Physician Assistant- Pulmonary Vascular Disease

Mass General Brigham•Boston, MA

7d•Onsite

About The Position

The Brigham and Women's Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. The Pulmonary Vascular Disease (PVD) physician assistant (PA) is an advance practitioner who will join a team of physicians and PAs in the management and care of pulmonary vascular, dyspnea and general pulmonary patients. The PVD PA will have an opportunity to be involved in all facets of our inpatient, ambulatory, procedural and research programs. Job Summary The Physician Assistant (PA) is a licensed provider. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. Does this position require Patient Care? Yes

Requirements

Master's Degree Physician Assistant required
Massachusetts Physician Assistant License
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

Experience as a licensed Physician Assistant preferred

Responsibilities

Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, 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 are appropriate to the patient population.
Works as an independent provider and supports interdependent relationships with members of the care team
Collaborates with PVD consult service attending physician and fellow on daily patient rounds to formulate treatment plans and care coordination.
Performs and documents histories and physical examinations on hospitalized PVD patients.
Implements attending physician’s instructions for patient management in close cooperation with PVD fellow, the nursing staff, primary care team and floor pharmacists.
Works closely with inpatient case managers in discharge planning and establishes a continuum of care between inpatient care and outpatient care.
Communicates and coordinates patient plan with other hospital department such as Pharmacy, Vascular Radiology, and Patient Care Services within BWH.
Provides post-procedural device care (e.g. Hickman catheter), care of implantable pumps (including programming and refilling), and general care of patients with mechanical circulatory support devices and ECMO.
Performs routine preoperative and postoperative procedures e.g. insertion/removal of tubes, lines, sutures; performs postoperative wound care.
Orders and interprets appropriate laboratory testing and informs physician and patients of results as necessary.
Participates in quality improvement and research efforts as directed by the service leadership. He/she should also initiate quality improvement and research efforts as appropriate.
For all pending invasive and non-invasive cardiopulmonary exercise test (CPET), the PA is responsible for ordering appropriate labs, reviewing and familiarizing themselves with the patient’s medical history, physical examination, pre-procedure work-up and indication for the CPET.
On the day of the CPET, the PA will consent the patient for any procedures including radial and/or pulmonary arterial catheter placement, the exercise test, and for appropriate research protocols.
The PA will be available to assist in the placement of radial and/or pulmonary artery catheters in the cath lab
During the CPET, in cooperation with the exercise physiologists, CPET attending, and/or physiologist fellow, the PA will assist in test set-up, hemodynamics monitoring, pulmonary artery catheter management, patient monitoring, and performing testing protocols as documented in the BWH CPET program policies
Post-CPET, in collaboration with the cath lab attending, stress lab attending, and recovery nursing staff, the PA will be responsible for all post-procedure care including but not limited to patient transport with continuous hemodynamic monitoring, post-procedure orders, pulmonary artery catheter removal, radial artery catheter removal, discharge documentation/coordination and discussion of test results with patients and family members.
The PA will be available via pager for any procedure related questions or problems.
The PA will assist in the compilation of test data, interpretation of invasive exercise test results, and be available for patient questions regarding test results
Assisting the attending physicians in the management of selected patients by the attending physicians. This would include performing and documenting histories and physical examinations as well as developing a collaborative assessment and plan with the attending physician.
Providing valuable verbal and written patient education to those newly diagnosed patients with pulmonary vascular disease.
Ordering further lab, imaging, and diagnostic testing.
Prescribe medications and other therapies.
Coordinating post clinic visit care and referrals as needed.
If needed, can assist patients in noninvasive tests in clinic
Participates in PVD studies in conjunction with the Principal Investigators, Study Coordinator and research staffs.
Performs clinically related duties for research patients including physical examinations, answering patient’s clinical questions, medication administration, device management, non-drug related research consenting, and any other duties deemed appropriate by the Principal Investigator and the Study Coordinator.
Serves as a liaison between the patient and specialty drug distributors in managing therapeutic options.
Prescribe new medications and renew medications by phone, fax, or electronically.
Maintains a healthy relationship with patient insurers and follows through with prior authorization for medications.
Responds to all inquiries and questions from patients and others involved in the care of the patient’s care received by our office by phone, fax, email, or any other form of communication.
Insures that policy and procedures are properly followed and data collected.
Works collaboratively and functions as an effective member of the health care team.
Provides education to patients and families.
Documents in the medical record as appropriate and communicates observations/findings with attending physicians.
Monitors environment of care and complies with regulatory agency standards.
Clinical practice is consistent with physician assistant policies, procedures and standards.
Participates in QA/QI projects as appropriate.
Develops patient, family and caregiver educational materials.
Reinforces positive health care behaviors.
Serves as a consult to hospital staff.
Develops lectures within and outside BWH for the purpose of increasing awareness concerning the care of patients with PVD.
Ensuring Quality of Care Participate in Hospital–wide and Departmental committees as requested
Utilizes internal and external resources to facilitate the resolution of moral, patient advocacy and ethical issues
Promotes an environment of ethical decision-making and patient advocacy
Maintains awareness of the most current practices in the care of patients with PVD
Identifies own learning needs and goals and develop a plan to meet them.
Identifies areas for professional growth.
Formulates professional goals, objectives and methods for accomplishing these.
Supports initiatives within the BWH and the Department of Medicine.
Participates in committees at the divisional, departmental, and organizational levels.
Maintain BLS and ACLS certification