Physician Assistant Surgery Nocturnist

Brigham and Women's Hospital; Boston (MA); On-site; USD 136,000 - 174,000; Full time

Job summary

The Brigham and Women's Hospital, Inc. in Boston seeks a licensed Physician Assistant to join the Otolaryngology, Plastic Surgery and Urology teams on a nocturnist schedule.

You will assess, manage, and treat diverse patient populations across ambulatory and inpatient settings, performing procedures as needed. Responsibilities include completing histories, exams, prescribing medications, and documenting care with high accuracy, while rotating shifts 6 pm–6 am and covering weekends as required;

Qualifications

• Master's degree required in Physician Assistant.
• State license required.
• Experience as a licensed PA preferred.

Responsibilities

• Provide direct care, counseling, and teaching in ambulatory, inpatient, and procedural settings.
• Take histories and physical examinations.
• Order and interpret labs and diagnostic tests.
• Develop plans of care and follow-up.
• Order medications and write prescriptions.
• Document admissions, progress, and operative notes.

Skills

Medical histories

Quality control

Emergency response

Guidelines application

Patient communication

Education

Master's Degree Physician Assistant

Job description

Site: The Brigham and Women's Hospital, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

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

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)

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.

General Responsibilities: This work will include receive patient sign outs from residents/PAs in a timely fashion and caring for inpatients during assigned shifts. It will also include creating work list for each service for the following day and providing sign out of overnight events to the resident/PA. The PA will also be required to evaluate patients on service who have an acute change in clinical status. The PA will also 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 superpubic tubes and bladder irrigation.

Remote Type

Onsite

Work Location

75 Francis Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Night (United States of America)

Pay Range

$135,720 - $173,867.20/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:

2200 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.

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.