Physician Assistant (Orthopaedics Trauma)
- (3288757)
Under the supervision and direction of the Orthopaedic Department Executive Director, Physician Chief of the Trauma Service, APP Clinical Director, and service Sr. Administrative Manager, the Physican Assistant (PA) is responsible for the care of the Orthopaedic Trauma patient population in the outpatient setting.
Fast paced, high volume trauma service working in collaboration with 5 surgeons, 1 Registered Nurse and Medical Assistants. The work requires some heavy lifting and/or transfer of patients from wheelchairs to exam tables, as well as exposure to potentially infective material. Work requires contact with needles and other sharp instruments, monitoring devices, sophisticated wound care, and other state-of-the-art equipment. Prolonged standing and walking to and from the patient care units.
The PA will function at the highest level of licensure, optimizing advanced practice by conducting independent clinics, a minimum of 3 per week, which include new (increase patient access), established, surgical optimization, postop and urgent patient visits.
The PA will support the trauma surgeons by providing ongoing care coordination and symptom management for their patients and/or assist the surgeons with high volume clinics.
The PA will practice in accordance with the rules, regulations and standards of PA practice issued by the state and federal governing boards, including the American Academy of Physician Assistants (PAs) and the National Commission on Certification of PAs.
Primary Responsibilities:
Provides direct care, counseling, and teaching to the Trauma patient population.
Functions independently in own clinic.
Assists all trauma surgeons with the management of their trauma patients and organization/workflow of clinics.
Performs complete histories and physical examinations on new, established, preop, postop patients).
Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.
Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory and physical examination findings.
Consults with supervising physician/other surgeons regarding abnormal findings outside of scope of practice.
Prescribes medications and narcotics as necessary according to organizational and state/federal regulatory policies and procedures.
Initiates consultations and referrals for patients.
Acquires preoperative surgical consents; Confirms laterality and abides by all hospital consent guidelines.
Performs preoperative preparation/education for patient and family, reinforcing the surgical plan presented by the attending physician.
Orders necessary preoperative diagnostic tests (MRSA/MSSA, A1C, Vit D, EKG, angiogram), imaging, consultations, and procedures as indicated or requested by the attending physician to prevent delay with surgical procedure, which also includes obtaining medical clearance and instruction regarding medications/anticoagulation prior to surgery.
Functions as first assist in the OR; completes all OR policies/procedures, documentation and safe handoff to the PACU
See patients in clinic for urgent issues (signs of infection, wound problems, worsening pain, impending pathologic fracture).
Provides symptom management for orthopedic oncology patients.
Manage is high volume of patient calls, emails an completes all outpatient clinical forms (FMLA, insurance disability, hardship needs).
Acquires prior authorizations for surgery, scans, medications, DME and other procedures as necessary
Consistently provides high quality and timely documentation of clinic visits, admission and progress notes, procedure notes, and e-mail/phone conversations.
Contributes to patient presentation at morning rounds, weekly conferences, and multi-disciplinary meetings slash conferences as necessary.
Identifies patients appropriate for division research studies and obtains consents.
Practices cost effective medicine in an efficient manner, enhancing available resources.
Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting.
Maintains communication with all inpatient staff (APPs, case management, OT/PT, consults) and all involved in the transition of patient care (skilled facility, VNA, PCP, referring physicians).
Provides an environment for effective patient-family centric care.
Demonstrates experienced clinical judgment skills to function in an independent role.
Additional duties and responsibilities as required by the department/division.
Demonstrates professional collaborative and consultative relationships with inpatient Orthopaedic APP colleagues and other multidisciplinary providers.
Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings.
Maintains outstanding interpersonal and communication skills as a member of the healthcare team in order to collaborate optimally with patients, loved ones and staff, and community health workers.
Remains actively involved in continuing education with a commitment to self and departmental growth.
Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation.
Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care.
We offer an outstanding benefits packages to eligible employees including…
Medical, Dental and Vision insurance
Tuition Reimbursement
Generous paid time off
Subsidized MBTA pass (50% discount)
Resources for childcare and emergency backup care
Hospital paid retirement plan and tax-sheltered annuity plan
Employee “Perks” - enjoy discounts on tickets and passes for everything from ski resorts to museums to sporting events.
You contribute to our success. Every role has an impact on our patients' lives. You can make a difference. We are looking for dedicated RN like you to be a part of our team.
About Mass General Hospital
Mass General Hospital is a world-renowned hospital that provides the highest quality care to patients. We are a leader in medical research and education, and we are committed to delivering our employees with a rewarding and fulfilling career.
The appropriate candidate will be a graduate of an accredited PA school with Board Certification through the NCCPA.
Current Commonwealth of Massachusetts PA license.
Have or be eligible for and maintain a current DEA registration, Massachusetts Controlled Substance Registration (MCSR).
Qualified in basic/advanced life support standards as established by the American Heart Association.
EEO Statement
Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Primary Location MA-Boston-MGH Main Campus
Work Locations MGH Main Campus 55 Fruit Street Boston 02114
Job Physician Assistants
Organization Massachusetts General Hospital(MGH)
Schedule Full-time
Standard Hours 40
Shift Day Job
Employee Status Regular
Recruiting Department MGH Orthopaedics
Job Posting Jun 28, 2024