Physician Assistant - OBGYN

SJH St. Joseph's Healthcare Hamilton; Hamilton; On-site; CAD 73,000 - 85,000; Full time

Job summary

St. Joseph's Healthcare Hamilton is recruiting a Physician Assistant to support obstetrics and gynecology services across its campuses in Hamilton. The PA will help extend physician services through assessment, diagnosis, interventions, and follow-up in both inpatient and ambulatory settings.

The role emphasizes high-volume patient flow, collaboration with obstetricians, and fast-tracking referrals. Applicants should be flexible with shifts and committed to high-quality patient care.

Qualifications

• Preference will be given to a new graduate.
• Graduate of an accredited Canadian or US PA training program.
• Certification (CCPA or PA-C) or eligible for certification (NCCPA or PACCC).
• Be registered with the College of Physicians and Surgeons of Ontario (CPSO) where required by law.
• Demonstrates superior communication skills.
• Able to work effectively in a multidisciplinary healthcare team environment.
• Willing to work day/evening/night/weekend shifts as needed.

Responsibilities

• Perform initial intake for obstetrical patients (15-20 per week) to streamline obstetric care.
• Assist in postpartum hypertension management with ambulatory BP follow-up within 48–72 hours.
• Triage post-menopausal bleeding and perform initial investigations (endometrial biopsy, HPV testing).
• Support labor and delivery triage, consultations, and inpatients’ care within PA scope.
• Contribute to new care models and centralized referral pathways with physician oversight.

Skills

Communication skills

Team collaboration

Independent practice

Flexible hours

Education

Canadian/US PA program graduate

Job description

Position Details: Job Number: JR02435 Department: MD Remuneration Expenses This position may be scheduled at any of the following sites: Charlton Campus (Hamilton Downtown) Job Type: Temporary (Fixed Term), Full time Contract Duration: (If applicable) 14 months Number of Positions: 1 Union: OPAA Union Hourly Rate (Min / Max): $53.0985 - $61.5551 Schedule Work Days: Monday to Friday Time of Day: Days Shift: Hours - 8 Shift Start: (If applicable) Reason for Posting: Posting is for a new role Application Dates Opening Date: 2026-10-20 Closing Date: 2026-10-27

Job Description

St. Joseph's Healthcare Hamilton is an Academic Health Science Centre affiliated with McMaster University and a tertiary referral centre for Central South Ontario offering services at three main sites, including St. Joseph's Hospital (Charlton Campus), the Centre for Ambulatory Health Services (King Campus), and the Margaret and Charles Juravinski Centre for Integrated Healthcare (West 5th Campus).

POSITION SUMMARY: The Department of Obstetrics and Gynecology at St. Joseph's Healthcare Hamilton is a high demand, high volume service which provides acute inpatient care and ambulatory services to our Local Integrated Health Network. Our outpatient clinic services in the Fontbonne Building accommodates more than 30,000 patient visits annually. Here we provide care for obstetrical patients, common gynecological issues, menopause care, and colposcopy. There is an overwhelming need for our clinic to see these patients from our community in a timely manner, which is becoming more and more challenging because of the high volumes that we encounter. A Physician Assistant will provide much needed assistance to facilitate care in a timely manner. Reporting to the Manager of Medical & Academic Affairs in collaboration with the physician leadership in the department, the Physician Assistant (PA) works collaboratively with the interprofessional Obstetrics & Gynecology team to deliver healthcare to patients. Within the Department of Obstetrics and Gynecology, the PA is authorized to extend physician services through comprehensive assessment, diagnosis, intervention, referral, management, treatment, and evaluation of patients requiring acute health services.

Our vision for Physicians Assistants in our clinic includes but is not limited to the following roles:

• Performing the initial intake for 15-20 low or intermediate risk obstetrical patients each week. After the initial intake these patients will be assigned to an Obstetrician who will review the intake with the PA, meet the patient and then continue ongoing care. In this way we will be able to accept more referrals from our community, attaching these patients to an obstetrician and streamlining our provision of obstetrical care
• A Physician Assistant will be able to assist in the management of patients in a postpartum hypertension clinic. Gestational hypertension is a very common problem and in order to provide high standard care we will be able to monitor blood pressure and make medication adjustments at a time when it is common to have fluctuations in blood pressure which require attention and care. We will be able to do this in an ambulatory setting rather than in our triage unit and be able to safely discharge our patients from hospital with BP follow up within 48-72 hours.
• At an increasing rate, patients are presenting to the Emergency Department with post-menopausal bleeding. This is a clinical presentation which requires urgent triaging and investigation. A Physician Assistant will be able to triage these patients in a Point-of-Care clinic and can be trained to do endometrial biopsies and HPV testing as an initial vital investigation.
• On Wednesday afternoons at our hospital, our residents attend an academic half day and the on-call Obstetrician/Gynecologist is often the sole physician for our service. A Physician Assistant at our centre will help assess patients in the Labor and Delivery triage unit or initiate consultations in the emergency department. In addition, a PA will able to address medical concerns for inpatients in hospital for both the obstetrical and gynecological services. In this way, wait times for acute care will be minimized as there will be another care provider on site in hospital.
• A physician assistant lens will be important as we build new models of care to address the increasing volume of OB and GYN referrals to our limited number of physicians. Primary care is invested in looking at Healthcare pathways and a centralized referral base, having physician assistant(s) assist in building the new models of care and contributing their lens on how PAs can strengthen our health care system will be invaluable.

Qualifications and Skills

• Preference will be given to a new graduate
• Graduate of an accredited Canadian or US PA training program
• Certification (CCPA or PA-C) or eligible for certification through the PA Certification Council of Canada (PACCC) or United States (NCCPA)
• Be registered with the College of Physicians and Surgeons of Ontario (CPSO), where required by law, and maintain such registration in good standing throughout the Term
• Demonstrates superior communication skills
• Able to work effectively in a multidisciplinary healthcare team environment
• Able to work independently within their scope of practice and within the physician-PA relationship
• Willing to work a variety of shifts to support optimal patient care (i.e. daytime, evenings, overnight, weekends or alternative hours as needed)
• Will bring energy and enthusiasm to this position
• Demonstrates support for the Mission Statement of St Joseph’s Healthcare

PLEASE NOTE: St. Joe’s fosters an environment where we celebrate diversity, where teams reflect the diversity of the community in which we serve, enhancing the connection to patients, clients, community, and each other All positions will comply and work in conjunction with the Mission, Vision and Core Values of St. Joseph’s Healthcare Hamilton. We foster a culture of patient and staff safety. St. Joseph’s Health System (SJHS) and its member organizations are equal opportunity employers and strives for equity, inclusiveness, and diversity in all programs, practices, facilities, and people. We foster a culture of patient and staff safety where all positions comply and work in conjunction with the Mission, Vision, and Core Values. We thank all applicants for their interest, however, only those selected for an interview will be contacted. SJHS and its member organizations are committed to a barrier-free recruitment and selection process - please inform us should accommodation be required at any point in the recruitment process ([e-mail]). At St. Joe’s Hamilton, we believe in nurturing new talent, providing an inclusive and supportive work environment with meaningful growth opportunities, and exciting benefits and rewards. Whether you're passionate about providing compassionate care or eager to gain new skills, there’s a place here for you to grow, learn, and succeed! Dignity. Respect. Service. Justice. Responsibility. Enquiry.