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Mass General Brigham

PA Ortho Surgery - (Job Number: 3304232)

Mass General Brigham, Boston, Massachusetts, us, 02298


Under the supervision and direction of the Physician Chief of the Foot & Ankle Service in Orthopedic Surgery, immediate supervising physician, APP Director, and the Administrative Manager, the Physician Assistant (PA) is responsible for the care of the orthopaedic foot & ankle patient population in the outpatient setting.The PA will practice in accordance with the rules, regulations and standards 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 instructing for the orthopedic foot & ankle patient population.Functions independently in own clinic (15-20 pts/day) and coordinates all aspects of patient care.Assists supervising physician with overall management of patients, including organization/workflow of clinics and all non-revenue generating tasks associated with patient care, and assists other surgeons in the service when vital.Assists APP colleagues with clinic coverage during vacations, sick or FMLA absences.Performs complete histories and physical examinations on new, established, preop, and postop patients.Handles urgent add-on or walk-in patient visits.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 orthopaedic foot & ankle surgeons regarding abnormal findings outside PA 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 surgical optimization/education for patient and family, reinforcing the surgical plan presented by the attending physician.Orders vital preop diagnostic tests (MRSA/MSSA for implants), labs, imaging, consultations, and procedures as indicated or requested by the attending physician to prevent delay/cancellation of the surgical procedure, which also includes obtaining medical clearance and instruction regarding medications (anticoagulation/DMARDs/ DM) prior to surgery from PCP or specialists.Performs first assist responsibilities when needed.Provides symptom management for foot & ankle patients; surgical and nonoperative.Leads high volume of patient calls, Patient Gateway messages, emails and completes all outpatient clinical forms (FMLA, insurance disability, hardship needs).Acquires prior authorizations for surgery, scans, medications, or DME when peer-to-peer calls are necessary (insurance MD-PA calls).Consistently provides high quality and timely documentation of clinic visits (within 72 hrs), admission note from office, outpatient progress notes, procedure notes, and e-mail/phone conversations.Contributes to patient presentation in clinic, weekly indications conference, and multi-disciplinary meeting/conferences as necessary.Identifies patients appropriate for division research studies and acquires consents after completion of Insight training. May conduct independent research and/or quality improvement studies.Practices cost effective medicine in an efficient manner, improving available resources.Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting.Maintains communication with all inpatient staff, if necessary (APPs, case management, OT/PT, consults if necessary), off-site staff (Danvers, Waltham, Boston) and all involved in the transition of patient care (skilled facility, VNA, PCP, referring physicians).Demonstrates excellent interpersonal and communication skills to provide quality patient centric care.Demonstrates expert clinical judgment skills to function in an independent role.Performs other responsibilities required by the Foot & Ankle service (injections).Demonstrates professional collaborative and consultative relationships with all orthopedic hand and arm service staff and other multidisciplinary providers.Participates in departmental and organizational committees and programs as appropriate and attends all required departmental meetings, in-services, and professional trainings.Remains actively involved in continuing education with a dedication to self and departmental growth.Adheres to all established safety policies, clinical policy and procedures, and infection control precautions; identifies potential or actual unsafe situations in the environment and takes measures to resolve the situation. Documents and aligns with hospital standards of care.We offer an outstanding benefits package to eligible employees including…Medical, Dental and Vision insuranceTuition ReimbursementGenerous paid time offSubsidized MBTA pass (50% discount)Resources for childcare and emergency backup careHospital paid retirement plan and tax-sheltered annuity planEmployee “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 HospitalMass 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.Minimum Requirements

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.Certification by the National Commission on Certification of Physician Assistants (NCCPA) acquired prior to first day of employment.Valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts.Eligible for, and maintain, a 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.PA demonstrates continued competence by passing a re-certification exam every ten years or opting for the newer program divided in segments.Qualified in all basic and advanced cardiac life support standards as established by the American Heart Association.Has a 50-patient case load to submit to MGH credentialing for the first assist privilege.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.

MGH Main Campus (MGHMAIN)55 Fruit StreetBoston, 02114

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