Physician Assistant - Endocrine

Mass General Brigham • Boston, MA

2d • $135,720 - $173,867 • 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 ambulatory endocrine care as part of an interdisciplinary team. Under the direction of supervising physicians, the PA is responsible for planning, implementing, coordinating, and evaluating care and outcomes for a patient panel. The PA sees ambulatory patients independently while working in partnership with the patient care team and practice leaders to support patient, departmental, and organizational goals.

The role includes eight four-hour clinic sessions per week and is generally scheduled for four daytime 10-hour days, with variations as clinical coverage needs arise. The PA may be asked to take call, pick up additional shifts, work variable hours, or provide backup coverage.

The PA provides follow-up care for patients with a range of endocrine conditions, including thyroid disease and cancer, osteoporosis and other bone and mineral disorders, adrenal insufficiency, hypertension, and reproductive endocrine concerns. Care may include virtual visits, monitoring treatment response and side effects, reviewing diagnostic results, and adjusting treatment as appropriate. The position also contributes to quality improvement, team-based care, and evidence-based clinical practice.

Work settings are primarily ambulatory clinics and may also include treatment rooms, inpatient areas, intensive care units, operating rooms, or procedural areas. The role may involve standing or walking for much of the workday, lifting equipment or patients, exposure to noise, odors, temperature extremes, radiation, potentially infectious bodily fluids, sharp instruments, and workplace stress.

Requirements

• Master’s degree from an accredited Physician Assistant program.
• Current, valid Massachusetts Physician Assistant license.
• Current NCCPA certification (PA-C).
• Strong organizational skills and ability to manage projects, meetings, time, and resources effectively.
• Excellent written, oral, and presentation communication skills.
• Ability to function as a team leader, team member, and facilitator.
• Problem-solving, data management, and data analysis abilities.
• 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 a member of an interdisciplinary team.
• Ability to collaborate effectively with clinical and administrative staff and build strong partnerships.
• Excellent interpersonal skills and ability to function at a high professional and clinical level.
• Ability to work with information systems and databases, including MS Word, PowerPoint, Access, and electronic health records.
• Knowledge of hospital-based and community-based care; experience in both settings is strongly preferred.
• Experience working in large, complex health care organizations and with diverse patient populations.
• Knowledge of and commitment to team-based care and awareness of local, regional, and national trends in chronic disease care redesign and transformation.
• Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required.

Nice To Haves

• Doctoral degree (DMSc or equivalent).
• Certified Diabetes Educator credential.
• Three or more years of Physician Assistant experience in endocrinology, primary care, or chronic disease management.
• Three or more years of clinical experience in a hospital or community-based practice setting; experience in both is strongly preferred.
• Demonstrated knowledge of both hospital-based and community-based care.

Responsibilities

• Provide direct endocrine care independently and in collaboration with other providers for a panel of patients.
• Counsel and teach patients, perform physical examinations, and provide preventive health measures appropriate to patient needs.
• Order, interpret, and evaluate laboratory and diagnostic tests; arrange appropriate care and follow-up based on findings and seek consultation when appropriate.
• Order medications and write prescriptions in accordance with organizational and regulatory policies.
• Document pertinent patient care findings in the electronic medical record.
• Set priorities for efficient, evidence-based, and cost-effective patient care, using available time, staff, supplies, and equipment effectively.
• Coordinate patient care with providers, the clinical team, and other health professionals.
• Incorporate health maintenance, prevention, and promotion into care; support patients and families with self-care information, tools, and resources.
• Help patients, families, and staff make effective use of community and hospital resources.
• Participate in performance improvement and use performance and patient outcome data to improve care and disease management.
• Collaborate with physicians, physician assistants, and the interdisciplinary team to refine goals and continuously improve care delivery.
• Analyze, interpret, and present team-based care results to organizational, departmental, practice, and clinical audiences.
• Translate quality monitoring findings into improvements to the care model and clinical practice.
• Monitor and adjust thyroid hormone treatment for patients with hypothyroidism, including pregnant patients through virtual visits during each trimester.
• Monitor patients treated with radioactive iodine for hyperthyroidism and patients with low-risk thyroid cancer, including reviewing imaging and blood tests for recurrence.
• Assess thyroid ultrasound results to determine whether patients with nodular thyroid disease need initial or repeat fine needle aspiration biopsies.
• Monitor osteoporosis treatment adherence and side effects, including through virtual visits for patients taking bisphosphonates or other antiresorptive agents.
• Monitor calcium and PTH changes after parathyroidectomy for primary hyperparathyroidism.
• Monitor treatment response for patients with stable primary adrenal insufficiency and patients with steroid-induced adrenal insufficiency tapering glucocorticoids.
• See patients for blood pressure checks after antihypertensive regimens are modified.
• Monitor patients who have started 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, work additional or variable shifts, or provide backup coverage as needed.

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
• Career Level: Mid Level