OB/GYN Physician Assistant Per Diem

Mass General Brigham•Brookline, MA

3d•Onsite

About The Position

The Physician Assistant (PA) is a licensed provider responsible for the assessment and management of various patient populations, both medical and surgical. This includes diagnostic and therapeutic interventions, developing appropriate plans of care, and ongoing evaluation. The PA will practice in accordance with all state and federal regulations and institutional policies, including the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy. Within the Brigham Obstetrics & Gynecology Group (BOGG), the PA functions as part of the care team, supporting attending physicians, fellows, and residents in the medical management of patients in both inpatient and outpatient settings. This per diem role involves postpartum rounding or providing care in the outpatient setting for obstetric and gynecology patients.

Requirements

Master's Degree Physician Assistant required
Physician Assistant [State License] - Generic - HR Only required
Experience as a licensed Physician Assistant preferred
Skilled in taking medical histories to assess medical condition and interpret findings.
Ability to maintain quality control standards.
Ability to react calmly and effectively in emergency situations.
Ability to interpret, adapt and apply guidelines and procedures.
Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.

Nice To Haves

Can this role accept experience in lieu of a degree? No

Responsibilities

Perform new OB visits, prenatal and postpartum visits
Perform routine and problem gynecologic visits
Write daily visit notes and orders
Write prescriptions
Perform routine gynecologic and obstetrical examinations
Perform Pap smears
Perform IUD insertions
Perform endometrial, vulvar, and cervical biopsies if indicated
Perform admission history and physical exam and accurately record in the patient record
Change surgical dressings, including wound packing and vacs, and removal of sutures and staples
Write daily progress notes and orders
Write prescriptions
Implement attending physician instructions for patient management in close cooperation with nursing staff
Round with individual residents/teams as requested, report back to team leaders
Perform procedures within the PA scope of practice and as directed by the attending physician
Order and interpret appropriate laboratory testing and other special examinations as requested
Dictate discharge summaries, complete discharge paperwork
Prepare succinct and accurate sign-out to facilitate the smooth transition of patient care from one PA to another PA or physician
Assist in making appropriate post hospitalization appointments and referrals
Communicate with referring health care providers and institutions
Evaluate stability and progress of routine postpartum patients
Appropriately evaluate uterine size, tenderness; perineal discomfort and healing; quality of Lochia; breast exam; cesarean section incision.
Appropriately interpret vital signs in normal postpartum patients and in patients with complications including hypertension, bleeding, infection.
Appropriately interpret postpartum symptoms/issues including bleeding, lactation, extremity edema and tenderness
Counsel and educate patients and family about postpartum events, activities, lactation, and contraception
Provides direct patient care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, and/or procedural setting
Performs complete histories and physical examinations
Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries
Performs bedside procedures, as appropriate to the patient population
In some settings, the PA may first assist in procedural areas or the operating room
Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
Practices cost effective medicine in an efficient manner, maximizing available resources
Demonstrates expert clinical judgment skills to function in an independent role
Demonstrates professional collaborative and consultative relationships with other providers
Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report
Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings
Maintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workers
Remains actively involved in continuing education with a commitment to self and departmental growth
Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation
Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care
Participates in QA/QI projects as appropriate