Orthopedic Physician Assistant

POSITION SUMMARY :

This opportunity is for a full time salaried PA-C within the Orthopedic Department and will consist of 4x10 hrs work days shifts during the week. This role will involve cross coverage of all services lines within orthopedics and job duties will be split between office hours (50%), intraoperative first assisting and inpatient coverage to include rounding on orthopedic patient, consultations, and ER coverage. You will participate in the on call schedule and will be responsible for taking first call for the hospital and office with an anticipated rotation of every 5th week day and 5th weekend. Call is compensated in addition to your base salary. You will work with all providers within the department and coverage will be delegated to meet the needs of the department and may change based on necessity. This job offers a collaborative team approach with autonomy to practice to the top of your license.

Position: Orthopedic Physician Assistant

Department: Boston Medical Center – Brighton

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Provides direct care, counseling and teaching to a designated patient population in the ambulatory, inpatient, operative and/or procedure setting.

• Perform comprehensive and problem focused history and physical examination, interpret and correlate laboratory and diagnostic procedures. Interpret and correlate subjective and objective data to formulate a differential diagnosis and establish a working diagnosis. Formulate a management plan for orthopedic problems within scope of practice. Implement therapeutic intervention for specific conditions when appropriate. Exercise judgment on problems requiring consultation, referral, or evaluation by the supervising orthopedic surgeon or other health care professionals

• Order, collect, and perform appropriate laboratory or diagnostic procedures, and studies including but not limited to blood and tissue specimens. Ordering or performing diagnostic studies such as but not limited to EMG, electrocardiogram, compartment pressure measurements, and diagnostics including special x-rays, CT, MRI, and bone scans etc.

• Perform diagnostic and therapeutic procedures including but not limited to joint and bursa aspirations, closed reduction of fractures and dislocations, injections of joints, tendons, trigger points and bursa, as well as bracing, and cast and splint applications.

• Presents and discusses the findings of the initial evaluation with the Attending Physician to determine the treatment plan. Documents the treatment plan and writes appropriate orders and referrals.

• Oversees the entire clinical experience to assure coordination and consolidation of patient care plans and execution of those plans to tie the service together. Facilitates communication with other departments to ensure the delivery of excellent, cost effective, and efficient patient care. 

• Under the countersignature of the attending physician, is responsible for producing preoperative and postoperative orders, as authorized by applicable law and department protocol.

• Writes orders on patients admitted to the hospital including medication, labs, diagnostic and therapeutic tests, and nursing activities. May be authorized to write appropriate prescription orders, including those for narcotics, stimulants, and depressant drugs, investigational medications and pre and postoperative orders as necessary.

• Makes rounds to evaluate patients and writes progress reports.

• Educates patients and/or families about preventive care, medical issues, and use of prescribed medical treatments, injections, procedures and/or medications.

• Records and maintains legible, accurate and confidential patient medical records including initial evaluation, subsequent follow-up, unusual incidents or events, and patient progress to provide complete and up-to-date information for ongoing reference and evaluation.

• Provides pre-operative services including Pre-op H&P and SAFE protocol clearances.

• Participates in hospital level activities representing the department.

• Facilitates transitions of care from inpatient to outpatient setting, including performance of medication reconciliation, arrangement of appropriate and timely follow up, and completion of an accurate and concise discharge summary.

• Facilitates direct admission process as needed.

• Provides faculty support by monitoring all incoming patient requests including: phone calls, MyChart messages and any patient care related paperwork or correspondences.

• May assist in surgery to include but not limited to first assist, deep and superficial tissue closures, application of appliances and any other action delegated by the surgeon. Conduct hospital, rounds, write orders, and respond to patient related calls for the orthopedic surgeon. Evaluate and clarify clinical conditions, formulate and implement a treatment or therapeutic plan for hospitalized patients, construct H&Ps and discharge summaries. Provides general Wound Vac set-up, placement, and monitoring. Supports in clinic casting-splinting as needed.

• In addition to providing direct clinical support to our surgeons, holds independent clinical sessions as needed.

• Ensures treatment and consultations consistent with NCQA (National Committee for Quality Assurance), TJC (The Joint Commission on Accreditation of Healthcare Organizations), and federal and state regulatory standards.

• Engages in inpatient orthopedic care including but not limited to patient discharge planning, patient rounding/monitoring and bedside procedures.

• Works closely with the social work - case management partners to develop discharge strategies to support post-surgical home care.

• Attends scheduled weekly staff meetings, monthly departmental grand rounds and department daily huddles.

• Assist with research projects and their implementation as needed

• Order, prescribe, dispense, and administer Medication, orthosis, orthotics, braces and other orthopedic devices (durable medical equipment's) as may be allowed by state legislation.

• Ensures professional growth and development through participation in educational programs and workshops and maintaining knowledge of industry standards and practices.

• Maintains patients’ confidentiality.

• Conforms to hospital standards of performance and conduct, including those pertaining to patient rights, so that the best possible customer service and patient care may be provided.

• Adheres to all of BMC’s RESPECT behavioral standards and utilizes hospital’s cultural beliefs as the basis for decision making and to support the hospital’s mission and goals.

• Follows established hospital infection control and safety procedures.

• Performs other duties pertaining to patient care and practice operations as required.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required)

JOB REQUIREMENTS

REQUIRED EDUCATION AND EXPERIENCE:

• Bachelor's degree and be a graduate of a PA Program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. (ARC-PA) or its predecessor. No prior experience required

PREFERRED EDUCATION AND EXPERIENCE (If none, please enter “N/A”):

• Prior experience in a similar clinical setting

CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED (If none, please enter “N/A”):

• An active Massachusetts Physician Assistant License.
• Must have a federal DEA number

CERTIFICATIONS, LICENSES, REGISTRATIONS PREFERRED (If none, please enter “N/A”):

• NA

KNOWLEDGE, SKILLS & ABILITIES (KSAs) (If none, please enter “N/A”):

• Self-directed, demonstrate initiative and professionalism, and exercise expert clinical judgment

• Excellent interpersonal and communication skills in English

• Exceptional problem solving and conflict resolution skills preferred.

• Expertise caring for diverse populations of patients with varying levels of health literacy.

Compensation Range:

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

NOTE : This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

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