Advanced Practice Provider - Otolaryngology - Head and Neck Surgery - Procedural

VCU Health•Richmond, VA

About The Position

We are seeking a highly skilled and motivated APP to join our team within the Department of Otolaryngology. This role provides an excellent balance of inpatient consult care and outpatient and procedural clinic responsibilities. The PA will help coordinate the inpatient consult service, participate in daily rounds, and manage new and follow‑up consults, while also supporting and independently operating in high‑volume ENT procedural clinics primarily for post ED and post surgery complex patients. This position is ideal for a PA who thrives in a fast‑paced, environment, values multidisciplinary collaboration, and enjoys performing a wide range of ENT procedures. The Physician Assistant job provides medical and/or surgical care and treatment to a specific patient population under the supervision of physician(s). This job provides diagnostic, therapeutic and/or preventive healthcare service, as delegated by a physician. This job may perform any or all of the following: histories and physicals; order and interpret tests; make preliminary diagnosis; treat injuries/illness; assist with surgical procedures; counsel patient and/or prescribe medication and those invasive procedures defined by the Virginia Board of Medicine. The Physician Assistant job works collaboratively with the medical team to deliver organized, timely, cost effective and quality patient care. This role may supervise support staff. The Physician Assistant will provide patient care under defined departmental and state approved scope of practice and under the supervision of an attending physician(s). The level of supervision will be commensurate with the complexity of the patient’s condition and as approved by the Board of Medicine. These protocols are acknowledged by the Physician Assistant and all of the supervising physicians. Essential Job Functions Performance Expectation: Clinical & Patient Care Responsibilities Demonstrates mastery of treatment and patient care of specialty population served. Demonstrates expert knowledge to coordinate patient care across the continuum of services through the patient’s trajectory of illness. Assesses the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing diagnostic tests, providing direct patient care, assisting with surgical procedure, therapeutic intervention, prescribing medication and/or counseling patients to a specified patient population. Initiates emergency procedures as needed. Practices safety, environmental and/or infection control methods. Makes rounds with the attending physicians as necessary. Supervises and/or coordinates the activities of patient care and support staff within assigned area. Documents all pertinent information and data in the patient’s medical record. Interpreting information obtained from history and physical and develops a treatment plan. Formulates and prioritizes appropriate short-term and long-term therapeutic plans when indicated. Incorporates in the plan of care the physical, spiritual, cultural and psychosocial aspects of patients and families to promote optimum levels of health. Explores strategies to decrease length of stay and resource consumption within specialty area. Establishes priorities to meet the health needs of the individual, family or community. Maintains effective communications about patient care with all members of the health care team to assure care is coordinated. Assists with the coordination of care between primary and specialty health care services when needed. Performance Expectation: Consultation Functions as a consultant to other health care professionals in the multi-disciplinary team regarding routine and unusual therapeutic interventions. Serves as a liaison, translator and negotiator for staff, patients and families. Collaborates in the development, implementation, communication and monitoring of the multi-disciplinary plan of care for complex patients. Shares responsibility for patient education which may include the patient, family members or other caregivers. May provide training to residents, fellows and other health care staff in area of specialty. Participates in the continual assessment and revision of practices and procedures in specialty area. Promotes teamwork through effective communication, feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Performance Expectation: Research Utilizes current research to develop, implement and evaluate critical paths and standards of care for identified patient population. Contributes to the profession through participation in research, publications, consultation and/or educational activities. Demonstrates knowledge and support for clinical trials within specialty area. Performance Expectation: Ethical Decision Making Skills Incorporates the use of clinical judgment in ethical decision making. Practices the principles of ethics in decision making for patients. Promotes the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrates appropriate use of skills of negotiation, mediation, collaboration, compromise and accommodation to assist families struggling with ethical decisions. Displays the ability to examine patient’s values that impact treatment decision-making preferences. Recognizes patient rights as a foundation for ethical decisions. Performance Expectation: Professional Development Seeks out opportunities for professional growth through organizational affiliations. Functions in collaborative relationships with physicians, allied health professionals and administration. Assesses own learning needs and develops and implements a plan for professional growth. Enhances professional growth and development through participation in educational programs, current literature, in-service and workshops. Participates in teaching program as needed. Participates in continuing education activities to maintain competencies and to meet re-certification requirements. Maintains appropriate certification requirements to continue VCUHS privileges. Performance Expectation: Miscellaneous Responsibilities Performs other duties/projects as requested by the supervisor, physicians and/or residents in a courteous and helpful manner and in accordance with departmental guidelines/policies. Attends meetings/conferences that promote patient care and quality initiatives. Provides assistance to other team members. Accepts alternate assignments.

Requirements

Licensed as a Physician Assistant by the Virginia Board of Medicine
Physician Assistant Certification (PA-C) by the National Commission on Certification of Physician Assistants (NCCPA)
Current CPR and Basic Life Support (BLS) certifications
Advanced Cardiac Life Support (ACLS) certifications where needed
Credentialing in accordance with medical staff by-laws for specific job title
Current license as a Physician Assistant by the Virginia Board of Medicine
Current PA-C certification
Current CPR and BLS certifications
Current ACLS certification where needed
Current prescriptive authority/licensure by the Virginia Board of Medicine
Credentialing in accordance with medical staff by-laws for specific job title
Previous clinical experience with the population served
Graduate of an accredited Physician Assistant Program
Successful completion of the Physician Assistant National Certifying Exam (PANCE)

Nice To Haves

Three (3) years of previous clinical experience with the population served
Previous experience in an academic healthcare system

Responsibilities

Coordinate the inpatient consult service
Participate in daily rounds
Manage new and follow‑up consults
Supporting and independently operating in high‑volume ENT procedural clinics primarily for post ED and post surgery complex patients
Provide medical and/or surgical care and treatment to a specific patient population under the supervision of physician(s)
Provide diagnostic, therapeutic and/or preventive healthcare service, as delegated by a physician
Histories and physicals
Order and interpret tests
Make preliminary diagnosis
Treat injuries/illness
Assist with surgical procedures
Counsel patient and/or prescribe medication and those invasive procedures defined by the Virginia Board of Medicine
Work collaboratively with the medical team to deliver organized, timely, cost effective and quality patient care
Supervise support staff
Provide patient care under defined departmental and state approved scope of practice and under the supervision of an attending physician(s)
Assess the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing diagnostic tests, providing direct patient care, assisting with surgical procedure, therapeutic intervention, prescribing medication and/or counseling patients to a specified patient population
Initiate emergency procedures as needed
Practice safety, environmental and/or infection control methods
Make rounds with the attending physicians as necessary
Supervise and/or coordinates the activities of patient care and support staff within assigned area
Document all pertinent information and data in the patient’s medical record
Interpreting information obtained from history and physical and develops a treatment plan
Formulate and prioritize appropriate short-term and long-term therapeutic plans when indicated
Incorporate in the plan of care the physical, spiritual, cultural and psychosocial aspects of patients and families to promote optimum levels of health
Explore strategies to decrease length of stay and resource consumption within specialty area
Establish priorities to meet the health needs of the individual, family or community
Maintain effective communications about patient care with all members of the health care team to assure care is coordinated
Assist with the coordination of care between primary and specialty health care services when needed
Function as a consultant to other health care professionals in the multi-disciplinary team regarding routine and unusual therapeutic interventions
Serve as a liaison, translator and negotiator for staff, patients and families
Collaborate in the development, implementation, communication and monitoring of the multi-disciplinary plan of care for complex patients
Share responsibility for patient education which may include the patient, family members or other caregivers
Provide training to residents, fellows and other health care staff in area of specialty
Participate in the continual assessment and revision of practices and procedures in specialty area
Promote teamwork through effective communication, feedback to team members
Recognize team as integral to individual effectiveness and quality patient outcomes
Utilize current research to develop, implement and evaluate critical paths and standards of care for identified patient population
Contribute to the profession through participation in research, publications, consultation and/or educational activities
Demonstrate knowledge and support for clinical trials within specialty area
Incorporate the use of clinical judgment in ethical decision making
Practice the principles of ethics in decision making for patients
Promote the use of interdisciplinary collaborative processes to resolve ethical dilemmas
Demonstrate appropriate use of skills of negotiation, mediation, collaboration, compromise and accommodation to assist families struggling with ethical decisions
Display the ability to examine patient’s values that impact treatment decision-making preferences
Recognize patient rights as a foundation for ethical decisions
Seek out opportunities for professional growth through organizational affiliations
Function in collaborative relationships with physicians, allied health professionals and administration
Assess own learning needs and develops and implements a plan for professional growth
Enhance professional growth and development through participation in educational programs, current literature, in-service and workshops
Participate in teaching program as needed
Participate in continuing education activities to maintain competencies and to meet re-certification requirements
Maintain appropriate certification requirements to continue VCUHS privileges
Perform other duties/projects as requested by the supervisor, physicians and/or residents in a courteous and helpful manner and in accordance with departmental guidelines/policies
Attend meetings/conferences that promote patient care and quality initiatives
Provide assistance to other team members
Accept alternate assignments