APP) - Primary Care

UVA Health

About The Position

Overview: Fellows rotate through Family Medicine, Urgent Care, and Geriatrics throughout the year, as well as with subspecialty clinics (e.g., heart failure, cardiology, orthopedics, endocrine, dermatology, etc.) a few days each month. 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. Fellows are evaluated on their clinical performance and competencies after each rotation. 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. Primary Care Fellows: Will be required to work a Monday through Friday schedule. 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

Master’s Degree as an Advance Practice Provider (Nurse Practitioner or Physician Assistant)
Less than 1 year of experience in desired specialty.
License or license eligible as an Advance Practice Provider (Physician Assistant or Board Certified Family Nurse Practitioner or Adult Primary Care Registered 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

Under the supervision of and in collaboration with primary preceptor, attending physician(s), geriatricians, urgent care physicians, and interdisciplinary team members (nursing, pharmacy, social work, care coordination, physical/occupational therapy), provides comprehensive, patient-centered clinical care in primary care clinics, geriatric assessment centers, skilled nursing facilities, home-based primary care programs, and urgent care/walk-in settings.
Performs thorough, age-appropriate history and physical examinations, including functional, cognitive, mood, nutritional, fall risk, and frailty assessments, with particular emphasis on geriatric syndromes and acute undifferentiated complaints in urgent care.
Accurately documents findings in the EHR, clearly identifying pertinent positives/negatives, red flags, social determinants of health, advance directives, and goals-of-care preferences.
Orders, interprets, and acts on diagnostic studies relevant to primary care, geriatrics, and urgent care, including routine labs, ECGs, plain films, urinalysis, rapid strep/influenza/COVID testing, and age-specific screening tests.
Formulates evidence-based diagnoses and differential diagnoses for acute, chronic, and preventive care needs across the adult-geriatric lifespan, incorporating multimorbidity, polypharmacy, and deprescribing principles.
Develops, implements, and longitudinally evaluates individualized care plans that integrate chronic disease management (diabetes, hypertension, COPD, CHF, CKD, dementia, etc.), preventive health services, immunizations, Medicare wellness visits, and urgent same-day evaluation/treatment.
Prescribes and manages pharmacologic therapies with attention to geriatric pharmacodynamics, renal dosing, drug-drug interactions, and deprescribing; recommends evidence-based non-pharmacologic interventions (lifestyle modification, physical therapy, fall prevention, cognitive stimulation, caregiver support).
Initiates timely specialty referrals, urgent diagnostic testing, or direct admission/ED transfer when indicated; coordinates transitions of care from hospital/SNF to home or assisted living.
Recognizes and rapidly manages acute/emergent conditions commonly seen in primary and urgent care settings (chest pain, dyspnea, syncope, sepsis, dehydration, acute confusion, falls with injury, minor trauma, lacerations, infections) while activating EMS or higher level of care as needed.
Incorporates age-, culture-, and health-literacy–specific considerations into every patient encounter; performs shared decision-making, motivational interviewing, and advance care planning, including POLST, Advance Directive, and/or DDNR completion.
Advocates for patients and families by addressing social determinants, caregiver burden, elder abuse/neglect reporting, guardianship issues, driving safety, and access to community resources.
Serves as a clinical resource and consultant for primary care, geriatrics, and urgent care topics to colleagues, nursing staff, students, and external facilities.
Maintains strict confidentiality of protected health information in compliance with HIPAA.
Ensures practice meets or exceeds national quality standards through interdisciplinary collaboration and performance improvement.
Clearly explains the necessity, preparation, risks, benefits, and follow-up for office-based and urgent care procedures (e.g., joint injections, I&D, skin biopsy, cryotherapy, suturing, splinting, nebulizer treatments, IV fluid administration, etc.) to patients, families, staff, and learners.
Performs common outpatient and urgent care procedures after demonstrated competency and privileging, including but not limited to: joint aspirations/injections, trigger point injections, incision and drainage, wound care/debridement, laceration repair, skin biopsy/excision, cryotherapy, cerumen removal, etc.—initially under direct supervision and progressing to independent practice.
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 care.
Advocates for the expanded role and value of Advanced Practice Providers 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.