Site: The Brigham and Women's Hospital, Inc.Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.Job SummaryThe 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 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.Within the Brigham Obstetrics & Gynecology Group (BOGG), the PA is part of the care team, which supports attending physicians, fellows, and residents in the medical management of patients in both the inpatient and outpatient settings. This role would include postpartum rounding or providing care in the outpatient setting for obstetric and gynecology patients as a per diem.QualificationsThe position is per diem and either ambulatory OB/GYN care at one of our 3 locations (Foxboro, Brookline or Westwood) or inpatient postpartum rounding at the main hospital in BostonOutpatient clinical duties:Competencies and tasks in routine care of ambulatory gynecologic or obstetric patients:Perform new OB visits, prenatal and postpartum visitsPerform routine and problem gynecologic visitsWrite daily visit notes and ordersWrite prescriptionsRoutine gynecologic and obstetrical examinationsPap smearsIUD insertionsEndometrial, vulvar, and cervical biopsies if indicatedInpatient Clinical DutiesCompetencies and tasks in routine care of hospitalized gynecologic or postpartum patients:Perform admission history and physical exam and accurately record in the patient recordChange surgical dressings, including wound packing and vacs, and removal of sutures and staplesWrite daily progress notes and ordersWrite prescriptionsImplement attending physician instructions for patient management in close cooperation with nursing staffRound with individual residents/teams as requested, report back to team leadersPerform procedures within the PA scope of practice and as directed by the attending physicianOrder and interpret appropriate laboratory testing and other special examinations as requestedDictate discharge summaries, complete discharge paperworkPrepare succinct and accurate sign-out to facilitate the smooth transition of patient care from one PA to another PA or physicianAssist in making appropriate post hospitalization appointments and referralsCommunicate with referring health care providers and institutionsAdditional competencies and tasks in routine care of postpartum patients: evaluate stability and progress of routine postpartum patientPhysical exam: appropriately evaluate uterine size, tenderness; perineal discomfort and healing; quality of Lochia; breast exam; cesarean section incision.Vital signs/chart/history: appropriately interpret vital signs in normal postpartum patient and in patient with complications including hypertension, bleeding, infection; appropriately interpret postpartum symptoms/issues including bleeding, lactation, extremity edema and tendernessCounsel and educate patients and family about postpartum events, activities, lactation, and contraceptionPrinciple Clinical Duties and Responsibilities:Provides direct patient care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, 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 appropriate to the patient populationIn some settings, the PA may first assist in procedural areas or the operating roomDiscusses patient data with other physicians and professionals as appropriate in a multidisciplinary settingPractices cost effective medicine in an efficient manner, maximizing available resourcesDemonstrates 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 careParticipates in QA/QI projects as appropriateAdditional duties and responsibilities as required by the department/divisionEducationMaster's Degree Physician Assistant requiredCan this role accept experience in lieu of a degree?NoLicenses and CredentialsPhysician Assistant (State License) - Generic - HR Only requiredExperienceExperience as a licensed Physician Assistant preferredKnowledge, Skills and AbilitiesSkilled in taking medical histories to assess medical condition and interpret findings.Ability to maintain quality control standards.Ability to react calmly and effectively in emergency situations.Ability to interpret, adapt and apply guidelines and procedures.Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.Additional Job Details (if applicable)Remote TypeOnsiteWork Location850 Boylston StreetScheduled Weekly Hours0Employee TypePer DiemWork ShiftDay (United States of America)Pay Range$59.04 - $83.59/HourlyGrade7At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.EEO Statement:2200 The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at .Mass General Brigham Competency FrameworkAt Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
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