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Summary
Job Summary
The Physician Assistant (PA) is a licensed provider. 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.
Does this position require Patient Care? Yes
General Responsibilities
The PA nocturnist will be required to work nights (shifts 6 pm to 6 am), Monday through Sunday, on a rotating schedule covering inpatients on the Otolaryngology, Plastic Surgery and Urology services. This position will also require coverage on Saturdays and Sundays 6 am to 6 pm on a rotating basis. This is a full-time position with variation of hours on site per week.
This work will include receiving patient sign outs from residents/PAs in a timely fashion, and caring for inpatients during assigned shifts. It will also include creating work lists for each service for the following day and providing sign out of overnight events to the resident/PA in the morning.
The PA will also be required to evaluate patients on service who have an acute change in clinical status. The PA will be required to have basic surgical knowledge and skills in the management of post-operative patients including removal of surgical drains, removal of central lines, removal and placement of urinary catheters, placement and removal of nasogastric tubes and basic suturing. The PA will also be required to help with patient throughput, including inpatients but also patients admitted to the Extended Recovery and Post Anesthesia Care Units who will be discharged the following morning or admitted to the floor.
Finally, the PA may be required to assist in the operating room on cases that extend into the late evening or for emergency surgical procedures. However, it is anticipated that the majority of will be spent managing non-OR, floor issues.
Otolaryngology (ORL) Service Requirements: The PA will be required to have or develop knowledge of basic ORL procedures not limited to but including: total thyroidectomy, radical neck dissection, retropharyngeal abscess drainage and complex head and neck cancer resections and flaps. The PA will be required to be trained in epistatxis management with nasal packing and removal, tracheostomy tube changes, drainage of superficial abscesses and NG tube and small bore feeding tube placement in complex post-op patients.
Plastic Surgery Service Requirements: The PA will be required to have or develop knowledge of basic plastic surgery procedures not limited to be including: breast reconstruction (allograft, implants, tissue expanders), complex wound management, skin grafts and complex flap reconstruction. The PA will be required to be trained in the following procedure skills and maintain competency in: incision and drainage of superficial abscesses, suturing, removal of drains.
Urology Service Requirements: The PA will be required to have or develop knowledge of basic urology procedures not limited to but including: lithotripsy, transurethral resection of the prostate, penile implants, artificial urinary sphincter insertion, prostatectomy and cystectomy. The PA will be required to be trained in the following procedure skills and maintain competency in: placement of difficult urinary catheters, management of 3-way urinary catheters with and without irrigation, replacement/change of suprapubic tubes and bladder irrigation.
Essential Functions
- 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.
Qualifications
Education Master's Degree Physician Assistant required Can this role accept experience in lieu of a degree? No Licenses and Credentials Physician Assistant [State License] - Generic - HR Only required Experience Experience as a licensed Physician Assistant preferred Knowledge, Skills and Abilities - Skilled in taking medical histories to assess medical condition and interpret findings. - Ability to maintain quality control standards. - Ability to react calmly and effectively in emergency situations. - Ability to interpret, adapt and apply guidelines and procedures. - Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.
Additional Job Details (if Applicable)
Physical Requirements
- Standing Frequently (34-66%)
- Walking Frequently (34-66%)
- Sitting Occasionally (3-33%)
- Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
- Carrying Frequently (34-66%) 20lbs - 35lbs
- Pushing Occasionally (3-33%)
- Pulling Occasionally (3-33%)
- Climbing Rarely (Less than 2%)
- Balancing Frequently (34-66%)
- Stooping Occasionally (3-33%)
- Kneeling Occasionally (3-33%)
- Crouching Occasionally (3-33%)
- Crawling Rarely (Less than 2%)
- Reaching Frequently (34-66%)
- Gross Manipulation (Handling) Frequently (34-66%)
- Fine Manipulation (Fingering) Frequently (34-66%)
- Feeling Constantly (67-100%)
- Foot Use Rarely (Less than 2%)
- Vision - Far Constantly (67-100%)
- Vision - Near Constantly (67-100%)
- Talking Constantly (67-100%)
- Hearing Constantly (67-100%)
Remote Type
Onsite
Work Location
75 Francis Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Night (United States of America)
Pay Range
$120,390.40 - $170,456.00/Annual
Grade
7
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement
The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
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