Mass General Brigham
Physician Assistant Surgery - Nocturnist (ENT/Plastics/Urology)
Mass General Brigham, Boston, Massachusetts, us, 02298
Site: The Brigham and Women's Hospital, Inc.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not‑for‑profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high‑performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
The Physician Assistant (PA) is a licensed provider. 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. General Responsibilities
The PA nocturnist will be required to work nights (shifts 6 pm to 6 am), Monday through Sunday, on a rotating schedule covering inpatients on the Otolaryngology, Plastic Surgery and Urology services. This position will also require coverage on Saturdays and Sundays 6 am to 6 pm on a rotating basis. This is a full‑time position with variation of hours on site per week. Receiving patient sign outs from residents/PAs in a timely fashion, and caring for inpatients during assigned shifts. It will also include creating work lists for each service for the following day and providing sign out of overnight events to the resident/PA in the morning. The PA will also be required to evaluate patients on service who have an acute change in clinical status. The PA will be required to have basic surgical knowledge and skills in the management of post‑operative patients including removal of surgical drains, removal of central lines, removal and placement of urinary catheters, placement and removal of nasogastric tubes and basic suturing. The PA will also be required to help with patient throughput, including inpatients but also patients admitted to the Extended Recovery and Post Anesthesia Care Units who will be discharged the following morning or admitted to the floor. Finally, the PA may be required to assist in the operating room on cases that extend into the late evening or for emergency surgical procedures. However, it is anticipated that the majority of will be spent managing non‑OR, floor issues. Otolaryngology (ORL) Service Requirements: The PA will be required to have or develop knowledge of basic ORL procedures not limited to but including: total thyroidectomy, radical neck dissection, retropharyngeal abscess drainage and complex head and neck cancer resections and flaps. The PA will be required to be trained in epistatxis management with nasal packing and removal, tracheostomy tube changes, drainage of superficial abscesses and NG tube and small bore feeding tube placement in complex post‑op patients. Plastic Surgery Service Requirements: The PA will have or develop knowledge of basic plastic surgery procedures not limited to be including: breast reconstruction (allograft, implants, tissue expanders), complex wound management, skin grafts and complex flap reconstruction. Urology Service Requirements: The PA will have or develop knowledge of basic urology procedures not limited to but including: lithotripsy, transurethral resection of the prostate, penile implants, artificial urinary sphincter insertion, prostatectomy and cystectomy. Essential Functions
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. Qualifications
Education: Master’s Degree Physician Assistant required. Can this role accept experience in lieu of a degree? No. Licenses and Credentials: Physician Assistant [State License] – Generic. Experience: Licensed Physician Assistant preferred. Knowledge, Skills and Abilities: Skilled in taking medical histories to assess medical condition and interpret findings; Ability to maintain quality control standards; Ability to react calmly and effectively in emergency situations; Ability to interpret, adapt and apply guidelines and procedures; Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public. Physical Requirements
Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type
Onsite Work Location
75 Francis Street Scheduled Weekly Hours
40 Employee Type
Regular Work Shift
Night (United States of America) Pay Range
$120,390.40 - $170,456.00/Annual EEO Statement
The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People‑Focused, half Performance‑Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
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The Physician Assistant (PA) is a licensed provider. 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. General Responsibilities
The PA nocturnist will be required to work nights (shifts 6 pm to 6 am), Monday through Sunday, on a rotating schedule covering inpatients on the Otolaryngology, Plastic Surgery and Urology services. This position will also require coverage on Saturdays and Sundays 6 am to 6 pm on a rotating basis. This is a full‑time position with variation of hours on site per week. Receiving patient sign outs from residents/PAs in a timely fashion, and caring for inpatients during assigned shifts. It will also include creating work lists for each service for the following day and providing sign out of overnight events to the resident/PA in the morning. The PA will also be required to evaluate patients on service who have an acute change in clinical status. The PA will be required to have basic surgical knowledge and skills in the management of post‑operative patients including removal of surgical drains, removal of central lines, removal and placement of urinary catheters, placement and removal of nasogastric tubes and basic suturing. The PA will also be required to help with patient throughput, including inpatients but also patients admitted to the Extended Recovery and Post Anesthesia Care Units who will be discharged the following morning or admitted to the floor. Finally, the PA may be required to assist in the operating room on cases that extend into the late evening or for emergency surgical procedures. However, it is anticipated that the majority of will be spent managing non‑OR, floor issues. Otolaryngology (ORL) Service Requirements: The PA will be required to have or develop knowledge of basic ORL procedures not limited to but including: total thyroidectomy, radical neck dissection, retropharyngeal abscess drainage and complex head and neck cancer resections and flaps. The PA will be required to be trained in epistatxis management with nasal packing and removal, tracheostomy tube changes, drainage of superficial abscesses and NG tube and small bore feeding tube placement in complex post‑op patients. Plastic Surgery Service Requirements: The PA will have or develop knowledge of basic plastic surgery procedures not limited to be including: breast reconstruction (allograft, implants, tissue expanders), complex wound management, skin grafts and complex flap reconstruction. Urology Service Requirements: The PA will have or develop knowledge of basic urology procedures not limited to but including: lithotripsy, transurethral resection of the prostate, penile implants, artificial urinary sphincter insertion, prostatectomy and cystectomy. Essential Functions
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. Qualifications
Education: Master’s Degree Physician Assistant required. Can this role accept experience in lieu of a degree? No. Licenses and Credentials: Physician Assistant [State License] – Generic. Experience: Licensed Physician Assistant preferred. Knowledge, Skills and Abilities: Skilled in taking medical histories to assess medical condition and interpret findings; Ability to maintain quality control standards; Ability to react calmly and effectively in emergency situations; Ability to interpret, adapt and apply guidelines and procedures; Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public. Physical Requirements
Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type
Onsite Work Location
75 Francis Street Scheduled Weekly Hours
40 Employee Type
Regular Work Shift
Night (United States of America) Pay Range
$120,390.40 - $170,456.00/Annual EEO Statement
The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People‑Focused, half Performance‑Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
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