ERG | NY | Cardiothoracic and Vascular Surgery APP | APPs

Open-heart and complex vascular care succeeds or fails in the hours around the incision. This role puts a physician assistant at the center of that windowfirst assist in the operating room decisive perioperative management and clear handoffs that keep high-risk patients moving safely from consult to recovery. Success is measured in operative readiness fewer preventable complications and a surgical team that can take the next case without gaps.

• Prepare and first-assist on coronary valve aortic and peripheral vascular cases so the attending can operate without delay or missing critical steps.
• Own preoperative workupshistory exam risk review consent support and order setsso scheduled patients arrive optimized and cancellations for incomplete preparation fall.
• Manage postoperative courses in ICU and step-down: hemodynamics drains anticoagulation and early complications escalating before deterioration becomes a return to the OR.
• Close the loop on discharge and clinic follow-up so graft surveillance wound checks and medication plans are completed on time.
• Cover call with timely bedside assessment and operative support that keeps emergency and add-on cases moving.
• Document and communicate plans that other clinicians can act on without rework supporting throughput and clean handoffs.

You practice inside a high-acuity cardiothoracic and vascular service alongside attending surgeons cardiac anesthesia perfusion ICU nursing and advanced practice colleagues. The mix is OR ICU ward and clinic with on-call responsibility. You use the services EHR order sets and imaging systems and you report to the surgical leadership of the service with day-to-day partnership from the operating surgeons.

• Graduate of an accredited PA program and current NCCPA certification.
• Active state PA license and DEA registration or eligibility to obtain both before start.
• ACLS; ATLS or equivalent acute-care credential preferred.
• Demonstrated first-assist and perioperative management in cardiothoracic vascular or closely related high-acuity surgery.
• Sound judgment on anticoagulation hemodynamics and when to escalate.
• Clear written and verbal communication with surgeons ICU teams and patients families.

• Full-scope surgical practice: assist manage and follownot clinic-only or scribe work.
• Direct partnership with operating surgeons on complex open and endovascular cases.
• Visible impact on operative flow length of stay and complication recovery.
• A team built for high-acuity cardiac and vascular patients not general floor coverage.

If you want your days measured by cases assisted patients stabilized and plans that hold apply with a CV that shows your operative and perioperative record.