This is a Physician Assistant – Neurosurgery role at Tufts Medicine, responsible for providing high-quality patient care in both inpatient and outpatient neurosurgery settings under physician supervision. The position involves comprehensive patient assessments, diagnostic ordering, treatment planning, and may include orienting/training other PAs and participating in inpatient rounds.
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Job Profile Summary
A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. These roles focus on providing high-quality patient care and promoting wellness. APCs work collaboratively with physicians and other healthcare professionals to diagnose and treat a variety of acute and chronic conditions. In addition, this role focuses on care under the supervision of licensed physicians including conducting comprehensive patient assessments, ordering and interpreting diagnostic tests, diagnosing and treating acute and chronic conditions, injuries, and illnesses, developing and implementing treatment plans in collaboration with supervising physicians, prescribing medications and performing procedures, educating patients and families on treatment options, health maintenance, and preventive care and adjusting treatment plans as necessary.
.** This role may include cross coverage of outpatient and inpatient neurosurgery, at the discretion of department leadership**
Job Overview
This Physician Assistant – Neurosurgery position is responsible, within the legal limitations, for assisting the physician staff of the Department in the provision of medical services to patients. The position performs complete, detailed and accurate initial evaluations including medical histories, reviews patient records to develop comprehensive medical status reports, and order laboratory, radiological and diagnostic studies appropriate for complaint, age, race, gender, and physical condition of the patient. Assumes responsibility to coordinate treatment plans, monitors progress, refers patient as necessary to appropriate sources for care under the direction of the supervising physician. The position understands the philosophy, objectives, policies and procedures of Nursing Service and provides for their implementation. Works cooperatively within department and other services to create a system of quality health care.
Job Description
Minimum Qualifications:
1. Bachelor’s degree.
2. Successful completion of a Physician’s Assistant program.
3. Physician’s Assistance Licensure within the first three months following the receipt of a complete application for medical staff membership and privilege.
4. Physician’s Assistant Certification.
5. Basic Life Support (BLS) certification.
Preferred Qualifications:
1. State and federal controlled substances registration.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
1. Manages a broad spectrum of patients and performs a wide range of clinical, diagnostic and therapeutic procedures.
2. In collaboration with the healthcare team, assesses the health status of patients by obtaining complete and thorough medical histories and performing physical examinations, laboratory and diagnostic studies. Diagnose health and developmental problems and care for patients suffering from acute and chronic diseases.
3. Assesses patient/family psychosocial needs, educational needs, learning readiness, and barriers to learning during admission process.
4. Examines patients, records, and discriminates between normal and abnormal findings to recognize early stages of a serious physical or emotional problem. Consult with physician concerning patient evaluation and condition.
5. Develops an effective, comprehensive plan of care individualized to the age and needs of each patient using established standards of care, knowledge of disease entities, and human growth and development and emotional, social and spiritual needs and following hospital standards.
6. Communicates professionally with patient/family, other practitioners, physicians, and co-workers.
7. Sets priorities and modifies patient care in response to changing situations. Demonstrates judgment in consulting MD regarding all patient encounters. May triage and refer to appropriate source when primary care patients present with new symptoms.
8. Orders appropriate labs and radiological testing based on assessment of needs.
9. Maintains required records, reports and statistics. Maintains accurate patient records, charts and documentation for administrative purposes.
10. Demonstrates appropriateness of prescribing habits (i.e. agents, volume, and refill).
11. Encourages preventative medicine through patient education and counseling. Recognizes that patient and family teaching are an integral part of the role and follows through on teaching that has been initiated with appropriate documentation.
12. Interpret patient needs to other clinical personnel participating in the care through direct communication and input into care plans.
13. Works collaboratively with physician to manage care of patients in a cost-effective manner. Utilize appropriate resources across the system including nursing interventions. Utilize organizational skills to complete assigned work effectively and on time.
14. May orient and train new Physician Assistants, coordinate staff schedules, assist with performance evaluations, and provide guidance on effective team building.
15. May participate in rounds with residents, completes daily patient management assignments and assists with patient care and disposition. Handles medical emergencies during regular working hours on the inpatient service.
Physical Requirements:
1. Lifting and turning patients of 30-35 lbs.
2. Prolonged standing and walking.
3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting.
4. Exposure to infectious disease and possible carcinogenic chemicals and blood-borne pathogens.
5. Requires manual dexterity using fine hand manipulations for performing procedures and computer keyboard.
6. Requires ability to see computer screen, reports, and perform assistance in procedures with accuracy. 7. Requires ability to hear instructions from physician.
Skills & Abilities:
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