Physician Assistant- Pulmonary Vascular Disease

Site: The Brigham and Womens Hospital Inc.

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The Pulmonary Vascular Disease (PVD) physician assistant (PA) is an advance practitioner who will join a team of physicians and PAs in the management and care of pulmonary vascular dyspnea and general pulmonary patients. The PVD PA will have an opportunity to be involved in all facets of our inpatient ambulatory procedural and research programs.

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.

The PVD PA inpatient responsibilities include but not limited to rounding and assisting in the assessment and management of pulmonary/heart/vascular diseases patients with the inpatient PVD consult service attending physicians and fellows.

The PVD PA will independently see ambulatory patients in the PVD PA clinic 1 (4-hour blocks) every 3 weeks and assist in the attending clinics as needed. In the PVD PA clinic the PA will see established and occasionally new pulmonary vascular dyspnea and general pulmonary patients. Some visits may be virtual when appropriate.

The PVD PA procedural responsibilities include but not limited to assisting the attending physicians fellows and exercise physiologists in the advanced Cardiopulmonary Exercise Testing (aCPET) Program with pre-procedure peri-procedure and post-procedure assessment management and discharge education/planning/coordination.

The PVD PA will have an opportunity to be involved in our clinical research programs as sub-investigators and assist the principal investigator and research coordinator/assistants in medication administration device management and patient assessments.

The PA will always have the support of attending physicians and the senior PA to discuss and manage patients with complex pulmonary heart and pulmonary disorders.

1. Inpatient Clinical Duties

Works as an independent provider and supports interdependent relationships with members of the care team Collaborates with PVD consult service attending physician and fellow on daily patient rounds to formulate treatment plans and care coordination. Performs and documents histories and physical examinations on hospitalized PVD patients.

Implements attending physicians instructions for patient management in close cooperation with PVD fellow the nursing staff primary care team and floor pharmacists. Works closely with inpatient case managers in discharge planning and establishes a continuum of care between inpatient care and outpatient care. Communicates and coordinates patient plan with other hospital department such as Pharmacy Vascular Radiology and Patient Care Services within BWH. Provides post-procedural device care (e.g. Hickman catheter) care of implantable pumps (including programming and refilling) and general care of patients with mechanical circulatory support devices and ECMO. Performs routine preoperative and postoperative procedures e.g. insertion/removal of tubes lines sutures; performs postoperative wound care. Orders and interprets appropriate laboratory testing and informs physician and patients of results as necessary. Participates in quality improvement and research efforts as directed by the service leadership. He/she should also initiate quality improvement and research efforts as appropriate.

2. CPET Duties

For all pending invasive and non-invasive cardiopulmonary exercise test (CPET) the PA is responsible for ordering appropriate labs reviewing and familiarizing themselves with the patients medical history physical examination pre-procedure work-up and indication for the CPET. On the day of the CPET the PA will consent the patient for any procedures including radial and/or pulmonary arterial catheter placement the exercise test and for appropriate research protocols. The PA will be available to assist in the placement of radial and/or pulmonary artery catheters in the cath lab During the CPET in cooperation with the exercise physiologists CPET attending and/or physiologist fellow the PA will assist in test set-up hemodynamics monitoring pulmonary artery catheter management patient monitoring and performing testing protocols as documented in the BWH CPET program policies Post-CPET in collaboration with the cath lab attending stress lab attending and recovery nursing staff the PA will be responsible for all post-procedure care including but not limited to patient transport with continuous hemodynamic monitoring post-procedure orders pulmonary artery catheter removal radial artery catheter removal discharge documentation/coordination and discussion of test results with patients and family members. The PA will be available via pager for any procedure related questions or problems. The PA will assist in the compilation of test data interpretation of invasive exercise test results and be available for patient questions regarding test results

3. Outpatient Clinical Duties

Assisting the attending physicians in the management of selected patients by the attending physicians. This would include performing and documenting histories and physical examinations as well as developing a collaborative assessment and plan with the attending physician. Providing valuable verbal and written patient education to those newly diagnosed patients with pulmonary vascular disease. Ordering further lab imaging and diagnostic testing. Prescribe medications and other therapies. Coordinating post clinic visit care and referrals as needed. If needed can assist patients in noninvasive tests in clinic

4. Clinical Research Duties

Participates in PVD studies in conjunction with the Principal Investigators Study Coordinator and research staffs. Performs clinically related duties for research patients including physical examinations answering patients clinical questions medication administration device management non-drug related research consenting and any other duties deemed appropriate by the Principal Investigator and the Study Coordinator.

5. Follow Up/Outpatient Care Coordination Duties

Serves as a liaison between the patient and specialty drug distributors in managing therapeutic options. Prescribe new medications and renew medications by phone fax or electronically. Maintains a healthy relationship with patient insurers and follows through with prior authorization for medications. Responds to all inquiries and questions from patients and others involved in the care of the patients care received by our office by phone fax email or any other form of communication. Insures that policy and procedures are properly followed and data collected.

6. General Duties

Works collaboratively and functions as an effective member of the health care team. Provides education to patients and families. Documents in the medical record as appropriate and communicates observations/findings with attending physicians. Monitors environment of care and complies with regulatory agency standards. Clinical practice is consistent with physician assistant policies procedures and standards. Participates in QA/QI projects as appropriate.

Teaching-Coaching Function

Develops patient family and caregiver educational materials. Reinforces positive health care behaviors. Serves as a consult to hospital staff. Develops lectures within and outside BWH for the purpose of increasing awareness concerning the care of patients with PVD.

Ensuring Quality of Care

Participate in Hospitalwide and Departmental committees as requested Utilizes internal and external resources to facilitate the resolution of moral patient advocacy and ethical issues Promotes an environment of ethical decision-making and patient advocacy Maintains awareness of the most current practices in the care of patients with PVD Identifies own learning needs and goals and develop a plan to meet them.

Professional Development

Identifies areas for professional growth. Formulates professional goals objectives and methods for accomplishing these. Supports initiatives within the BWH and the Department of Medicine. Participates in committees at the divisional departmental and organizational levels.

Maintain BLS and ACLS certification

Education
Masters Degree Physician Assistant required

Can this role accept experience in lieu of a degree
No

Licenses and Credentials
Massachusetts Physician Assistant License

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.

Onsite

15 Francis Street

40

Regular

Day (United States of America)

Pay Range

$120390.40 - $170456.00/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 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.

2200 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 .

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