Physician Assistant - Endocrine

Mass General Brigham • Boston, MA

1d • Hybrid

About The Position

The Division of Endocrinology, Diabetes, and Hypertension at Brigham and Women’s Hospital seeks a general endocrinology Physician Assistant to provide care as part of an interdisciplinary team. Under the direction of supervising physicians, the PA evaluates and treats endocrine patients and manages a patient panel, including planning, coordinating, implementing, and evaluating care. The PA sees ambulatory patients independently while partnering with the patient care team and practice leaders to support patient, departmental, and organizational goals.

The position includes eight four-hour clinic sessions per week. The usual schedule is a predictable daytime schedule of four 10-hour days when possible, though variations may occur to meet clinical needs. The PA may be asked to take call, pick up additional shifts, work variable hours, or provide backup coverage.

Clinical responsibilities include care for patients with thyroid, bone and mineral, adrenal, hypertension, reproductive, and other endocrine disorders. This includes monitoring treatment responses and side effects, adjusting thyroid hormone doses, reviewing tests and imaging, determining whether thyroid biopsies are needed, supporting osteoporosis treatment monitoring, and following patients after procedures or medication changes. The role also includes quality monitoring and improvement activities, use of patient-outcome data, and presenting team-based care results to relevant audiences.

Work is primarily in ambulatory clinics and may also take place in treatment rooms, inpatient areas, intensive care units, operating rooms, or procedural areas. The environment may involve noise, unpleasant odors, temperature extremes, prolonged standing or walking, heavy lifting, exposure to radiation, potentially infectious bodily fluids, and sharp instruments. The role is in a fast-paced, dynamic setting with a large and complex patient volume.

Requirements

• Master’s degree from an accredited Physician Assistant program.
• Current, valid Massachusetts Physician Assistant license.
• Current NCCPA certification (PA-C).
• Ability to work with a variety of information systems and databases, including MS Word, PowerPoint, Access, and an electronic health record.
• Knowledge of and commitment to team-based care and awareness of local, regional, and national trends in chronic disease care redesign and transformation.
• Expert clinical knowledge, leadership, and technical skills.
• Strong organizational skills and project management ability.
• Ability to manage meetings to encourage participation and achieve results.
• Excellent written, oral, and presentation communication skills.
• Demonstrated effectiveness as a team leader, team member, and facilitator.
• Ability to manage time and resources effectively to meet program deadlines and objectives.
• Problem-solving ability and data management and analysis skills.
• Ability to perform in fast-paced office, clinical, and patient-home settings.
• Knowledge of evidence-based practice and ability to ensure clinical practice is evidence-based.
• Ability to function clinically as both an autonomous provider and an interdisciplinary team member.
• Ability to collaborate with clinical and administrative staff and form strong partnerships.
• Excellent interpersonal skills and ability to function at the highest professional and clinical level.

Nice To Haves

• Doctoral degree (DMSc or equivalent).
• Certified Diabetes Educator certification.
• Three or more years of Physician Assistant experience in endocrinology, primary care, or chronic disease management; strongly preferred.
• Three or more years of clinical experience in a hospital or community-based practice setting; strongly preferred, with experience in both settings preferred.
• Demonstrated knowledge of both hospital-based and community-based care; strongly preferred.
• Experience working in large, complex health care organizations.
• Experience working with a diverse patient population.

Responsibilities

• Provide direct endocrine care independently and in collaboration with other providers for an assigned patient panel.
• Provide patient counseling and teaching, perform physical examinations, and deliver appropriate preventive health measures.
• Order, interpret, and evaluate laboratory and diagnostic tests; arrange care and follow-up based on findings and consult as appropriate.
• Order medications and write prescriptions in accordance with organizational and regulatory policies.
• Document patient-care findings in the electronic medical record.
• Prioritize and manage care using evidence-based practices and available time, personnel, supplies, and equipment effectively.
• Coordinate and communicate patient-care information with providers, the clinical team, and other health professionals.
• Incorporate health maintenance, prevention, and promotion into practice; support patients and families with self-care information and resources.
• Help staff, patients, and families make effective use of community and hospital resources.
• Participate in performance improvement and continuous quality improvement using performance and patient-outcome data.
• Collaborate with physicians, PAs, and interdisciplinary colleagues to refine team goals and improve care delivery.
• Analyze, interpret, and present team-based care results to organizational, departmental, practice, nursing, and other audiences.
• Apply findings from ongoing quality monitoring to the care model and clinical practice.
• Monitor patients with hypothyroidism and adjust thyroid hormone doses, including virtual trimester visits for pregnant patients.
• Monitor patients treated with radioactive iodine for hyperthyroidism and patients with low-risk thyroid cancer for recurrence.
• Review thyroid ultrasound results to identify patients with nodular thyroid disease who need initial or repeat fine needle aspiration biopsies.
• Monitor adherence and side effects for patients treated for osteoporosis, including through virtual visits.
• Monitor calcium and PTH after parathyroidectomy for primary hyperparathyroidism.
• Monitor patients with stable replacement therapy for primary adrenal insufficiency and patients tapering glucocorticoids for steroid-induced adrenal insufficiency.
• See patients for blood pressure checks after antihypertensive regimen changes.
• Monitor patients who start estrogen replacement therapy for menopausal vasomotor symptoms, including status, side effects, and appropriate dynamic endocrine testing.
• See patients with other endocrine disorders as appropriate.
• Take call, pick up additional shifts, work variable hours, or provide backup coverage when needed.

Benefits

• Competitive base pay.
• Career advancement opportunities.
• Differentials, premiums, and bonuses as applicable.
• Recognition programs designed to celebrate contributions and support professional growth.
• Comprehensive benefits (specific benefits not listed).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level