ADVANCED PRACTICE PROVIDER ORTHOPAEDIC FELLOW

Carilion Clinic•Roanoke, VA

About The Position

This is Carilion Clinic ... An organization where innovation happens, collaboration is expected, and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious. Headquartered in Roanoke, Va., you will find a robust system of award-winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute. Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us. The Advanced Practice Provider Fellow (APPF) serves as a member of a collaborative health team made up of physicians, physician assistants, nurse practitioners, nursing staff, technicians and various support personnel. Under general physician supervision, provides quality service in a caring and professional manner, actively supporting team efforts to ensure cost effectiveness and service excellence. The APPF role is applicable for a 12-month period. Participates in a 12-month intense training program consisting of patient care in a Level 1 Trauma Center, simulation lab training, off service rotations and rotations to community hospital's emergency departments. Passes monthly core competency assessments, participates in lecture and ground rounds, proficient in simulation lab exercises and demonstrates patient care skills commiserate with working in a Level 1 Trauma Center. Identifies patient's health and medical status through taking of health histories; performs physical examinations; initiates screening and diagnostic procedures; manages minor trauma and acute health problems; health maintenance and clinical management of stable chronically ill patients. Attends Emergency Medicine grand rounds and lectures, develops beginner and advanced skills in intubation, wound care, Central line and CT insertion. Becomes proficient in basic ultrasound diagnostic abilities. Conducts necessary steps to obtain comprehensive health history. Performs basic physical, psychological and developmental assessments using the techniques of observation, inspection, auscultation, percussion and palpation. Identifies normal and abnormal physical, psychological and developmental findings and appropriately determines when to consult and/or refer the patient to other members of the health care team. Assesses, diagnoses, and manages selected acute and chronic illnesses and conditions. Performs or requests laboratory/radiology procedures and/or other screening tests based on age, health history and health assessment. Analyzes and interprets these and other health data. Initiates and implements appropriate treatment plan using established protocols or physician consultation. Administers medications and injections as needed. Utilizes automated computer systems, including electronic medical records. Records assessment findings, documents response to these findings. Documents patient information including, but not limited to treatment procedures, medication refills, test results, patient concerns. Coordinates necessary appointments and referrals, including the use of community resources, as the patient's health status dictates. Consults with physician, as appropriate, keeping physician informed of needs and problems related to patient care. Works collaboratively with physicians and other health care providers. Maintains open and supportive communications between all department members and other employees, patients and their family members. Continues professional development.

Requirements

Education: Graduate of an Accredited School of Nursing and Nurse Practitioner Program or Accredited Physician Assistant Program.
Experience: Clinical experience appropriate to specific practice/ department preferred.
Licensure, certification, and/or registration: Current Nurse Practitioner or Physician Assistant license required. DEA licensure required. Eligible for prescriptive authority in accordance with State regulations and as authorized by the Virginia Boards of Nursing and Medicine.
Other Minimum Qualifications: Demonstrates knowledge and competency of core skills, related to assigned area, that serves as a basis for continued growth and progression of skills and pace. Demonstrates good written and oral communication skills. Computer literacy required for automated computer systems and programs such as electronic medical records.

Responsibilities

Identifies patient's health and medical status through taking of health histories
Performs physical examinations
Initiates screening and diagnostic procedures
Manages minor trauma and acute health problems
Health maintenance and clinical management of stable chronically ill patients
Attends Emergency Medicine grand rounds and lectures
Develops beginner and advanced skills in intubation, wound care, Central line and CT insertion
Becomes proficient in basic ultrasound diagnostic abilities
Conducts necessary steps to obtain comprehensive health history
Performs basic physical, psychological and developmental assessments using the techniques of observation, inspection, auscultation, percussion and palpation
Identifies normal and abnormal physical, psychological and developmental findings and appropriately determines when to consult and/or refer the patient to other members of the health care team
Assesses, diagnoses, and manages selected acute and chronic illnesses and conditions
Performs or requests laboratory/radiology procedures and/or other screening tests based on age, health history and health assessment
Analyzes and interprets these and other health data
Initiates and implements appropriate treatment plan using established protocols or physician consultation
Administers medications and injections as needed
Utilizes automated computer systems, including electronic medical records
Records assessment findings, documents response to these findings
Documents patient information including, but not limited to treatment procedures, medication refills, test results, patient concerns
Coordinates necessary appointments and referrals, including the use of community resources, as the patient's health status dictates
Consults with physician, as appropriate, keeping physician informed of needs and problems related to patient care
Works collaboratively with physicians and other health care providers
Maintains open and supportive communications between all department members and other employees, patients and their family members
Continues professional development