APP Fellow (Nurse Practitioner or Physician Assistant) - Acute Care Surgery

Medical University of South Carolina•Charleston, SC

6d•Onsite

About The Position

This one-year fellowship focuses on clinical experiences and a robust didactic curriculum to provide a well-rounded education intended to fully prepare an APP for a full-time position in specialty areas. The primary fellowship role is dependent on the specialty area and may include opportunities to learn in various settings such as inpatient, OR, clinic, and ICU, and work towards clinically relevant competencies and procedural competencies as applicable. The APP Fellow will be required to attend academic sessions and/or complete presentations/lectures/QI projects as determined by the APP Fellowship Coordinator or APP Fellowship Director. APP Fellows will be supported throughout the fellowship by the APP Best Practice Center, department APPs, APP mentors, physician fellows, and physician leaders. The APP Fellow schedule will align with other department/practice area APPs but may include some additional clinical and academic requirements determined by the APP Fellowship Director and approved by the department. The Acute Care Surgery (ACS) APP Fellow will be exposed to a wide array of specialties and practice environments within the department of surgery with monthly rotations that will include the Surgical/Trauma/Burn ICU, burn surgery, trauma surgery, acute care and general surgery, as well as additional elective rotation opportunities. The role of the fellowship is to better prepare APPs for practice within various aspects of the acute care surgery field, including OR, outpatient clinics, inpatient floors, step-down units, and the ICU. The APP fellow will have the opportunity to learn various aspects of acute care surgery, including a variety of ICU procedures, burn debridement, responding to trauma activations, and some first-assist opportunities in the OR. Additionally, fellows will be expected to participate in weekly didactic lectures, monthly grand rounds, M&M lectures, monthly journal clubs, and SIM lab training. APP fellows will be supported by APPs within each ACS specialty and an assigned APP mentor, as well as resident, fellow, and attending physicians.

Requirements

Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN
Physician Assistant or APRN AGACNP/ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.)
APRNs must have RNFA (registered nurse first assist) certification prior to starting the fellowship.
Basic Life Support (BLS)
Advanced Cardiovascular Life Support (ACLS)
DHEC and DEA license applications must be started prior to first day

Nice To Haves

None. APP Fellowship is geared for new graduates and for experienced APPs wanting to change practice specialties.

Responsibilities

Provides direct care to patients through the following activities: Takes comprehensive history and performs physical examinations
Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline
Performs therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief
Initiates referrals to other health care providers, and/or consults with the attending physician or the collaborating physician
Documents and bills for direct care provided when appropriate
Utilizes current research and evidence-based decision-making in all clinical practice
Performs and participates in quality/performance improvement activities and clinical research
Participates in and supports accreditation, compliance, and regulatory activities of the organization
Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education
Attends education and academic sessions as determined by APP Fellowship Coordinator or APP Fellowship Director
Completes presentations, lectures, QI projects or other academic requirements as set by MUSC APP Fellowship Director or Department
Participates in required MUSC APP Fellowship activities
APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law
ICU procedures, such as: Central venous line placement, Arterial line placement, Endotracheal Intubation, Bronchoscopy, Paracentesis, Thoracostomy tube placement, Hemodynamic monitoring, Assist with bedside procedures, Suturing/stapling, Removal of catheters/tubes/drains
First assisting in the OR
Responding to activations in the trauma bay
Point of care ultrasounds