The physician assistant (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 is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department administrator or chief physician assistant administratively.
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: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation.
Principle Clinical Duties and 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 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 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
Additional duties and responsibilities as required by the department/division
For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations served
No Direct Patient Care
All age groups
Adolescence (13 to 17 years)
Neonates (birth to 1 month)
Young Adult (18 to 25 years)
Infant (1 month to1year)
Adult (26 to 54 years)
Early Childhood (12 months to 5 years)
Senior Adult (55 to 64 years)
Late Childhood (6 to 12 years)
Geriatric (65 years and up)
QUALIFICATIONS: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)
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 four years of experience practicing as a PA to qualify for the PA III position; additional education may be considered
Must have evidence of administrative responsibility
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
Candidates must have at least two letters of recommendation for reference
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)
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: Describe the conditions in which the work is performed.
Work settings may include ambulatory 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 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.
SUPERVISORY RESPONSIBILITY: List the number of FTEs supervised.
The Senior Physician Assistant may have elements of supervisory responsibility; please refer to the addendum section for details.
FISCAL RESPONSIBILITY: Indicate financial "scope" information, i.e.: size of budget, volume, revenue, etc.
The Senior Physician Assistant may have elements of fiscal responsibility; please refer to the addendum section for details.
ADDENDUM: Document any additional skills, abilities, criteria, requirements, and/or details pertinent to this role.
The Emergency Medicine Senior PA of Ultrasound (US) will be responsible for all Point of Care Ultrasound (POCUS) education and training that involve the Brigham Health Emergency Medicine Physician Assistant group. He/She will organize initial POCUS workshop in STRATUS to introduce new hires to basic applications of Emergency Ultrasound. She/he will continue to monitor their progress through weekly Q&A reviews of their scans.
Her/his responsibilities will also include credentialing/gaining competency of the entire Brigham Health EM PA group in POCUS following ACEP guidelines. This process includes but is not limited to initial formal POCUS workshop, observation of individual EM PA Ultrasound skills in scheduled one-on-one hands on meetings, and completion of OSCE (Objective structured Clinical Exam). He/ She will also continue educating our EM PAs in more advance POCUS applications including Ultrasound guided procedures and monitor their proficiencies.
He/she will also attend weekly Emergency Department Ultrasound division meetings (scheduled every Thursday morning). He/She will join EM Departmental M&M if any PA cases pertaining POCUS are discussed. He/She will review all notable ultrasound cases at the respective site either BWH and Foxboro or Faulkner. All cases will be documented using the standard Adverse Outcome/Care Concern Screening Review template. She will present cases, tips and pearls annually at a monthly EM PA staff meeting.
He/She will also be responsible for EM PA billing for POCUS and will oversee the Ultrasound billing processes, requirements, and compliance to maximize EM PA billing revenue.
Brigham and Women's Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration 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, genetic information, military service, or other protected status.