Brigham & Women's Hospital(BWH)

Boston, Massachusetts

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

General Duties
  • 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
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

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