring, clinical documentation, and other patient needs as they arise.

Collaborates with multidisciplinary Home Hospital team members and patients’ longitudinal care team members around appropriate, safe, effective, equitable, and timely care delivery for Home Hospital patients.

Communicates with the patient and family about HH, incorporating patient and family values and goals in the plan of care.

Maintains a safe care environment for HH patients and leads in the practice of and reinforcement of a strong safety culture among all clinical partners involved.

Attends relevant team and other meetings related to Home Hospital and related work.

Participates with quality measurement and / or quality improvement initiatives, as appropriate, to advance the work of Home Hospital and other alternative care pathways, including advancements or innovations within the electronic health record.

Qualifications

Qualifications

At least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience strongly desired, preferably practicing in an acute hospital setting;

academic medical center experience a plus.

Current Massachusetts Licensure as a NP or PA with a Masters Degree required.

MGB institutional knowledge a plus.

Advanced Cardiac Life Support (ACLS) certification is required.

Flexible and comfortable with a fast-paced, evolving clinical environment.

Motivated, collaborative team player who also works well independently.

Creative problem solver with the ability to think innovatively.

Excellent oral and written communication skills.

Demonstrated knowledge of quality measurement and quality improvement.

Track record of proficiency in managing relationships and building networks.

Previous experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.

Role is Full-time, 36 to 40-hours / week and will include rotations for days, weekends, and holidays. There may also be a rotating overnight on-call responsibility.

Local travel between patient homes within a defined 10-20 mile radius required.

Job Description

Minimum Qualifications :

1.Bachelor’s degree.

2.Graduate of an approved Physician Assistant Program

3.Certified by the National Commission on Certification of Physician Assistants within one year of hire.

4. Basic Life Support (BLS) certification.

5. One (1) year of Physician Assistant experience.

6. Eligible for state and federal controlled substances registration.

Preferred Qualifications :

1.Two (2) years of Physician Assistant experience.

2. Bilingual.

Duties and Responsibilities : The duties and responsibilities listedbelow are intended to describe the general nature of work and are not intended to be an all-inclusive list.

Other duties and responsibilities may be assigned.

1.Obtains a detailed medical history and performs a comprehensive physical examination of all patients admitted to the Surgical ICU.

2.Performs preoperative preparation and postoperative care of patients and reinforces information presented by the attending physician to the patient and / or family as necessary.

Obtains informed consent for critical care procedures. Coordinates care of various general surgical services, orders necessary diagnostic tests, consultations, and procedures as indicated or requested by the attending physician.

3.Performs postoperative management of critically ill surgical patients. Manages patients on ventilators and on dialysis, and patients with Swan-Gins catheters.

4.Performs bedside diagnostic and therapeutic invasive procedures on critically ill patients as indicated or directed by the attending physician, including but not limited to, management of A-V fistulae, insertion of arterial, central venous lines, and Swan-Ganz catheters, wound debridement, and endotracheal intubation.

5.Performs basic and advanced cardiac life support procedures as necessary and directs these efforts until the arrival of a senior physician.

6.Prepares ICU patients for transfer or discharge, including patient and family teaching, continuing care and rehabilitation arrangements, writes discharge prescriptions, and confirms primary care or referring physician follow-up.

7.Prescribes medications for patients in accordance with service policies and / or attending physician's instructions.

8.Under the direction of the surgical intensivist and the attending surgeon, executes a wide range of management plans for Surgical ICU patients.

9.Dictates formal discharge, transfer, and death summaries for Surgical ICU patients for the attending physician's review and signature.

10.Participates in the education of students and residents assigned to the surgical services.

11.Performs clinical data collection and analysis, and participates in clinical research supervised by the Director of Maintain a collaborative, team relationships with peers and colleagues in order to effectively contribute to the working groups achievement of goals, and to help foster a positive work environment.

12.This position reports administratively to the Senior Physician Assistant of the Department of Surgery and the Administrative Manager of the Department.

13.This position reports clinically to the Director of the Surgical Intensive Care Unit.

14.Works closely with Surgical ICU patients and their families.

15.Works as a member of the surgical team including attending surgeons, physicians, residents, nurses, and ancillary personnel.

16. Participates as an integral member of the Surgical ICU multidisciplinary team.

Physical Requirements :

1. Ability to work within the semi-restricted and restricted environment of the Operating Room and other Perioperative support areas.

2. Stands under hot surgical lights for prolonged periods of time.

3. Possibility of muscle strain from lifting patients and heavy equipment, shocks and burns from cautery units and autoclaves.

Possibility of cuts from sharp instruments.

4. Frequent exposure to hazardous chemicals, blood and bodily fluids, extreme noise levels, radiation, lasers, drastic fluctuations in ambient temperature, etc.

5. Ability to wear a protective lead apron for extended periods of time and exposure to radioactivity, harmful anesthesia gases and septic infections.

6. Requires frequent lifting and positioning of patients, materials, equipment, power tools, instruments, etc.

7. Frequent contacts with patients, physicians and nursing staff in Operating Room.

Skills & Abilities :

1. Expert knowledge of aseptic technique and infection prevention practices.

2. Expert knowledge of anatomy and physiology, medical terminology, microbiology and pharmacology to ensure that optimal patient care is provided.

3. Advanced knowledge of computers, surgical equipment and department infrastructure.

4. Possess the ability to care for critically ill adult and pediatric patients with a broad range of medical and surgical problems.

5. Expert knowledge of surgical subspecialty equipment, supplies and instrumentation.

6. Advanced knowledge and skills necessary to provide care to patients throughout the life span.

7. Qualified in all basic and advanced cardiac life support standards as set by the American Heart Association.

8. Possessthe maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending physician.

Summary

Responsible for the assessment, diagnosis and treatment of patients through collaboration with a designated physician.

Essential Duties and Responsibilities

• Assess and treat patients with common acute conditions, illnesses, or minor trauma in collaboration with a physician
• Collaborate with the physician in the health care of patients with chronic illnesses.
• Responsible for the diagnosis and treatments of acute, chronic, and long-term healthcare issues.
• Educate patients and / or families about preventive care, positive behaviors, medical issues, and use of prescribed medical treatments and / or medications.
• Maintain legible, accurate, and confidential medical records.
• Document all medical evaluations, diagnoses, procedures, treatment, outcomes, education, and referrals.
• Serve as Medical Examiner and perform Department of Transportation (DOT) physical examinations.
• Order diagnostic tests as appropriate.
• Prescribe medications within scope of license.
• Facilitate evaluation of records by physician(s), peers, for quality and standards according to protocols and receive and implement constructive directives.
• Promote preventive and health maintenance care, including annual physicals, positive health behaviors, self-care skills, and use of prescribed medical treatments and medications through education and counseling.
• Analyze new knowledge gained from conferences, workshops, professional literature, or hands on training and assimilates this knowledge into clinical practice.
• Regular attendance to ensure efficient operations

Other Duties and Responsibilities

• Assist in patient flow through patient triage and other nursing duties as needed
• Other duties and responsibilities as assigned

Qualifications

• Ability to learn and utilize Electronic Medical Records system
• Ability and willingness to work weekend and holiday work as required
• Flexible, self-motivated individual who is dedicated to quality patient care and customer satisfaction
• Excellent communication skills
• Works effectively in a team environment. Willing to work with multiple covering physicians in addition to collaborating physician.
• Projects a positive image and has a Patients First attitude
• Prior experience in primary / urgent care or internal medicine practice is desirable

Education and Experience

Current licensure as a Certified Registered Family Nurse Practitioner (ANCC or AANP) in a Family or Current Licensure as a Physician Assistant (PANCE)

PS : It’s All About You!

American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine.

Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient.

If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides.

Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner.

Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more.

We are an Equal Opportunity Employer.