The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the Director of Surgical Physician Assistants or Chief Physician Assistant.
The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.
Principle Clinical Duties and Responsibilities:
- Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting.
- Performs complete histories and physical examinations.
- 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.
- Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
- Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries.
- Performs bedside procedures as are appropriate to the patient population and for which the PA is credentialed.
- In some settings, the PA may first assist in the operating room or procedural areas.
- Practices cost effective medicine in an efficient manner, maximizing available resources.
- Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting.
- Demonstrates expert 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 other providers
- Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report
- Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings
- Maintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, 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
- Additional duties and responsibilities as required by the department/division
For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations served
No Direct Patient Care
All age groups
Adolescence (13 to 17 years)
Neonates (birth to 1 month)
Young Adult (18 to 25 years)
Infant (1 month to1year)
Adult (26 to 54 years)
Early Childhood (12 months to 5 years)
Senior Adult (55 to 64 years)
Late Childhood (6 to 12 years)
Geriatric (65 years and up)
Non-Clinical Duties and Responsibilities:
Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients.
The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.
Work settings may includeambulatory clinics and treatment rooms, inpatient areas, intensive care units,operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spenteither standing or walking and the position may require heavy lifting ofequipment and patients.
The PA may be exposed toradiation, potentially infectious bodily fluids, and sharp instruments such asneedles and scalpels. Knowledge ofUniversal Precautions and proper use of surgical sharp instruments may berequired. The consequences ofcontamination from bodily fluids or from being stuck with a sharp instrumentinclude the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment witha very large and complex patient volume; exposure to stress in the workplace isexpected.
ThePhysician Assistant II does not have any supervisory responsibility.
The Physician Assistant IIdoes not have any fiscal responsibility.
The PA nocturnistand weekend specialist will be required to work nights (shifts 6 pm to 6 am),Monday through Sunday, on a rotating schedule covering inpatients on theOtolaryngology, Plastic Surgery and Urology services. This position will also require coverage onSaturdays and Sundays 6 am to 6 pm on a rotating basis. This is a full-timeposition with variation of hours on site per week.
This work willinclude receive patient sign outs from residents/PAs in a timely fashion and caringfor inpatients during assigned shifts. It will also include creating work list for each service for thefollowing day and providing sign out of overnight events to the resident/PA.
The PA will alsobe required to evaluate patients on service who have an acute change inclinical status. The PA will be requiredto have basic surgical knowledge and skills in the management of post-operativepatients including removal of surgical drains, removal of central lines,removal and placement of urinary catheters, placement and removal ofnasogastric tubes and basic suturing. ThePA will also be required to help with patient throughput, including inpatientsbut also patients admitted to the Extended Recovery and Post Anesthesia CareUnits who will be discharged the following morning or admitted to the floor.
Finally, the PAmay be required to assist in the operating room on cases that extend into thelate evening or for emergency surgical procedures. However, it is anticipatedthat the majority of will be spent managing non-OR, floor issues.
Otolaryngology(ORL) Service Requirements:
The PA will berequired to have or develop knowledge of basic ORL procedures not limited tobut including, total thyroidectomy, radical neck dissection, retropharyngealabscess drainage and complex head and neck cancer resections and flaps. The PA will be required to be trained inepistatxis management with nasal packing and removal, tracheostomy tubechanges, drainage of superficial abscesses and NG tube and small bore feedingtube placement in complex post-op patients.
Plastic SurgeryService Requirements:
The PA will berequired to have or develop knowledge of basic Plastic Surgery procedures notlimited to be including, breast reconstruction (allograft, implants, tissueexpanders), complex wound management, skin grafts and complex flapreconstruction. The PA will be requiredto be trained in the following procedure skills and maintain competency in:incision and drainage of superficial abscesses, suturing, removal of drains.
Urology Service Requirements:
The PA will berequired to have or develop knowledge of basic Urology procedures not limitedto but including, lithotripsy, transurethral resection of the prostate, penileimplants, artificial urinary sphincter insertion, prostatectomy and cystectomy. The PA will be required to be trained in thefollowing procedure skills and maintain competency in: placement of difficult urinarycatheters, management of 3-way urinary catheters with and without irrigation,replacement/change of superpubic tubes and bladder irrigation.
- The appropriate candidate will have successfully completed a graduate level physician assistant program (Master's degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination
- BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995
- Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment
- Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts
- Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration
- Must complete 100 hours of CME according to national and state regulations during each two-year period of employment
- Must complete the BWH Professionalism Program within three months of date of hire
- Must complete the BWH Procedural Sedation Training if deemed necessary
- Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate
- Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position
- Must have the ability to utilize appropriate problem-solving and conflict resolution skills
- Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care
- Must be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred)
- Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician
Applicants with relevant experience will be considered. North Shore Medical Center is an affirmative action/equal opportunity employer. Minorities and women are strongly encouraged to apply. Pre-employment drug screening is required.