http://brigham1.botcodelocal.com Brigham and Women's Hospital RSS Jobs Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Physician Assistant for the Electrophysiology Service is responsible for assisting the attending physicians and Electrophysiology team in the medical management of the patients cared for by the Electrophysiology and Pacemaker Service, primarily on the inpatient service. The PA works closely with the physician and nursing staff in developing and coordinating 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. Prior electrophysiology experience is favored. The mission, vision and core values of the Brigham and Womenand#x2019;s Hospital (BWH) are incorporated into all areas of practice.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
A. Pre-procedure Patient Care:

The physician assistant will be responsible for obtaining and coordinating the following general items: history and physical, laboratory results, charting of clinical findings, admisandnot;sion orders, nursing instructions and other required elements. The physician assistant, in collaboration with the Laboratory Flow Managers, will coordinate admissions and transfers to the hospital, and ensure that informed consent for procedures are obtained. The physiandnot;cian assistant will perform pre-procedure assessments in the Pre-admission testing center, Recovery room/holding area or outpatient setting as needed.

B. Interface between Cardiac Electrophysiolgy and Recovery Area:

The physician assistant will be knowledgeable about the Cardiac Electrophysiology Laboratory scheduling, procedure room turnover and availability of resources. He/she will be called upon to manage patients after their procedures and while they await transfer to patient floor, and will assure availability of equipment for special procedures. The physician assistant will ensure blood bank preparation and formal or standing surgical backup, when required for patient care. The physician assistant will assist in family liaison.

C. Medical Treatment and Post-procedure Care:

The physician assistant will be responsible for many aspects of care under the supervision of the attending physician, including but not limited to: fluid and electrolyte management, nutrition, pain management, transfusion therapy, anticoagulation management, education, and post-discharge planning. Following procedures, the physician assistant will manage vascular access, monitor and manage arrhythmias, pacing, drug therapy, O2 therapy, and other non-cardiac medications, under the supervision of the attending physician. The phyandnot;sician assistant will assist in the evaluation and management of clinical events such as fever, altered hemodynamics, CHF, pulmonary complications, abrupt vessel closure, arrhythmias, access site complications and others. The physician assistant will assist in transfers to and from the intensive care units.

D. Discharge Planning

The physician assistant will perform patient education regarding discharge including preandnot;ventive care and risk factor reduction. He/she will write discharge orders, prescriptions and dictate discharge summaries in collaboration with the attending physician. The physiandnot;cian assistant may act as a liaison between the attending cardiologist and family members, and will schedule follow-up care as necessary, including VNA if needed.

E. Outpatient Clinical Duties:

and#x2022; Collaborates with inpatient team in preparing patients for admission.

and#x2022; Works collaboratively with nursing staff to assist in the care of patients. This includes but is not limited to:
1. Symptom management
2. Evaluation and management
3. Prescription writing
4. Ordering and interpreting diagnostic studies for review by supervising MD.

and#x2022; Performs procedures in accordance with PA scope of practice, including but not limited to:
1. Electrophysiology and Pacemaker Service Scope of practice guidelines
2. Assists Electrophysiology attending with clinic visits of patients and in monitoring patient care and formulating treatment plans.

F. Professional Development

and#x2022; Identifies areas for professional growth.
and#x2022; Formulates professional goals, objectives and methods for accomplishing these.
and#x2022; Supports initiatives within the BWH and the Department of Medicine.
and#x2022; Participates in committees at the divisional, departmental, and organizational levels.
Requirements: QUALIFICATIONS:
1. Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
2. Must have 4 years of college level education and Bachelorand#x2019;s degree or equivalent. (BS/MS joint programs are also acceptable).
3. Board Certification by the National Commission on Certification of PAs is required.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
1. Must have broad knowledge of, and experience in, the medical environment, medical practices and performance goals of the Cardiac Electrophysiology Department
2. Must exercise the highest degree of professional judgement under the direction and guidance of a licensed physician.
3. Must be able to accept instruction and guidance and assume graded responsibility in complex teamwork.
4. Must be able to administer such care and treatment and exercise such independent originalandnot;ity in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
5. Must maintain a professional attitude toward patients at all times and an excellent and collegial working relationship with other personnel involved in patient care

WORKING CONDITIONS:
Due to the size and complexity of the Department, the pace of work is sometimes hectic and quite challenging. Workload necessitates working evening or weekend shifts.
Shift: Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The nature and scope of practice of the Physician Assistant I for Interventional Nephrology is to assess, diagnose and treat health problems of patients across the continuum of care, in collaboration with the Director of Interventional Nephrology. The practice will encompass patients with ESRD and pre-ESRD.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Coordinate surgeonsand#x2019;, nephrologistsand#x2019; and hemodialysis (HD) nursesand#x2019; input into dialysis access planning, creation and maintenance for pre-ESRD and ESRD patients
2. Monitor BWH HD patientsand#x2019; dialysis access care together with their HD units and nephrologists. The needs of the patient with respect to access is placed in the context of the overall clinical evaluation of HD patients in HD units or undergoing home HD
3. Maintain record (database) of access planning, maturation, follow-up evaluation and interventions for each BWH HD patient
4. Coordinate schedule for non-invasive, endovascular and surgical exams and interventions in BWH HD patients (FH Interventional Nephrology, BHW Vascular Surgery and Transplant Surgery, BWH Vascular Laboratory)
5. Provide patient care in outpatient dialysis access clinic under physician supervision.
6. Provide any additional aid that will be necessary to optimize patient care and the efficiency of access evaluation and procedures. Examples include, but are not limited to involvement in the following: QI projects, committee work, research and publishing.
7. All other duties, as assigned or requested.
Requirements: QUALIFICATIONS:
1. Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
2. Must have 4 years of college level education and bachelors degree or equivalent. (BS/MS joint programs are also acceptable).
3. Board Certification by the National Commission on Certification of PAs is required.
4. NCCPA certified
5. License as a Physician Assistant in Massachusetts
6. Maintain current federal DEA and Massachusetts Controlled Substance Licenses
7. Complete 100 hours of CME according to national and state regulations during each 2-year period of employment.
8. Complete BWH Professionalism Program within 3 months of date of hire.


SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
1. Proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, BICS, etc.
2. Consistently provide high quality and timely documentation including admission notes, progress notes, procedure notes, discharge summaries and dictations.
3. Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
4. Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
5. Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
6. Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.
7. Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care.
8. Knows and understands the basic JCAHO guidelines and standards.
9. For the most common diagnoses of patients seen by the IN service, the candidate must demonstrate competency to effectively diagnose, formulate appropriate treatment plan, and efficiently implement the plan without much direction, and with a greater level of independence, from the attending physician.

WORKING CONDITIONS:
Most work is performed in outpatient dialysis units. Exposure to bacteria, viruses, and other infectious diseases are possible and all appropriate precautions should be taken on a patient-by-patient basis. (i.e. universal precautions, droplet precautions, airborne precautions, etc.)
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
Brigham and Women's Advanced Primary Care Associates, South Huntington is an internal medicine practice opening in early summer 2011. Our goal is to create an environment that maximally fosters healing relationships between patients and their health care team, while supporting an outstanding educational experience for future members of that healthcare team. The practice will test innovative models of primary care delivery. It will be continually improving in a way that is accessible to being evaluated and disseminated. The practice will be certifiable at the highest level as a Patient-centered Medical Home.

A Physicianand#x2019;s Assistant is at the core of each of the primary care teams. They will be the primary care practitioner for many patients on the team. They will also co-manage patients with the teamand#x2019;s physician and residents.

PRINCIPAL DUTIES AND RESPONSIBILITIES
and#x2022; Be the primary care practitioner for a panel of adult patients
and#x2022; Co-manage patients with the teamand#x2019;s physicians and residents
and#x2022; Provide same day access for acute illnesses of own patients, as well as for patients of the teamand#x2019;s physicians and residents when they are not present
and#x2022; Care will be provided in visits, but also in shared medical appointments, by phone, and by e-mail.
and#x2022; Collaborate with all members of the team to provide proactive population based prevention and management of chronic diseases
and#x2022; Each team consists of 2 MDs, medical residents, one PA, an LPN, a social worker, and 2 medical assistants
and#x2022; The practice will also share a pharmacist, a dietician, an RN care manager, a population manager, and a community resource specialist
and#x2022; Participate in the education of students and residents
and#x2022; Participate in process improvement groups
and#x2022; Evening hours once a week, and Saturday AM hours once a month
and#x2022; Phone coverage on nights, weekends and holidays shared equally with the practiceand#x2019;s other physicians and physicianand#x2019;s assistants.
and#x2022; Physician back-up will be available at all times
and#x2022; Once practice is fully staffed, should average approximately 4-5 times a year
and#x2022; Occasional home and/or community visits
and#x2022; Assist co-workers in their duties (within the limitations of training and scope of practice)
and#x2022; All other duties as prescribed

FISCAL RESPONSIBILITY
1. Proper, complete and timely documentation
2. Awareness of billing and compliance issues
3. Participates in setting productivity metrics and in cost effective management of personnel, time, supplies and equipment in his/her area.
Requirements: QUALIFICATIONS
Must be a Masterand#x2019;s prepared from an accredited Physician Assistant program. Experience working in an ethnically culturally and racially diverse work staff preferred; ability to work harmoniously with diverse groups of individuals required. Maintains PA license in Massachusetts and maintains controlled substance licensure in MA and has federal DEA license.
1. Expert clinical judgment skills to function in an independent role.
2. Excellent interpersonal relationship and communication skills in order to collaborate with patients; families, staff and community health workers.
3. Ability to work with frequent stress resulting from busy clinical settings and a changing organizational climate.
4. Ability to be self-directive and demonstrate initiative in addressing responsibilities of the position.
5. Ability to utilize appropriate problem-solving and conflict resolution skills.
6. Must have experience working in a primary care environment

Specific license/certification/registration required to perform the job
1. Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
2. Must have 4 years of college level education and bachelorand#x2019;s degree or equivalent. (BS/MS joint programs are also acceptable).
3. Board Certification by the National Commission on Certification of PAs is required.
4. License as a Physician Assistant in Massachusetts
5. Maintain current DEA and Massachusetts Controlled Substance Licenses
6. Complete 100 hours of CME according to national and state regulations during each 2 year period of employment.
7. Maintain current BLS/ACLS certification
8. Complete BWH Professionalism Program within 3 months of date of hire.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
and#x2022; Customer focused and patient-centered
and#x2022; Enjoys being part of a diverse team. Comfortable trusting other properly trained and licensed members of the team to perform clinical tasks.
and#x2022; Ability to multi-task
and#x2022; Comfortable with change
and#x2022; Spanish language skills a plus but not required

Medical Knowledge:
Medical knowledge includes an understanding of primary care practice, health promotion and disease prevention pathophysiology, patient presentation, differential diagnosis, patient management. The PA 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 is expected to demonstrate an investigatory and analytic thinking approach to clinical situations.

The PA is expected to:
andiquest; Understand etiologies, risk factors, underlying pathologic process, and epidemiology for medical conditions
andiquest; Identify signs and symptoms of medical conditions
andiquest; Select and interpret appropriate diagnostic or lab studies
andiquest; Manage general medical and surgical conditions to include understanding the indications, agents and other relevant treatment modalities
andiquest; Identify the appropriate site of care for presenting conditions, including identifying emergent cases and those requiring referral or admission
andiquest; Identify appropriate interventions for prevention of conditions
andiquest; Identify the appropriate methods to detect conditions in an asymptomatic individual
andiquest; Differentiate between the normal and the abnormal in anatomic, physiological, laboratory findings and other diagnostic data
andiquest; Appropriately use history and physical findings and diagnostic studies to formulate a differential diagnosis
andiquest; Provide appropriate care to patients with chronic conditions.
andiquest; Demonstrate proficiency with BWH computer systems as needed to independently perform daily tasks such as order entry, LMR, Percipio, lab tests and results, incident reporting, BICS, etc.
andiquest; Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
andiquest; Must have knowledge of billing practices.

Physical and mental abilities required
andiquest; Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
andiquest; Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
andiquest; Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
andiquest; Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.
andiquest; Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with practice standards of care.

WORKING CONDITIONS
The PA will work in a pleasant, community based primary care practice. The work-load can be challenging, requiring both teamwork and individual initiative. A high level of patient care is required while working quickly and often multi-tasking. The schedule may require some flexibility in hours while maintaining a goal of 40 hours/week on average.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
Brigham and Women's Advanced Primary Care Associates, South Huntington is an internal medicine practice opening in early summer 2011. Our goal is to create an environment that maximally fosters healing relationships between patients and their health care team, while supporting an outstanding educational experience for future members of that healthcare team. The practice will test innovative models of primary care delivery. It will be continually improving in a way that is accessible to being evaluated and disseminated. The practice will be certifiable at the highest level as a Patient-centered Medical Home.

A Physicianand#x2019;s Assistant is at the core of each of the primary care teams. They will be the primary care practitioner for many patients on the team. They will also co-manage patients with the teamand#x2019;s physician and residents.

PRINCIPAL DUTIES AND RESPONSIBILITIES
and#x2022; Be the primary care practitioner for a panel of adult patients
and#x2022; Co-manage patients with the teamand#x2019;s physicians and residents
and#x2022; Provide same day access for acute illnesses of own patients, as well as for patients of the teamand#x2019;s physicians and residents when they are not present
and#x2022; Care will be provided in visits, but also in shared medical appointments, by phone, and by e-mail.
and#x2022; Collaborate with all members of the team to provide proactive population based prevention and management of chronic diseases
and#x2022; Each team consists of 2 MDs, medical residents, one PA, an LPN, a social worker, and 2 medical assistants
and#x2022; The practice will also share a pharmacist, a dietician, an RN care manager, a population manager, and a community resource specialist
and#x2022; Participate in the education of students and residents
and#x2022; Participate in process improvement groups
and#x2022; Evening hours once a week, and Saturday AM hours once a month
and#x2022; Phone coverage on nights, weekends and holidays shared equally with the practiceand#x2019;s other physicians and physicianand#x2019;s assistants.
and#x2022; Physician back-up will be available at all times
and#x2022; Once practice is fully staffed, should average approximately 4-5 times a year
and#x2022; Occasional home and/or community visits
and#x2022; Assist co-workers in their duties (within the limitations of training and scope of practice)
and#x2022; All other duties as prescribed

FISCAL RESPONSIBILITY
1. Proper, complete and timely documentation
2. Awareness of billing and compliance issues
3. Participates in setting productivity metrics and in cost effective management of personnel, time, supplies and equipment in his/her area. Qualifications QUALIFICATIONS
Must be a Masterand#x2019;s prepared from an accredited Physician Assistant program. Experience working in an ethnically culturally and racially diverse work staff preferred; ability to work harmoniously with diverse groups of individuals required. Maintains PA license in Massachusetts and maintains controlled substance licensure in MA and has federal DEA license.
1. Expert clinical judgment skills to function in an independent role.
2. Excellent interpersonal relationship and communication skills in order to collaborate with patients; families, staff and community health workers.
3. Ability to work with frequent stress resulting from busy clinical settings and a changing organizational climate.
4. Ability to be self-directive and demonstrate initiative in addressing responsibilities of the position.
5. Ability to utilize appropriate problem-solving and conflict resolution skills.
6. Must have experience working in a primary care environment

Specific license/certification/registration required to perform the job
1. Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
2. Must have 4 years of college level education and bachelorand#x2019;s degree or equivalent. (BS/MS joint programs are also acceptable).
3. Board Certification by the National Commission on Certification of PAs is required.
4. License as a Physician Assistant in Massachusetts
5. Maintain current DEA and Massachusetts Controlled Substance Licenses
6. Complete 100 hours of CME according to national and state regulations during each 2 year period of employment.
7. Maintain current BLS/ACLS certification
8. Complete BWH Professionalism Program within 3 months of date of hire.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
and#x2022; Customer focused and patient-centered
and#x2022; Enjoys being part of a diverse team. Comfortable trusting other properly trained and licensed members of the team to perform clinical tasks.
and#x2022; Ability to multi-task
and#x2022; Comfortable with change
and#x2022; Spanish language skills a plus but not required

Medical Knowledge:
Medical knowledge includes an understanding of primary care practice, health promotion and disease prevention pathophysiology, patient presentation, differential diagnosis, patient management. The PA 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 is expected to demonstrate an investigatory and analytic thinking approach to clinical situations.

The PA is expected to:
andiquest; Understand etiologies, risk factors, underlying pathologic process, and epidemiology for medical conditions
andiquest; Identify signs and symptoms of medical conditions
andiquest; Select and interpret appropriate diagnostic or lab studies
andiquest; Manage general medical and surgical conditions to include understanding the indications, agents and other relevant treatment modalities
andiquest; Identify the appropriate site of care for presenting conditions, including identifying emergent cases and those requiring referral or admission
andiquest; Identify appropriate interventions for prevention of conditions
andiquest; Identify the appropriate methods to detect conditions in an asymptomatic individual
andiquest; Differentiate between the normal and the abnormal in anatomic, physiological, laboratory findings and other diagnostic data
andiquest; Appropriately use history and physical findings and diagnostic studies to formulate a differential diagnosis
andiquest; Provide appropriate care to patients with chronic conditions.
andiquest; Demonstrate proficiency with BWH computer systems as needed to independently perform daily tasks such as order entry, LMR, Percipio, lab tests and results, incident reporting, BICS, etc.
andiquest; Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
andiquest; Must have knowledge of billing practices.

Physical and mental abilities required
andiquest; Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
andiquest; Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
andiquest; Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
andiquest; Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.
andiquest; Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with practice standards of care.

WORKING CONDITIONS
The PA will work in a pleasant, community based primary care practice. The work-load can be challenging, requiring both teamwork and individual initiative. A high level of patient care is required while working quickly and often multi-tasking. The schedule may require some flexibility in hours while maintaining a goal of 40 hours/week on average.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
Assists the surgeon with major cardiac surgery operations and is directly responsible for the care of critically ill cardiac surgical patients. Directly acts in the operating room during performance of technical cardiac surgical procedures. Provides the highest level of pre- and post-operative care under the direction of the supervising physicians.

PRINCIPAL DUTIES AND RESPONSIBILITIES
1. Assists the surgeon in the OR, acting as first or second assistant during the following phases:
a) prepare and drape patient, make skin incisions, harvesting long saphenous vein, b) prepare and expose the femoral vessels for cannulation and assist in insertion of femoral cannula placement c)harvest or assist in harvesting the radial artery, d) close fascia, subcutaneous tissue and skin, dress surgical incisions, e) caring for patients on step down units and ICU as warranted by operation and patients condition, f) insertion and removal of intra-aortic balloon pump catheter under supervision.
2. Administers intravenous therapy and inserts central venous and arterial lines by means of Surgical cutdowns and venipunctures where indicated.
3. Inserts nasogastric tubes and maintains suction decompression of the stomach as well as irrigation of the same tubes.
4. Catheterizes and maintains indwelling urinary drainage tubes.
5. Performs thoracentesis.
6. Inserts ands removes chest tubes.
7. Manages ventilators in conjunction with the respiratory therapists.
8. Cleans, debrides and sutures minor lacerations. Cares for wounds, including debridgement, Iandamp;Dand#x2019;s dressings, removal of drains and tubes and suture removal.
9. Performs EKGand#x2019;s when technician is unavailable and reviews tracing for arrhythmias and ischemia.
10. Performs cardiac resuscitation and defibrillation as indicated.
11. Performs and records complete history and physical examination.
12. Makes daily rounds by him or herself or with surgical team on patients with a variety of surgical conditions and reports findings to the Attending Surgeon. Manages patient care (both ICU and step-down units), evaluates change in patient status, writes orders, obtains consultations, and interprets lab values and x-rays with assistance of physicians as necessary. Gives special instructions to patients prior to discharge.
13. Writes daily progress notes and dictates discharge summaries.
14. Collects data from charts or interviews with patients for clinical studies being performed under the direction of the Attending Surgeon.
15. Assists the surgeon in highly specialized procedures in approved protocol of clinical investigation in patients and experimental surgery in animals.
16. Must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned unit.
17. Other duties as assigned. Qualifications QUALIFICATIONS
1. Must be graduate of a 2 year graduate level program approved by the AMA Board of
Approval and Certification of P.A. Programs.
2. Bachelorand#x2019;s degree.
3. Applicant is to be Board certified by the National Commission on Certification of
Physician Assistants.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
1. Must have broad knowledge of medical environment, surgical practices and performance
goals of the Cardiac Surgical Service and BWH.
2. Must exercise the highest degree of professional judgment under the direction and
guidance of a licensed physician.
3. Must be able to accept instruction and guidance and assume graded responsibility in Complex teamwork concept.
4. Must be able to administer such care and treatment and exercise such independent
originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
5. Must attend daily rounds of the surgical staff and be available for a reasonable on-call schedule involving nights and weekends.
6. Maintain a professional attitude towards patients and co-workers at all times and a good working relationship with other personnel involved in patient care.
7. Attends internal and external education meetings and reads appropriate professional journals in order to maintain and enhance skills and clinical competence.

WORKING CONDITIONS
1. Must spend large percentage of working day in cool (60-65F) operating rooms standing
under harsh lights.
2. Work requires lifting of patients and heavy objects such as oxygen tanks.
3. Work requires exposure to needles, scalpels, electric cautery, defibrillators and monitoring devices.
4. Requires contact with patients with infections and secretions imposing a possible risk for acquiring hepatitis, AIDS, etc.
5. Position requires 40 hours+/week of work which may involve nights and weekends.

SUPERVISORY RESPONSIBILITY
1.Supervise students who do clinical rotation on the Cardiac Surgery Service.
2. Teaching junior resident housestaff and physician assistants surgical techniques, postoperative management and maintaining a continuity of patient care on the Cardiac Surgery Service.
3. Assist the nursing and surgical staff in patient education.
4. Teach and assist other members of the surgical team in performance of specialized
diagnostic procedures such as cardiac output measurements, etc.
5. Teach and assist technicians who operate and maintain monitoring equipment
Shift: Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
The General Surgery physician assistant (PA) is a member of the inpatient general surgery unit.

PRINCIPAL DUTIES AND RESPONSIBILITIES
Clinical Duties:
The PA should display the following skills and take part in the following tasks:
1. Performs patient admitting histories and physicals; records information accurately in patient record in a timely fashion.
2. Performs routine preoperative and postoperative procedures, e.g.: insertion/removal of tubes, lines, sutures; performs postoperative wound care.
3. Examines and evaluates patients and assists in development of their treatment plan with resident physicians and attending surgeons.
4. Appropriately responds to emergency situations; manages patient issues as they arise, to the extent that the PA will obtain and evaluate studies/labs, write orders, obtain consultations and interpret lab values and x-rays with the assistance of the supervising physicians as necessary.
5. Provides age specific care to surgical intensive care patients from early adolescence through the geriatric ages.
6. Will work with physician trainees and will alternate with them in scheduled shifts for patient care.
7. Will work under the direction of supervising critical care attending and fellows.
8. Provides teaching to medical students and physician assistant students and other health care personnel as appropriate.
9. Stays up to date on the latest literature in surgical intensive care practice.
10. Participates in quality improvement efforts and research efforts as directed by the service leadership. The PA should also initiate quality improvement and research efforts as appropriate.

Non-Clinical Duties:
1. Leadership
a. Mentoring of various health care personnel.
b. Being available to offer additional help when needed
2. Professionalism/Professional Development
a. Attend continuing education courses as appropriate
b. Practice professional behavior at all times.
c. Engage in activities to develop growth of self and growth of Division.
3. Operations Support, Administrative Responsibilities
a. Keep proficient in all IS systems appropriate to position.
b. Maintain awareness of documentation and its effect on reimbursement.
c. Continue to find ways to practice efficiently
d. Advocate for quality of care
e. Partner with attendings and other care providers to provide high quality patient care.
Requirements: QUALIFICATIONS
1. License/Certification/Registration:
a. NCCPA certified.
b. License as a Physician Assistant in Massachusetts.
c. Maintain current DEA and Massachusetts Controlled Substance Licenses.
d. Complete 100 hours of CME according to national and state regulations during each 2-year period of employment.
e. Complete BWH Professionalism Program within 3 months of date of hire.
2. Education:
a. Minimum of Bachelorand#x2019;s Degree required. Masterand#x2019;s degree and previous experience in an academic surgical/medical environment preferred.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
The PA shall demonstrate the following clinical knowledge, skills and competencies:
1. Clinical skills and knowledge as well as professionalism of the PA candidate are assessed by a surgical intensive care attending under the direction of the Division Chief.
2. If a candidate does not pass the competency assessment, surgical intensive care attendings will provide feedback on additional development needs. Re-assessment is possible after 6 months of focused development.
3. Competencies are assessed by surgical intensive care attendings either through direct observation or verbal communication. The attending physician(s) performing the assessment will complete a competency assessment (designed by dept/division). The candidate is responsible to provide example cases, which he or she has cared for patients with the most common diagnosis.

Physical and mental abilities required:
1. Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
2. Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
3. Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
4. Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.
5. Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care.

The PA shall demonstrate the following professional knowledge and skills:
1. Proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, BICS, etc.
2. Consistently provide high quality and timely documentation, including admission notes, progress notes, discharge summaries and dictation.

WORKING CONDITIONS
Work areas will include the BWH inpatient and affiliated areas of patient care (diagnostic units, Emergency Medicine Department, postoperative care unit or any other areas where critical care is delivered for BWH surgical ICU patients.

SUPERVISORY RESPONSIBILITY
The PA, while not directly overseeing others in the Dept/Division, should take on mentoring and leadership responsibilities, as follows:

Leadership:
1. Assist in orientation and training of new hires. Be available for questions and support.
2. Assist in orientation, training and mentoring of students, when applicable.

Professionalism:
1. Appropriately interact and communicate with all members of the healthcare team, patients and families.
2. Take direction well and understand own limitations.
3. Demonstrate good ethical judgment
4. Be a team player, support other providers and offer help to the group as a whole
5. Be punctual

Advancing the Service:
Under the direction of the division chief, the PA shall also demonstrate involvement in non-clinical work to improve the patient care process and increase patient safety. Examples include, but are not limited to involvement in the following:
1. QI Projects
2. Committee work
3. Research
4. Publishing
5. Other

FISCAL RESPONSIBILITY
The PA will be responsible for proper documentation in order to assure proper reimbursement treatments and procedures.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
The privileges and responsibilities of Faulkner physician assistants should be in compliance with applicable State regulations governing physician assistants. In addition, the responsibilities detailed below should be undertaken by the physicianand#x2019;s assistant only if their training and/or past experience qualifies them in these areas.

PRINCIPAL DUTIES AND RESPONSIBILITIES
Physician assistants will work under the direct supervision of an attending emergency physician at all times and have overall reporting to the Faulkner Chief of Faulkner Emergency Medicine under the Brigham and Womenand#x2019;s/Faulkner Department of Emergency Medicine.

All physician assistants must be able to perform:

a. History and physical examinations

b. Ordering of laboratory tests and x-rays as appropriate

c. Write prescriptions for physician countersignature

Other specific responsibilities include, but are not limited to, management of the following:

a. General Emergency Medicine Evaluation

and#x2022; Respiratory tract problems
and#x2022; Uncomplicated cardiac disease
and#x2022; Abdominal complaints
and#x2022; UTI
and#x2022; Psychiatric evaluations
and#x2022; Seizure disorder
and#x2022; Alcohol and other toxic ingestions
and#x2022; Skin disorders
and#x2022; Uncomplicated back pain



b. Emergency Procedures

and#x2022; Emergency splinting of fractures
and#x2022; Prompt referral of ligament and flexor tendon injuries to an orthopedic specialist
and#x2022; Arthrocentesis
and#x2022; Reduction of some dislocations involving:
1. Hands
2. Shoulder
3. Elsewhere if urgent and limb threatening

and#x2022; Repair of simple lacerations
and#x2022; Repair of complex lacerations (excluding flexor tendons)
and#x2022; Cleansing, debridement, revision, repair and closure of simple wounds of:
1. Nose
2. Auricle
3. Eyelids

and#x2022; Gastric lavage
and#x2022; Nail trephination
and#x2022; Insertion of urethral catheters
and#x2022; Emergency management of bite wounds
(including human and animal)
and#x2022; Collection of arterial blood gases
and#x2022; Incision and drainage of uncomplicated superficial abscesses
and#x2022; Assess and treat 1st and 2nd degree burns
and#x2022; Initial stabilization of severe head and spinal injury, including:
Spine board and rigid collar immobilization
and#x2022; Re-implantation of teeth
and#x2022; Removal of foreign bodies of nose and ear, including impacted cerumen
and#x2022; Removal of superficial corneal and conjuctival foreign bodies
and#x2022; Anterior nasal packing
and#x2022; Slit lamp examination
and#x2022; Laryngoscopy and#x2013; direct and indirect
and#x2022; Emergency attendance at precipitate delivery, including newborn care until physician is present
and#x2022; Infiltration anesthesia (local)
and#x2022; Perpheral nerve block (digital)

Quality Assessment

The Department of Emergency Medicine shall continuously review the quality and appropriateness of patient care provided in the department through an organized and systematic plan. The Chief of Faulkner Emergency Medicine shall have overall responsibility for assuring that a timely review of emergency patient care is performed, documented and discussed on monthly basis.


Educational Activities

The physician assistants have the responsibility to partake in regular educational sessions for the emergency medicine residents, nursing staff and paramedics in the department. These should be documented for the Faulkner Chief of Emergency Medicine.

The following duties will not be permitted:

and#x2022; Sexual assault cases

and#x2022; Child abuse/neglect cases

and#x2022; Insertion of chest tubes or transvenous pacing wires

and#x2022; Insertion of central venous catheters

and#x2022; Lumbar punctures (unless experience and expertise can be documented)

Non Clinical Duties

and#x2022; Team Work, Interpersonal andamp; Communication Skills

and#x2022; Professionalism/Professional Development
a. Continuing Education
b. Professional behavior
c. Course attendance
d. Growth of self, growth of department
Requirements: QUALIFICATIONS
1. Minimum Education required

and#x2022; Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
and#x2022; Must have 4 years of college level education and bachelors degree or equivalent. (BS/MS joint programs are also acceptable; BS with PA certificates are acceptable for graduates before 1995).
and#x2022; Board Certification by the National Commission on Certification of PAs is required.
2. Minimum Experience required

Each PA I shall meet the following minimum requirements for work experience:
a. Relevant full time experience as a PA.
b. Relevant full time experience as a PA in Emergency Medicine
c. Other previous Hands on patient care experience may be considered at the discretion of the Medical Director.
3. Licenses/certification/registration required to perform job.
a. NCCPA certified
b. License as a Physician Assistant in Massachusetts
c. Maintain current DEA and Massachusetts Controlled Substance Licenses
d. Complete 100 hours of CME according to national and state regulations during each 2 year period of employment.
e. Maintain current BLS/ACLS certification
f. Complete BW/F Professionalism Program within 3 months of date of hire.
g. Complete BW/F Procedural Sedation Training, if determined necessary.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
1. Special analytical, administrative, technical, and/or financial abilities or skills required.

Each PA shall demonstrate the following professional Knowledge and skills:
a. Proficient with BW/F computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, BICS, etc.
b. Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
c. Must have knowledge of billing practices.
d. Must have broad knowledge of emergency medicine
2. Physical and mental abilities required.

PAand#x2019;s:
a. Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
b. Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
c. Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
d. Must maintain excellent and collegial working relationship with other personnel involved in patient care.
e. Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care.
f. Must be able to accept instruction and guidance and assume graded responsibility in complex teamwork concept.
g. Must attend daily rounds with the ED staff and be available for a reasonable on-call schedule involving nights and weekends.
h. Maintain a professional attitude towards co-workers at all times and a good working relationship with other personnel involved in patient care.
i. Attends internal and external education meetings and reads appropriate professional journals in order to maintain and enhance skills and clinical competence.
3. Skills/competencies required to provide care appropriate to the age of the patients served on his/her assigned unit.

Each PA shall demonstrate the following clinical knowledge, skills and competencies:
a. For the most common emergency medicine diagnoses, demonstrate competency to effectively diagnose, formulate appropriate treatment plan, and efficiently implement the plan without much direction, and with a greater level of independence, from the attending physician.
b. Clinical skills and knowledge as well as professionalism of the PA candidate are assessed by the emergency medicine attending, under the direction of the Faulkner Chief of Emergency Medicine.
c. Candidates with two or more years of relevant PA experience prior to joining emergency department, and become eligible for a preliminary evaluation of competencies approximately 3 months after joining the service. The purpose of the preliminary evaluation is to provide feedback to the candidate on progress towards level of competency required and provide guidance on additional development needs. After approximately 6 months, after joining the emergency department, the candidate then becomes eligible to complete the assessment and, if successful advances to a PAII.
d. If a candidate does not pass the competency assessment, emergency medicine attending will provide feedback on additional development needs. Re-assessment is possible after 6 months of focused development.
e. Competencies are assessed by the emergency medicine attendings either through direct observation or verbal communication. The attending physician(s) performing the assessment will fill out a competency assessment of BW/F Emergency Medicine, attached. The candidate is responsible to provide example cases, which he or she has cared for patients with the most common diagnosis.

WORKING CONDITIONS
and#x2022; Requires lifting of patients and heavy objects such as oxygen tanks.

and#x2022; Exposure to needles, scalpels, electric cautery, defibrillators and monitoring devices.

and#x2022; Contact with patients with infections and secretions imposing a possible risk for acquiring hepatitis, AIDS, etc.

SUPERVISORY RESPONSIBILITY
and#x2022; Assist the nursing and house staff in patient education.

and#x2022; Teach and assist other members of the ED team in performance of specialized diagnostic procedures.

and#x2022; Teach and assist technicians who operate and maintain monitoring equipment.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
The Division of Thoracic Surgery believes in the and#x201c;teamand#x201d; approach to medical care. In collaborating with Physicians, Physician Assistant will be involved in: Coordination of preoperative assessments; Coordination of treatment and assistance in management of preoperative assessments; Coordination of treatment and assistance in management of postoperative care and discharge planning.

PRINCIPAL DUTIES AND RESPONSIBILITIES
During the preoperative evaluation, the P.A. will:
1. Assist in preoperative evaluation and education.
2. Perform initial interview and assessment of patient.
3. Perform history and physical examination.
4. Review diagnostic data
5. May obtain preoperative surgical consents.
6. Prepare preoperative data sheets.
7. Present preoperative patients at team meetings.
8. Monitor patients undergoing neoadjuvant protocols
9. Identify patients requiring preoperative nutritional assessments.
10. Liaison with the Pre-Admission Testing Center (PATC), surgical scheduling areas and nursing units.
11. Communicate any abnormal findings to chief resident for inpatient and to attending surgeon for outpatients.
12. Track and obtain radiographic studies required preoperatively for patients.


During the postoperative hospitalization and discharge, the P.A. will:
1. Attend daily rounds with the Thoracic team and round independently.
2. Coordinate transfers from the Thoracic Intermediate Care Unit (TICU)
3. Assist with and perform independent diagnostic procedures: insertion of chest tubes, removal of chest tubes, bronchoscopies, wound care, removal of drains, interpleural chemotherapy, etc. as acceptable via the guidelines of the Division of Thoracic Surgery and Brigham and Womenand#x2019;s Hospital.
4. Obtain consultations from other services.
5. Coordinate patient discharge along with nursing staff to include special needs at home, medications, proper referrals (VNA, PT, etc) and coordinate proper follow-up appointments as deemed appropriate by chief resident and team.
6. Assist with Day After Discharge Program (DAD) where upon each patient is called at home 24 hours after discharge to assure the transition back to the home or facility was without complications. This will also include same day call to the referring physician alerting him/her that patient has been discharged that day.
7. Coordinate follow-up at outside facilities and assist in communication with other facilities in question of patient care.
8. Admissions to the floor (Handamp;P, orders)
9. Renew medications, transfer orders and general orders under supervision of physician.
10. Assist TICU Director in the development of protocols and procedures for P.A.and#x2019;s residents and nurses.
11. Provide daily resource for staff in the TICU and other units.
12. Develop and implement routine instructions for patientsand#x2019; discharge.
Requirements: QUALIFICATIONS
The successful candidate will be a graduate of an accredited program for Physician Assistants, hold a Masterand#x2019;s degree and be eligible for Massachusettsand#x2019;s licensure or presently licensed by the Commonwealth of Massachusetts Board of Registration for Physician Assistants. The Division is an extremely busy service within the Brigham and Womenand#x2019;s Hospital. The candidate must be mature, willing to learn, organized and able to accept direction.

WORKING CONDITIONS
The work may require the lifting of heavy objects and patients, as well as exposure to potentially infective material. Work requires contact with needled and other sharp instruments, electric-cautery devices, monitoring devices, and other state-of-the-art equipment. Prolonged standing can be expected. The hospital is approximately andfrac14; mile long and excessive walking to and from the patient care units can be expected.

SUPERVISORY RESPONSIBILITY
Supervises medical students rotating through the service. Teaching other health care professionals the management of thoracic surgical patients.
Shift: Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
The Physician Assistant (PA) is a member of the inpatient Obstetrics and Gynecology team. As part of a team, The PA is responsible for assisting attending physicians, fellows and resident in the medical management of patients. In addition, outpatient duties that will assist the patient care teams in their daily responsibilities are included.

PRINCIPAL DUTIES AND RESPONSIBILITIES
The PA works closely with the physicians, fellows and resident 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 core values of the Brigham and Womenand#x2019;s
Hospital (BWH) are incorporated into all areas of practice. The PA will Act as the primary resource to the inpatient staff in dealing with routine and acute patient management issues during protected didactic time and operating room time for the residents, contacting the resident staff or attending only in emergent situations (or as needed for patient safety).

Inpatient Clinical Duties

and#x2022; Competencies and task in routine care of hospitalized gynecologic or postpartum patients:

- perform admission history and physical exam and accurately record in the patient record
- Change surgical dressings, including wound packing and wound vacs
- Remove sutures and staples
- Write daily progress notes
- Write orders
- Dictate discharge summaries, complete discharge paper work
- Assist in making appropriate post hospitalization appointments and referrals
- Communicate with referring health care providers and institutions
- Write prescriptions
- Carry the primary postpartum/in-patient gynecologic/ED beeper during resident didactics, protected resident OR time, or as requested during times of personnel shortages, contacting the resident staff or attending in emergent situations or as needed for patient safety.

and#x2022; Responsive to postpartum and gynecologic inpatient floor pages to evaluate situations that may represent variance in normal hospital course.

and#x2022; Act as liaison between postpartum and gynecologic inpatient floors/patient care teams and out patient area, or in the case of transfer within the hospital, other care unites.

and#x2022; Round with individual residents/teams as requested, report back to team leaders

and#x2022; Implement attending physician instructions for patient management in close cooperation with nursing staff

and#x2022; Perform procedures within the PA scope of practice and as directed by the attending including:

- 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

and#x2022; Additional Competencies and Tasks in Routine care of Postpartum patients: Evaluate stability and progress of routine postpartum patient

- Physical Exam: appropriately evaluate uterine size, tenderness; perineal discomfort and healing; quality of Lochia; breast exam; cesarean section incision.
- Vital signs/chart/history: Appropriately interpret vital signs in normal postpartum patient and in patient with complications including hypertension, bleeding, infection; appropriately interpret postpartum symptoms/issues including bleeding, lactation, extremity edema and tenderness
- Counsel and educate patients and family about postpartum events, activities, lactation, and contraception

Additional Competencies and Tasks in Care of Outpatient Gynecological Patients

and#x2022; Conduct initial evaluation of gynecological patients seen in the Emergency Room, including:

- Conduct and appropriately interpret Physical Exam
- Ordering appropriate laboratory and non-invasive testing and collating results
- Accurately inform responsible physician (1500 beeper or Chief Resident) of acute situations
- Accurately report results of initial assessment and subsequent information to responsible physician (per above)
- Interact with all ER personnel in collegial manner

and#x2022; In absence of an on-site physician, respond to the ambulatory gynecology clinic for initial assessment of non-scheduled (walk-in) patients in manner described above.

and#x2022; Assist the resident physician team with evaluation of out-patients on the ectopic list

- Collate laboratory data and present to responsible physician as requested
- Communicate with patient on a regular basis as requested by the team
- Assist in arrangements for sequential testing and ambulatory appointments

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 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
OR rounds on Tuesdays
Requirements: QUALIFICATIONS
Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
Must have 4 years of college level education and bachelors degree or equivalent. (BS/MS joint programs are also acceptable; BS with PA certificates are acceptable for graduates before 1995).
Board Certification by the National Commission on Certification of PAs is required.
Each PA shall meet the following minimum requirements for work experience:
a. One year of relevant full time experience as a PA in this specialty, preferred.
b. Other previous Hands on patient care experience may be considered at the discretion of the Medical Director.
Specific license/certification/registration required to perform the job
a. NCCPA certified
b. License as a Physician Assistant in Massachusetts
c. Maintain current DEA and Massachusetts Controlled Substance Licenses
d. Complete 100 hours of CME according to national and state regulations during each 2 year period of employment.
e. Maintain current BLS/ACLS certification
f. Complete BWH Professionalism Program within 3 months of date of hire.
g. Complete BWH Procedural Sedation Training, if determined necessary.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
Medical Knowledge
Train and educate Interns around procedures
Medical knowledge includes an understanding of pathophysiology, patient presentation, differential diagnosis, patient management, surgical principles, health promotion and disease prevention.
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. Demonstrate an investigatory and analytic thinking approach to clinical situations.
Able to place naso-gastric (NG) tube andamp; perform paracentesis
Identify signs and symptoms of medical conditions including but not limited to; urine output, shortness of breath (SOB), chest pain, active bloating.
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, BICS, etc.
Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
Must have knowledge of billing practices.

WORKING CONDITIONS
This PA position 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 schedule may require long workdays while maintaining a goal of 40-45 hours/week on average. PAs are required to cover weekends, holidays and sick call on a rotational basis.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
Under the direction of the inpatient Service Chief and Epilepsy/EEG Division Chief, The Neurology Physician Assistant I is a member of the inpatient Edward B. Bromfield (EBB) Epilepsy service and long-term monitoring (LTM) team. The PA I is responsible for assisting attending physicians, fellows, EEG technicians, and residents in the medical management of the Epilepsy patients assigned to the LTM service. Under the supervision and direction of the designated supervising physician, and in accordance with the rules and regulations of Massachusetts governing Physician Assistant (PA) practice, the Epilepsy Physician Assistant will work directly with the clinical faculty, Fellows, EEG technicians, and residents to provide quality patient care and medical services on the inpatient floor and to ensure proper flow and service from admission to discharge and post discharge services. The PA obtains patient histories, performs comprehensive physical examinations and minor procedures, coordinates tests and consultations, implements treatment plans, communicates with patients and families, participates in rounds, and supports the neurology residents in their responsibilities to education and patient care.

PRINCIPAL DUTIES AND RESPONSIBILITIES
I. CLINICAL PRACTICE:
and#x2022; Obtains health and medical history, performs physical examination, and constructs problem list.
and#x2022; Collects, records, and interprets patient data.
and#x2022; Orders appropriate laboratory, radiological, and other diagnostic studies.
and#x2022; Performs daily patient examinations and coordinates patient care
and#x2022; Prescribes Schedule II-VI medications in accordance with guidelines developed with the supervising physician.
and#x2022; and#x2022; Attends daily rounds of the neurology residents and attending staffAttends and participates in weekly multidisciplinary epilepsy team conference on Thursdays 1-2PM
and#x2022; Performs minor procedures such as lumbar punctures, nasogastric tube placement, and blood draws.
and#x2022; Assists with appropriate Epilepsy patient flow from admission to discharge to ensure discharges are
handled appropriately and expeditiously.
and#x2022; Completes discharge summaries in an efficient manner
and#x2022; Provides coverage on the inpatient attending team on an as needed basis to support the overall care of Neurology inpatients.

II. COMMUNICATION:
and#x2022; Serves as an information resource for patients to improve their level of knowledge and satisfaction with their stay
and#x2022; Responsible for communication and coordination with residents, fellows, nurses, and other physicians involved with the care of hospitalized patients.
and#x2022; Coordinates interface between inpatient and Epilepsy outpatient care in conjunction with the Epilepsy Nurse.
and#x2022; May represent the neurology practice by serving on various committees and/or attend interdisciplinary care and planning meetings.
Requirements: QUALIFICATIONS
1. PA must meet the following educational requirements:
and#x2022; Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
and#x2022; Must have 4 years of college level education and bachelorand#x2019;s degree or equivalent. (BS/MS joint programs are also acceptable.)
and#x2022; Completion of PA degree program with previous hands on patient care experience.
and#x2022; At least 1-3 years of previous experience as a PA
and#x2022; Experience caring for neurology patients required; Epilepsy experience preferred
2. PA must have or be eligible for the following license/certifications/registrations:
and#x2022; National Commission on Certification of Pas
and#x2022; License as a Physician Assistant in Massachusetts
and#x2022; Current DEA and Massachusetts Controlled Substance Licenses
and#x2022; Basic Life Support certification
and#x2022; Advanced Cardiac Life Support certification

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
and#x2022; Proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, BICS, etc.
and#x2022; Consistently provides high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
and#x2022; Energetic, quality driven, and a proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
and#x2022; Exercises the highest degree of professional judgment under the direction and guidance of the Senior Resident and supervising MDs.
and#x2022; Possesses the maturity, self-confidence, and ability to follow complex patient management plans as directed by the neurology residents and attending neurologist.
and#x2022; Maintains a professional attitude towards patients and co-workers at all times and a good working relationship with other personnel involved in patientand#x2019;s care.
and#x2022; Demonstrates an ability to work well under pressure.
and#x2022; Broad knowledge of medical environment and academically oriented neurology practice.
and#x2022; Is knowledgeable and compliant in all hospital, State and Federal regulatory requirements, including hospital policy and procedures (where applicable to the performance of the job), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and Health Insurance Portability and Accountability Act of 1996 (HIPAA).

WORKING CONDITIONS
Work will be performed in primarily the inpatient setting. The work may require the lifting of heavy objects and patients, as well as exposure to potentially infective material. Work requires contact with needles and other sharp instruments. Prolonged standing can be expected. Walking to and from the patient care units can be expected.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
The Physician Assistant will work within CSIR. This individual will assist the attending interventional radiologist in all areas of patient care, with particular emphasis on pre- and post-procedural care.

PRINCIPAL DUTIES AND RESPONSIBILITIES
I. DIRECT CARE:
Provides direct care to CSIR patient population utilizing the CSIR approved guidelines where appropriate. This includes:
a. Completes history and physical exam as appropriate for visit.
b. Sets priorities of care in more complex patients with chronic disease.
c. Identifies appropriate Lab work for each visit, demonstrates ability to interpret results, and arrange and document necessary follow-up.
d. Demonstrates specific lab skills appropriate for CSIR.
e. May perform CSIR procedures, such as paracentesis and thoracentesis, biopsy or drainage procedures.
f. Provide post and#x2013;procedure care, and rounding on inpatients which may include order writing, procedure site assessment, out-patient management, in-patient management, discharge planning and clinic follow-up; fluid and electrolyte management, pain management, and drainage catheter management.
e. Incorporates the concepts of prevention, health promotion, and health maintenance through patient education and counseling.
f. Seeks consultation appropriately with Attending or referring physician
g. Documents in a clear, complete, concise, and organized manner
h. Conducts visits in timely fashion, in accordance with predetermined area standard.

II. INDIRECT CARE:
Participates in activities to promote quality patient care within the framework of the clinical area.
a. Receives, manages, and tracks consults to the CSIR service.
b. Participates in Quality Assurance Program on a regular and continuing basis.
c. Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.
d. Demonstrates awareness of community resources, and assists staff, patients and families to use them effectively.

e. Takes responsibility for and documents appropriate follow-up triage of patientsand#x2019; problems and Lab results for medical and nursing providers in his/her assigned area.
f. Entering procedure data into CSIR database.


III. PARTICIPATIVE MANAGEMENT:
a. Assist in teaching of fellows, residents and students in all Cross-Sectional Interventional Radiology activities.
b. Demonstrates leadership skills in problem solving, i.e., recognizes need for a policy, procedure, protocol, etc. and takes responsibility for its development.
c. Participates in selection of new employees and ongoing evaluation of other staff.
d. Assists in directing designated personnel in assigned clinical area.
e. Assists in planning and implementing unit goals and objectives.
f. Participates in cost effective management of personnel, time, supplies, and equipment in his/her area.
g. Collaborates with Clinical Director and Asst. Clinical Director regarding appropriate staffing patterns for the unit


IV. EDUCATION:
a. Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.
b. Attend conferences and meetings related to CSIR activities.


V. OTHER:
Performs other duties as assigned
Requirements: QUALIFICATIONS
1) Must be a graduate of a three-year graduate level program approved by the AMA Board of Approval and Certification of PA Programs.
2) Must have four years of college level education and Bachelorand#x2019;s degree or equivalent.
3) Board certification by the National Commission on Certification of Physician Assistants is required.
4) Six to twelve months on the job training will be required for full competence in the position.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
1) Must have broad knowledge of medical environment, oncology practices, surgical practices, and performance goals of the CSIR service at BWH.
2) Must exercise the highest degree of professional judgment under the direction and guidance of a licensed physician.
3) Must be well organized, able to accept instruction and guidance, and willing to assume graded responsibility in complex teamwork.
4) Must be comfortable working with many people from many clinical and administrative areas, in a busy complex interventional environment.
5) Must be able to administer such care and treatment and exercise such independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
6) Must maintain a professional and compassionate attitude toward patients at all times and a good working relationship with other personnel involved in patient care.
7) Must have proficient computer skills in Microsoft Word, Excel, PowerPoint, and Access

WORKING CONDITIONS
Works in a variety of patient care environments where there is potential exposure to communicable diseases, hazardous materials and ionizing radiation.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Physician Assistant for the Electrophysiology Service is responsible for assisting the attending physicians and Electrophysiology team in the medical management of the patients cared for by the Electrophysiology and Pacemaker Service, primarily on the inpatient service. The PA works closely with the physician and nursing staff in developing and coordinating 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. Prior electrophysiology experience is favored. The mission, vision and core values of the Brigham and Womenand#x2019;s Hospital (BWH) are incorporated into all areas of practice.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
A. Pre-procedure Patient Care:

The physician assistant will be responsible for obtaining and coordinating the following general items: history and physical, laboratory results, charting of clinical findings, admisandnot;sion orders, nursing instructions and other required elements. The physician assistant, in collaboration with the Laboratory Flow Managers, will coordinate admissions and transfers to the hospital, and ensure that informed consent for procedures are obtained. The physiandnot;cian assistant will perform pre-procedure assessments in the Pre-admission testing center, Recovery room/holding area or outpatient setting as needed.

B. Interface between Cardiac Electrophysiolgy and Recovery Area:

The physician assistant will be knowledgeable about the Cardiac Electrophysiology Laboratory scheduling, procedure room turnover and availability of resources. He/she will be called upon to manage patients after their procedures and while they await transfer to patient floor, and will assure availability of equipment for special procedures. The physician assistant will ensure blood bank preparation and formal or standing surgical backup, when required for patient care. The physician assistant will assist in family liaison.

C. Medical Treatment and Post-procedure Care:

The physician assistant will be responsible for many aspects of care under the supervision of the attending physician, including but not limited to: fluid and electrolyte management, nutrition, pain management, transfusion therapy, anticoagulation management, education, and post-discharge planning. Following procedures, the physician assistant will manage vascular access, monitor and manage arrhythmias, pacing, drug therapy, O2 therapy, and other non-cardiac medications, under the supervision of the attending physician. The phyandnot;sician assistant will assist in the evaluation and management of clinical events such as fever, altered hemodynamics, CHF, pulmonary complications, abrupt vessel closure, arrhythmias, access site complications and others. The physician assistant will assist in transfers to and from the intensive care units.

D. Discharge Planning

The physician assistant will perform patient education regarding discharge including preandnot;ventive care and risk factor reduction. He/she will write discharge orders, prescriptions and dictate discharge summaries in collaboration with the attending physician. The physiandnot;cian assistant may act as a liaison between the attending cardiologist and family members, and will schedule follow-up care as necessary, including VNA if needed.

E. Outpatient Clinical Duties:

and#x2022; Collaborates with inpatient team in preparing patients for admission.

and#x2022; Works collaboratively with nursing staff to assist in the care of patients. This includes but is not limited to:
1. Symptom management
2. Evaluation and management
3. Prescription writing
4. Ordering and interpreting diagnostic studies for review by supervising MD.

and#x2022; Performs procedures in accordance with PA scope of practice, including but not limited to:
1. Electrophysiology and Pacemaker Service Scope of practice guidelines
2. Assists Electrophysiology attending with clinic visits of patients and in monitoring patient care and formulating treatment plans.

F. Professional Development

and#x2022; Identifies areas for professional growth.
and#x2022; Formulates professional goals, objectives and methods for accomplishing these.
and#x2022; Supports initiatives within the BWH and the Department of Medicine.
and#x2022; Participates in committees at the divisional, departmental, and organizational levels.
Requirements: QUALIFICATIONS:
1. Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
2. Must have 4 years of college level education and Bachelorand#x2019;s degree or equivalent. (BS/MS joint programs are also acceptable).
3. Board Certification by the National Commission on Certification of PAs is required.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
1. Must have broad knowledge of, and experience in, the medical environment, medical practices and performance goals of the Cardiac Electrophysiology Department
2. Must exercise the highest degree of professional judgement under the direction and guidance of a licensed physician.
3. Must be able to accept instruction and guidance and assume graded responsibility in complex teamwork.
4. Must be able to administer such care and treatment and exercise such independent originalandnot;ity in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
5. Must maintain a professional attitude toward patients at all times and an excellent and collegial working relationship with other personnel involved in patient care

WORKING CONDITIONS:
Due to the size and complexity of the Department, the pace of work is sometimes hectic and quite challenging. Workload necessitates working evening or weekend shifts.
Shift: Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT:
The nature and scope of practice of the Physician Assistant I for Interventional Nephrology is to assess, diagnose and treat health problems of patients across the continuum of care, in collaboration with the Director of Interventional Nephrology. The practice will encompass patients with ESRD and pre-ESRD.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Coordinate surgeonsand#x2019;, nephrologistsand#x2019; and hemodialysis (HD) nursesand#x2019; input into dialysis access planning, creation and maintenance for pre-ESRD and ESRD patients
2. Monitor BWH HD patientsand#x2019; dialysis access care together with their HD units and nephrologists. The needs of the patient with respect to access is placed in the context of the overall clinical evaluation of HD patients in HD units or undergoing home HD
3. Maintain record (database) of access planning, maturation, follow-up evaluation and interventions for each BWH HD patient
4. Coordinate schedule for non-invasive, endovascular and surgical exams and interventions in BWH HD patients (FH Interventional Nephrology, BHW Vascular Surgery and Transplant Surgery, BWH Vascular Laboratory)
5. Provide patient care in outpatient dialysis access clinic under physician supervision.
6. Provide any additional aid that will be necessary to optimize patient care and the efficiency of access evaluation and procedures. Examples include, but are not limited to involvement in the following: QI projects, committee work, research and publishing.
7. All other duties, as assigned or requested.
Requirements: QUALIFICATIONS:
1. Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
2. Must have 4 years of college level education and bachelors degree or equivalent. (BS/MS joint programs are also acceptable).
3. Board Certification by the National Commission on Certification of PAs is required.
4. NCCPA certified
5. License as a Physician Assistant in Massachusetts
6. Maintain current federal DEA and Massachusetts Controlled Substance Licenses
7. Complete 100 hours of CME according to national and state regulations during each 2-year period of employment.
8. Complete BWH Professionalism Program within 3 months of date of hire.


SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
1. Proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, BICS, etc.
2. Consistently provide high quality and timely documentation including admission notes, progress notes, procedure notes, discharge summaries and dictations.
3. Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
4. Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
5. Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
6. Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.
7. Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care.
8. Knows and understands the basic JCAHO guidelines and standards.
9. For the most common diagnoses of patients seen by the IN service, the candidate must demonstrate competency to effectively diagnose, formulate appropriate treatment plan, and efficiently implement the plan without much direction, and with a greater level of independence, from the attending physician.

WORKING CONDITIONS:
Most work is performed in outpatient dialysis units. Exposure to bacteria, viruses, and other infectious diseases are possible and all appropriate precautions should be taken on a patient-by-patient basis. (i.e. universal precautions, droplet precautions, airborne precautions, etc.)
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
Brigham and Women's Advanced Primary Care Associates, South Huntington is an internal medicine practice opening in early summer 2011. Our goal is to create an environment that maximally fosters healing relationships between patients and their health care team, while supporting an outstanding educational experience for future members of that healthcare team. The practice will test innovative models of primary care delivery. It will be continually improving in a way that is accessible to being evaluated and disseminated. The practice will be certifiable at the highest level as a Patient-centered Medical Home.

A Physicianand#x2019;s Assistant is at the core of each of the primary care teams. They will be the primary care practitioner for many patients on the team. They will also co-manage patients with the teamand#x2019;s physician and residents.

PRINCIPAL DUTIES AND RESPONSIBILITIES
and#x2022; Be the primary care practitioner for a panel of adult patients
and#x2022; Co-manage patients with the teamand#x2019;s physicians and residents
and#x2022; Provide same day access for acute illnesses of own patients, as well as for patients of the teamand#x2019;s physicians and residents when they are not present
and#x2022; Care will be provided in visits, but also in shared medical appointments, by phone, and by e-mail.
and#x2022; Collaborate with all members of the team to provide proactive population based prevention and management of chronic diseases
and#x2022; Each team consists of 2 MDs, medical residents, one PA, an LPN, a social worker, and 2 medical assistants
and#x2022; The practice will also share a pharmacist, a dietician, an RN care manager, a population manager, and a community resource specialist
and#x2022; Participate in the education of students and residents
and#x2022; Participate in process improvement groups
and#x2022; Evening hours once a week, and Saturday AM hours once a month
and#x2022; Phone coverage on nights, weekends and holidays shared equally with the practiceand#x2019;s other physicians and physicianand#x2019;s assistants.
and#x2022; Physician back-up will be available at all times
and#x2022; Once practice is fully staffed, should average approximately 4-5 times a year
and#x2022; Occasional home and/or community visits
and#x2022; Assist co-workers in their duties (within the limitations of training and scope of practice)
and#x2022; All other duties as prescribed

FISCAL RESPONSIBILITY
1. Proper, complete and timely documentation
2. Awareness of billing and compliance issues
3. Participates in setting productivity metrics and in cost effective management of personnel, time, supplies and equipment in his/her area.
Requirements: QUALIFICATIONS
Must be a Masterand#x2019;s prepared from an accredited Physician Assistant program. Experience working in an ethnically culturally and racially diverse work staff preferred; ability to work harmoniously with diverse groups of individuals required. Maintains PA license in Massachusetts and maintains controlled substance licensure in MA and has federal DEA license.
1. Expert clinical judgment skills to function in an independent role.
2. Excellent interpersonal relationship and communication skills in order to collaborate with patients; families, staff and community health workers.
3. Ability to work with frequent stress resulting from busy clinical settings and a changing organizational climate.
4. Ability to be self-directive and demonstrate initiative in addressing responsibilities of the position.
5. Ability to utilize appropriate problem-solving and conflict resolution skills.
6. Must have experience working in a primary care environment

Specific license/certification/registration required to perform the job
1. Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
2. Must have 4 years of college level education and bachelorand#x2019;s degree or equivalent. (BS/MS joint programs are also acceptable).
3. Board Certification by the National Commission on Certification of PAs is required.
4. License as a Physician Assistant in Massachusetts
5. Maintain current DEA and Massachusetts Controlled Substance Licenses
6. Complete 100 hours of CME according to national and state regulations during each 2 year period of employment.
7. Maintain current BLS/ACLS certification
8. Complete BWH Professionalism Program within 3 months of date of hire.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
and#x2022; Customer focused and patient-centered
and#x2022; Enjoys being part of a diverse team. Comfortable trusting other properly trained and licensed members of the team to perform clinical tasks.
and#x2022; Ability to multi-task
and#x2022; Comfortable with change
and#x2022; Spanish language skills a plus but not required

Medical Knowledge:
Medical knowledge includes an understanding of primary care practice, health promotion and disease prevention pathophysiology, patient presentation, differential diagnosis, patient management. The PA 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 is expected to demonstrate an investigatory and analytic thinking approach to clinical situations.

The PA is expected to:
andiquest; Understand etiologies, risk factors, underlying pathologic process, and epidemiology for medical conditions
andiquest; Identify signs and symptoms of medical conditions
andiquest; Select and interpret appropriate diagnostic or lab studies
andiquest; Manage general medical and surgical conditions to include understanding the indications, agents and other relevant treatment modalities
andiquest; Identify the appropriate site of care for presenting conditions, including identifying emergent cases and those requiring referral or admission
andiquest; Identify appropriate interventions for prevention of conditions
andiquest; Identify the appropriate methods to detect conditions in an asymptomatic individual
andiquest; Differentiate between the normal and the abnormal in anatomic, physiological, laboratory findings and other diagnostic data
andiquest; Appropriately use history and physical findings and diagnostic studies to formulate a differential diagnosis
andiquest; Provide appropriate care to patients with chronic conditions.
andiquest; Demonstrate proficiency with BWH computer systems as needed to independently perform daily tasks such as order entry, LMR, Percipio, lab tests and results, incident reporting, BICS, etc.
andiquest; Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
andiquest; Must have knowledge of billing practices.

Physical and mental abilities required
andiquest; Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
andiquest; Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
andiquest; Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
andiquest; Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.
andiquest; Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with practice standards of care.

WORKING CONDITIONS
The PA will work in a pleasant, community based primary care practice. The work-load can be challenging, requiring both teamwork and individual initiative. A high level of patient care is required while working quickly and often multi-tasking. The schedule may require some flexibility in hours while maintaining a goal of 40 hours/week on average.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
Brigham and Women's Advanced Primary Care Associates, South Huntington is an internal medicine practice opening in early summer 2011. Our goal is to create an environment that maximally fosters healing relationships between patients and their health care team, while supporting an outstanding educational experience for future members of that healthcare team. The practice will test innovative models of primary care delivery. It will be continually improving in a way that is accessible to being evaluated and disseminated. The practice will be certifiable at the highest level as a Patient-centered Medical Home.

A Physicianand#x2019;s Assistant is at the core of each of the primary care teams. They will be the primary care practitioner for many patients on the team. They will also co-manage patients with the teamand#x2019;s physician and residents.

PRINCIPAL DUTIES AND RESPONSIBILITIES
and#x2022; Be the primary care practitioner for a panel of adult patients
and#x2022; Co-manage patients with the teamand#x2019;s physicians and residents
and#x2022; Provide same day access for acute illnesses of own patients, as well as for patients of the teamand#x2019;s physicians and residents when they are not present
and#x2022; Care will be provided in visits, but also in shared medical appointments, by phone, and by e-mail.
and#x2022; Collaborate with all members of the team to provide proactive population based prevention and management of chronic diseases
and#x2022; Each team consists of 2 MDs, medical residents, one PA, an LPN, a social worker, and 2 medical assistants
and#x2022; The practice will also share a pharmacist, a dietician, an RN care manager, a population manager, and a community resource specialist
and#x2022; Participate in the education of students and residents
and#x2022; Participate in process improvement groups
and#x2022; Evening hours once a week, and Saturday AM hours once a month
and#x2022; Phone coverage on nights, weekends and holidays shared equally with the practiceand#x2019;s other physicians and physicianand#x2019;s assistants.
and#x2022; Physician back-up will be available at all times
and#x2022; Once practice is fully staffed, should average approximately 4-5 times a year
and#x2022; Occasional home and/or community visits
and#x2022; Assist co-workers in their duties (within the limitations of training and scope of practice)
and#x2022; All other duties as prescribed

FISCAL RESPONSIBILITY
1. Proper, complete and timely documentation
2. Awareness of billing and compliance issues
3. Participates in setting productivity metrics and in cost effective management of personnel, time, supplies and equipment in his/her area. Qualifications QUALIFICATIONS
Must be a Masterand#x2019;s prepared from an accredited Physician Assistant program. Experience working in an ethnically culturally and racially diverse work staff preferred; ability to work harmoniously with diverse groups of individuals required. Maintains PA license in Massachusetts and maintains controlled substance licensure in MA and has federal DEA license.
1. Expert clinical judgment skills to function in an independent role.
2. Excellent interpersonal relationship and communication skills in order to collaborate with patients; families, staff and community health workers.
3. Ability to work with frequent stress resulting from busy clinical settings and a changing organizational climate.
4. Ability to be self-directive and demonstrate initiative in addressing responsibilities of the position.
5. Ability to utilize appropriate problem-solving and conflict resolution skills.
6. Must have experience working in a primary care environment

Specific license/certification/registration required to perform the job
1. Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
2. Must have 4 years of college level education and bachelorand#x2019;s degree or equivalent. (BS/MS joint programs are also acceptable).
3. Board Certification by the National Commission on Certification of PAs is required.
4. License as a Physician Assistant in Massachusetts
5. Maintain current DEA and Massachusetts Controlled Substance Licenses
6. Complete 100 hours of CME according to national and state regulations during each 2 year period of employment.
7. Maintain current BLS/ACLS certification
8. Complete BWH Professionalism Program within 3 months of date of hire.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
and#x2022; Customer focused and patient-centered
and#x2022; Enjoys being part of a diverse team. Comfortable trusting other properly trained and licensed members of the team to perform clinical tasks.
and#x2022; Ability to multi-task
and#x2022; Comfortable with change
and#x2022; Spanish language skills a plus but not required

Medical Knowledge:
Medical knowledge includes an understanding of primary care practice, health promotion and disease prevention pathophysiology, patient presentation, differential diagnosis, patient management. The PA 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 is expected to demonstrate an investigatory and analytic thinking approach to clinical situations.

The PA is expected to:
andiquest; Understand etiologies, risk factors, underlying pathologic process, and epidemiology for medical conditions
andiquest; Identify signs and symptoms of medical conditions
andiquest; Select and interpret appropriate diagnostic or lab studies
andiquest; Manage general medical and surgical conditions to include understanding the indications, agents and other relevant treatment modalities
andiquest; Identify the appropriate site of care for presenting conditions, including identifying emergent cases and those requiring referral or admission
andiquest; Identify appropriate interventions for prevention of conditions
andiquest; Identify the appropriate methods to detect conditions in an asymptomatic individual
andiquest; Differentiate between the normal and the abnormal in anatomic, physiological, laboratory findings and other diagnostic data
andiquest; Appropriately use history and physical findings and diagnostic studies to formulate a differential diagnosis
andiquest; Provide appropriate care to patients with chronic conditions.
andiquest; Demonstrate proficiency with BWH computer systems as needed to independently perform daily tasks such as order entry, LMR, Percipio, lab tests and results, incident reporting, BICS, etc.
andiquest; Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
andiquest; Must have knowledge of billing practices.

Physical and mental abilities required
andiquest; Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
andiquest; Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
andiquest; Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
andiquest; Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.
andiquest; Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with practice standards of care.

WORKING CONDITIONS
The PA will work in a pleasant, community based primary care practice. The work-load can be challenging, requiring both teamwork and individual initiative. A high level of patient care is required while working quickly and often multi-tasking. The schedule may require some flexibility in hours while maintaining a goal of 40 hours/week on average.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
Assists the surgeon with major cardiac surgery operations and is directly responsible for the care of critically ill cardiac surgical patients. Directly acts in the operating room during performance of technical cardiac surgical procedures. Provides the highest level of pre- and post-operative care under the direction of the supervising physicians.

PRINCIPAL DUTIES AND RESPONSIBILITIES
1. Assists the surgeon in the OR, acting as first or second assistant during the following phases:
a) prepare and drape patient, make skin incisions, harvesting long saphenous vein, b) prepare and expose the femoral vessels for cannulation and assist in insertion of femoral cannula placement c)harvest or assist in harvesting the radial artery, d) close fascia, subcutaneous tissue and skin, dress surgical incisions, e) caring for patients on step down units and ICU as warranted by operation and patients condition, f) insertion and removal of intra-aortic balloon pump catheter under supervision.
2. Administers intravenous therapy and inserts central venous and arterial lines by means of Surgical cutdowns and venipunctures where indicated.
3. Inserts nasogastric tubes and maintains suction decompression of the stomach as well as irrigation of the same tubes.
4. Catheterizes and maintains indwelling urinary drainage tubes.
5. Performs thoracentesis.
6. Inserts ands removes chest tubes.
7. Manages ventilators in conjunction with the respiratory therapists.
8. Cleans, debrides and sutures minor lacerations. Cares for wounds, including debridgement, Iandamp;Dand#x2019;s dressings, removal of drains and tubes and suture removal.
9. Performs EKGand#x2019;s when technician is unavailable and reviews tracing for arrhythmias and ischemia.
10. Performs cardiac resuscitation and defibrillation as indicated.
11. Performs and records complete history and physical examination.
12. Makes daily rounds by him or herself or with surgical team on patients with a variety of surgical conditions and reports findings to the Attending Surgeon. Manages patient care (both ICU and step-down units), evaluates change in patient status, writes orders, obtains consultations, and interprets lab values and x-rays with assistance of physicians as necessary. Gives special instructions to patients prior to discharge.
13. Writes daily progress notes and dictates discharge summaries.
14. Collects data from charts or interviews with patients for clinical studies being performed under the direction of the Attending Surgeon.
15. Assists the surgeon in highly specialized procedures in approved protocol of clinical investigation in patients and experimental surgery in animals.
16. Must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned unit.
17. Other duties as assigned. Qualifications QUALIFICATIONS
1. Must be graduate of a 2 year graduate level program approved by the AMA Board of
Approval and Certification of P.A. Programs.
2. Bachelorand#x2019;s degree.
3. Applicant is to be Board certified by the National Commission on Certification of
Physician Assistants.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
1. Must have broad knowledge of medical environment, surgical practices and performance
goals of the Cardiac Surgical Service and BWH.
2. Must exercise the highest degree of professional judgment under the direction and
guidance of a licensed physician.
3. Must be able to accept instruction and guidance and assume graded responsibility in Complex teamwork concept.
4. Must be able to administer such care and treatment and exercise such independent
originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
5. Must attend daily rounds of the surgical staff and be available for a reasonable on-call schedule involving nights and weekends.
6. Maintain a professional attitude towards patients and co-workers at all times and a good working relationship with other personnel involved in patient care.
7. Attends internal and external education meetings and reads appropriate professional journals in order to maintain and enhance skills and clinical competence.

WORKING CONDITIONS
1. Must spend large percentage of working day in cool (60-65F) operating rooms standing
under harsh lights.
2. Work requires lifting of patients and heavy objects such as oxygen tanks.
3. Work requires exposure to needles, scalpels, electric cautery, defibrillators and monitoring devices.
4. Requires contact with patients with infections and secretions imposing a possible risk for acquiring hepatitis, AIDS, etc.
5. Position requires 40 hours+/week of work which may involve nights and weekends.

SUPERVISORY RESPONSIBILITY
1.Supervise students who do clinical rotation on the Cardiac Surgery Service.
2. Teaching junior resident housestaff and physician assistants surgical techniques, postoperative management and maintaining a continuity of patient care on the Cardiac Surgery Service.
3. Assist the nursing and surgical staff in patient education.
4. Teach and assist other members of the surgical team in performance of specialized
diagnostic procedures such as cardiac output measurements, etc.
5. Teach and assist technicians who operate and maintain monitoring equipment
Shift: Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
The General Surgery physician assistant (PA) is a member of the inpatient general surgery unit.

PRINCIPAL DUTIES AND RESPONSIBILITIES
Clinical Duties:
The PA should display the following skills and take part in the following tasks:
1. Performs patient admitting histories and physicals; records information accurately in patient record in a timely fashion.
2. Performs routine preoperative and postoperative procedures, e.g.: insertion/removal of tubes, lines, sutures; performs postoperative wound care.
3. Examines and evaluates patients and assists in development of their treatment plan with resident physicians and attending surgeons.
4. Appropriately responds to emergency situations; manages patient issues as they arise, to the extent that the PA will obtain and evaluate studies/labs, write orders, obtain consultations and interpret lab values and x-rays with the assistance of the supervising physicians as necessary.
5. Provides age specific care to surgical intensive care patients from early adolescence through the geriatric ages.
6. Will work with physician trainees and will alternate with them in scheduled shifts for patient care.
7. Will work under the direction of supervising critical care attending and fellows.
8. Provides teaching to medical students and physician assistant students and other health care personnel as appropriate.
9. Stays up to date on the latest literature in surgical intensive care practice.
10. Participates in quality improvement efforts and research efforts as directed by the service leadership. The PA should also initiate quality improvement and research efforts as appropriate.

Non-Clinical Duties:
1. Leadership
a. Mentoring of various health care personnel.
b. Being available to offer additional help when needed
2. Professionalism/Professional Development
a. Attend continuing education courses as appropriate
b. Practice professional behavior at all times.
c. Engage in activities to develop growth of self and growth of Division.
3. Operations Support, Administrative Responsibilities
a. Keep proficient in all IS systems appropriate to position.
b. Maintain awareness of documentation and its effect on reimbursement.
c. Continue to find ways to practice efficiently
d. Advocate for quality of care
e. Partner with attendings and other care providers to provide high quality patient care.
Requirements: QUALIFICATIONS
1. License/Certification/Registration:
a. NCCPA certified.
b. License as a Physician Assistant in Massachusetts.
c. Maintain current DEA and Massachusetts Controlled Substance Licenses.
d. Complete 100 hours of CME according to national and state regulations during each 2-year period of employment.
e. Complete BWH Professionalism Program within 3 months of date of hire.
2. Education:
a. Minimum of Bachelorand#x2019;s Degree required. Masterand#x2019;s degree and previous experience in an academic surgical/medical environment preferred.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
The PA shall demonstrate the following clinical knowledge, skills and competencies:
1. Clinical skills and knowledge as well as professionalism of the PA candidate are assessed by a surgical intensive care attending under the direction of the Division Chief.
2. If a candidate does not pass the competency assessment, surgical intensive care attendings will provide feedback on additional development needs. Re-assessment is possible after 6 months of focused development.
3. Competencies are assessed by surgical intensive care attendings either through direct observation or verbal communication. The attending physician(s) performing the assessment will complete a competency assessment (designed by dept/division). The candidate is responsible to provide example cases, which he or she has cared for patients with the most common diagnosis.

Physical and mental abilities required:
1. Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
2. Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
3. Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
4. Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.
5. Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care.

The PA shall demonstrate the following professional knowledge and skills:
1. Proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, BICS, etc.
2. Consistently provide high quality and timely documentation, including admission notes, progress notes, discharge summaries and dictation.

WORKING CONDITIONS
Work areas will include the BWH inpatient and affiliated areas of patient care (diagnostic units, Emergency Medicine Department, postoperative care unit or any other areas where critical care is delivered for BWH surgical ICU patients.

SUPERVISORY RESPONSIBILITY
The PA, while not directly overseeing others in the Dept/Division, should take on mentoring and leadership responsibilities, as follows:

Leadership:
1. Assist in orientation and training of new hires. Be available for questions and support.
2. Assist in orientation, training and mentoring of students, when applicable.

Professionalism:
1. Appropriately interact and communicate with all members of the healthcare team, patients and families.
2. Take direction well and understand own limitations.
3. Demonstrate good ethical judgment
4. Be a team player, support other providers and offer help to the group as a whole
5. Be punctual

Advancing the Service:
Under the direction of the division chief, the PA shall also demonstrate involvement in non-clinical work to improve the patient care process and increase patient safety. Examples include, but are not limited to involvement in the following:
1. QI Projects
2. Committee work
3. Research
4. Publishing
5. Other

FISCAL RESPONSIBILITY
The PA will be responsible for proper documentation in order to assure proper reimbursement treatments and procedures.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
The privileges and responsibilities of Faulkner physician assistants should be in compliance with applicable State regulations governing physician assistants. In addition, the responsibilities detailed below should be undertaken by the physicianand#x2019;s assistant only if their training and/or past experience qualifies them in these areas.

PRINCIPAL DUTIES AND RESPONSIBILITIES
Physician assistants will work under the direct supervision of an attending emergency physician at all times and have overall reporting to the Faulkner Chief of Faulkner Emergency Medicine under the Brigham and Womenand#x2019;s/Faulkner Department of Emergency Medicine.

All physician assistants must be able to perform:

a. History and physical examinations

b. Ordering of laboratory tests and x-rays as appropriate

c. Write prescriptions for physician countersignature

Other specific responsibilities include, but are not limited to, management of the following:

a. General Emergency Medicine Evaluation

and#x2022; Respiratory tract problems
and#x2022; Uncomplicated cardiac disease
and#x2022; Abdominal complaints
and#x2022; UTI
and#x2022; Psychiatric evaluations
and#x2022; Seizure disorder
and#x2022; Alcohol and other toxic ingestions
and#x2022; Skin disorders
and#x2022; Uncomplicated back pain



b. Emergency Procedures

and#x2022; Emergency splinting of fractures
and#x2022; Prompt referral of ligament and flexor tendon injuries to an orthopedic specialist
and#x2022; Arthrocentesis
and#x2022; Reduction of some dislocations involving:
1. Hands
2. Shoulder
3. Elsewhere if urgent and limb threatening

and#x2022; Repair of simple lacerations
and#x2022; Repair of complex lacerations (excluding flexor tendons)
and#x2022; Cleansing, debridement, revision, repair and closure of simple wounds of:
1. Nose
2. Auricle
3. Eyelids

and#x2022; Gastric lavage
and#x2022; Nail trephination
and#x2022; Insertion of urethral catheters
and#x2022; Emergency management of bite wounds
(including human and animal)
and#x2022; Collection of arterial blood gases
and#x2022; Incision and drainage of uncomplicated superficial abscesses
and#x2022; Assess and treat 1st and 2nd degree burns
and#x2022; Initial stabilization of severe head and spinal injury, including:
Spine board and rigid collar immobilization
and#x2022; Re-implantation of teeth
and#x2022; Removal of foreign bodies of nose and ear, including impacted cerumen
and#x2022; Removal of superficial corneal and conjuctival foreign bodies
and#x2022; Anterior nasal packing
and#x2022; Slit lamp examination
and#x2022; Laryngoscopy and#x2013; direct and indirect
and#x2022; Emergency attendance at precipitate delivery, including newborn care until physician is present
and#x2022; Infiltration anesthesia (local)
and#x2022; Perpheral nerve block (digital)

Quality Assessment

The Department of Emergency Medicine shall continuously review the quality and appropriateness of patient care provided in the department through an organized and systematic plan. The Chief of Faulkner Emergency Medicine shall have overall responsibility for assuring that a timely review of emergency patient care is performed, documented and discussed on monthly basis.


Educational Activities

The physician assistants have the responsibility to partake in regular educational sessions for the emergency medicine residents, nursing staff and paramedics in the department. These should be documented for the Faulkner Chief of Emergency Medicine.

The following duties will not be permitted:

and#x2022; Sexual assault cases

and#x2022; Child abuse/neglect cases

and#x2022; Insertion of chest tubes or transvenous pacing wires

and#x2022; Insertion of central venous catheters

and#x2022; Lumbar punctures (unless experience and expertise can be documented)

Non Clinical Duties

and#x2022; Team Work, Interpersonal andamp; Communication Skills

and#x2022; Professionalism/Professional Development
a. Continuing Education
b. Professional behavior
c. Course attendance
d. Growth of self, growth of department
Requirements: QUALIFICATIONS
1. Minimum Education required

and#x2022; Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
and#x2022; Must have 4 years of college level education and bachelors degree or equivalent. (BS/MS joint programs are also acceptable; BS with PA certificates are acceptable for graduates before 1995).
and#x2022; Board Certification by the National Commission on Certification of PAs is required.
2. Minimum Experience required

Each PA I shall meet the following minimum requirements for work experience:
a. Relevant full time experience as a PA.
b. Relevant full time experience as a PA in Emergency Medicine
c. Other previous Hands on patient care experience may be considered at the discretion of the Medical Director.
3. Licenses/certification/registration required to perform job.
a. NCCPA certified
b. License as a Physician Assistant in Massachusetts
c. Maintain current DEA and Massachusetts Controlled Substance Licenses
d. Complete 100 hours of CME according to national and state regulations during each 2 year period of employment.
e. Maintain current BLS/ACLS certification
f. Complete BW/F Professionalism Program within 3 months of date of hire.
g. Complete BW/F Procedural Sedation Training, if determined necessary.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
1. Special analytical, administrative, technical, and/or financial abilities or skills required.

Each PA shall demonstrate the following professional Knowledge and skills:
a. Proficient with BW/F computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, BICS, etc.
b. Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
c. Must have knowledge of billing practices.
d. Must have broad knowledge of emergency medicine
2. Physical and mental abilities required.

PAand#x2019;s:
a. Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
b. Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.
c. Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
d. Must maintain excellent and collegial working relationship with other personnel involved in patient care.
e. Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care.
f. Must be able to accept instruction and guidance and assume graded responsibility in complex teamwork concept.
g. Must attend daily rounds with the ED staff and be available for a reasonable on-call schedule involving nights and weekends.
h. Maintain a professional attitude towards co-workers at all times and a good working relationship with other personnel involved in patient care.
i. Attends internal and external education meetings and reads appropriate professional journals in order to maintain and enhance skills and clinical competence.
3. Skills/competencies required to provide care appropriate to the age of the patients served on his/her assigned unit.

Each PA shall demonstrate the following clinical knowledge, skills and competencies:
a. For the most common emergency medicine diagnoses, demonstrate competency to effectively diagnose, formulate appropriate treatment plan, and efficiently implement the plan without much direction, and with a greater level of independence, from the attending physician.
b. Clinical skills and knowledge as well as professionalism of the PA candidate are assessed by the emergency medicine attending, under the direction of the Faulkner Chief of Emergency Medicine.
c. Candidates with two or more years of relevant PA experience prior to joining emergency department, and become eligible for a preliminary evaluation of competencies approximately 3 months after joining the service. The purpose of the preliminary evaluation is to provide feedback to the candidate on progress towards level of competency required and provide guidance on additional development needs. After approximately 6 months, after joining the emergency department, the candidate then becomes eligible to complete the assessment and, if successful advances to a PAII.
d. If a candidate does not pass the competency assessment, emergency medicine attending will provide feedback on additional development needs. Re-assessment is possible after 6 months of focused development.
e. Competencies are assessed by the emergency medicine attendings either through direct observation or verbal communication. The attending physician(s) performing the assessment will fill out a competency assessment of BW/F Emergency Medicine, attached. The candidate is responsible to provide example cases, which he or she has cared for patients with the most common diagnosis.

WORKING CONDITIONS
and#x2022; Requires lifting of patients and heavy objects such as oxygen tanks.

and#x2022; Exposure to needles, scalpels, electric cautery, defibrillators and monitoring devices.

and#x2022; Contact with patients with infections and secretions imposing a possible risk for acquiring hepatitis, AIDS, etc.

SUPERVISORY RESPONSIBILITY
and#x2022; Assist the nursing and house staff in patient education.

and#x2022; Teach and assist other members of the ED team in performance of specialized diagnostic procedures.

and#x2022; Teach and assist technicians who operate and maintain monitoring equipment.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
The Division of Thoracic Surgery believes in the and#x201c;teamand#x201d; approach to medical care. In collaborating with Physicians, Physician Assistant will be involved in: Coordination of preoperative assessments; Coordination of treatment and assistance in management of preoperative assessments; Coordination of treatment and assistance in management of postoperative care and discharge planning.

PRINCIPAL DUTIES AND RESPONSIBILITIES
During the preoperative evaluation, the P.A. will:
1. Assist in preoperative evaluation and education.
2. Perform initial interview and assessment of patient.
3. Perform history and physical examination.
4. Review diagnostic data
5. May obtain preoperative surgical consents.
6. Prepare preoperative data sheets.
7. Present preoperative patients at team meetings.
8. Monitor patients undergoing neoadjuvant protocols
9. Identify patients requiring preoperative nutritional assessments.
10. Liaison with the Pre-Admission Testing Center (PATC), surgical scheduling areas and nursing units.
11. Communicate any abnormal findings to chief resident for inpatient and to attending surgeon for outpatients.
12. Track and obtain radiographic studies required preoperatively for patients.


During the postoperative hospitalization and discharge, the P.A. will:
1. Attend daily rounds with the Thoracic team and round independently.
2. Coordinate transfers from the Thoracic Intermediate Care Unit (TICU)
3. Assist with and perform independent diagnostic procedures: insertion of chest tubes, removal of chest tubes, bronchoscopies, wound care, removal of drains, interpleural chemotherapy, etc. as acceptable via the guidelines of the Division of Thoracic Surgery and Brigham and Womenand#x2019;s Hospital.
4. Obtain consultations from other services.
5. Coordinate patient discharge along with nursing staff to include special needs at home, medications, proper referrals (VNA, PT, etc) and coordinate proper follow-up appointments as deemed appropriate by chief resident and team.
6. Assist with Day After Discharge Program (DAD) where upon each patient is called at home 24 hours after discharge to assure the transition back to the home or facility was without complications. This will also include same day call to the referring physician alerting him/her that patient has been discharged that day.
7. Coordinate follow-up at outside facilities and assist in communication with other facilities in question of patient care.
8. Admissions to the floor (Handamp;P, orders)
9. Renew medications, transfer orders and general orders under supervision of physician.
10. Assist TICU Director in the development of protocols and procedures for P.A.and#x2019;s residents and nurses.
11. Provide daily resource for staff in the TICU and other units.
12. Develop and implement routine instructions for patientsand#x2019; discharge.
Requirements: QUALIFICATIONS
The successful candidate will be a graduate of an accredited program for Physician Assistants, hold a Masterand#x2019;s degree and be eligible for Massachusettsand#x2019;s licensure or presently licensed by the Commonwealth of Massachusetts Board of Registration for Physician Assistants. The Division is an extremely busy service within the Brigham and Womenand#x2019;s Hospital. The candidate must be mature, willing to learn, organized and able to accept direction.

WORKING CONDITIONS
The work may require the lifting of heavy objects and patients, as well as exposure to potentially infective material. Work requires contact with needled and other sharp instruments, electric-cautery devices, monitoring devices, and other state-of-the-art equipment. Prolonged standing can be expected. The hospital is approximately andfrac14; mile long and excessive walking to and from the patient care units can be expected.

SUPERVISORY RESPONSIBILITY
Supervises medical students rotating through the service. Teaching other health care professionals the management of thoracic surgical patients.
Shift: Rotating Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
The Physician Assistant (PA) is a member of the inpatient Obstetrics and Gynecology team. As part of a team, The PA is responsible for assisting attending physicians, fellows and resident in the medical management of patients. In addition, outpatient duties that will assist the patient care teams in their daily responsibilities are included.

PRINCIPAL DUTIES AND RESPONSIBILITIES
The PA works closely with the physicians, fellows and resident 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 core values of the Brigham and Womenand#x2019;s
Hospital (BWH) are incorporated into all areas of practice. The PA will Act as the primary resource to the inpatient staff in dealing with routine and acute patient management issues during protected didactic time and operating room time for the residents, contacting the resident staff or attending only in emergent situations (or as needed for patient safety).

Inpatient Clinical Duties

and#x2022; Competencies and task in routine care of hospitalized gynecologic or postpartum patients:

- perform admission history and physical exam and accurately record in the patient record
- Change surgical dressings, including wound packing and wound vacs
- Remove sutures and staples
- Write daily progress notes
- Write orders
- Dictate discharge summaries, complete discharge paper work
- Assist in making appropriate post hospitalization appointments and referrals
- Communicate with referring health care providers and institutions
- Write prescriptions
- Carry the primary postpartum/in-patient gynecologic/ED beeper during resident didactics, protected resident OR time, or as requested during times of personnel shortages, contacting the resident staff or attending in emergent situations or as needed for patient safety.

and#x2022; Responsive to postpartum and gynecologic inpatient floor pages to evaluate situations that may represent variance in normal hospital course.

and#x2022; Act as liaison between postpartum and gynecologic inpatient floors/patient care teams and out patient area, or in the case of transfer within the hospital, other care unites.

and#x2022; Round with individual residents/teams as requested, report back to team leaders

and#x2022; Implement attending physician instructions for patient management in close cooperation with nursing staff

and#x2022; Perform procedures within the PA scope of practice and as directed by the attending including:

- 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

and#x2022; Additional Competencies and Tasks in Routine care of Postpartum patients: Evaluate stability and progress of routine postpartum patient

- Physical Exam: appropriately evaluate uterine size, tenderness; perineal discomfort and healing; quality of Lochia; breast exam; cesarean section incision.
- Vital signs/chart/history: Appropriately interpret vital signs in normal postpartum patient and in patient with complications including hypertension, bleeding, infection; appropriately interpret postpartum symptoms/issues including bleeding, lactation, extremity edema and tenderness
- Counsel and educate patients and family about postpartum events, activities, lactation, and contraception

Additional Competencies and Tasks in Care of Outpatient Gynecological Patients

and#x2022; Conduct initial evaluation of gynecological patients seen in the Emergency Room, including:

- Conduct and appropriately interpret Physical Exam
- Ordering appropriate laboratory and non-invasive testing and collating results
- Accurately inform responsible physician (1500 beeper or Chief Resident) of acute situations
- Accurately report results of initial assessment and subsequent information to responsible physician (per above)
- Interact with all ER personnel in collegial manner

and#x2022; In absence of an on-site physician, respond to the ambulatory gynecology clinic for initial assessment of non-scheduled (walk-in) patients in manner described above.

and#x2022; Assist the resident physician team with evaluation of out-patients on the ectopic list

- Collate laboratory data and present to responsible physician as requested
- Communicate with patient on a regular basis as requested by the team
- Assist in arrangements for sequential testing and ambulatory appointments

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 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
OR rounds on Tuesdays
Requirements: QUALIFICATIONS
Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
Must have 4 years of college level education and bachelors degree or equivalent. (BS/MS joint programs are also acceptable; BS with PA certificates are acceptable for graduates before 1995).
Board Certification by the National Commission on Certification of PAs is required.
Each PA shall meet the following minimum requirements for work experience:
a. One year of relevant full time experience as a PA in this specialty, preferred.
b. Other previous Hands on patient care experience may be considered at the discretion of the Medical Director.
Specific license/certification/registration required to perform the job
a. NCCPA certified
b. License as a Physician Assistant in Massachusetts
c. Maintain current DEA and Massachusetts Controlled Substance Licenses
d. Complete 100 hours of CME according to national and state regulations during each 2 year period of employment.
e. Maintain current BLS/ACLS certification
f. Complete BWH Professionalism Program within 3 months of date of hire.
g. Complete BWH Procedural Sedation Training, if determined necessary.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
Medical Knowledge
Train and educate Interns around procedures
Medical knowledge includes an understanding of pathophysiology, patient presentation, differential diagnosis, patient management, surgical principles, health promotion and disease prevention.
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. Demonstrate an investigatory and analytic thinking approach to clinical situations.
Able to place naso-gastric (NG) tube andamp; perform paracentesis
Identify signs and symptoms of medical conditions including but not limited to; urine output, shortness of breath (SOB), chest pain, active bloating.
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, BICS, etc.
Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
Must have knowledge of billing practices.

WORKING CONDITIONS
This PA position 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 schedule may require long workdays while maintaining a goal of 40-45 hours/week on average. PAs are required to cover weekends, holidays and sick call on a rotational basis.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
Under the direction of the inpatient Service Chief and Epilepsy/EEG Division Chief, The Neurology Physician Assistant I is a member of the inpatient Edward B. Bromfield (EBB) Epilepsy service and long-term monitoring (LTM) team. The PA I is responsible for assisting attending physicians, fellows, EEG technicians, and residents in the medical management of the Epilepsy patients assigned to the LTM service. Under the supervision and direction of the designated supervising physician, and in accordance with the rules and regulations of Massachusetts governing Physician Assistant (PA) practice, the Epilepsy Physician Assistant will work directly with the clinical faculty, Fellows, EEG technicians, and residents to provide quality patient care and medical services on the inpatient floor and to ensure proper flow and service from admission to discharge and post discharge services. The PA obtains patient histories, performs comprehensive physical examinations and minor procedures, coordinates tests and consultations, implements treatment plans, communicates with patients and families, participates in rounds, and supports the neurology residents in their responsibilities to education and patient care.

PRINCIPAL DUTIES AND RESPONSIBILITIES
I. CLINICAL PRACTICE:
and#x2022; Obtains health and medical history, performs physical examination, and constructs problem list.
and#x2022; Collects, records, and interprets patient data.
and#x2022; Orders appropriate laboratory, radiological, and other diagnostic studies.
and#x2022; Performs daily patient examinations and coordinates patient care
and#x2022; Prescribes Schedule II-VI medications in accordance with guidelines developed with the supervising physician.
and#x2022; and#x2022; Attends daily rounds of the neurology residents and attending staffAttends and participates in weekly multidisciplinary epilepsy team conference on Thursdays 1-2PM
and#x2022; Performs minor procedures such as lumbar punctures, nasogastric tube placement, and blood draws.
and#x2022; Assists with appropriate Epilepsy patient flow from admission to discharge to ensure discharges are
handled appropriately and expeditiously.
and#x2022; Completes discharge summaries in an efficient manner
and#x2022; Provides coverage on the inpatient attending team on an as needed basis to support the overall care of Neurology inpatients.

II. COMMUNICATION:
and#x2022; Serves as an information resource for patients to improve their level of knowledge and satisfaction with their stay
and#x2022; Responsible for communication and coordination with residents, fellows, nurses, and other physicians involved with the care of hospitalized patients.
and#x2022; Coordinates interface between inpatient and Epilepsy outpatient care in conjunction with the Epilepsy Nurse.
and#x2022; May represent the neurology practice by serving on various committees and/or attend interdisciplinary care and planning meetings.
Requirements: QUALIFICATIONS
1. PA must meet the following educational requirements:
and#x2022; Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
and#x2022; Must have 4 years of college level education and bachelorand#x2019;s degree or equivalent. (BS/MS joint programs are also acceptable.)
and#x2022; Completion of PA degree program with previous hands on patient care experience.
and#x2022; At least 1-3 years of previous experience as a PA
and#x2022; Experience caring for neurology patients required; Epilepsy experience preferred
2. PA must have or be eligible for the following license/certifications/registrations:
and#x2022; National Commission on Certification of Pas
and#x2022; License as a Physician Assistant in Massachusetts
and#x2022; Current DEA and Massachusetts Controlled Substance Licenses
and#x2022; Basic Life Support certification
and#x2022; Advanced Cardiac Life Support certification

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
and#x2022; Proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, BICS, etc.
and#x2022; Consistently provides high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
and#x2022; Energetic, quality driven, and a proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.
and#x2022; Exercises the highest degree of professional judgment under the direction and guidance of the Senior Resident and supervising MDs.
and#x2022; Possesses the maturity, self-confidence, and ability to follow complex patient management plans as directed by the neurology residents and attending neurologist.
and#x2022; Maintains a professional attitude towards patients and co-workers at all times and a good working relationship with other personnel involved in patientand#x2019;s care.
and#x2022; Demonstrates an ability to work well under pressure.
and#x2022; Broad knowledge of medical environment and academically oriented neurology practice.
and#x2022; Is knowledgeable and compliant in all hospital, State and Federal regulatory requirements, including hospital policy and procedures (where applicable to the performance of the job), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and Health Insurance Portability and Accountability Act of 1996 (HIPAA).

WORKING CONDITIONS
Work will be performed in primarily the inpatient setting. The work may require the lifting of heavy objects and patients, as well as exposure to potentially infective material. Work requires contact with needles and other sharp instruments. Prolonged standing can be expected. Walking to and from the patient care units can be expected.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00 Null Null none Null
Responsibilities: GENERAL SUMMARY/ OVERVIEW STATEMENT
The Physician Assistant will work within CSIR. This individual will assist the attending interventional radiologist in all areas of patient care, with particular emphasis on pre- and post-procedural care.

PRINCIPAL DUTIES AND RESPONSIBILITIES
I. DIRECT CARE:
Provides direct care to CSIR patient population utilizing the CSIR approved guidelines where appropriate. This includes:
a. Completes history and physical exam as appropriate for visit.
b. Sets priorities of care in more complex patients with chronic disease.
c. Identifies appropriate Lab work for each visit, demonstrates ability to interpret results, and arrange and document necessary follow-up.
d. Demonstrates specific lab skills appropriate for CSIR.
e. May perform CSIR procedures, such as paracentesis and thoracentesis, biopsy or drainage procedures.
f. Provide post and#x2013;procedure care, and rounding on inpatients which may include order writing, procedure site assessment, out-patient management, in-patient management, discharge planning and clinic follow-up; fluid and electrolyte management, pain management, and drainage catheter management.
e. Incorporates the concepts of prevention, health promotion, and health maintenance through patient education and counseling.
f. Seeks consultation appropriately with Attending or referring physician
g. Documents in a clear, complete, concise, and organized manner
h. Conducts visits in timely fashion, in accordance with predetermined area standard.

II. INDIRECT CARE:
Participates in activities to promote quality patient care within the framework of the clinical area.
a. Receives, manages, and tracks consults to the CSIR service.
b. Participates in Quality Assurance Program on a regular and continuing basis.
c. Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.
d. Demonstrates awareness of community resources, and assists staff, patients and families to use them effectively.

e. Takes responsibility for and documents appropriate follow-up triage of patientsand#x2019; problems and Lab results for medical and nursing providers in his/her assigned area.
f. Entering procedure data into CSIR database.


III. PARTICIPATIVE MANAGEMENT:
a. Assist in teaching of fellows, residents and students in all Cross-Sectional Interventional Radiology activities.
b. Demonstrates leadership skills in problem solving, i.e., recognizes need for a policy, procedure, protocol, etc. and takes responsibility for its development.
c. Participates in selection of new employees and ongoing evaluation of other staff.
d. Assists in directing designated personnel in assigned clinical area.
e. Assists in planning and implementing unit goals and objectives.
f. Participates in cost effective management of personnel, time, supplies, and equipment in his/her area.
g. Collaborates with Clinical Director and Asst. Clinical Director regarding appropriate staffing patterns for the unit


IV. EDUCATION:
a. Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.
b. Attend conferences and meetings related to CSIR activities.


V. OTHER:
Performs other duties as assigned
Requirements: QUALIFICATIONS
1) Must be a graduate of a three-year graduate level program approved by the AMA Board of Approval and Certification of PA Programs.
2) Must have four years of college level education and Bachelorand#x2019;s degree or equivalent.
3) Board certification by the National Commission on Certification of Physician Assistants is required.
4) Six to twelve months on the job training will be required for full competence in the position.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
1) Must have broad knowledge of medical environment, oncology practices, surgical practices, and performance goals of the CSIR service at BWH.
2) Must exercise the highest degree of professional judgment under the direction and guidance of a licensed physician.
3) Must be well organized, able to accept instruction and guidance, and willing to assume graded responsibility in complex teamwork.
4) Must be comfortable working with many people from many clinical and administrative areas, in a busy complex interventional environment.
5) Must be able to administer such care and treatment and exercise such independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
6) Must maintain a professional and compassionate attitude toward patients at all times and a good working relationship with other personnel involved in patient care.
7) Must have proficient computer skills in Microsoft Word, Excel, PowerPoint, and Access

WORKING CONDITIONS
Works in a variety of patient care environments where there is potential exposure to communicable diseases, hazardous materials and ionizing radiation.
Shift: Day Shift
EEO Statement: An EEO, AA, VEVRAA Employer ]]> 7/19/2011 0.00