Advanced Practice Provider - Fellow (H)

University of Miami•Miami, FL

About The Position

The Advanced Practice Provider (APP) – Fellow is provid e d specialized training in the management of assigned specialty patients in a variety of settings to ensure optimal quality of care and gaining necessary skill sets to develop and strengthen proficiencies within the clinical setting while learning to collaborate within a multidisciplinary team of healthcare providers. The A P P - Fellow perform s patient assessment to include medical history and physical exam in collaboration with the physician /preceptor , develop s an appropriate plan of care in the direct management of patients with acute and chronic illnesses . The fellow displays competenc ies with preceptor and collaborating physicians. W orks directly with staff, administration, patients , and families to ensure quality care across the continuum to evolve as an expert in selected practice areas. I ntegrates current knowledge of professional issues, trends in health care , and technological advances into scope of practice. P articipates in the collections of research data, quality improvement, discharge planning , and coordination of patient care within the acute care areas. The Advanced Practice Provider Fellowship program at the University of Miami, Miller School of Medicine will complete rotations in a variety of clinical setting located within UHealth to include both inpatient and outpatient settings over a period of weeks, as assigned by specialty .

Requirements

Master’s d egree in relevant field
Valid State of Florida APRN /PA License; BLS/ACLS Certifications
No experience
Ability to exercise sound judgment in making critical decisions.
Skill in completing assignments accurately and with attention to detail.
Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
Ab ility to process and handle confidential information with discretion
Ability to work independently and/or in a collaborative environment.
Ability to communicate effectively in both oral and written form

Responsibilities

Provides care to a select group of patients by determining and rendering advanced nursing and medical interventions.
Assesses patients by interviewing and examining the patient, reviewing the patient’s medical history, physician’s diagnosis and orders, diagnostic test results (labs, x-ray, MRI, etc.) to determine medical diagnosis, plan of care , and monitor patient’s progress.
Reviews medical record s including physician/consultation notes, labs , and diagnostic tests results to f ormulate medical diagnoses.
Collaborates with physician and preceptors through discussion and assessment of diagnoses to d evelop a plan of care and i dentifies expected outcomes , including interventions .
Documents and coordinates plan of care.
Provides patient/family education regarding disease processes, treatment options, treatment outcomes, possible complications , medications, discharge planning , and lifestyle modification.
Integrates current knowledge of professional issues, trends in health care , and technological advances into scope of practice.
Collaborates with team members to ensure implementation of plan and employs physician orders per protocols .
Assists in the management of family dynamics and coping mechanisms during acute and chronic phases of patient care.
Evaluates the patient’s progress in attaining expected outcomes by follow - up with collaborating physician.
Collaborates with members of the education department and units’ leadership team in planning educational opportunities and competency evaluation for nursing staff members.
Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients.
Able to progress from observer to an independently practic ing APP with the guidance of their preceptor/physician collaborator
Prioritize time to be able to manage clinical rotations, study time, and fellowship requirements
Cross cover units/clinics independently when directed by Director, Fellowship pro gram and preceptor input on readiness
Initiates and/or participates in unit and/or hospital research activities.
Utilizes research finding s and nursing theor ies in clinical practice.
Promotes evidence/ knowledge-based nursing practice .
Collects data for patient and program evaluation and participates in quality assessment and improvement activities.
Authors or contributes to an article for publication in a professional journal or book.
Participates in 360° peer review process
Submits annual protocols, revision to state nursing and medical boards
Maintains national certification
Specialty certification upon completion of fellowship if applic able
C omplete all competencies and training specified for all A PPs working at UHealth
Encouraged to attend to one national conference
Presentation of clinical case studies at completion of each clinical specialty rotation
Attendance to weekly educational grand rounds , disease specific team meetings , and educational sessions provided by department of N ursing and Advanced Practice
Completed an oral prese ntation on the topic of their choice
Attempts to submit an article for publication
Initiates and completes a quality improvement project in collaboration with department/unit leaders
Sits for specialty cert ification if applicable to their area of specialty and licensure