Physician Assistant Surgery Nocturnist

Mass General Brigham • Boston, MA

5d • Onsite

About The Position

The Physician Assistant (PA) is a licensed provider responsible for assessing and managing medical and surgical patients, including diagnostic and therapeutic interventions, developing care plans, and evaluating patient progress. This role provides direct patient care in inpatient settings and supports overnight coverage for Otolaryngology, Plastic Surgery, and Urology services at The Brigham and Women's Hospital, Inc.

The PA nocturnist receives sign-outs from residents and PAs, cares for inpatients during assigned shifts, prepares service work lists for the following day, and communicates overnight events to the incoming resident or PA. The role evaluates patients with acute changes in clinical status and helps manage patient throughput, including patients in Extended Recovery and the Post Anesthesia Care Unit. The PA may also assist in the operating room for late-running or emergency cases, though most work is expected to involve non-OR floor issues.

The role requires basic surgical knowledge and procedural skills relevant to postoperative care and the Otolaryngology, Plastic Surgery, and Urology services. The PA works onsite and has a rotating schedule that includes overnight shifts and some daytime weekend coverage.

Requirements

• Master's degree in Physician Assistant studies.
• Physician Assistant state license.
• Skilled in taking medical histories, assessing medical conditions, and interpreting 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 and maintain effective working relationships with patients, medical staff, and the public.
• Ability to work the stated rotating schedule, including night shifts and weekend coverage.

Nice To Haves

• Experience as a licensed Physician Assistant.
• Knowledge or experience with Otolaryngology, Plastic Surgery, and Urology procedures and postoperative care.

Responsibilities

• Provide direct care, counseling, and teaching to patients in applicable ambulatory, inpatient, operative, and procedural settings.
• Perform complete patient histories and physical examinations.
• Order, interpret, and evaluate laboratory and diagnostic tests.
• Develop care and follow-up plans based on diagnostic, laboratory, and physical examination findings.
• Order medications and write prescriptions in accordance with organizational and regulatory policies.
• Provide timely, high-quality documentation, including admission and progress notes, procedure and operative notes, and discharge summaries.
• Perform bedside procedures appropriate to the patient population.
• Receive patient sign-outs from residents and PAs and care for inpatients during assigned shifts.
• Create work lists for each service for the following day and provide sign-out of overnight events.
• Evaluate patients on service who experience an acute change in clinical status.
• Perform postoperative care procedures, including removal of surgical drains and central lines, urinary catheter placement and removal, nasogastric tube placement and removal, and basic suturing.
• Assist with patient throughput, including patients in Extended Recovery and the Post Anesthesia Care Unit who may be discharged the following morning or admitted to the floor.
• Assist in the operating room on cases extending into the late evening or for emergency procedures, as needed.
• Develop or maintain knowledge of basic Otolaryngology procedures and skills, including nasal packing and removal for epistaxis, tracheostomy tube changes, superficial abscess drainage, and nasogastric or small-bore feeding tube placement in complex postoperative patients.
• Develop or maintain knowledge of basic Plastic Surgery procedures and skills, including breast reconstruction, complex wound management, skin grafts, flap reconstruction, superficial abscess incision and drainage, suturing, and drain removal.
• Develop or maintain knowledge of basic Urology procedures and skills, including difficult urinary catheter placement, management of three-way urinary catheters with or without irrigation, suprapubic tube changes, and bladder irrigation.

Benefits

• Competitive base pay.
• Comprehensive benefits.
• Career advancement opportunities.
• Differentials, premiums, and bonuses as applicable.
• Recognition programs designed to celebrate contributions and support professional growth.

What This Job Offers

• Job Type: Full-time