Physician Assistant Surgery Nocturnist (ENTPlasticsUrology)
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Job Location:
Boston, NH - USA
Monthly Salary:
$ 120390 - 170456
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Site: The Brigham and Womens Hospital Inc.
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
General Responsibilities:
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.
This work will include receiving patient sign outs from residents/PAs in a timely fashion and caring for inpatients during assigned shifts. It will also include creating work lists for each service for the following day and providing sign out of overnight events to the resident/PA in the morning.
The PA will also be required to evaluate patients on service who have an acute change in clinical status. The PA will 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 suprapubic tubes and bladder irrigation.
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.EducationMasters Degree Physician Assistant requiredCan this role accept experience in lieu of a degreeNoLicenses and CredentialsPhysician Assistant State License - Generic - HR Only requiredExperienceExperience as a licensed Physician Assistant preferredKnowledge 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.Physical RequirementsStanding Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Onsite75 Francis Street40RegularNight (United States of America)The Brigham and Womens 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 Veterans 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 .
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
General Responsibilities:
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.
This work will include receiving patient sign outs from residents/PAs in a timely fashion and caring for inpatients during assigned shifts. It will also include creating work lists for each service for the following day and providing sign out of overnight events to the resident/PA in the morning.
The PA will also be required to evaluate patients on service who have an acute change in clinical status. The PA will 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 suprapubic tubes and bladder irrigation.
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
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$120390.40 - $170456.00/AnnualGrade
7EEO Statement:
Mass General Brigham Competency Framework
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.
Key Skills
- EMR Systems
- Occupational Health Experience
- Pain Management
- Acute Care
- Physical Examinations
- Physiology Knowledge
- Primary Care Experience
- Suturing
- Workers' Compensation Law
- Dermal Fillers
- Medical Imaging
- Botox Experience
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
