APP) - Critical Care

UVA Health

About The Position

APP Fellows rotate throughout every ICU environment within UVA Medical Center, revisiting most more than once. Fellows will also rotate with experts in specialty services such as thoracic and abdominal transplant, infectious disease, procedural experiences, as well as elective rotations to explore new areas of medicine or to simply revisit a previous rotation experience. Fellows are required to take a patient load under the guidance and supervision of a designated preceptor, increasing their patient load and level of responsibility throughout the program as determined by their competency and overall clinical development. Full-time Clinical Schedule: APP Fellows will work a full clinical schedule aligned with designated preceptors within each rotation, in addition to attending a dedicated didactic day every Friday. Weekly Hours: Fellows average 40–60 hours per week, including preparation, reading, and Professional Development Curriculum requirements. Critical Care Fellows: May occasionally work nights, weekends, and holidays as part of their clinical requirements. Important Dates and Details: • Application closure: March 9, 2026 • Interview notifications: The week of March 16, 2026 • Interviews: Initial interviews will be virtual the week of April 6th and 13th. Interviews will be approximately 1 hour in length. A second round of in-person interviews may follow. • Final decisions will be made no later than May 8, 2026 • Program start-date: October 26, 2026 Application Instructions: • Candidates will complete a Job Application in WorkDay and a Supplemental Application. Full details can be found here: Application Process - Advanced Practice Providers • Please submit the completed online application form in Workday, along with all required supplemental application documents, by the application deadline. Applications that are incomplete or submitted after the deadline will not be reviewed. • Email Questions to: [email protected] Please review this link for all steps related to this process: https://virginia.az1.qualtrics.com/jfe/form/SV_8CDNx27eMInHK8S

Requirements

Must have: Adult Acute Care Nurse Practitioner or Physician Assistant
Education: Master’s Degree as an Advance Practice Provider (Nurse Practitioner or Physician Assistant)
Experience: Less than 1 year of experience in desired specialty.
Licensure: Varies by specialty - see below.
Critical Care: License or license eligible as an Advance Practice Provider (Physician Assistant or Adult Acute Care Nurse Practitioner) as set forth by the state of Virginia.
Must demonstrate and maintain all credentialing and licensing requirements of the UVA Medical Center, the Virginia Board of Medicine or the Virginia Board of Nursing, and the appropriate certifying bodies.
Must be enrolled with all payers through Delegated Credentialing and can participate in Medicaid and Medicare for billing.
Current Basic Life Support (BLS) certification through American Heart Association required.
For Critical Care only, current Advanced Cardiac Life Support (ACLS) certification through American Heart Association required.

Responsibilities

Independently, and in close collaboration with the primary preceptor, attending physician(s), fellows, and interdisciplinary team members, provides comprehensive delivery of high-acuity and critical care to complex, critically ill patients across the continuum of care.
Performs rapid, comprehensive history taking and physical assessment, including advanced hemodynamic, neurologic, and ventilatory evaluation in unstable patients.
Accurately documents findings, clearly differentiating pertinent positive and negative results, abnormal trends, and critical values in the electronic health record.
Orders, interprets, and acts upon diagnostic laboratory tests, imaging studies, point-of-care ultrasound (POCUS), and advanced monitoring data (e.g., continuous EEG, ICP monitoring, pulmonary artery catheterization, etc.) in accordance with evidence-based protocols.
Formulates differential and working medical diagnoses using advanced clinical reasoning, integrating history, physical examination, diagnostic data, and knowledge of critical illness pathophysiology.
Develops, implements, continuously evaluates, and modifies individualized, evidence-based treatment plans in dynamic critical care environments.
Prescribes and titrates pharmacologic agents (including vasoactive infusions / vasopressors, sedatives, analgesics, paralytics, anticoagulants, and antimicrobial therapy) and non-pharmacologic interventions (mechanical ventilation strategies, CRRT, ECMO management, IABP, Impella, etc.) within scope of practice and institutional protocols.
Initiates urgent or emergent specialty consultations and facilitates rapid transfer to higher levels of care when indicated.
Leads or co-develops, implements, evaluates, and/or utilizes unit-specific clinical pathways, order sets, and evidence-based protocols to standardize and optimize critical care delivery.
Actively collaborates with attending physicians, fellows, residents, nursing, pharmacy, respiratory therapy, and ancillary services regarding admissions, transfers, downgrades, and inter-facility transport to ensure safe and efficient patient flow.
Recognizes and responds immediately to acute decompensation or life-threatening emergencies; independently initiates advanced life-support interventions (airway management, defibrillation, massive transfusion protocol, RSI, bronchoscopy, central/arterial line placement, chest tube insertion, etc.) while simultaneously activating emergency response protocols and alerting the primary preceptor and interdisciplinary team.
Incorporates age-specific, culturally sensitive, and developmental considerations into all assessments, plans of care, and family communication.
Serves as a patient and family advocate, ensuring informed decision-making, education regarding critical illness, treatment options, goals of care, palliative/extubation discussions, and ethical issues while respecting autonomy, diversity, and individual values.
Provides expert consultation in acute and critical care management to other services, units, and external facilities.
Maintains strict confidentiality and security of protected health information in accordance with HIPAA and institutional policy.
Ensures compliance with national clinical standards, quality metrics, and regulatory requirements (TJC, CMS, SCCM guidelines, etc.) through interdisciplinary collaboration and performance improvement initiatives.
Clearly explains the necessity, preparation, risks, benefits, and anticipated effects of diagnostic and therapeutic procedures to patients, families, healthcare team members, and learners.
Performs advanced diagnostic and therapeutic procedures (as privileged and after demonstrated competency) including but not limited to: endotracheal intubation, central venous and arterial catheterization, chest tube placement, pulmonary artery catheter placement, bronchoscopy, thoracentesis, paracentesis, lumbar puncture, point-of-care ultrasound (eFAST, cardiac, lung), and epicardial pacing—initially under direct supervision of the primary preceptor and progressing to independent practice as competency is validated.
Meets or exceeds all defined clinical milestones by the conclusion of the fellowship year, as evaluated through multisource feedback, portfolio review, and direct observation.
Serves as an exemplary professional role model for colleagues, interdisciplinary team members, the institution, and the broader healthcare community through consistent demonstration of integrity, accountability, and clinical excellence.
Exhibits unwavering respect, cultural humility, and collaborative spirit in all interactions with patients, families, staff, learners, and the interdisciplinary care team.
Demonstrates emerging leadership by actively mentoring junior APPs, residents, nurses, and students; fostering interdisciplinary teamwork; and championing initiatives that empower others to deliver high-quality critical care.
Advocates for the expanded role and value of Advanced Practice Providers in critical care through patient/family education, professional presentations, community outreach, and/or participation in hospital committees or professional organizations.
Assumes progressive leadership responsibilities within the fellowship, including (but not limited to) leading quality-improvement efforts, presenting in formal educational sessions, or representing the APP group in departmental initiatives.
Meets or exceeds all defined leadership and professionalism competency milestones by the conclusion of the fellowship year, as evaluated through multisource feedback, portfolio review, and direct observation.