GENERAL SUMMARY/ OVERVIEW STATEMENT: .
The physician assistant (PA) will be an integral part of the Division of Infectious Diseases (ID) Immunocompromised team's approach to evaluating and treating patients within the inpatient and ambulatory areas of BWH. Under the direction of the supervising physician, the PA will be involved in all aspects of patient care. The PA will also be responsible for liaising with our reciprocal surgical and medicine services and triaging patient issues/concerns to faculty. In addition to clinical skills, this person should possess strong leadership and communication skills and be able to work effectively with other members of the team including physicians, fellows, and staff.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations served
No Direct Patient Care
All age groups
Adolescence (13 to 17 years)
X
Neonates (birth to 1 month)
Young Adult (18 to 25 years)
X
Infant (1 month to1year)
Adult (26 to 54 years)
X
Early Childhood (12 months to 5 years)
Senior Adult (55 to 64 years)
X
Late Childhood (6 to 12 years)
Geriatric (65 years and up)
X
The ID Transplant Physician Assistant must demonstrate competency to effectively diagnose, formulate appropriate treatment plans, and efficiently implement a care plan under the direction of the supervising physician within the context of the following areas:
• General infectious disease conditions including, but not limited to bacterial, viral, fungal and parasitic disease frequently seen in an outpatient clinic or inpatient settings.
• Understand the complex medical environments of the immunocompromised patients we care for at BWH including, but not limited to, those with: advanced organ dysfunction (end stage heart, lung, and/or kidney disease); advanced malignancy; a solid organ transplant (SOT) or a hematologic stem cell transplant (HSCT); and indwelling hardware and medical devices.
• Appreciate complex medication interactions.
• Understanding the limits of current diagnostic and therapeutic strategies for infections in these high risk patient populations and when novel strategies are needed such as investigational approaches and the use of salvage antimicrobial therapies.
• Understand the risks, benefits and alternative antimicrobial strategies for key pathogens for the immunocompromised patient such as CMV, PCP, and Aspergillus
• Indications and interpretation of radiology, pathology and laboratory results
The PA will be responsible for:
• Obtaining and coordinating the following general items: history and physical examination, laboratory results, charting of clinical findings in the EMR, orders, nursing instructions, and other required elements.
• Educating patients regarding a variety of Infectious Diseases issues associated with solid organ transplant.
• Coordinating admissions and transfers to BWH (in collaboration with the supervising attending physician) and ensuring that informed consents are obtained as needed.
• Triaging patient calls and questions related to clinical care
• Acting as a liaison for referring physicians and the Immunocompromised ID group.
• Performing patient assessments in the outpatient ID Clinics at the BWH and/or DFCI and inpatient floor/ICU as needed. The PA will be responsible for ensuring appropriate diagnostic procedures occur in a timely manner though careful coordination with other services such as Interventional radiology and pulmonary, facilitating clinic appointments for patients requested to be seen by the ID service, communicating with patients regarding test results, completing prescription refill requests, and providing initial coverage for ID physicians who are unavailable.
• Collaborating with Immunocompromised ID Group and reciprocal services to improve patient access to our services, establish ambulatory goals for the delivery of care to patients, participate in clinical research, manage communications between physicians, patients, family, and staff. Attending inter-disciplinary meetings as needed to discuss patient care, policies, and procedures.
• Working collaboratively with team members, ensure an environment conducive to the well-being and safety of patients and staff, and continually update clinical knowledge and skills through consultation, formal and informal education and review of literature.
• Performing other clinical duties as assigned by the Supervising Physician.
Non-Clinical Duties will include:
• Team Work, Interpersonal & Communication Skills
• Professionalism/Professional Development
o Continuing Education
o Professional behavior
o Course attendance
o Growth of self, growth of department
Qualifications
QUALIFICATIONS:
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