PA l - INPATIENT / PER DIEM / BWH - RENAL / PULMONARY
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POST DATE 8/21/2016
END DATE 10/12/2016
Brigham & Women's Hospital(BWH)
JOB DESCRIPTIONGENERAL SUMMARY/OVERVIEW STATEMENT:
The Physician Assistant (PA) for the Lung and Kidney/Pancreas Transplant Services is responsible for assisting the attending physicians and housestaff in the medical management of the patients assigned to their service. The PA works closely with the physician and nursing staff in developing and coordinating a plan of care designed to meet the physical, psychological and social needs of patients and their families. Strong interpersonal, organizational and communication skills are required. Knowledge of current literature and a commitment to continued learning are also required. The mission, vision and core values of the Brigham and Womens Hospital (BWH) are incorporated into all areas of practice.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
A. Inpatient Clinical Duties
1. Collaborates with the transplant teams in admission of patients to BWH.
2. Assists attending on daily patient rounds in monitoring patient care and formulating treatment plans.
3. Implements attending instructions for patient management in close cooperation with nursing staff.
4. Performs procedures within the PA scope of practice and as directed by the attending.
5. Orders and interprets appropriate laboratory testing and other special examinations as requested.
6. Serves as a resource to the health care team for patient care issues.
7. Collaborates with Care Coordination for all patient care referrals.
8. Assists in the planning and action of discharging patients.
B. General Duties
1. Works collaboratively and functions as an effective member of the health care team.
2. Assists in the coordination of consultation of other sub-specialists involved in the care of patient on the service.
3. Provides education to patients and families.
4. Documents in the medical record as appropriate and communicates observations/findings with attending physicians.
5. Monitors environment of care and complies with regulatory agency standards.
6. Clinical practice is consistent with physician assistant policies, procedures and standards.
7. Participates in QA/QI projects as appropriate.
C. Professional Development
1. Identifies areas for professional growth.
2. Formulates professional goals, objectives and methods for accomplishing these.
3. Supports initiatives within the BWH and the Department of Medicine.
4. Participates in committees at the divisional, departmental, and organizational levels.
Per diem position. Weekend coverage required.
1. Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
2. Licensure as a Physician Assistant in the Commonwealth of Massachusetts
3. Must have 4 years of college level education and bachelors degree or equivalent. (BS/MS joint programs are also acceptable, BS with PA certificates are acceptable for graduates before 1995).
4. Board Certification by the National Commission on Certification of PAs is required.
5. Maintain current DEA and Massachusetts Controlled Substance Licenses
6. Complete 100 hours of CME according to national and state regulations during each 2 year period of employment.
7. Maintain current BLS/ACLS certification
8. Complete BWH Professionalism Program within 3 months of date of hire.
Each PA shall demonstrate the following professional knowledge and skills:
a. Proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, etc.
b. Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
a. 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.
b. Must maintain a professional demeanor at all times and treat each person with courtesy, decency and respect using words and actions that are thoughtful, constructive, tolerant and compassionate.
c. Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
d. 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.
e. Must be a collegial team member with other personnel involved in patient care. Recognize and support each members value in our interactions with them.
f. Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care.
Each PA shall demonstrate the following clinical knowledge, skills and competencies:
a. For the most common diagnoses admitted to the services, demonstrate competency to effectively diagnose, formulate appropriate treatment plan, and efficiently implement the plan without much direction, and with a greater level of independence, from the attending physician.
b. Clinical skills and knowledge as well as professionalism of the PA candidate are assessed by the service attending, under the direction of the Medical Directors.
c. Candidates with two or more years of relevant PA experience prior to joining the service become eligible for a preliminary evaluation of competencies approximately 3 months after joining the service. The purpose of the preliminary evaluation is to provide feedback to the candidate on progress towards level of competency required and provide guidance on additional development needs.
d. If a candidate does not pass the competency assessment, service attending MDs will provide feedback on additional development needs. Re-assessment is possible after 6 months of focused development.
e. Competencies are assessed by (service) attendings either through direct observation or verbal communication. The attending physician(s) performing the assessment will fill out a competency assessment. The candidate is responsible to provide example cases, which he or she has cared for patients with the most common diagnosis.
While PAs can expect their work schedules to be relatively predictable, planned far enough in advance whenever possible, they should also expect variation in their schedules as needed to cover the clinical needs as they become apparent to the department/division/clinics. PAs may be asked to take call from home, to pick up additional shifts as needed, to work nights and weekends, and to provide backup coverage all as part of their work expectations in this job.
Brigham and Womens Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.