Advanced Practice Prov Fellow - Emergency Medicine

Carilion Clinic • Roanoke, VA

3d

About The Position

The Advanced Practice Provider Fellow (APPF) serves as a member of a collaborative health team that includes physicians, physician assistants, nurse practitioners, nursing staff, technicians, and support personnel. Under general physician supervision, the fellow provides quality care in a professional and caring manner while supporting cost effectiveness and service excellence. The role is a 12-month fellowship and includes patient care in a Level 1 Trauma Center, simulation lab training, off-service rotations, and rotations at community hospital emergency departments.

The fellow develops core skills and demonstrates competency through monthly assessments, lectures, grand rounds, simulation exercises, and patient care. Training includes beginner and advanced skills in intubation, wound care, central line and CT insertion, and basic diagnostic ultrasound. The APPF identifies patients’ health and medical status, conducts assessments, manages selected acute and chronic conditions, initiates diagnostic and screening procedures, and develops treatment plans using established protocols or physician consultation. The fellow also documents care, coordinates referrals and appointments, communicates with physicians and other care team members, and continues professional development.

Requirements

• Graduate of an accredited Physician Assistant or Nurse Practitioner program.
• Current Physician Assistant or Nurse Practitioner license.
• DEA licensure.
• AHA BLS certification.
• AHA ACLS certification.

Responsibilities

• Obtain comprehensive health histories and perform basic physical, psychological, and developmental assessments.
• Identify normal and abnormal findings and determine when consultation or referral to other health care team members is appropriate.
• Assess, diagnose, and manage selected acute and chronic illnesses and conditions.
• Perform or request laboratory, radiology, and other screening procedures based on patient age, health history, and assessment; analyze and interpret the resulting data.
• Initiate and implement appropriate treatment plans using established protocols or physician consultation.
• Administer medications and injections as needed.
• Use automated computer systems, including electronic medical records, and document assessment findings, responses, treatment procedures, medication refills, test results, and patient concerns.
• Coordinate appointments and referrals, including use of community resources, based on the patient's health status.
• Consult with physicians and keep them informed of patient care needs and problems.
• Work collaboratively with physicians and other health care providers, maintaining supportive communication with department members, employees, patients, and families.
• Participate in the 12-month training program, including Level 1 Trauma Center care, simulation training, off-service rotations, and community emergency department rotations.
• Attend Emergency Medicine grand rounds and lectures, complete monthly core competency assessments, and demonstrate skills in simulation exercises.
• Develop skills in intubation, wound care, central line and CT insertion, and basic diagnostic ultrasound.
• Continue professional development.

Benefits

• Comprehensive medical, dental, and vision benefits
• Employer-funded pension plan, vested after five years
• Voluntary 403B
• Paid time off accrued from day one
• Onsite fitness studios and discounts to Carilion Wellness centers
• Access to the Personify Health health and wellness app
• Childcare discounts
• Continued education and training

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level