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POST DATE 9/16/2016
END DATE 11/8/2016

Brigham & Women's Hospital(BWH) Boston, MA

Boston, MA
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Entry Level (0 - 2 years)
Bachelors Degree



The physician assistant (PA) will work as a member of the Urologic Surgery team. Job responsibilities will be primarily in the ambulatory setting. The PA will work in the Urology Clinic at both Brigham and Womens Hospital and Brigham and Womens Faulkner Hospital. There may also be an opportunity to work inpatient and in the operating room.



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

1. See patients in the urology clinic, records information accurately in patient record in a timely fashion.

2. Performs procedures, e.g.: insertion/removal of tubes, lines, sutures, performs postoperative wound care.

3. Examines and evaluates patients and assists in development of their treatment plan with resident physicians and attending surgeons.

4. 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.

5. Follow up patient results and respond appropriately.

6. Respond to phone calls from patients and/or in regard to patients.

7. Provides age specific care to urology patients from early adolescence through the geriatric ages.

8. Will work with physician trainees and will alternate with them in scheduled shifts for patient care.

9. Will work under the direction of urology attending and fellows.

10. Provides teaching to medical students and physician assistant students and other health care personnel as appropriate.

11. Stays up to date on the latest literature in surgical urology care practice.

12. 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.


1. Leadership

a. Mentoring of various health care personnel.

b. Being available to offer additional help when needed

2. Professionalism/Professional Development

a. Attend continuing education courses as appropriate

b. Practice professional behavior at all times.

c. Engage in activities to develop growth of self and growth of Division.

3. Operations Support, Administrative Responsibilities

a. Keep proficient in all IS systems appropriate to position.

b. Maintain awareness of documentation and its effect on reimbursement.

c. Continue to find ways to practice efficiently

d. Advocate for quality of care

e. Partner with attendings and other care providers to provide high quality patient care.


* License/Certification/Registration:

a. NCCPA certified.

b. License as a Physician Assistant in Massachusetts.

c. Maintain current DEA and Massachusetts Controlled Substance Licenses.

d. Complete 100 hours of CME according to national and state regulations during each 2-year period of employment.

e. Complete BWH Professionalism Program within 3 months of date of hire.

* Education:

a. Minimum of Bachelors Degree required. Masters degree and previous experience in an academic surgical/medical environment preferred.

b. Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.

c. Must have 4 years of college level education and Bachelors degree or equivalent.

d. Board Certification by the National Commission on Certification of PAs is required.

3. Experience: Each PA I shall meet the following minimum requirements for work experience:

a. Relevant full time experience as a PA preferred, although not required.

b. Other previous Hands on patient care experience may be considered at the discretion of the Medical Director.


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 urology attending under the direction of the Division Chief.

* If a candidate does not pass the competency assessment, urology 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:

1. 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.

2. 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.


Work areas will include the BWH Urology Clinic and administrative offices, as well as BWH inpatient and affiliated areas of patient care (diagnostic units, Emergency Medicine Department, postoperative care unit or any other areas where care is delivered for BWH surgical urology patients).

Work requires lifting of patients and heavy objects.