Physician Assistant - SOM Surgery-Cardiothoracic Surgery (PHYSICIAN AST SR)
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POST DATE 9/2/2016
END DATE 10/27/2016
University of California - San Francisco Medical Centers
San Francisco, CA
JOB DESCRIPTIONJob Title
Physician Assistant - SOM Surgery-Cardiothoracic Surgery (PHYSICIAN AST SR)
40 ; 100%
This classification is represented by a union
Our legacy of unsurpassed patient care and unceasing mission to integrate high-tech medical research with clinical operations has led to our prestigious standing as one of the top 10 hospitals in the nation according to U.S. News & World Report. As a premier health care institution dedicated to advancing health worldwide, UCSF Medical Center can also be the best place to advance and shape your career.
The medical center's employees are one of the most important reasons why we are recognized as one of the nation's best hospitals. To work at UCSF Medical Center is to be part of an institution that provides the highest caliber of care to patients; a nurturing, dynamic and team-oriented atmosphere in which to best use your skills and talents.
The cardiothoracic surgery program at UCSF was established 50 years ago when then Department of Surgery Chair, Leon Goldman, M.D., father of U.S. Senator Diane Feinstein, invited Benson Roe, M.D. to join the faculty and establish a division for a new subspecialty, Cardiothoracic Surgery. Dr. Roe's pioneering work continues today through the leadership of Cardiothoracic Surgery Chief, Scot Merrick, M.D.
The Division of Adult Cardiothoracic Surgery at UCSF is comprised of a Cardiac Surgery Section, a General Thoracic Surgery section, a Heart and Lung Transplant Program, which has historically had high one-year survival outcomes among academic surgery programs nationally and a Mechanical Circulatory Service (MCS) team that provides care and treatment for patients on Ventricular Assist Devices (VADs) and Extracorporeal Membrane Oxygenation (ECMO).
The Division has a fully accredited ACGME training program in cardiothoracic surgery that consists of rotations in adult and pediatric cardiac surgery, and thoracic surgery, many of whom have gone on to become distinguished leaders in their field.
The Physician Assistant complements and assists the work of the attending faculty and surgical residents to care for patients admitted to Cardiothoracic Surgery. All activity will be performed as a part of the physician team and under direct or indirect supervision of a physician. Full assumption of these responsibilities will follow a training period of two months during which time the employee will be monitored by the faculty physician supervisor to whom s/he will report in order to determine that their knowledge and skills have reached the appropriate level.
The incumbent will serve as a high level professional whose activities will span the interface between the physicians and primary nurses who manage Cardiothoracic Surgery patients at Moffitt-Long Medical Center, UCSF. The Physician Assistant will act as a full member of the Cardiothoracic Surgery Team, taking responsibility for the safe delivery of care, in consultation with attendings, nurse practitioners, ICU service providers, consult providers, and residents. This team member will meet productivity expectations as set forth by the Chief of Cardiothoracic Surgery, performing any duties related to patient care activities that are appropriate and clearly delineated.
The Physician Assistant on the Cardiothoracic Surgery service will provide the following oversight and management for the following Inpatient Cadiothoracic Surgery sub specialty groups; CT surgery, thoracic surgery, MCS, Heart Transplant and Lung transplant:
* Pre-operative: Perform history & physical, suture removal, wound care, patient consultations and education.
* Operative: Perform patient preparation, sternotomy incision and closure, saphenous vein harvest, endoscopic vein harvest, radial artery harvest, thoracotomy incision and closure, insertion and adjustment of intro-aortic balloon pump, assist on insertion of ventricular assist devices, and participate in heart/lung transplant.
* Post-operative: Participate in daily ward rounds and teaching conferences, prepare progress notes and discharge summaries, prepare ICU and ward orders, review lab work, insert chest tubes, perform arterial and venous access procedures, and perform thoracentesis.
UCSF Medical Center requires all Advanced Health Professionals (AHP) to be credentialed through its Medical Staff Services Office (MSSO) in order to practice and function in their clinical role. This applies to both adult and pediatric AHPs in the inpatient and outpatient clinical settings at all UCSF Medical Center sites (Parnassus, Mt. Zion, Mission Bay, Satellite Clinics, et al). Credentialing and approval of the Standardized Procedures takes between 60-90 days and must be completed prior to the first working day.
The flexibility to orient and work at all UCSF Medical Center locations is required.
LIVING PRIDE STANDARDS
* Demonstrates service excellence by following the Everyday PRIDE Guide with the UCSF Medical Center standards and expectations for communication and behavior. These standards and expectations convey specific behavior associated with the Medical Center s values: Professionalism, Respect, Integrity, Diversity and Excellence, and provide guidance on how we communicate with patients, visitors, faculty, staff, and students, virtually everyone, every day and with every encounter. These standards include, but are not limited to: personal appearance, acknowledging and greeting all patients and families, introductions using AIDET, managing up, service recovery, managing delays and expectations, phone standards, electronic communication, team work, cultural sensitivity and competency.
* Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Exhibits team work skills to positively acknowledge and recognize other colleagues, and uses personal experiences to model and teach Living PRIDE standards.
* Exhibits tact and professionalism in difficult situations according to PRIDE Values and Practices
* Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information.
* Demonstrates an understanding of and adheres to safety and infection control policies and procedures.
* Assumes accountability for improving quality metrics associated with department/unit and meeting organizational/departmental targets.
* Keeps working areas neat, orderly and clutter-free, including the hallways. Adheres to cleaning processes and puts things back where they belong. Removes and reports broken equipment and furniture.
* Picks up and disposes of any litter found throughout entire facility.
* Posts flyers and posters in designated areas only; does not post on walls, doors or windows.
* Knows where the Environment of Care Manual is kept in department; corrects or reports unsafe conditions to the appropriate departments.
* Protects the physical environment and equipment from damage and theft.
* Minimum 3 years