The Medicine Physician Assistant I is a member of the inpatient Physician Assistant Clinician Educator (PACE) team. The PA I is responsible for assisting attending physicians in the medical management of patients assigned to the PACE service. The PA I position on the PACE team can be quite challenging, requiring both teamwork and individual initiative. A high level of patient care is required while working quickly and often multi-tasking.
The PA works closely with the physician and nursing staff to develop and coordinate a plan of care designed to meet the physical, psychological and social needs of patients and their families. Strong interpersonal, organizational and communication skills are required. Knowledge of current literature and a commitment to continued learning are also required. The mission, vision and cored values of the Brigham and Women's Hospital (BWH) are incorporated into all areas of practice.
As a member of the PACE team, each PA I shall be responsible for the following duties:
Inpatient Clinical Duties
- Collaborate with PACE team in admission of patients to BWH
- Assist PACE attending physicians on daily patient rounds to monitor patient care and formulate treatment plans
- Write daily progress notes
- Implement PACE attending physician instructions for patient management in close cooperation with nursing staff
- Perform procedures within the PA scope of practice and as directed by the attending
- Order and interpret appropriate laboratory testing and other special examinations as requested
- Serve as a resource to the health care team for patient care issues
- Collaborate with care coordinator for all patient care referrals
- Prepare succinct and accurate sign-out to facilitate the smooth transition of patient care from one PA to another PA or physician
- Assist in the planning and implementation of discharging patients
- Work collaboratively and function as an efficient member of the health care team
- Assist in the coordination of consultation of other sub-specialists involved in the care of PACE patients
- Provide education to patients and families
- Document in the medical record as appropriate and communicate observations/findings with attending physicians
- Monitor environment of care and comply with regulatory agency standards
- Ensure that his or her clinical practice is consistent with physician assistant policies, procedures and standards
- Participate in QA/QI projects as appropriate
Medical knowledge includes an understanding of pathophysiology, patient presentation, differential diagnosis, patient management, surgical principles, health promotion and disease prevention. The PA I must demonstrate core knowledge about established and evolving biomedical and clinical sciences and the application of this knowledge to patient care in their area of practice. In addition, the PA I is expected to demonstrate an investigatory and analytic thinking approach to clinical situations.
The PA I is expected to:
- Understand etiologies, risk factors, underlying pathologic process, and epidemiology for medical conditions
- Identify signs and symptoms of medical conditions
- Select and interpret appropriate diagnostic or lab studies
- Manage general medical and surgical conditions to include understanding the indications, agents and other relevant treatment modalities
- Identify the appropriate site of care for presenting conditions, including identifying emergent cases and those requiring referral or admission
- Identify appropriate interventions for prevention of conditions
- Identify the appropriate methods to detect conditions in an asymptomatic individual
- Differentiate between the normal and the abnormal in anatomic, physiological, laboratory findings and other diagnostic data
- Appropriately use history and physical findings and diagnostic studies to formulate a differential diagnosis
- Provide appropriate care to patients with chronic conditions.
- Demonstrate proficiency with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, etc.
- Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
- Must have knowledge of billing practices.
- The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination
- BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995
- Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment
- Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts
- Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration
- Must complete 100 hours of CME according to national and state regulations during each two year period of employment
- Must complete the BWH Professionalism Program within three months of date of hire
- Must complete the BWH Procedural Sedation Training if deemed necessary