The physician assistant (PA)is a licensed provider who has acquired a broad range of knowledge and skillsthrough the successful completion of a physician assistant program. The PA is responsible for the assessment andmanagement of various populations of patients, medical and/or surgical,including diagnostic and therapeutic interventions, development of appropriateplans of care and ongoing evaluation. The physician assistant works under the supervision of an attendingphysician and reports directly to the department administrator or chief physicianassistant administratively.
The PA will perform inaccordance with all state and federal regulations and institutional policiesincluding but not limited to the BWH PA Scope of Practice, PrescriptiveGuidelines, approved clinical privileges, and BWH PA policy.
The PA II position isdesigned for those physician assistants who have advanced clinical skills andwho are experienced enough to take on additional clinical, administrative,and/or leadership responsibilities above that of a PA I. The PA II position entails thoseresponsibilities defined by the department/division that will become part ofthe performance evaluation process.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Principle Clinical Dutiesand Responsibilities:
Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting
Performs complete histories and physical examinations
Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries
Performs bedside procedures as are appropriate to the patient population
In some settings, the PA may first assist in the operating room or procedural areas
Practices cost effective medicine in an efficient manner, maximizing available resources
Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
Demonstrates expert clinical judgment skills to function in an independent role
Additional duties and responsibilities as required by the department/division
Non-Clinical Duties andResponsibilities:
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 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 in order 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
• The PA II shall be responsible for precepting PA students each yearand/or managing the department/division PA student program.
Additional duties and responsibilities as required by the department/division
The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters 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
Must have at least two years of experience practicing as a PA to qualify for the PA II position
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
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
Work settings may includeambulatory clinics and treatment rooms, inpatient areas, intensive care units,operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spenteither standing or walking and the position may require heavy lifting ofequipment and patients.
The PA may be exposed toradiation, potentially infectious bodily fluids, and sharp instruments such asneedles and scalpels. Knowledge ofUniversal Precautions and proper use of surgical sharp instruments may berequired. The consequences ofcontamination from bodily fluids or from being stuck with a sharp instrumentinclude the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment witha very large and complex patient volume; exposure to stress in the workplace isexpected.
ThePhysician Assistant II may have elements of supervisory responsibility; pleaserefer to the addendum section for details.
The Physician Assistant II mayhave elements of fiscal responsibility; please refer to the addendum sectionfor details.
Whilethe PA can expect a relatively predictable work schedule planned in advancewhenever possible, scheduling variations may occur in order to cover clinicalneeds as they become apparent to the department/division/clinic. The PA may be asked to take call, pick upadditional shifts, work variable hours, and/or provide backup coverage asneeded. The hours of coverage for theinpatient service are 7am-12am and on a rotating basis.
ThePA II shall provide leadership and participation in selected organizationalcommittees, councils, and initiatives (may also add those outside BWH such asAAPA, PAEA, MAPA, etc).
ThePA II shall be capable of independently orienting, onboarding, and/or trainingnew hire PAs within the department/division.
The PA II shall be actively involved in ongoingquality improvement and patient safety initiatives
Brigham and Women's Hospitalis an Equal Opportunity Employer. All qualified applicants will receiveconsideration for employment without regard to race, color, religion,creed, sex, sexual orientation, gender identity, national origin, ancestry,age, veteran status, disability unrelated to job requirements, geneticinformation, military service, or other protected status.