Physician Assistant

3 weeks ago

Boston, United States Brigham & Women's Hospital(BWH) Full time
GENERAL SUMMARY/ OVERVIEW STATEMENT:

Physician Assistant in the Severe Asthma Center and BWH Asthma Research Center (ARC) - In this position the Physician Assistant spends about half their time in clinical activity and about half their time in the ARC. The Ambulatory Physician Assistant (PA) in Pulmonary and Critical Care Medicine is an advanced practice provider responsible for assisting physicians practicing in the BWH Asthma Research Center (ARC) by contributing their clinical expertise to the management of the severe asthma patients and the center's research studies. If desired, there is an opportunity to be part of original research as well.

The PA is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA has responsibility for assessment and management of patients, including diagnostic and therapeutic interventions, implementation, and evaluation of an appropriate plan of care, and ongoing evaluation. The PA works in collaboration with the attending physicians and reports to both the Asthma Research Center Director and department administrator or chief physician assistant administratively. The PA participates and assists with management, coordination, and transition of care of the patient in the outpatient setting.

In this role, the PA sees ambulatory patients independently. The PA is expected to have four (4), 4-hour clinic sessions per week.

The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Research Duties and Responsibilities

• Assist in evaluation and recruitment of potential study subject

o Perform pre-visit record evaluation with assessment and decisions regarding additional diagnostic evaluations if necessary.

o Contact patients as necessary to review history and records and clarify additional testing and scheduling.

• Assist with study procedures as needed

o Obtain consent from subjects for research participation when medical provider consent is required

o Administer drugs as necessary including parenteral medications if necessary

o Subject evaluation with history and physical as necessary

• Assist in post-visit evaluation

o Conduct patient visits for urgent follow-up.

o Evaluate adverse events and provide medical advice and administrative determinations regarding follow up

o Assure safety and good clinical practice in conduct of research

o Assist Lab Manager in training, supervising, and evaluating coordinator

• Assist in administrative management of the Research Center and participate in weekly administrative meeting

• Perform regular quality control audits of individual and group study data

• Evaluate proposed clinical protocols for feasibility

• Contribute to the development, design, and writing of research studies, grant proposals, and IRB protocols, and recruit patients for clinical trials.

  • Additional lab and research duties and responsibilities as required by the department/division
Clinical Responsibilities

Practice

• Sees ambulatory patients in collaboration with Center providers and independently.

• Expected to have four (4), four (4) hour clinic sessions per week.

Coordination

• Facilitates continuity of care and transition of care via multiple platforms including but not limited to communication with referring providers and consultants.

• Establishes collaborative and consultative relationships with other providers within the institution and community.
      • Ensures patient charts are complete before their first appointment and that patients are knowledgeable about next steps in care and future appointments.
• Collaborates with Patient Program Manager to follow patient progress to ensure they are on the correct path and track patient throughout the patient journey.

• Coordinates EPIC modifications to ensure quality care in the Severe Asthma Program

Non-Clinical Duties and Responsibilities:
    • Demonstrates professional collaborative and consultative relationships with other providers.
    • Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report.
    • Participates in departmental and organizational quality improvement initiatives, as appropriate.
    • Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings.
    • Maintains superior interpersonal and communication skills as a member of the healthcare team to collaborate effectively with patients, families, staff, and community health workers.
    • Remains actively involved in continuing education with a commitment to self and departmental growth.
    • Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation.
    • Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care.
Education and Planning

Education

• Acts as preceptor for staff as requested.

• Acts as an educational resource for other trainees including medical students, residents and fellows, as well as nursing and other members of the ambulatory team.

• Participates in orientation of new staff.

• Participates in Departmental and organization continuing education programs.

• Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.

• Educates lay and/or professional groups through lectures, papers, publications, and educational materials.

• Remains actively involved in continuing education with a commitment to self and departmental growth.

Planning

• Develops annual objectives and reviews with PA Director and collaborating MD at time of performance review and at appropriate intervals. Completes annual credentialing process through the PA credentialing program.

• Assists in determining, evaluating, and/or implementing clinical area goals and objectives.

• Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.

• Maintains current knowledge of legislation that may affect the health care delivery system.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate.

Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position.

Must have the ability to utilize appropriate problem-solving and conflict resolution skills.

Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care.

Must be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred).

Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician.

WORKING CONDITIONS:

Work settings will include ambulatory clinics. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients.

The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.

While the PA can expect a relatively predictable work schedule planned in advance whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to pick up additional shifts, work variable hours, and/or provide backup coverage as needed.

Qualifications
  • Minimum 1 year of PA experience required
  • The appropriate candidate will have successfully completed a graduate level physician assistant program (Master's degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination.
  • BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995.
  • Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment.
  • Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts.
  • Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration.
  • Must complete 100 hours of CME according to national and state regulations during each two-year period of employment.
  • Must complete the BWH Professionalism Program within three months of date of hire.
  • Must complete the BWH Procedural Sedation Training if deemed necessary.

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