Physician Salary in Boston, MA

The Brigham and Women's Primary Care Physician Assistant I is a member of the Primary care team that cares for patients of all ages, providing both pediatric and adult primary care. 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. The Brigham and Women's Primary Care Physician Assistant is a member of the Primary care team. While the PA can expect a relatively predictable work schedule planned in advance whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department/division/clinic. The PA may occasionally be asked to work clinically during administrative time and/or provide coverage of team members and colleagues. The PA is responsible for being accessible after hours during the week for urgent results of tests they have ordered. The PA is responsible for checking their Epic inbasket regularly & responding to time sensitive info as needed, even when not in the office or on site. Essential Functions (Key Roles & Responsibilities)Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural settingPerforms complete histories and physical examinationsOrders, interprets, and evaluates appropriate laboratory and diagnostic testsDevelops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findingsOrders medications and writes prescriptions according to organizational and regulatory policies and proceduresConsistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summariesPerforms bedside procedures as are appropriate to the patient populationCo-manages a patient panel together with a resident cohort and/or attending PCPPerforms other duties as assignedComplies with all policies and standardsQualifications EducationDegreeField of StudyRequired/PreferredAnd/OrMaster's DegreePA requiredCan this role accept experience in lieu of a degree?NoLicenses and CertificationsLicenses/CertificationsTime FrameRequired/PreferredAnd/OrCertified Physician Assistant (State License)upon hirerequiredWork ExperienceExperience DetailsYears of ExperienceRequired/PreferredAnd/Orexperience as a physician assistant 0-1 yearpreferredTo be an PA II4 yearsRequired Knowledge, Skills and AbilitiesSkilled in taking medical histories to assess medical condition and interpret findingsAbility to maintain quality control standardsAbility to react calmly and effectively in emergency situationsAbility to interpret, adapt and apply guidelines and proceduresAbility to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the publicPhysical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Physical DemandN/A = (0%)Rarely (< 2%)Occasionally (3-33%)Frequently (34-66%)Constantly (67-100%)WeightStandingXWalkingXSittingXLiftingXCarryingXPushingXPullingXClimbingXBalancingXStoopingXKneelingXCrouchingXCrawlingXReachingXHandlingXGraspingXFeelingXTalkingXHearingXVision - NearXVision - FarXRepetitive MotionsXEye/Hand/Foot CoordinationXEEO Statement Brigham and Women's 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.

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 settingPerforms complete histories and physical examinations Orders, interprets, and evaluates appropriate laboratory and diagnostic testsDevelops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findingsOrders medications and writes prescriptions according to organizational and regulatory policies and proceduresConsistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summariesPerforms bedside procedures as are appropriate to the patient populationIn some settings, the PA may first assist in the operating room or procedural areasPractices cost effective medicine in an efficient manner, maximizing available resourcesDiscusses patient data with other physicians and professionals as appropriate in a multidisciplinary settingDemonstrates expert clinical judgment skills to function in an independent roleAdditional duties and responsibilities as required by the department/divisionNon-Clinical Duties and Responsibilities: Demonstrates professional collaborative and consultative relationships with other providersFollows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative reportParticipates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainingsMaintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workersRemains actively involved in continuing education with a commitment to self and departmental growthAdheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situationDemonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of careAdditional duties and responsibilities as required by the department/divisionQualifications QUALIFICATIONS: The appropriate candidate will have successfully completed a 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 examinationBS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employmentMust hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of MassachusettsMust have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance RegistrationMust complete 100 hours of CME according to national and state regulations during each two year period of employmentMust complete the BWH Professionalism Program within three months of date of hireMust complete the BWH Procedural Sedation Training if deemed necessarySKILLS/ ABILITIES/ COMPETENCIES REQUIRED: Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climateMust have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the positionMust have the ability to utilize appropriate problem-solving and conflict resolution skillsMust be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient careMust 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 physicianWORKING CONDITIONS: 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.EEO Statement Brigham and Women's 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.

GENERAL SUMMARY/ OVERVIEW STATEMENT: The Ambulatory Physician Assistant (PA) in Pulmonary and Critical Care Medicine is an advanced practice provider responsible for assisting physicians practicing in the BWH Lung Center caring for patients with Interstitial Lung Disease. The 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 practitioner has responsibility for assessment and management of patients, including diagnostic and therapeutic interventions, implementation, and evaluation of an appropriate plan of care, and ongoing evaluation. The PA works in collaboration with the attending physicians and is responsible to both the Ambulatory Director and department administrator or chief physician assistant administratively. The PA participates and assists with management, coordination, and transition of care of the patient in the outpatient setting.In this role, the PA sees ambulatory patients independently. The PA is expected to have three and a half (3.5), four (4) hour clinic sessions per weekThe 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.PRINCIPAL DUTIES AND RESPONSIBILITIES: Principle Clinical Duties and Responsibilities -ILD:Provides direct care, counseling, and teaching to a designated patient population in the Pulmonary ambulatory practice.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 in collaboration with supervising physician.Records pertinent patient care findings in the medical record.Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.Communicates any abnormal findings to attending physician.Assists with triage of patient communications related to clinical status. Communicates acute clinical issues to attending physician, as appropriate.Serves as a resource to the health care team for patient care issues.Consistently provides high quality and timely documentation for both new and established patients in the ambulatory practice. Performs procedures as are appropriate to the patient population.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.Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling. Works collaboratively and functions as an effective member of the health care team.Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.Participates in Divisional and Hospital initiatives such as virtual patient evaluation and meaningful use of the electronic medical record.Practices at main campus in The Lung Center, as well as, at satellite locations, as appropriate.Serve as a patient advocate and use teamwork to achieve excellent patient outcomes.Participate as a learner and/or teacher in educational activities including participation in any CME and non-CME courses run by the Division of Pulmonary and Critical Care Medicine.Additional duties and responsibilities as required by the department/division.CoordinationFacilitates continuity of care and transition of care via multiple platforms including but not limited to communication with referring providers and consultants. Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community. Ensures patient charts are complete before their first appointment and that patients are knowledgeable about next steps in care and future appointments.Collaborates with Patient Program Manager to follow patient progress to ensure they are on the correct path and track patient throughout the patient journey.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 quality improvement initiatives, as appropriate.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 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.Contribute to the development, design, and writing of research studies, grant proposals, and IRB protocols, and recruit patients for clinical trials.Additional duties and responsibilities as required by the department/division.Education and PlanningEducationActs as preceptor for staff as requested.Acts as an educational resource for other trainees including medical students, residents and fellows, as well as nursing and other members of the ambulatory team. Participates in orientation of new staff. Participates in Departmental and organization continuing education programs.Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature. Educates lay and/or professional groups through lectures, papers, publications, and educational materials. Remains actively involved in continuing education with a commitment to self and departmental growth.PlanningDevelops annual objectives and reviews with PA Director and collaborating MD at time of performance review and at appropriate intervals. Completes annual credentialing process through the PA credentialing program.Assists in determining, evaluating, and/or implementing clinical area goals and objectives.Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice. Maintains current knowledge of legislation that may affect the health care delivery system.The PA shall participate in selected organizational committees, councils, and initiatives (may also add those outside BWH such as AAPA, PAEA, MAPA, etc.).For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations servedNo Direct Patient Care All age groupsAdolescence (13 to 17 years)XNeonates (birth to 1 month)Young Adult (18 to 25 years)XInfant (1 month to1year)Adult (26 to 54 years)XEarly Childhood (12 months to 5 years)Senior Adult (55 to 64 years) XLate Childhood (6 to 12 years)Geriatric (65 years and up)XQualifications QUALIFICATIONS: 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.WORKING CONDITIONS: Describe the conditions in which the work is performed.Work settings will include ambulatory clinics. 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.While the PA can expect a relatively predictable work schedule planned in advance whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to pick up additional shifts, work variable hours, and/or provide backup coverage as needed.SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)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. SUPERVISORY RESPONSIBILITY: The Physician Assistant I does not have any supervisory responsibility.FISCAL RESPONSIBILITY: The Physician Assistant I does not have any fiscal responsibility.EEO Statement Brigham and Women's 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.

Brigham and Women's Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.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.This PA role helps provide the highest level of preoperative, postoperative and outpatient care of surgical patients treated in the Dana Farber Cancer Institute (DFCI) Melanoma (MEL) Cutaneous and Sarcoma (SAC) Disease Centers under the direction of the supervising physicians. Serves as a bridge between the Division of Surgical Oncology and the other subspecialties which work within the MEL and SAC programs (Medical Oncology, Radiation Oncology and Pathology). Participates in the ongoing clinical research activities within the Division of Surgical Oncology and the MEL and SAC Disease Center at DFCI. PRINCIPAL DUTIES AND RESPONSIBILITIES: Non Clinical Duties:1. Team Work, Interpersonal & Communication Skills2. Professionalism/Professional Developmenta. Continuing Educationb. Professional behaviorc. Course attendanced. Growth of self, growth of department Clinical Duties:Serves as the primary clinical point of contact for patients with Melanoma/Cutaneous cancer and Sarcoma treated in the Division of Surgical Oncology.Works together with providers in other subspecialties to ensure a smooth transition of care for patients receiving multimodality treatment at Dana-Farber Brigham and Women's Cancer Center (DF/BWCC)Performs surgical oncology consultations at BWH and DFCI as requested by the attending physician. Performs assessment and sharp debridement of wounds as necessary, recommends wound management options, performs follow up visits and communicates with attending surgeons regarding patient status. Obtaining and provisioning of tissue samples, primarily through punch or core biopsy, in the clinic setting under the direction of the attending surgeon. Performs routine surveillance follow-up assessments of patients after surgery, including history, physical exam, and radiographic evaluation of patients scheduled in a physician-supervised clinic at DFCI.Performs inpatient and outpatient wound management for acute incisions and chronic wounds, including sharp debridement, dressing applications, suturing and removal of drains, sutures, and staples.Writes orders and interprets lab values and radiological tests with the assistance of physicians as necessary.Facilitates referral of surgical patients to the DFCI MEL and SAC Service by consultation with referring providers.Performs venipuncture.Performs access and evaluation of indwelling venous catheters.Assists study coordinators for ongoing clinical research involving surgical oncology, including performing and recording research histories and physicals, data collection and recording, obtaining tissue specimens for research analyses, and wound care according to specific study guidelinesOther duties as assigned. While PAs can expect their work schedules to be relatively predictable, planned far enough in advance whenever possible, they should also expect variation in their schedules as needed to cover the clinical needs as they become apparent to the department/division/clinics. PAs may be asked to provide backup coverage all as part of their work expectations in this job. QUALIFICATIONS:• Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.Must have 4 years of college level education and bachelors degree or equivalent. (BS/MS joint programs are also acceptable; BS with PA certificates are acceptable for graduates before 1995).Board Certification by the National Commission on Certification of PAs is required. License as a Physician Assistant in MassachusettsMaintain current DEA and Massachusetts Controlled Substance LicensesComplete 100 hours of CME according to national and state regulations during each 2 year period of employment. Maintain current BLS/ACLS certificationComplete BWH Procedural Sedation Training, if determined necessary.SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: Clinical and Professional SkillsMust have broad knowledge of medical environment, surgical practices and performance goals of the BWH Division of Surgical Oncology and DFCI Center for Melanoma and Bone Oncology.Must exercise the highest degree of professional judgment under the direction and guidance of a licensed physician.Must be able to accept instruction and guidance and assume graded responsibility in complex teamwork concept.Must be able to administer such care and treatment and exercise such independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.Must maintain a professional attitude towards patients and coworkers at all times and a good working relationship with other personnel involved in patient care.Attends internal and external education meetings and reads appropriate professional journals in order to maintain and enhance skills and clinical competence.Each PA shall demonstrate the following professional knowledge and skills: i. Proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, etc. ii. Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations. iii. Must have knowledge of billing practices. Physical and mental abilities required.a. Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care. b. Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician. c. Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.d. Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.e. Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care. WORKING CONDITIONS: 1. Work may require lifting and moving patients.2. Work requires exposure to needles, scalpels, electric cautery, defibrillators and monitoring devices.3. Work requires contact with patients with infections and secretions imposing a possible risk for acquiring hepatitis, AIDS, etc.Qualifications Qualifications:• Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.Must have 4 years of college level education and bachelors degree or equivalent. (BS/MS joint programs are also acceptable; BS with PA certificates are acceptable for graduates before 1995).Board Certification by the National Commission on Certification of PAs is required. License as a Physician Assistant in MassachusettsMaintain current DEA and Massachusetts Controlled Substance LicensesComplete 100 hours of CME according to national and state regulations during each 2 year period of employment. Maintain current BLS/ACLS certificationComplete BWH Procedural Sedation Training, if determined necessary.SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: Clinical and Professional SkillsMust have broad knowledge of medical environment, surgical practices and performance goals of the BWH Division of Surgical Oncology and DFCI Center for Melanoma and Bone Oncology.Must exercise the highest degree of professional judgment under the direction and guidance of a licensed physician.Must be able to accept instruction and guidance and assume graded responsibility in complex teamwork concept.Must be able to administer such care and treatment and exercise such independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.Must maintain a professional attitude towards patients and coworkers at all times and a good working relationship with other personnel involved in patient care.Attends internal and external education meetings and reads appropriate professional journals in order to maintain and enhance skills and clinical competence.Each PA shall demonstrate the following professional knowledge and skills: i. Proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, etc. ii. Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations. iii. Must have knowledge of billing practices.Physical and mental abilities required.a. Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care. b. Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician. c. Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.d. Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care.EEO Statement Brigham and Women's Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive coervice, 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.

GENERAL SUMMARY/ OVERVIEW STATEMENT: 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.The PA will support our benign urology team in the areas of reconstructive urology, female urology and stones. The patient panel will include transgender individuals undergoing gender confirming surgery and the individual in this role will be part of multidisciplinary team caring for these patients. This is an ambulatory position with anticipated schedule of 4 ten hour shifts M-F. No nights or weekends. Work locations will include BWH Main Campus, Brigham and Women's Faulkner Hospital, and Brigham and Women's Foxboro location. PRINCIPAL DUTIES AND RESPONSIBILITIES: Principle Clinical Duties and Responsibilities:Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural settingPerforms complete histories and physical examinations Orders, interprets, and evaluates appropriate laboratory and diagnostic testsDevelops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findingsOrders medications and writes prescriptions according to organizational and regulatory policies and proceduresConsistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summariesPerforms bedside procedures as are appropriate to the patient populationIn some settings, the PA may first assist in the operating room or procedural areasPractices cost effective medicine in an efficient manner, maximizing available resourcesDiscusses patient data with other physicians and professionals as appropriate in a multidisciplinary settingDemonstrates expert clinical judgment skills to function in an independent roleAdditional duties and responsibilities as required by the department/divisionNon-Clinical Duties and Responsibilities:Demonstrates professional collaborative and consultative relationships with other providersFollows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative reportParticipates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainingsMaintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workersRemains actively involved in continuing education with a commitment to self and departmental growthAdheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situationDemonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of careAdditional duties and responsibilities as required by the department/divisionFor all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations servedNo Direct Patient Care All age groupsAdolescence (13 to 17 years)Neonates (birth to 1 month)Young Adult (18 to 25 years)xInfant (1 month to1year)Adult (26 to 54 years)xEarly Childhood (12 months to 5 years)Senior Adult (55 to 64 years) xLate Childhood (6 to 12 years)Geriatric (65 years and up)xQualifications QUALIFICATIONS: The appropriate candidate will have successfully completed a 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 examinationMaster's in PA studies preferred, Bachelor's in PA studies accepted in rare circumstances with multiple years of highly relevant clinical experience.BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employmentMust hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of MassachusettsMust have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance RegistrationMust complete 100 hours of CME according to national and state regulations during each two year period of employmentMust complete the BWH Professionalism Program within three months of date of hireMust complete the BWH Procedural Sedation Training if deemed necessarySKILLS/ ABILITIES/ COMPETENCIES REQUIRED: The PA shall demonstrate the following clinical knowledge, skills and competencies: Clinical skills and knowledge as well as professionalism of the PA candidate are assessed by a surgical attending under the direction of the Division Chief.If a candidate does not pass the competency assessment, surgical attendings will provide feedback on additional development needs. Re-assessment is possible after 6 months of focused development. The attending physician(s) performing the assessment will complete a competency assessment (designed by dept/division). The candidate is responsible to provide example cases, which he or she has cared for patients with the most common diagnosis.Physical and mental abilities required:Must be energetic, quality driven and have proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care.Must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician.Must maintain a professional attitude towards patients and exercise such mature independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.Must maintain a professional attitude towards patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.Must demonstrate understanding of procedures, policies and documentation required to ensure compliance with hospital standards of care.The PA shall demonstrate the following professional knowledge and skills:Proficient with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, BICS, etc.Consistently provide high quality and timely documentation, including admission notes, progress notes, discharge summaries and dictation.The PA shall demonstrate appropriate direct patient care:Must have broad knowledge of the medical environment, surgical practices, and performance goals of BWH and the division of urology.Must exercise the highest degree of professional judgment under the direction and guidance of a licensed physician.Must be able to accept instruction and guidance and assume responsibility in complex teamwork concept.Must be able to administer such care and treatment and exercise such independent originality in solving problems to meet the needs of patients.EEO Statement Brigham and Women's 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.

GENERAL SUMMARY/ OVERVIEW STATEMENT:Under the supervision and direction of the Physician Chief of the Hand and Arm Service, immediate supervising physician, APP Clinical Director, and the Administrative Manager, the Physician Assistant (PA) is responsible for the care of the orthopaedic hand and arm population in the outpatient setting. The PA coordinates all aspects of care to enhance the patient/family surgical experience, which includes preop optimization, intraop first assist, postop care, symptom management and surveillance. The PA will conduct independent clinics for new, established, postop and add-on/urgent visits, as well as assist surgeons in their high-volume clinics. 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.PRINCIPAL DUTIES AND RESPONSIBILITIES: Provides direct care, counseling, and teaching for the orthopedic hand and arm patient population.Functions independently in own clinic (15-20 pts/day), and manages/coordinates all aspects of patient care.Assists supervising physician with overall management of his/her patients, including organization/workflow of clinics and all non-revenue generating tasks associated with patient care, and assists other surgeons in the service when necessary.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 hand and arm 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.Obtains 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 necessary 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. Provides symptom management for hand and arm patients; surgical and nonoperative.Manages high volume of patient calls, Patient Gateway messages, emails and completes all outpatient clinical forms (FMLA, insurance disability, hardship needs). Obtains 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 obtains consents after completion of Insight training. May conduct independent research and/or quality improvement studies.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.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/family centric care. Demonstrates expert clinical judgment skills to function in an independent role.Performs other responsibilities required by the Hand and arm 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 commitment 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 rectify the situation. Documents and complies with hospital standards of care. SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: Able to work in a high stress, dynamic, fluid, outpatient clinical setting with a changing organizational climate and high-volume clinics.Has the ability to travel to all off-site locations (Waltham, Danvers, Boston) to support the overall function of the Hand and Arm service. Is self-directed, proactive and demonstrates initiative in addressing the responsibilities of the position.Demonstrates problem-solving and conflict resolution skills.Has excellent interpersonal and communications skills to care for the hand and arm population; provide patient-family centric care and interact with multidisciplinary providers involved in the specialized care of hand and arm patients. Demonstrates an energetic, positive drive to be a productive member of a team dedicated to providing optimal patient care.Proficient with electronic medical record systems to independently perform daily clinical tasks (Epic preferred).Holds self and colleagues accountable to learn, develop and achieve the best and highest quality results.Treats all colleagues with respect.Maintains the highest degree of professional judgment under the collaborating supervising physician, director of APPs and administrative manager.WORKING CONDITIONS: Work may require contact with needles and other sharp instruments or division specific technology. Prolonged standing and fast-paced environment can be expected. Will require travel to off-site facilities (Boston, Danvers, Waltham).Qualifications QUALIFICATIONS: • 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) 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. • In addition, PA must demonstrate continued competence by passing a re-certification exam every ten years.EEO Statement 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.

JOB INFORMATION Job Description Name: Physician Assistant JOB SUMMARY (Describe below the primary purpose and function of this job) 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 SUMMARY/ OVERVIEW STATEMENT: 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 Chief Physician Assistant or Associate Physician Assistant or their designee 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.PRINCIPAL DUTIES AND RESPONSIBILITIES: Principle Clinical Duties and Responsibilities:Provides direct care, counseling, and teaching to a designated patient population in the inpatient, operative, and/or procedural settingPerforms complete histories and physical examinations Orders, interprets, and evaluates appropriate laboratory and diagnostic testsDevelops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findingsOrders medications and writes prescriptions according to organizational and regulatory policies and proceduresConsistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summariesPerforms bedside procedures as are appropriate to the patient populationIn some settings, the PA may first assist in the operating room or procedural areasPractices cost effective medicine in an efficient manner, maximizing available resourcesDiscusses patient data with other physicians and professionals as appropriate in a multidisciplinary settingDemonstrates expert clinical judgment skills to function in an independent roleAdditional duties and responsibilities as required by the department/divisionNon-Clinical Duties and Responsibilities:Demonstrates professional collaborative and consultative relationships with other providersFollows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative reportParticipates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainingsMaintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workersRemains actively involved in continuing education with a commitment to self and departmental growthAdheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situationDemonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of careAdditional duties and responsibilities as required by the department/divisionFor all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations servedNo Direct Patient Care All age groupsAdolescence (13 to 17 years)XNeonates (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)Qualifications GENERAL SUMMARY/ OVERVIEW STATEMENT: 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 Chief Physician Assistant or Associate Physician Assistant or their designee 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.PRINCIPAL DUTIES AND RESPONSIBILITIES: Principle Clinical Duties and Responsibilities:Provides direct care, counseling, and teaching to a designated patient population in the inpatient, operative, and/or procedural settingPerforms complete histories and physical examinations Orders, interprets, and evaluates appropriate laboratory and diagnostic testsDevelops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findingsOrders medications and writes prescriptions according to organizational and regulatory policies and proceduresConsistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summariesPerforms bedside procedures as are appropriate to the patient populationIn some settings, the PA may first assist in the operating room or procedural areasPractices cost effective medicine in an efficient manner, maximizing available resourcesDiscusses patient data with other physicians and professionals as appropriate in a multidisciplinary settingDemonstrates expert clinical judgment skills to function in an independent roleAdditional duties and responsibilities as required by the department/divisionNon-Clinical Duties and Responsibilities:Demonstrates professional collaborative and consultative relationships with other providersFollows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative reportParticipates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainingsMaintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workersRemains actively involved in continuing education with a commitment to self and departmental growthAdheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situationDemonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of careAdditional duties and responsibilities as required by the department/divisionFor all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations servedNo Direct Patient Care All age groupsAdolescence (13 to 17 years)XNeonates (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)EEO Statement Brigham and Women's 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.

The Chief Physician Assistant (PA) position is a leadership role designed for those physician assistants who have both sophisticated clinical skills and demonstrated administrative experience to promote the service and help guide its strategic direction in concert with department leadership. The Chief PA position entails those responsibilities defined by both the department/division and PA Services that will become part of the performance evaluation process. The Chief PA has a solid line reporting structure to the department/division.The Chief Physician Assistant of Brigham and Women's Emergency Department (ED) Operations will supervise and coordinate the daily activities of the Staff Physician Assistants in conjunction with the EM PA Director. The Chief PA of BWH ED Operations will take on a leadership role in the implementation of the operational goals of Brigham & Women's Hospital Emergency Department. Clinically, this individual will serve as a PA for the department in accordance with EM PA clinical duties and responsibilities.The physician assistant 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 PA leadership and Department Chair and Director of Clinical Operations 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 guidance to a designated patient population in the emergency department, observation or urgent care 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, observation note and discharge summaries.Performs bedside procedures as are appropriate to the patient population.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.Demonstrates experienced clinical judgment skills to function in an independent role.Additional duties and responsibilities as the need arises by the department/division.Non-Clinical Duties and Responsibilities:Management Responsibilities:Maintains the organization, collegiality and professionalism among the staff PAs.Instructs, assists, and councils the staff physician assistants to ensure overall compliance with hospital, state, and federal regulations.In partnership with the Chief PA Screens, interviews and hires new staff applicants as needed for specific site (BWH).Completes periodic performance evaluations of the staff physician assistants in conjunction with EM PA Director, including FPPE/OPPE per TJC standards and annual merit reviews.Prepare PA Annual HR review and documentation for each PA/merit raise determination.Participate and provide leadership in selected organizational committees, councils and initiatives.Staffing:Works with the PA leadership to maintain staffing level of PAs within the service; assesses needs and delegation of coverage with department leadership.Works with the PA leadership to organize and lead components of the hiring process, with input from the Division Chief and Medical Directors.Ensures all components of credentialing and CME for staff PAs are up to date.Works with PA leadership to develop, implement, and supervise orientation procedures and training of Physician Assistants.Completes ninety-day review (FPPE) in conjunction with EM PA Director for all new hires.Prepares annual salary review and documentation for each PAs merit raise determination in conjunction with department leadership.Works with the department to ensure annual HealthStream training completion of all staff PAs.Leads PA II and Senior PA requirements for all staff PAs.Scheduling:Work in conjunction with the Senior PA for Scheduling to ensure workweeks are delegated appropriately and distributed/posted in the department/division.Mediates scheduling conflicts and coordinates time off and time away for the staff PAs.Takes administrative call to optimize staffing and handle call-outs/open shifts.Operations:Develop, adjust and roll-out departmental staffing schemes.Develop novel clinical pathways.Improve departmental patient care models.Support efforts to improve patient experience within the department.Mature staff retention strategies.Develop and mature strategy to optimize Staff PA performance while promoting and aligning individual PA experience and interests.Support departmental and hospital efforts in the improvement of workplace climate and employee wellness.Quality:Work in conjunction with the Senior PA's of Quality and Safety to assist with quality assurance programs as needed to help implement quality improvement efforts, safety reports, CCR, and Morbidity and Mortality case review.Education & Training:Supervises medical students (MD and/or physician assistant) who do clinical rotations in the department as directed by the attending physician.Guides students, house staff, nurses, technicians and fellows under the direction of the attending physician.Provides mentorship and preceptorship to PA students selected from Accredited PA programs.Collaborate with the Senior PA of Education to develop new education initiatives for the group, and to maintain existing programs.Continuing Education, Research and Quality Assurance:Responsible for the organization of continuing education and instructing exercises for the PA group.Works with PA leadership to coordinate the orientation and training of new staff PAs and will assess their competence in collaboration with the Director and supervising physician(s).Completes the 100 hours of continuing medical education required during each two-year period of employment and attends internal and external education meetings/reads appropriate professional journals to maintain and improve skills and clinical competence.Ensures staff PAs complete their 100 hours of CME and educational requirements as necessary.Advances managerial /supervisory skills through hospital wide and/or outside training appropriate to deliver optimum patient care.Billing & Compliance:In conjunction with PA leadership works with Billing Compliance and department leadership to ensure the PAs and Supervising MDs are educated and following proper billing compliance rules and methodology.Be responsible for timely completion of Staff PA compliance documentation.Administrative Responsibilities:Attends all staff meetings (COG, OBS Steering Committee, PA Forum, EM Management, BWH Chief PA meetings).Participates in hospital-wide committees as requested.Writes and implements departmental policies regarding PA practice in conjunction with PA and department leadership.Acts as liaison between the clinical and administrative staff.Ensure that hospital policies are followed by all PAs in their area.Coordinates and supports the PA Award/Bonus structure when funding allows.Supervises the Senior PA of PA Student Education.Prioritizes, maintains, and implements the Attending-PA and PA-Attending Feedback process for the group.Qualifications QUALIFICATIONS• 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.• Must have at least 4 years of experience practicing as a PA to qualify for the Chief PA position.• 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.• Internal candidates much have at least two letters of recommendation for reference.SKILLS/ ABILITIES/ COMPETENCIES REQUIRED • 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.WORKING CONDITIONSWork settings may include urgent care clinics, observation units, emergency department settings 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.MANAGEMENT RESPONSIBILITYThe Chief PA will have management responsibility of their site PAs; refer to the Principle Duties and Responsibilities section for details.FISCAL RESPONSIBILITYThe Chief PA will have the following elements of fiscal responsibility:• Develops and maintains standardized payroll policies for all staff PAs.• Maintains a thorough understanding of the payroll process.ADDENDUM Requirements:• Status reviewed annually by EM PA and departmental leadership to confirm that engagement remains commensurate with Chief PA JD via presentation at Chief PA meeting or PA Steering Committee meeting.• Meet with EM PA leadership weekly to review operations and escalate any issues, concern related to BWH site.• Report out project status quarterly to EM PA Director, Chief PA or designee.• While the PA can expect a relatively predictable work schedule whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to be on call, take call, pick up additional shifts, work variable hours, and/or provide backup coverage as needed. Chief PA will participate in key departmental and hospital level meetings and committees including the BWH APP leadership meetings.EEO Statement Brigham and Women's 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.

Location: REMOTEDescription: The Judge Group is actively seeking traveling Physicians to join and be a part of a mobile delivery team, traveling to high need areas across the country. High paying daily rates along with daily bonus pay for urgent areas! For immediate consideration, please send updated CV and best contact number to Eric Landes at [email protected] is a fully travel position. Physician will travel to remote locations to perform DBQs onsite.The Judge Group is seeking qualified Medical Physicians (MDs, Dos) to join our provider network as an independent contractor to perform general medical disability examinations for Veterans.Job Description: •Physician will arrange and let client how many day/s per month they are available to travel urgent testing sites•Client will tell physician where they are traveling throughout the country to administer DBQ Exams •Client will assist and help facilitate travel to the areas.•All airfare, rental car, hotel and food per GSA will be reimbursement to the physician •Will be administering & completing Disability Benefits Questionnaires (DBQs) to veterans •As a certified medical disability examiner, you gather and synthesize clinical evidence through medical and military record review, diagnostic testing, interviews with Veterans, and face-to-face examinations.QualificationsPhysician•Doctorate Degree in Medicine or Osteopathic Medicine•An active and unrestricted license •2 years of practice experience (preferred)Details & Job Highlights: •High paying daily rates, plus extremely lucrative daily bonus payments for traveling to urgent testing sites to meet with Veterans •Fully paid and reimbursable travel expenses •Flexibility to determine how many days per month you are open to travel (weekends are an option) •Open to candidates specializing in: family medicine, internal medicine, orthopedic surgery, etc., or individuals with a general medicine background•Examinations primarily consist of interviews, supplemented with some physical assessments such as range of motion testing and muscle strength testing.•Low Risk - No treatment or prescription of medications involved.•Rapid credentialing & onboarding process. Most providers can commence work within 2-3 weeks of receiving an offer, with paid training included.•Training provided by the VA/VES remains valid for 5 years.•Comprehensive training will cover all Reporting/Disability Benefits Questionnaires (DBQs)Traveling Physician Jobs, Traveling Physician VA Exams, Physician Disability Benefits Exams, Medical Disability Examiner Jobs, Locum Tenens Physician Jobs (optional), High Paying Physician Jobs, Daily Bonus Physician Jobs, Travel Expenses Paid Physician Jobs, Flexible Schedule Physician Jobs, Family Medicine Physician Jobs (and other specializations mentioned), Veteran Disability Exams, DBQ Exams, Traveling Physician Jobs for Veterans, Become a Physician Disability Examiner, Rapid Onboarding Physician Jobs, No Treatment Physician Jobs, Weekend Availability Physician Jobs. Contact: [email protected] job and many more are available through The Judge Group. Find us on the web at www.judge.com

GENERAL SUMMARY/ OVERVIEW STATEMENT: 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.PRINCIPAL DUTIES AND RESPONSIBILITIES:Principle Clinical Duties and Responsibilities:Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural settingPerforms complete histories and physical examinations Orders, interprets, and evaluates appropriate laboratory and diagnostic testsDevelops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findingsOrders medications and writes prescriptions according to organizational and regulatory policies and proceduresConsistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summariesPerforms bedside procedures as are appropriate to the patient populationIn some settings, the PA may first assist in the operating room or procedural areasPractices cost effective medicine in an efficient manner, maximizing available resourcesDiscusses patient data with other physicians and professionals as appropriate in a multidisciplinary settingDemonstrates expert clinical judgment skills to function in an independent roleAdditional duties and responsibilities as required by the department/divisionNon-Clinical Duties and Responsibilities:Demonstrates professional collaborative and consultative relationships with other providersFollows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative reportParticipates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainingsMaintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workersRemains actively involved in continuing education with a commitment to self and departmental growthAdheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situationDemonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of careAdditional duties and responsibilities as required by the department/divisionADDENDUM: Document any additional skills, abilities, criteria, requirements, and/or details pertinent to this role. The PA will participate inpatient care as part of the inpatient team for the Department of Neurosurgery at South Shore Hospital. All patient responsibilities as outlined above are expected and may also include:Rounding with the neurosurgical team (Attending physicians and PAs)Performing inpatient and emergency room consultation and follow-upCollecting clinical data for studies and performing procedures that may include, but are not limited to: Staple/suture removal/placementWound care/packingLumbar drain placement/removalLumbar puncturesNGT placementCentral line placementArterial line placementSpine braces/cervical collar placement and removalDraping and patient positioning. The PA will serve as first-call for ED and inpatient consultations, appropriately triaging and calling the neurosurgeon on-call as appropriate. The PA may serve as OR first assist with neurosurgeon.While the PA can expect a relatively predictable work schedule planned in advance whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department/clinic. 4 day work week, shifts may include weekend rotation.Maintains ACLS certification.The PA I shall be capable of independently orienting, onboarding, and/or training new hire PAs within the department/division.The PA I shall be actively involved in ongoing quality improvement and patient safety initiatives.SUPERVISORY RESPONSIBILITY: The Physician Assistant I does not have any supervisory responsibility.FISCAL RESPONSIBILITY: The Physician Assistant I does not have any fiscal responsibility.Diversity Statement: As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations servedNo Direct Patient Care All age groupsAdolescence (13 to 17 years)XNeonates (birth to 1 month)Young Adult (18 to 25 years)XInfant (1 month to1year)Adult (26 to 54 years)XEarly Childhood (12 months to 5 years)Senior Adult (55 to 64 years) XLate Childhood (6 to 12 years)Geriatric (65 years and up)XPHYSICAL/ENVIRONMENTAL REQUIREMENTS OF JOBIndicate requirements and frequency by placing an "X" in the appropriate box.Work Environment:ActivityAmount of Time SpentNone1 - 25%25 - 50%50 - 75%Over 75% Outdoor weather conditionsXExtreme cold (non weather)XWork in high place(s)XWork in confined space(s)XRisk of electrical shockXRisk of radiation exposureXExposure to blood borne pathogensXFlammable/explosive gasesXToxic / caustic chemicalsXDust or other irritantsXGrease or oilsXHazardous specimens XExposure to lab animalsXInfectious / contagious diseaseXCleaning agents/chemicalsXHot equipmentXNoisy equipmentXHumid or wet conditions (non -weather)XOtherLifting/Carry Requirements of this jobLifting requiredMinimalCarrying requiredMinimalNumber of poundsAmount of Time1 - 25%25 - 50%50 - 75%Over 75% LiftCarryLiftCarryLiftCarryLiftCarryUp to 10 poundsXXUp to 25 poundsXXUp to 50 poundsXXUp to 100 poundsOver 100 poundsPush/Pull Requirements of this job:Pushing requiredMinimalPulling requiredMinimalNumber of poundsAmount of Time1 - 25%25 - 50%50 - 75%Over 75% PushPullPushPullPushPullPushPullUp to 10 poundsUp to 25 poundsUp to 50 poundsUp to 100 poundsOver 100 poundsXX Physical Activity requirements of this job: ActivityAmount of Time SpentNone1 - 25%25 - 50%50 - 75%Over 75% Stand XWalkXSitXUse of hands requiring fine motor skills and sense of touchXMove / rotate / bend wrist(s)XType / use keyboard or other data entry deviceXReach with hands & armsXClimb stairsXClimb ladder or other equipmentXDrive / operate motor vehicleXBalanceXStoop, kneel, crouch, bend, crawlXSpeakXHearXTaste XSmellXOtherVision Requirements of this job:Vision RequirementRequiredNot RequiredClose visionXDistance visionXColor visionXPeripheral visionXDepth perceptionXAbility to adjust focusXOtherSafety equipment used while performing this job: Safety eye glassesXGownsXFilter lens (welding/soldering)ScrubsXFace shieldsBootsEar plugs or MufflersHard hatSurgical mask / dust maskXCoverallsSelf contained breathing apparatus (SCBA)GlovesXOtherLevel of noise typical in this work environment:Very quietQuietModerateXLoudVery loudQualifications QUALIFICATIONS: 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 examinationBS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employmentMust hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of MassachusettsMust have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance RegistrationMust complete 100 hours of CME according to national and state regulations during each two year period of employmentMust complete the BWH Professionalism Program within three months of date of hireMust complete the BWH Procedural Sedation Training if deemed necessarySKILLS/ ABILITIES/ COMPETENCIES REQUIRED: Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climateMust have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the positionMust have the ability to utilize appropriate problem-solving and conflict resolution skillsMust be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient careMust 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 physicianWORKING CONDITIONS: 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.EEO Statement Brigham and Women's 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.