The Women’s Reproductive Health and Newborn Care program is a regional program located at McMaster University Medical Centre. The program includes a Maternal Fetal Medicine (MFM) clinic located on 4B1, two inpatient units, a critical care unit, Labour and Delivery and triage as well as obstetrical and gynecology clinics. The Maternal Fetal Medicine Clinic provides outpatient services to a diverse women’s health population. Care is provided during the antenatal and postpartum phases of pregnancy for women and their families. Wards 4B, 4C and the Labour and delivery units are included in this family –centered tertiary care program.
The Physician Assistants (PAs) work as part of a multidisciplinary team to assist MFM physicians in providing a broad range of medical services and acts as a physician extender to assess, analyze, prioritize, plan and evaluate care. The PAs will work with both in and out patients. The PAs, under the direction of the supervising physician, will assist in the assessment, care and management planning of newly referred MFM patients in the outpatient setting. They also will also be involved in providing ongoing outpatient antenatal care for these patients. The PAs, under the direction of the supervising physician, is responsible for providing direct patient care to inpatient antepartum and postpartum obstetrical patients including daily rounds and addressing stable acute medical issues. Care in these areas will involve taking detailed focused histories and physical examinations, order tests, reviews results, complete progress notes and organize consults based on care plans determined with attending MFMs. It will also involve dictating consultations and identifying, preparing, coordinating and dictating discharges.
Role description
The Physician Assistant (PA), under the direction and supervision of the Division Head of Maternal Fetal Medicine will be responsible for providing direct patient care for Maternal Fetal Medicine patients. The physician assistant will assist with the care of both antepartum and postpartum patients in both outpatient and inpatients settings namely\:
• Maternal Fetal Medicine Clinic-4B1
• Labour and Delivery
• Labour and Delivery Triage
• 4C and 4B wards
• Women's Health ICU and Step-Down Unit
This patient care may include
1. Completing comprehensive and focused health histories,
2. Performing comprehensive and focused physical examinations,
3. Performing procedures as determined by the MFM physicians,
4. Developing care plans care in conjunction with MFM Physicians
5. Providing counseling on preventive health care,
6. Ordering, following-up on and interpreting laboratory or radiological investigations
7. Performing controlled acts as delegated by a physician.
The physician assistant will be expected to
• Adopt many of the roles that a Junior Resident would fulfill on a clinical teaching unit
• Serve as a physician extender, for the Maternal Fetal Medicine Physicians.
• Assisting with outpatient organization of the clinical service,
• Co-supervise physician assistant students
• Performing other tasks within the supervising physician's scope of practice that the physician deems the PA qualified to complete.
The Physician Assistant is responsible for the following Outpatients care as determined by the MFM physicians
• History and physical examinations of new consultations in the Maternal Fetal Medicine clinic and patients presenting to the labour and delivery triage area. Ordering of appropriate investigations and laboratory tests, tracking these results planning care appropriately. Requesting consultations with other specialists. Dictations of these consultations.
• Ongoing outpatient antenatal care of Maternal Fetal Medicine patients as well as ordering of appropriate further investigations and consultations that come from these visits and documentation in the health record.
The Physician Assistant is responsible for the following Inpatient care as determined by the MFM physicians\:
• Providing direct patient care to stable acute antepartum and postpartum patients,
• Daily rounds on antepartum and postpartum inpatients development of care plans with attending and/or residents and the interprofessional team
• Identifying, preparing, coordinating and dictating discharges
• Ordering tests, reviewing results, completing progress notes, organizing consults based on care plan determined with MFM
• Documentation on the health record A. Identified areas for further development-
• To assist in developing Medical Directives for the PA in particular allowing for prescribing of common medications, ultrasounds, x-rays, and ordering blood tests etc.
REPORTS TO\:
• Deputy Chief Obstetrics and Gynecology, Department Head Maternal Fetal Medicine
• Clinical Manager of Maternal Fetal Medicine Clinic and the Program Director Womens and Newborns Care
Hamilton Health Sciences fosters a culture of patient and staff safety, whereby all employees are guided by our Mission, Vision, Values, and Values Based Code of Conduct. Hamilton Health Sciences is a teaching hospital and all staff and physicians are expected to support students and other learners.
To be considered for this opportunity applicants must apply during the posting period. All internal and external applicants may ONLY apply via the Careers website.
Hamilton Health Sciences is an equal opportunity employer and we will accommodate any needs under the Canadian Charter of Rights and Freedom, Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code. Hiring processes will be modified to remove barriers to accommodate those with disabilities, if requested. Should any applicant require accommodation through the application processes, please contact HR Operations at 905-521-2100, Ext. 46947 for assistance. If the applicant requires a specific accommodation because of a disability during an interview, the applicant will need to advise the hiring manager when scheduling the interview and the appropriate accommodations can be made.
This competition is open to all qualified applicants, however, qualified internal applicants will be considered first. Past performance will be considered as part of the selection process. If you are a previous employee of Hamilton Health Sciences, please note\: the circumstances around an employee's exit will be considered prior to an offer of employment. Proficiency in both Official Languages, French and English, is considered an asset.
If this position is temporary, selection for this position will be as per the outlined Collective Agreements:
Article 30 (k), CUPE Collective Agreement
Article 10.7 (d), ONA Collective Agreement
Article 13.01 (b) (ii), OPSEU 273 Collective Agreement
Article 14.04, OPSEU 209 Collective Agreement
Article 2.07 and Article 13, PIPSC RT Collective Agreement
• Graduate of the McMaster or Consortium Physician Assistant Program
• Required-recent clinical experience providing direct patient care for Obstetrical patients and or related experience
• Required Current knowledge of the physiological, psychosocial and emotional needs of pregnant women.
• Required\: demonstrated knowledge, skill and ability in health teaching of women with Obstetrical concerns.
• Ability to organize, prioritize and implement care in busy work environments.
• Ability to work autonomously and collaboratively with other team members.
• Committed to lifelong learning and the delivery of evidence based care.
Monday to Friday, Days. May be required to work On Call and Weekends.
