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Overview: Fellows rotate through Family Medicine, Urgent Care, and Geriatrics throughout the year, as well as with subspecialty clinics (e.g., heart failure, cardiology, orthopedics, endocrine, dermatology, etc.) a few days each month. Fellows are required to take a patient load under the guidance and supervision of a designated preceptor, increasing their patient load and level of responsibility throughout the program as determined by their competency and overall clinical development. Fellows are evaluated on their clinical performance and competencies after each rotation.

Full-time Clinical Schedule: APP Fellows will work a full clinical schedule aligned with designated preceptors within each rotation, in addition to attending a dedicated didactic day every Friday.

Weekly Hours: Fellows average 40–60 hours per week, including preparation, reading, and Professional Development Curriculum requirements.

Primary Care Fellows: Will be required to work a Monday through Friday schedule.

Important Dates and Details:

• Application closure: March 9, 2026

• Interview notifications: The week of March 16, 2026

• Interviews: Initial interviews will be virtual the week of April 6th and 13th. Interviews will be approximately 1 hour in length. A second round of in-person interviews may follow.

• Final decisions will be made no later than May 8, 2026

• Program start-date: October 26, 2026

Application Instructions:

• Candidates will complete a Job Application in WorkDay and a Supplemental Application. Full details can be found here: Application Process - Advanced Practice Providers

• Please submit the completed online application form in Workday, along with all required supplemental application documents, by the application deadline. Applications that are incomplete or submitted after the deadline will not be reviewed.

Email Questions to: [email protected]

Please review this link for all steps related to this process: https://virginia.az1.qualtrics.com/jfe/form/SV\_8CDNx27eMInHK8S

License/Certification position requirements:Adult Primary Care Nurse Practitioner, Family Nurse Practitioner, or Physician Assistant

Background checks and pre-employment health screenings will be conducted on all new hires prior to employment. All safety-sensitive positions with direct patient interaction also require a drug screen.

Administration:

Fellows receive dedicated, protected non-clinical time throughout the program to complete required didactic coursework, scholarly projects, quality-improvement initiatives, and professional development activities.

Professional:

Professional Development/Education:

**Clinical Didactic Curriculum:** The clinical didactic curriculum provides specialty-specific experiences including lectures, simulations, case studies, and workshops designed to meet each track’s learning needs. Didactic sessions vary weekly and are documented within the fellow’s master schedule to ensure comprehensive exposure to advanced clinical education.

+ Actively participates in a robust, structured didactic curriculum including weekly protected lectures, high-fidelity simulation sessions, procedural skills labs, case-based discussions, morbidity & mortality reviews, grand rounds, and other educational activities as designed by the Fellowship Director and Program Faculty.

+ Completes scholarly projects during the fellowship year, including an evidence-based practice initiative and/or quality-improvement project and presentation, and Abstract with E-Poster presentation.

**Professional Development Curriculum:** Fellows engage in leadership, research, publication, and quality improvement initiatives that expand their impact beyond patient care. This curriculum balances clinical duties with professional development opportunities and dedicated workshops, preparing APPs as future leaders and innovators in healthcare.

Clinical:

(Under the supervision of and in collaboration with primary preceptor)

+ Independently and in collaboration with the primary preceptor, attending physician(s), geriatricians, urgent care physicians, and interdisciplinary team members (nursing, pharmacy, social work, care coordination, physical/occupational therapy), provides comprehensive, patient-centered clinical care in primary care clinics, geriatric assessment centers, skilled nursing facilities, home-based primary care programs, and urgent care/walk-in settings.

+ Performs thorough, age-appropriate history and physical examinations, including functional, cognitive, mood, nutritional, fall risk, and frailty assessments, with particular emphasis on geriatric syndromes and acute undifferentiated complaints in urgent care.

+ Accurately documents findings in the EHR, clearly identifying pertinent positives/negatives, red flags, social determinants of health, advance directives, and goals-of-care preferences.

+ Orders, interprets, and acts on diagnostic studies relevant to primary care, geriatrics, and urgent care, including routine labs, ECGs, plain films, urinalysis, rapid strep/influenza/COVID testing, and age-specific screening tests.

+ Formulates evidence-based diagnoses and differential diagnoses for acute, chronic, and preventive care needs across the adult-geriatric lifespan, incorporating multimorbidity, polypharmacy, and deprescribing principles.

+ Develops, implements, and longitudinally evaluates individualized care plans that integrate chronic disease management (diabetes, hypertension, COPD, CHF, CKD, dementia, etc.), preventive health services, immunizations, Medicare wellness visits, and urgent same-day evaluation/treatment.

+ Prescribes and manages pharmacologic therapies with attention to geriatric pharmacodynamics, renal dosing, drug-drug interactions, and deprescribing; recommends evidence-based non-pharmacologic interventions (lifestyle modification, physical therapy, fall prevention, cognitive stimulation, caregiver support).

+ Initiates timely specialty referrals, urgent diagnostic testing, or direct admission/ED transfer when indicated; coordinates transitions of care from hospital/SNF to home or assisted living.

+ Recognizes and rapidly manages acute/emergent conditions commonly seen in primary and urgent care settings (chest pain, dyspnea, syncope, sepsis, dehydration, acute confusion, falls with injury, minor trauma, lacerations, infections) while activating EMS or higher level of care as needed.

+ Incorporates age-, culture-, and health-literacy–specific considerations into every patient encounter; performs shared decision-making, motivational interviewing, and advance care planning, including POLST, Advance Directive, and/or DDNR completion.

+ Advocates for patients and families by addressing social determinants, caregiver burden, elder abuse/neglect reporting, guardianship issues, driving safety, and access to community resources.

+ Serves as a clinical resource and consultant for primary care, geriatrics, and urgent care topics to colleagues, nursing staff, students, and external facilities.

+ Maintains strict confidentiality of protected health information in compliance with HIPAA.

+ Ensures practice meets or exceeds national quality standards through interdisciplinary collaboration and performance improvement.

+ Clearly explains the necessity, preparation, risks, benefits, and follow-up for office-based and urgent care procedures (e.g., joint injections, I&D, skin biopsy, cryotherapy, suturing, splinting, nebulizer treatments, IV fluid administration, etc.) to patients, families, staff, and learners.

+ Performs common outpatient and urgent care procedures after demonstrated competency and privileging, including but not limited to: joint aspirations/injections, trigger point injections, incision and drainage, wound care/debridement, laceration repair, skin biopsy/excision, cryotherapy, cerumen removal, etc.—initially under direct supervision and progressing to independent practice.

+ Meets or exceeds all defined clinical milestones by the conclusion of the fellowship year, as evaluated through multisource feedback, portfolio review, and direct observation.

Leadership:

+ Serves as an exemplary professional role model for colleagues, interdisciplinary team members, the institution, and the broader healthcare community through consistent demonstration of integrity, accountability, and clinical excellence.

+ Exhibits unwavering respect, cultural humility, and collaborative spirit in all interactions with patients, families, staff, learners, and the interdisciplinary care team.

+ Demonstrates emerging leadership by actively mentoring junior APPs, residents, nurses, and students; fostering interdisciplinary teamwork; and championing initiatives that empower others to deliver high-quality care.

+ Advocates for the expanded role and value of Advanced Practice Providers through patient/family education, professional presentations, community outreach, and/or participation in hospital committees or professional organizations.

+ Assumes progressive leadership responsibilities within the fellowship, including (but not limited to) leading quality-improvement efforts, presenting in formal educational sessions, or representing the APP group in departmental initiatives.

+ Meets or exceeds all defined leadership and professionalism competency milestones by the conclusion of the fellowship year, as evaluated through multisource feedback, portfolio review, and direct observation.

MINIMUM REQUIREMENTS

Education: Master’s Degree as an Advance Practice Provider (Nurse Practitioner or Physician Assistant)

Experience: Less than 1 year of experience in desired specialty.

Licensure: Varies by specialty - see below.

Neurosciences: License or license eligible as an Advance Practice Provider (Physician Assistant or Adult Acute Care Nurse Practitioner, Family Nurse Practitioner, or Adult Primary Care Nurse Practitioner) as set forth by the state of Virginia.

Critical Care: License or license eligible as an Advance Practice Provider (Physician Assistant or Adult Acute Care Nurse Practitioner) as set forth by the state of Virginia.

Primary Care: License or license eligible as an Advance Practice Provider (Physician Assistant or Board Certified Family Nurse Practitioner or Adult Primary Care Registered Nurse Practitioner) as set forth by the state of Virginia.

Must demonstrate and maintain all credentialing and licensing requirements of the UVA Medical Center, the Virginia Board of Medicine or the Virginia Board of Nursing, and the appropriate certifying bodies. Must be enrolled with all payers through Delegated Credentialing and can participate in Medicaid and Medicare for billing. Current Basic Life Support (BLS) certification through American Heart Association required. For Critical Care only, current Advanced Cardiac Life Support (ACLS) certification through American Heart Association required.

PHYSICAL DEMANDS

Job requires standing for prolonged periods, frequently traveling/bending/stooping. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 20 - 50lbs. May be exposed to chemicals, blood/body fluids and infectious disease.

Position Compensation Range: -

Benefits

+ Comprehensive Benefits Package: Medical, Dental, and Vision Insurance

+ Paid Time Off, Long-term and Short-term Disability, Retirement Savings

+ Health Saving Plans, and Flexible Spending Accounts

+ Certification and education support

+ Generous Paid Time Off

UVA Health (https://jobs.virginia.edu/why-uva-health) is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide (https://health.usnews.com/best-hospitals/area/va/university-of-virginia-medical-center-6344000) rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s (https://jobs.virginia.edu/uva-childrens) is named by 2023-2024 U.S. News & World Report (https://health.usnews.com/best-hospitals/area/va/university-of-virginia-childrens-hospital-PA6344000) as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

_The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Click_ here (https://eocr.virginia.edu/notice-non-discrimination-and-equal-opportunity) _to read more about UVA’s commitment to non-discrimination and equal opportunity employment._