Nocturnist

UPMC Shadyside•Pittsburgh, PA

19d•Onsite

About The Position

UPMC Hillman Cancer Center is recruiting a full-time oncology nocturnist at UPMC Shadyside. The oncology nocturnist is a board-certified or board-eligible physician responsible for providing high-quality, overnight medical care to hospitalized cancer patients. This includes patients on solid tumor services, malignant hematology, bone marrow transplant (BMT), leukemia units, clinical trial patients, CART, Bite (CRS, ICANS monitoring). The nocturnist ensures timely evaluation, stabilization, and treatment of acute issues while coordinating with day teams for continuity and safety. The Oncology Nocturnist works overnight 12-hour shifts based on a published schedule. The role requires in-hospital presence throughout the shift. The position involves direct patient care, clinical communication, and documentation in a fast-paced tertiary oncology center environment.

Requirements

Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree.
Board certification or eligibility in Internal Medicine and Medical Oncology.
Valid medical license and ability to obtain privileges at the hospital.

Nice To Haves

Experience in inpatient oncology or hospital medicine preferred.

Responsibilities

Perform comprehensive evaluations and admit patients from the emergency department, clinics, or transfers.
Provide cross-coverage and acute issue management for inpatient oncology services overnight.
Manage and triage pages from nursing staff and consult services.
Stabilize and manage clinical emergencies (e.g., sepsis, bleeding, respiratory failure, respond to Condition C, Condition A, Condition Support).
Initiate appropriate diagnostic workups and treatment plans.
Engage with specialty consultants when necessary.
Deliver thorough verbal and written handoffs to daytime teams.
Ensure accurate and timely documentation of all patient encounters in the electronic health record (EHR).
Collaborate with nursing, pharmacy, and ancillary staff to ensure high-quality overnight care.
Escalate clinical or operational concerns to supervising attendings or service leadership.
Follow institutional protocols for oncology-specific emergencies such as tumor lysis syndrome, febrile neutropenia, and hypercalcemia.
Participate in continuous quality improvement initiatives relevant to nocturnal care delivery.
Provide supervision and mentorship to residents, fellows, or advanced practice providers (APPs) during overnight shifts, if applicable.
Participate in RCAs, oncology specific clinical updates, reviews, discussions.