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.
Skills specific to this role:
Medical knowledge, including an understanding of pathophysiology, patient presentation, differential diagnosis, patient management, surgical principles, health promotion and disease prevention.
Demonstrate core knowledge of established and evolving biomedical and clinical sciences and the application of this knowledge to patient care in this area.
Train and educate Interns around procedures
Manage general medical and surgical conditions to include understanding the indications, agents and other relevant treatment modalities
Identify the appropriate site of care for presenting conditions, including identifying emergent cases and those requiring referral or admission
Identify appropriate interventions for prevention of conditions
Identify the appropriate methods to detect conditions in an asymptomatic individual
Differentiate between the normal and the abnormal in anatomic, physiological, laboratory findings and other diagnostic data
Provide appropriate care to patients with chronic conditions.
Inpatient clinical duties:
Competencies and tasks in care of hospitalized obstetric or postpartum patients:
Perform admission history and physical exam and accurately record in the patient record
Change surgical dressings, including wound packing and vacs, and removal of sutures and staples
Write daily progress notes and orders
Implement attending physician instructions for patient management in close cooperation with nursing staff
Round with individual residents/teams as requested, report back to team leaders
Perform procedures within the PA scope of practice and as directed by the attending physician
Order and interpret appropriate laboratory testing and other special examinations as requested
Prepare succinct and accurate sign-out to facilitate the smooth transition of patient care from one PA to another PA or physician
Assist in making appropriate post hospitalization appointments and referrals
Communicate with referring health care providers and institutions
Additional competencies and tasks in antenatal management and routine care of postpartum patients: evaluate stability and progress of routine postpartum patient
Physical exam: appropriately evaluate uterine size, tenderness; perineal discomfort and healing; quality of Lochia; breast exam; cesarean section incision.
Vital signs/chart/history: appropriately interpret vital signs in normal postpartum patient and in patient with complications including hypertension, bleeding, infection; appropriately interpret postpartum symptoms/issues including bleeding, lactation, extremity edema and tenderness
Counsel and educate patients and family about postpartum events, activities, lactation, and contraception
Competencies and tasks in routine care of ambulatory obstetric patients:
New patient intake and history
Revisit appointments throughout patient gestation.
Complete and thorough patient notes
Support for attending physicians for patient panels for all sub-specialties within the clinic
Routine obstetrical examinations
IUD and nexplanon insertions
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
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
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.