Physician Assistant Surgery Nocturnist

The General Hospital Corporation; Boston (MA); Sur place; USD 100 000 - 140 000; Plein temps

Résumé du poste

The Brigham and Women's Hospital, Inc. is seeking a licensed Physician Assistant to join as a nocturnist. The role involves working nights (6 pm–6 am), rotating across Otolaryngology, Plastic Surgery and Urology services, and covering weekends as required.

The PA provides direct patient care, orders tests, prescribes medications, and documents care thoroughly. Applicants should have a Master's in Physician Assistant studies, state licensure, and experience preferred.

Qualifications

• Master's Degree Physician Assistant required.
• Experience as a licensed Physician Assistant preferred.
• State license required (Physician Assistant).
• Strong communication and teamwork skills for patient care.

Responsabilités

• Provides direct care and teaching to patients in ambulatory, inpatient, operative and procedural settings.
• Performs histories and physical examinations.
• Orders and interprets laboratory and diagnostic tests; develops care plans and follow-up.
• Orders medications and writes prescriptions per policies.
• Maintains timely documentation including notes and discharge summaries.
• Performs bedside procedures as appropriate to patient population.
• Manage non-OR and operative patient flow and sign-outs.

Connaissances

Taking medical histories

Emergency response

Clinical documentation

Communication with patients

Post-operative care

Formation

Master's Degree Physician Assistant

Description du poste

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

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.