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Job Description SummaryThe Cleveland Clinic Children's Cardiology & Critical Care Advanced Practice Provider (APP) Fellowship is an innovative 12-month program with a mission to safely transition Certified Pediatric Acute Care Nurse Practitioners (CPNP-AC) and Physician Assistants (PA) to practice within the Pediatric and Adult Congenital Heart Center. This program provides a robust infrastructure to build not only clinical competency, but also role proficiency through mentorship, professional development, leadership training, and organizational enculturation. Fellows of the program will graduate with the critical thinking, diagnostic, and clinical skills necessary for the management of complex congenital heart disease, providing safe, efficient, and evidence-based care to critically ill patients in today's multi-disciplinary, team-based care model.

The 12-month, intensive training program provides the APP fellow with a comprehensive, structured transition into the fast-paced environment of Pediatric Cardiac Critical Care. Fellows begin with a boot camp to review and establish the fundamentals of practice. Each week includes protected didactic learning that includes case studies, lectures, and simulation, all with an emphasis on applying evidenced based medicine. The APP in the Fellow role reflects the mission, vision, and values of Cleveland Clinic, adheres to the organization's Code of Ethics, Corporate Compliance Program and complies with all relevant policies, procedures, guidelines, and all regulatory and accreditation standards.

Throughout their training, Fellows are supervised and developed by department APP's and physician experts in each care area. Each fellow receives instruction and mentoring in professional development including a structured, 1 on 1 experience of either development and delivery of APP education or completion of a quality project, with the option to submit an abstract or peer reviewed article to a national society. Upon completion of this program, the Fellow will be a highly skilled and capable APP in the field of Pediatric Cardiac Critical Care Medicine.

Cleveland Clinic Department of Pediatric Critical Care Medicine & Cardiology

With more than 20 APP's and 30 attending physicians, the Department of Pediatric Cardiology is currently ranked #6 as one of the best Children's Hospitals for Cardiology and Heart Surgery. As a premier quaternary care center, Cleveland Clinic Children's Main Campus provides cutting edge care modalities and a full range of specialty and subspecialty care. Why Apply / Choose Fellowship Training Post-graduate fellowship training is rapidly becoming the expected path of entry for an NP or PA who desires a rewarding and successful career in Critical Care Medicine. The Cleveland Clinic Children's Cardiology & Critical Care APP Fellowship seeks driven, passionate APP's and provides an innovative opportunity to train in an enriching, supportive environment, learning from world-leaders in medicine. Cleveland Clinic maintains a world-renowned reputation as a forerunner in patient care, leadership, innovation, and education. As a graduate of this program, you will accelerate your clinical abilities and have a distinct advantage in gaining desired employment in the field of Pediatric Cardiac Critical Care.

Eligibility Requirements

1. Pediatric Acute Care Nurse Practitioner certified through PNCB

2. Master's degree in Pediatric Acute Care from an accredited school/college of nursing

3. Current license as a Registered Nurse and APRN in the State of Ohio*

4. Physician Assistant: Master's degree from an accredited Physician Assistant Program, current OH license*

*All certifications and board examinations must be successfully completed 6 weeks prior to program start date.

Education & Experience Overview

Clinical Rotations: Clinical mentor assigned for each location

1. Intermediate Care Unit

2. Pediatric Intensive Care Unit

3. High-risk Infant Program

4. Electrophysiology

5. ECHO Lab

6. Pulmonary Hypertension Program

7. Catheterization Lab

8. Heart Failure & Transplant Service

9. Cardiac Care Unit Step-Down

10. Heart Failure/Transplant Stepdown

11. Pediatric Cardiac ICU Step-Down

12. Pediatric Cardiac ICU

Didactic Education & Additional Opportunities

1. Critical Care & Cardiology Boot Camp during the first month of training

2. APP Fellow Core Curriculum with weekly didactic time

3. PCICU Grand Rounds weekly

4. PCCM & Cardiology Fellowship weekly lectures

5. Cardiothoracic Surgical Conference Weekly

6. PCCM & Cardiology Quality & System Care Review Conference monthly

Simulation Training:

1. CCF Central Venous Line Insertion Course

2. POCUS

Professional Development

1. Cleveland Clinic Values

2. Interprofessional Teaming

3. Mentorship

4. Introduction to Quality Improvement & Research Methods

5. Communication Training

6. End of Life Training

7. Leadership Development

Salary & Benefits The fellow will be hired in a full-time, salaried position not to exceed 12 months of employment. The fellow will be eligible for the full-time benefits as described in the Total Rewards Brochure. The salary will be paid on a semi-monthly basis. After successful completion of the fellowship and the termed program the fellow will have the opportunity to apply for any open position within the Cleveland Clinic Children's. If the fellow does not secure employment within Cleveland Clinic, their employment will be terminated per the terms of this fellowship. Employment at the end of the fellowship is not guaranteed. APRN/PA learns the role of an Advanced Practice provider under supervision of the APRN/PA preceptor and/or Physician preceptor for no longer than 12 months.

Requirements for Application

1. CV/Resume

2. Personal Statement declaring why you are interested in this opportunity

3. Minimum of 2 letters of recommendation (one from your current employer, another from your clinical faculty)

4. Eligible for DEA licensure

5. Current PALS/BLS/ACLS certification*

*If not already completed at time of application, all qualifications must be completed 6 weeks prior to the start date.

Responsibilities:

+ Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan with direct review by a physician.

+ Works under direction of supervising physician within the confines of state law

+ Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board.

+ Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life-threatening situations, as privileged by CCF Credentialing Board.

+ Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis as well as other specific procedures as directed by the physician, following approval by CCF Credentialing Board.

+ Provides information and answers routine questions of patients regarding their disease, including preventive health maintenance topics such as diet, weight, smoking and topics related to medical specialty, with basic recommendations.

+ Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.

+ Assists with record keeping, completes appropriate patient medical chart, and transcribes lab data and routine correspondence, as directed and reviewed by physician.

+ Refers patients to physicians as appropriate for consultation or for specialized health resources and treatment.

+ Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.

+ Performs research follow-up studies as directed by the supervision of a physician. Assists in data analysis.

+ Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.

+ Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.

+ Other duties as assigned.

Education:

+ APRN: EDUCATION: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.

+ Graduate of an accredited ARPN training program.

+ PA: EDUCATION: Graduate of an A.R.C.-approved Physician Assistant Program.

+ Master's degree in Physician Assistant Studies and/or applicable state license through the State Medical Board for certificate to practice

Certifications:

+ APRN: Currently licensed as a Registered Nurse and Advanced Practice Registered Nurse in applicable state.

+ National certification as Advanced Practice Registered Nurse by nationally accredited organization recognized by state Board of Nursing, current licensure by applicable state Board of Nursing, (including certificate to prescribe if applicable).

+ Must be privileged by CCHS's credentialing board

+ Basic Life Support (BLS) through the American Heart Association (AHA) required.

+ Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.

+ PA: Current certification as a Physician Assistant through the NCCPA (or successor).

+ LICENSED BY the State Medical Board OF OHIO AS A PA-C.

+ Must have a Physician Supervision Agreement and/or signed addendum to Physician Supervision Agreement.

+ Must be privileged by CCF's Credentialing Board.

+ If candidate has held a license to prescribe within another jurisdiction and needs to obtain a Master's degree in order to apply for CT prescribe from applicable state, the candidate will be subject for review for eligibility for hiring within our system.

+ Basic Life Support (BLS) through the American Heart Association (AHA) required.

+ Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA) may be required based upon work setting.

Complexity of Work:

+ Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

+ Must be able to work in a stressful environment and take appropriate action.

Work Experience:

+ Depending on practice, surgical fields may require surgical experience

+ Good verbal, written and interpersonal communication skills.

+ Demonstrated competency and the ability to perform advanced assessment, diagnosis, and treatment plan development and invasive procedures as per clinical privileges.

Physical Requirements:

+ Typical physical demands include the ability to walk and stand for long periods of time.

+ Manual and finger dexterity and eye/hand coordination to perform physical examinations.

+ Requires corrected vision and hearing to a normal range.

+ Occasionally lifts and carries items weighing up to 50 pounds.

+ May require exposure to communicable diseases and/or body fluids.

Personal Protective Equipment:

+ Follows Standard Precautions using personal protective equipment as required.

Pay Range

Minimum Annual Salary: $77,635.00

Maximum Annual Salary: $97,760.00

The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities