About The Position

The Physician Assistant is a full member of UCSF Benioff Children’s Hospitals’ Pediatric Trauma Surgery APP team and shares responsibility for the safe delivery of patient care in collaboration with attending physicians, fellows, and residents. The team provides comprehensive care for pediatric general surgical conditions and traumatic injuries. The position primarily provides inpatient clinical service at UCSF BCH Oakland and may also provide care in San Francisco. Advanced Practice Providers work rotating 12-hour shifts. This per diem role requires a minimum of four shifts per eight-week schedule (or two shifts per four weeks). The PA must be available and willing to work at least four weekend shifts or four night shifts per eight-week schedule, if applicable, and must be available to work one major and one non-major UCSF holiday per year. Holiday assignments may include the day before or after the holiday. The PA is expected to meet productivity expectations established by the Division Chief and perform duties related to patient care that are appropriate and clearly delineated.

Requirements

  • Graduation from a Physician Assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).
  • At least three years of inpatient clinical experience as a Physician Assistant in Pediatric Surgery.
  • Unrestricted California Physician Assistant license.
  • National Board Certification from the National Commission on Certification of Physician Assistants (NCCPA).
  • California driver license if required for the position.
  • Drug Enforcement Administration registration for Schedules 2, 2N, 3, 3N, 4, and 5, registered to a California address.
  • American Heart Association Basic Life Support (BLS) certification.
  • Pediatric Advanced Life Support (PALS) certification.
  • Advanced Trauma Life Support (ATLS) certification must be obtained within six months of hire or as soon as feasibly available.
  • Completion of UCSF Office of Medical Affairs and Governance credentialing before the first working day; credentialing takes 60–90 days.
  • Availability for at least four shifts per eight-week schedule, including the specified weekend or night commitment if applicable, and one major and one non-major UCSF holiday per year.

Nice To Haves

  • Five years of inpatient Pediatric Surgery experience, including trauma.

Responsibilities

  • Independently or collaboratively evaluate and manage patients, including taking histories, performing physical examinations, responding to changes in patient status, and conducting consultations.
  • Order or furnish medications, diagnostic tests, treatments, therapies, consultations, referrals, durable medical equipment, and home health services as appropriate.
  • Document care in the electronic medical record in accordance with UCSF rules and regulations, and ensure provider services are billed to reflect the performing provider and comply with APP billing policy.
  • Respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within three days.
  • Perform procedures authorized through privileges or standardized procedures.
  • Identify patients with acute decompensation or failure, respond to the hospital plan of care, and review the situation with a physician.
  • Initiate consultations as indicated; document independent assessment findings and recommend appropriate treatments.
  • Participate in service rounds, patient evaluation, and treatment planning.
  • Review laboratory tests, x-rays, and other diagnostic tests, and initiate appropriate team plans.
  • Evaluate complex cases and establish individualized plans of care for disposition to a lower level of care.
  • Interpret and act on completed tests, procedures, and radiographic studies.
  • Complete clinically relevant paperwork and EHR documentation, including medication orders, episodic care notes, and discharge summaries.
  • Communicate findings, treatment options, and care plans effectively to patients and their families.
  • May first assist in the operating room if appropriately privileged through OMAG and after completing required certification and proctoring.
  • Monitor and evaluate patients for discharge; establish continuum-of-care parameters and guidelines with the multidisciplinary team, including defining discharge regimens.
  • Discharge patients, including furnishing or prescribing medications, ordering durable medical equipment, recommending or referring for follow-up care, providing discharge teaching, and completing discharge summaries.
  • Coordinate care throughout hospital admission, including coordination with staff and consulting services and hospital discharge planning.
  • Coordinate episodic care and determine the timing of routine clinic follow-up.
  • Participate in huddles with clinic and hospital staff and anticipate patients who may need close management or intervention.
  • Consult with nursing staff on individualized nursing care plans and their implementation.
  • Prepare case summaries independently for disability, insurance, workers’ compensation, work releases, and medical supply agencies.
  • Formulate and implement protocols to improve quality and efficiency and control waste in the clinical specialty.
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