Brigham and Women's Hospital
Physician Assistant I / Cardiovascular Medicine
Brigham and Women's Hospital, Boston, Massachusetts, us, 02298
General Summary
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 department administrator or chief physician assistant administratively. 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.
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.
Will precept PA students and PA fellows and actively provide education to trainees.
While the PA can expect a relatively predictable work schedule planned in advance whenever possible, scheduling variations may occur to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to take call, pick up additional shifts, work variable hours, and/or provide backup coverage as needed. The hours of coverage for the inpatient service are 7am-12am and on a rotating basis. The PA shall be actively involved in ongoing quality improvement and patient safety initiatives.
Non-Clinical Duties and Responsibilities
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.
Patient Populations Served
No Direct Patient Care
Adolescence (13 to 17 years)
Neonates (birth to 1 month)
Infant (1 month to 1 year) – marked with "x"
Young Adult (18 to 25 years)
Early Childhood (12 months to 5 years)
Late Childhood (6 to 12 years)
Adult (26 to 54 years) – marked with "x"
Senior Adult (55 to 64 years)
Geriatric (65 years and up) – marked with "x"
Qualifications
Graduate level physician assistant program (Masters 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 only for those who graduated BEFORE 1995.
Certification by the National Commission on Certification of Physician Assistants (NCCPA) obtained prior to first day of employment.
Current valid license or eligibility for licensure as a PA in the Commonwealth of Massachusetts.
Current DEA registration and Massachusetts Controlled Substance Registration.
Complete 100 hours of CME according to national and state regulations during each two year period of employment.
Complete the BWH Professionalism Program within three months of date of hire.
Complete the BWH Procedural Sedation Training if deemed necessary.
Skills
Ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate.
Ability to be self‑directive and to demonstrate initiative in addressing the responsibilities of the position.
Ability to utilize appropriate problem‑solving and conflict resolution skills.
Energetic and quality driven; proven ability to be a productive member of a team dedicated to providing optimal patient care.
Proficiency with BWH computer systems (EMR, Epic preferred) to independently perform daily tasks.
Ability to maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician.
Work Settings Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. The role may involve loud noises, noxious odors, temperature extremes, heavy lifting of equipment and patients, exposure 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. BWH is a fast‑paced, dynamic environment with a very large and complex patient volume; exposure to workplace stress is expected.
Additional Job Description – Equal Opportunity Employer Statement The Brigham and Woman's Hospital, Inc. is an Equal Opportunity 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.
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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.
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.
Will precept PA students and PA fellows and actively provide education to trainees.
While the PA can expect a relatively predictable work schedule planned in advance whenever possible, scheduling variations may occur to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to take call, pick up additional shifts, work variable hours, and/or provide backup coverage as needed. The hours of coverage for the inpatient service are 7am-12am and on a rotating basis. The PA shall be actively involved in ongoing quality improvement and patient safety initiatives.
Non-Clinical Duties and Responsibilities
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.
Patient Populations Served
No Direct Patient Care
Adolescence (13 to 17 years)
Neonates (birth to 1 month)
Infant (1 month to 1 year) – marked with "x"
Young Adult (18 to 25 years)
Early Childhood (12 months to 5 years)
Late Childhood (6 to 12 years)
Adult (26 to 54 years) – marked with "x"
Senior Adult (55 to 64 years)
Geriatric (65 years and up) – marked with "x"
Qualifications
Graduate level physician assistant program (Masters 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 only for those who graduated BEFORE 1995.
Certification by the National Commission on Certification of Physician Assistants (NCCPA) obtained prior to first day of employment.
Current valid license or eligibility for licensure as a PA in the Commonwealth of Massachusetts.
Current DEA registration and Massachusetts Controlled Substance Registration.
Complete 100 hours of CME according to national and state regulations during each two year period of employment.
Complete the BWH Professionalism Program within three months of date of hire.
Complete the BWH Procedural Sedation Training if deemed necessary.
Skills
Ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate.
Ability to be self‑directive and to demonstrate initiative in addressing the responsibilities of the position.
Ability to utilize appropriate problem‑solving and conflict resolution skills.
Energetic and quality driven; proven ability to be a productive member of a team dedicated to providing optimal patient care.
Proficiency with BWH computer systems (EMR, Epic preferred) to independently perform daily tasks.
Ability to maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician.
Work Settings Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. The role may involve loud noises, noxious odors, temperature extremes, heavy lifting of equipment and patients, exposure 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. BWH is a fast‑paced, dynamic environment with a very large and complex patient volume; exposure to workplace stress is expected.
Additional Job Description – Equal Opportunity Employer Statement The Brigham and Woman's Hospital, Inc. is an Equal Opportunity 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.
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