Per Diem Physician Associate

To describe the general nature and level of work performed by physician assistants and senior physician assistants in the Emergency Department.

This should not be construed as an exhaustive list of all the responsibilities and duties of the physician assistant or senior physician assistant.

• Completion of NYS approved program for the training of physician assistants or specialist assistants, usually via Bachelor of Science program or degree in closely related field.
• Senior Physician Assistant: Require two or more years of progressive responsibility and experience as a physician assistant, preferably in a large scale health care organization OR one year minimum experience in relevant department, demonstrating superior knowledge and ability to perform all tasks within the delineation of privileges permitted in the ED.
• Registration required with NYS as Physician Assistant.
• Certification with the National Commission on Certification of Physician Assistants (or equivalent organization) preferred for Physician Assistant; mandatory for Senior Physician Assistants.
• Certification in ACLS and PALS required.
• High level of analytical ability required to effectively and expeditiously diagnose and treat medical/surgical problems under the direction of the supervising Attending Physician.
• Interacts with various internal hospital medical and administrative and professional staff in the course of routine clinical duties.

• Perform focused or comprehensive histories and physical examinations on ED patients, and formulate a diagnostic and treatment plan.
• Implementing treatment protocols and undertaking clinical decision making, under the supervision of an Emergency Medicine attending, for patients in the ED Observation Unit during its hours of operation.
• Write orders for diagnostic tests, medications, consultations, immunizations and clinic referrals.
• Review, interpret and document the results of the diagnostic tests ordered.
• Confer with the supervising Attending Physician and nursing staff to ensure delivery of optimum quality of patient care and to keep them apprised of clinical developments, patient concerns, etc.
• Write prescriptions in accordance with hospital guidelines.
• Counsel patients when appropriate on health education issues and disease prevention.
• The PA must present all cases to the supervising Attending Physician.
• All referrals for consultation will be discussed with and approved by the supervising Attending Physician.
• The PA must review all EKGs, laboratory and radiologic results with the supervising Attending Physician prior to discharging the patient from the ED.
• Perform other duties pursuant to clinical responsibility, such as arranging follow-up for patients, obtaining informed consent from patients, recalling patients for further evaluation and treatment, and escorting patients when necessary to other areas of the hospital or interhospital transfers, inform patients of necessary post-discharge instructions as required.
• Complete and document participation in continuing medical education required of physician assistants in order to meet requirements for certification, including assigned lectures and conferences.
• Participate in the administrative and academic aspects of the ED in staff meetings, QA activities, conferences, morning reports and other duties as required professionally or at the request of the supervising Attending Physician, the Director of Service, and/or Chief Physician Assistant.

• Venipuncture and initiating IV fluids
• Ordering of routine x-rays and laboratory studies
• Ordering of medications in accordance with hospital guidelines
• Catheterization of the urinary bladder
• Nasogastric tube insertion
• Reduction of dislocations
• Splinting of orthopedic injuries
• Arterial puncture for the purpose of blood gas determination
• Minor surgical procedures (e.g., suturing, incision and drainage, wound checks, etc.)
• Initiate emergency procedures including Basic and Advanced Cardiac Life Support

• Endotracheal intubation
• Participate in the resuscitation of cardiopulmonary and other complex medical emergencies.
• Participate in the management of complex surgical emergencies.
• Order controlled drugs and psychotropic medications in accordance with established hospital guidelines.
• Placement of central venous catheters, venous cutdown, joint aspiration, lumbar puncture and other emergency procedures at the discretion of the supervising Attending Physician.

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education.

Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.

Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment.

The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers.

We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked:

No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties.

The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.

Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression.

We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve.

Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.