Orthopaedic Spine Physician Assistant

Pinehurst Surgical Clinic PAPinehurst, NC
Onsite

About The Position

The Orthopaedic Spine Physician Assistant (PA) works collaboratively with the supervising physician to provide high-quality, patient-centered care across clinic, surgical, and hospital settings. This role supports the full continuum of spine care, including patient evaluation, surgical assistance, and post-operative management, while contributing to efficient workflows and exceptional patient outcomes. This position offers a balanced and highly desirable practice environment within a large, well-established orthopaedic program.

Requirements

  • Graduate of an accredited Physician Assistant program
  • NCCPA certification
  • Active North Carolina PA license (or eligibility)
  • BLS certification required (ACLS preferred)
  • Orthopaedic spine and/or surgical assisting experience strongly preferred
  • Strong clinical assessment, communication, and teamwork skills
  • Ability to work in a fast-paced clinical and surgical environment

Responsibilities

  • Perform comprehensive patient evaluations, including medical history and physical examinations
  • Diagnose and manage acute and chronic spine conditions under physician supervision
  • Develop and implement treatment plans (medications, injections, bracing, therapy referrals)
  • Order and interpret diagnostic imaging (X-ray, MRI, CT)
  • Provide patient education on diagnoses, treatment options, and recovery expectations
  • Perform in-office procedures (injections, wound care, suture/staple removal)
  • Document patient encounters accurately in the EMR
  • Coordinate care with physical therapy, imaging, and other ancillary services
  • Serve as first or second assist in spine surgeries
  • Assist with patient positioning, sterile prep, and draping
  • Provide intraoperative support (retraction, exposure, hemostasis, instrumentation)
  • Assist with implant placement and wound closure
  • Collaborate with surgical team to ensure efficient case flow and optimal outcomes
  • Conduct post-operative rounds and monitor recovery
  • Manage pain control, wound care, and complications
  • Coordinate discharge planning and follow-up care

Benefits

  • Competitive compensation model with earnings based on production
  • Established orthopaedic group of 30+ providers, offering strong clinical collaboration and support
  • Outstanding reputation for Advanced Practice Providers (APPs), with a highly supportive and team-oriented culture
  • Excellent APP benefits package
  • Work-life balance with home call/phone call coverage being rotational 1:15
  • Diverse practice setting including a mix of clinic, operating room, and hospital-based care
  • Collaborative team structure, working alongside one spine surgeon and three Physician Assistants, with shared responsibilities
  • Growing Orthopaedic Service Line with continued investment in specialty care
  • New State-of-the-Art ASC (Opening Summer 2026) – Southern Pines Orthopaedic Surgery Center
  • Team-Based, Physician-Led Environment focused on quality and outcomes
  • High Clinical Volume & Case Variety
  • Advanced Technology & Streamlined Workflows
  • Professional Growth & Mentorship Opportunities
  • Strong Operational and Administrative Support
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