PA-Orthopedic Trauma Program-2

South Shore Health System; United States; On-site; USD 107,000 - 224,000; Full time

Job summary

South Shore Health System in Weymouth, MA is seeking an Orthopedic Physician Assistant to evaluate, diagnose and treat patients with musculoskeletal conditions under the supervision of orthopedic leadership. This role involves operating room assistance, ED collaboration, and inpatient care from admission to discharge.

Qualifications include a Bachelor’s degree, Advanced PA training, and ACLS certification, with experience in acute medicine or orthopedics preferred.

Qualifications

• Bachelor’s degree required.
• Completion of an Advanced Physician Assistant training program from an AMA‑approved institution.
• Recertification as required to maintain licensure.

Responsibilities

• Obtain detailed medical history and perform comprehensive physical exams for orthopedic patients.
• Assist in surgical procedures and participate in perioperative care.
• Coordinate with hospital teams to develop and implement care plans.

Skills

ACLS

Education

Bachelor's degree

Advanced Physician Assistant training

Recertification to licensure

Job description

Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190

Status: Full time Budgeted Hours: 40 Shift: Evening (United States of America)

Under the directions of the Chair of Orthopedic Services and the Executive Director of APCs, the Physician Assistant will evaluate, diagnose and treat patients following written guidelines approved by the Department of Orthopedics.

Compensation Pay Range: $107,000.00 - $224,123.00

BASIC PURPOSE OF THE JOB

Receiving general direction from the Medical Director - Surgical Services, Chairman - Orthopedic Services, Executive Director - APC’s, Lead Orthopedic Physician Assistant and Executive Director – Musculoskeletal Service Line.

The position will assess, diagnose and treat health problems of patients who suffer from a range of musculoskeletal conditions from time of admission to discharge.

Patients include but are not limited to: adult and pediatric inpatient trauma, joint replacement, Fragile Fracture Program patients and General Orthopedic patients.

As a highly skilled clinician, the incumbent will participate with other members of the Orthopedic and Hospital Medicine Care Team in the Emergency Department, Orthopedic Inpatient Unit(s) and serve as first assist in the Operating Room.

CONTACTS

Patient Contact Does this position have Patient contact? Yes Age of Patient(s) - (check all that apply) Neonates 1 - 30 days; Adolescents 13 - 18 yrs Infants 30 days - 1 year; Children 1- 12 years; Adults 19 - 70 years; Geriatrics 70+ years

JOB REQUIREMENTS

Minimum Education – Preferred

• Bachelor’s degree
• Completion of Advanced Physician Assistant training program from an accredited institution approved by the AMA.
• Recertification, as required, to maintain licensure.

Minimum Work Experience Acute Medicine and/or Orthopedic experience preferred

Required Licenses / Registrations PA - Physician Assistant

Required Classes/Skills - ACLS - Advanced Cardiac Life Support

Required additional Knowledge, and Abilities

• Possess the ability to care for patients with musculoskeletal conditions who may also have any range of medical problems.
• Possess the maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending physician.
• Eligible for state and federally controlled substances registration.
• Demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned unit.
• Time Management: Exceptional organizational skills and ability to organize time and priorities effectively, asking for direction when appropriate.
• Flexibility to handle multiple tasks and deadline pressures.
• Quality Improvement: Skills to work efficiently and effectively and strive to do so in all aspects of the position.
• Knowledge and competence of basic radiation safety during fluoroscopic procedures; required to attend at least one radiation safety training session per year.
• Must have broad knowledge of medical environment, surgical practices and performance goals of the orthopedic Services
• Must exercise the highest degree of professional judgement under the direction and guidance of a licensed physician.
• Must be able to accept instruction and guidance and assume graded responsibility in complex teamwork.
• Must be able to administer such care and treatment and exercise such independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
• Must maintain a professional attitude toward patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.

Working Conditions

Position Hours: Typically Monday through Friday with potential for rotating weekend days. Additional Weekend and Holiday coverage as determined based on the needs of the department.

ESSENTIAL FUNCTIONS

Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job's purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions that the person in the job is held accountable for.

Clinical Responsibilities

• Obtains a detailed and accurate medical history and performs a comprehensive physical exam for patients admitted for elective, non-elective and trauma orthopedic procedures.
• Implementation of all Orthopedic Surgery care plans including writing orders, transfer orders, wound care, dressing changes, application of casts/splints, and fracture reductions.
• Collaborates with hospitalist team on co-managed patients
• Discharge orders and planning, writes discharge orders, dictate formal discharge summary, prescription writing, VNA care plan, etc.
• Obtain, review and interpret radiology and laboratory studies and implement appropriate care plan based on the results in accordance with attending physician instructions.
• Orders necessary diagnostic tests, consultations and procedures as indicated or requested by the attending physician.
• Performs or assists in routine and complex procedures, as necessary.
• Serves as first or second assist in the Operating Room, as necessary.
• Identifies and manages chronic medical conditions and provides continuous care to hospitalized inpatients. Proactively manage patient to prevent complications.
• Has familiarity with current guidelines regarding the assessment of the risk of a perioperative cardiovascular event for pre-operative patients (such as RCRI, and ACS-NSQIP) and pre-operative medical optimization.
• Writes orders and prescribes medications in accordance with current practice guidelines.
• Writes complete and comprehensive notes on all patients using appropriate electronic systems consistent with Hospital policy.
• Facilitates timely care, including scheduling of procedures, for patients in the Geriatric Fracture Program.
• Actively participates in the SouthShore Health System readmission reduction efforts.
• Collaborates with the patient care team (physicians, nurses, PT/OT, case management) to develop and facilitate care plan.
• Provides urgent evaluation to patients with changes in clinical status.
• Safe and effective operation of fluoroscopy equipment; certification within 1 year of hire date.

Situations That Require Referral or Consultation

Referrals and/or consultations may be obtained by the Orthopedics Physician Assistant when the attending physician deems necessary, and need to be obtained for any medical or surgical problem that does not fall within the scope of practice of the supervising physician.

Delegation of Supervising Physician Responsibilities

• The direct supervision of work performed by the Orthopedic Physician Assistant is the responsibility of the supervising physician or his/her designee (who must be another MD) in accordance with all state and national guidelines.
• An MD may delegate to his/her Orthopedic Physician Assistant only duties and responsibilities that fall within the scope of practice of the supervising physician.
• Orthopedic Physician Assistant will follow all state and national mandates and guidelines as they pertain to the emergency management of patients.

Scope of Prescriptive Practice

The scope of prescriptive practice will conform to the Massachusetts State Controlled Substance Act, all Department of Public Health, and Massachusetts Board of Registration for Physician Assistants, Massachusetts Board of Registration in Medicine and other applicable statutes and regulations.

• The prescriptive practice of the Orthopedic Physician Assistant will be reviewed by the supervising physician in an ongoing format, at least quarterly.
• The Orthopedic Physician Assistant may prescribe the following classes of medications: Class II-Class V.

Other Responsibilities

Actively participates in meetings, including:

• Monthly Orthopedic Staff Meeting
• Joint/Geriatric Fracture Program Team Meetings.
• Participate in continuing education activities to maintain or enhance knowledge and skills.
• Ensures that patient billing is submitted accurately and consistent with Hospital policy.
• Other duties and projects as assigned.

PHYSICAL REQUIREMENTS

Indicate the appropriate physical requirements of this job in the course of a shift. Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.

General Activity - Frequent Standing/Walking Required, No Driving Motion - Frequent Activity Required-pushing, pulling, lifting, bending Motor Skills - Use of hands required, Use of feet required Weight/Force - Light lifting required (<25lbs) 12p-10p shifts to equal 40hr/week. Would also consider a 30hr/week candidate Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Physician Assistant - Board of Registration of Physician Assistants (Massachusetts)

South Shore Health is a not-for-profit, charitable health system offering primary and specialty care, hospital care, home health and community care, emergency and urgent care, and preventative and wellness services. We are the largest independent health system in southeastern Massachusetts. South Shore Health brings together like-minded people who work “As One” toward a common goal of providing exceptional care the people of our region deserve. We unite top-caliber talent, technology, and service with the wishes and personal needs of patients and their families to develop individualized treatment plans.