GENERAL SUMMARY/ OVERVIEW STATEMENT: Summarize the nature and level of work performed.
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 II position is designed for those physician assistants who have advanced clinical skills and who are experienced enough to take on additional clinical, administrative, and/or leadership responsibilities above that of a PA I. The PA II position entails those responsibilities defined by the department/division that will become part of the performance evaluation process.
PRINCIPAL DUTIES AND RESPONSIBILITIES: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation.
Principle Clinical Duties and Responsibilities:
• Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting
• Performs complete histories and physical examinations
• Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
• Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
• Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
• Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries
• Performs bedside procedures as are appropriate to the patient population
• In some settings, the PA may first assist in the operating room or procedural areas
• Practices cost effective medicine in an efficient manner, maximizing available resources
• Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
• Demonstrates expert clinical judgment skills to function in an independent role
• Additional duties and responsibilities as required by the department/division
Non-Clinical Duties and Responsibilities:
• Demonstrates professional collaborative and consultative relationships with other providers
• Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report
• Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings
• Maintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workers
• Remains actively involved in continuing education with a commitment to self and departmental growth
• Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation
• Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care
• Additional duties and responsibilities as required by the department/division
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)
Neonates (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)
WORKING CONDITIONS: Describe the conditions in which the work is performed.
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.
SUPERVISORY RESPONSIBILITY: List the number of FTEs supervised.
The Physician Assistant II may have elements of supervisory responsibility; please refer to the addendum section for details.
FISCAL RESPONSIBILITY: Indicate financial "scope" information, i.e.: size of budget, volume, revenue, etc.
The Physician Assistant II may have elements of fiscal responsibility; please refer to the addendum section for details.
ADDENDUM: Document any additional skills, abilities, criteria, requirements, and/or details pertinent to this role.
The PA II may provide leadership and participation in selected local and national organizational committees, councils and initiatives.
The PA II may be involved in training other clinicians, advances practice providers, and trainees in performing procedure, such as lumbar puncture.
The PA II may be actively involved in ongoing quality improvement and patient safety initiatives.
While the PA can expect a relatively predictable work schedule planned whenever possible, rare scheduling variations may occur to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to pick up additional shifts, and/or provide backup coverage as needed.
The PA II shall be capable of independently orienting, onboarding, and/or training new hire APP's within the department/division.
The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified.
QUALIFICATIONS: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)
• 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 examination
• BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995
• Must have at least two years of experience practicing as a PA to qualify for the PA II 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
• Must complete the BWH Procedural Sedation Training if deemed necessary
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
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 consideration for employment without regard to race, color, religious creed, nationality, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected by law. We'll ensure that all individuals with disabilities are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and receive other benefits and privileges of employment.