Advanced Practice Provider

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CORE JOB SUMMARY

The Advanced Practice Provider (APP) – Fellow is provided specialized training in the management of assigned specialty patients in a variety of settings to ensure optimal quality of care and gaining necessary skill sets to develop and strengthen proficiencies within the clinical setting while learning to collaborate within a multidisciplinary team of healthcare providers. The APP - Fellow performs patient assessment to include medical history and physical exam in collaboration with the physician/preceptor, develops an appropriate plan of care in the direct management of patients with acute and chronic illnesses. The fellow displays competencies with preceptor and collaborating physicians. Works directly with staff, administration, patients, and families to ensure quality care across the continuum to evolve as an expert in selected practice areas. Integrates current knowledge of professional issues, trends in health care, and technological advances into scope of practice. Participates in the collections of research data, quality improvement, discharge planning, and coordination of patient care within the acute care areas.

The Advanced Practice Provider Fellowship program at the University of Miami, Miller School of Medicine will complete rotations in a variety of clinical setting located within UHealth to include both inpatient and outpatient settings over a period of weeks, as assigned by specialty.

CORE JOB FUNCTIONS

Clinical Role

• Provides care to a select group of patients by determining and rendering advanced nursing and medical interventions.
• Assesses patients by interviewing and examining the patient, reviewing the patient's medical history, physician's diagnosis and orders, diagnostic test results (labs, x-ray, MRI, etc.) to determine medical diagnosis, plan of care, and monitor patient's progress.
• Reviews medical records including physician/consultation notes, labs, and diagnostic tests results to formulate medical diagnoses.
• Collaborates with physician and preceptors through discussion and assessment of diagnoses to develop a plan of care and identifies expected outcomes, including interventions. Documents and coordinates plan of care.
• Provides patient/family education regarding disease processes, treatment options, treatment outcomes, possible complications, medications, discharge planning, and lifestyle modification.
• Integrates current knowledge of professional issues, trends in health care, and technological advances into scope of practice.
• Collaborates with team members to ensure implementation of plan and employs physician orders per protocols.
• Assists in the management of family dynamics and coping mechanisms during acute and chronic phases of patient care.
• Evaluates the patient's progress in attaining expected outcomes by follow-up with collaborating physician.
• Collaborates with members of the education department and units' leadership team in planning educational opportunities and competency evaluation for nursing staff members.
• Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients.
• Able to progress from observer to an independently practicing APP with the guidance of their preceptor/physician collaborator
• Prioritize time to be able to manage clinical rotations, study time, and fellowship requirements
• Cross cover units/clinics independently when directed by Director, Fellowship program and preceptor input on readiness

Research/Quality Improvement

• Initiates and/or participates in unit and/or hospital research activities. Utilizes research findings and nursing theories in clinical practice. Promotes evidence/knowledge-based nursing practice. Collects data for patient and program evaluation and participates in quality assessment and improvement activities.
• Authors or contributes to an article for publication in a professional journal or book.

Professional Development

• Participates in 360° peer review process
• Submits annual protocols, revision to state nursing and medical boards
• Maintains national certification
• Specialty certification upon completion of fellowship if applicable
• Complete all competencies and training specified for all APPs working at UHealth
• Encouraged to attend to one national conference
• Presentation of clinical case studies at completion of each clinical specialty rotation
• Attendance to weekly educational grand rounds, disease specific team meetings, and educational sessions provided by department of Nursing and Advanced Practice

Supervision Received

• Reports to collaborating physicians during clinical rotations and APP Mentor (assigned), and reports directly to leader, as assigned.
• Meets periodically with the Director, Fellowship Program
• Adheres to University and unit-level policies and procedures and safeguards University assets.

Fellowship Program Requirements

• Completed an oral presentation on the topic of their choice
• Attempts to submit an article for publication
• Initiates and completes a quality improvement project in collaboration with department/unit leaders
• Sits for specialty certification if applicable to their area of specialty and licensure

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

Education:

Master's degree in relevant field

Certification and Licensing:

Valid State of Florida APRN/PA License; BLS/ACLS Certifications

Experience:

No experience required

Knowledge, Skills and Attitudes:

• Ability to exercise sound judgment in making critical decisions.
• Skill in completing assignments accurately and with attention to detail.
• Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
• Ability to process and handle confidential information with discretion
• Ability to work independently and/or in a collaborative environment.
• Ability to communicate effectively in both oral and written form.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

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