ACS APP Fellow

Carilion Clinic; Roanoke, Northern (VA, KY); Hybrid; USD 62,000 - 76,000; Full time

Job summary

Carilion Clinic in Roanoke, VA offers a 12-month, full-time Acute Care Surgery APP Fellowship for Nurse Practitioners and Physician Assistants. This program provides hands-on trauma, emergency general surgery, and critical care experience at a Level I Trauma Center.

Based at Carilion Roanoke Memorial Hospital, the fellowship includes simulation labs, grand rounds, and APP-led mentorship within a fast-paced, high-acuity setting. Virginia licensure and prescriptive authority are required.

Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program.
• Eligible for Virginia licensure.
• Strong interest in acute care, trauma, or surgical critical care.
• Excellent communication and teamwork skills.

Responsibilities

• Perform histories, physical exams, and clinical assessments.
• Diagnose and manage acute, trauma, and surgical conditions.
• Order and interpret diagnostic tests.
• Develop and implement treatment plans.
• Perform bedside procedures (e.g., I&D, chest tubes, central lines).
• Assist in surgical care and patient management.
• Provide patient and family education.
• Document care in electronic medical records.
• Coordinate care, referrals, and discharge planning.
• Collaborate with multidisciplinary healthcare teams.

Skills

Advanced clinical decision-making

Procedural proficiency

Trauma and critical care management

Interdisciplinary teamwork

Education

Graduate of NP or PA program

Job description

# **How You’ll Help Transform Healthcare:**The Acute Care Surgery (ACS) APP Fellowship is a 12-month, full-time training program.Farrell, Karyn B.**About Carilion Clinic**Carilion Clinic is a not-for-profit, mission-driven health system where innovation, collaboration, and continuous learning are at the core of everything we do. Headquartered in Roanoke, VA, Carilion includes award-winning hospitals, Level I and III trauma centers, specialty institutes, and the Virginia Tech Carilion School of Medicine and Research Institute.**Position Summary**The Acute Care Surgery (ACS) APP Fellowship is a **12-month, full-time training program** designed for Nurse Practitioners and Physician Assistants seeking advanced experience in trauma, emergency general surgery, and surgical critical care.Based at Carilion Roanoke Memorial Hospital—a 737-bed academic medical center and the region’s only Level I Trauma Center—this fellowship provides immersive, hands-on clinical training in a high-acuity environment.**Program Highlights*** 12-month structured fellowship* Training in a Level I Trauma Center* Simulation lab and procedural training* Off-service and community ED rotations* Participation in surgical grand rounds and lectures* APP-led mentorship and leadership structure**Key Responsibilities*** Perform histories, physical exams, and clinical assessments* Diagnose and manage acute, trauma, and surgical conditions* Order and interpret diagnostic tests* Develop and implement treatment plans* Perform bedside procedures (e.g., I&D, chest tubes, central lines)* Assist in surgical care and patient management* Provide patient and family education* Document care in electronic medical records* Coordinate care, referrals, and discharge planning* Collaborate with multidisciplinary healthcare teams**Skills & Competencies Developed*** Advanced clinical decision-making* Procedural proficiency (including ultrasound basics)* Trauma and critical care management* Interdisciplinary teamwork and communication**Qualifications*** Graduate of an accredited Nurse Practitioner or Physician Assistant program* Eligible for Virginia licensure* Strong interest in acute care, trauma, or surgical critical care* Excellent communication and teamwork skills**Work Environment & Physical Requirements*** Fast-paced, high-acuity clinical setting* Prolonged standing, walking, and physical activity* Ability to lift up to 50–100 lbs (with assistance as needed)* Requires strong problem-solving, communication, and adaptability**Why Join Us?**Train at one of Virginia’s busiest and most advanced trauma centers while building the skills and confidence to practice at the top of your license. At Carilion Clinic, you’ll gain hands-on experience, strong mentorship, and the opportunity to make a meaningful impact in patient care.# **What We Require:****Education:** Graduate of an Accredited School of Nursing and Nurse Practitioner Program or Accredited Physician Assistant Program.**Experience:** Clinical experience appropriate to specific practice/ department preferred.**Licensure, certification, and/or registration:** Current Nurse Practitioner or Physician Assistant license required. DEA licensure required. Eligible for prescriptive authority in accordance with State regulations and as authorized by the Virginia Boards of Nursing and Medicine.**Other Minimum Qualifications:** Demonstrates knowledge and competency of core skills, related to assigned area, that serves as a basis for continued growth and progression of skills and pace. Demonstrates good written and oral communication skills. Computer literacy required for automated computer systems and programs such as electronic medical records.**Compensation Range:**$68,640.00 - $68,640.00*Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.*