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40 hpw

Job Description:

Physician Assistant (PA)

Beth Israel Deaconess Hospital–Plymouth

Beth Israel Deaconess Hospital–Plymouth (BID-Plymouth) is committed to the core values of **Integrity, Respect, Trust, Teamwork, and Excellence** . The organization follows the **LEAN methodology** to provide a full continuum of healthcare services and deliver the highest quality, patient-centered care.

Position Summary

The Physician Assistant (PA) provides comprehensive medical care to patients under the supervision of a licensed physician at BID-Plymouth. The PA practices in a variety of clinical settings, including but not limited to inpatient units, outpatient settings, emergency care areas, and the operating room.

Scope of Practice

Under the supervision of the Supervising Physician or designee, the PA may perform all services that are:

+ Within the PA’s demonstrated competence, as determined by the Supervising Physician and/or Chief PA

+ Within the scope of services for which appropriate supervision can be provided to ensure accepted standards of medical practice

The PA** **may not** **:

+ Administer general anesthesia

+ Perform procedures involving ionizing radiation, except in emergency situations and only under the direct supervision of a licensed physician

+ Render formal medical opinions regarding procedures involving ionizing radiation

Supervision and Protocols

Major Invasive Procedures

Major invasive procedures must be performed under written protocols developed by the Supervising Physician, Chief PA, and PA. Supervision levels include:

+ **Tier 1:** Supervising Physician/Chief PA present in the room

+ **Tier 2:** Supervising Physician/Chief PA present in the building

+ **Tier 3:** Supervising Physician/Chief PA available by telephone

Surgical Consultations

Surgical consultations are conducted under written protocols that define supervision and communication requirements according to the **Surgical Consultation Hierarchy** :

+ **Tier 1:** All admission requests to the surgical service

+ **Tier 2:** All life-threatening consultations

+ **Tier 3:** PA discretion

Duties and Responsibilities

Clinical Responsibilities

+ Perform comprehensive and problem-focused histories and physical examinations

+ Diagnose and treat illnesses and injuries

+ Order, perform, and interpret laboratory and diagnostic studies

+ Formulate and implement treatment and therapeutic plans

+ Prescribe medications in compliance with state and hospital guidelines

+ Educate and counsel patients and families

+ Render emergency care

+ Facilitate referrals to appropriate physicians or agencies

Surgical Responsibilities

+ Perform first and second assistant duties in surgery across all subspecialties

+ Assist with surgical procedures, including suturing, wound closure, dressing placement, drains, and wound vacs

+ Obtain informed consent and educate patients and families preoperatively

+ Perform and document surgical consultations and preoperative histories and physicals

+ Review all pertinent laboratory and imaging studies prior to surgery

+ Order all required preoperative labs, studies, medications, and preparations

+ Write postoperative orders in the recovery room

+ Communicate with families postoperatively

+ Perform postoperative evaluations, procedures, and documentation

Inpatient and Hospital Care

+ Conduct daily hospital rounds as required

+ Write admission orders, progress notes, and discharge summaries

+ Perform all admission histories and physicals

+ Evaluate and clarify clinical conditions of hospitalized patients

+ Manage discharge planning, including prescriptions and patient instructions

+ Provide surgical coverage for postoperative patients on general wards and in critical care units

+ Remain available for inpatient consultations in the Emergency Department, ICU, and inpatient floors

+ Provide coverage for all surgical subspecialty patients admitted to BID-Plymouth

Required Qualifications

Education

+ Graduate of an accredited Physician Assistant program

Licensure

+ Current Massachusetts Physician Assistant license

Physical and Environmental Requirements

This position requires:

+ Frequent bending, carrying, pulling, pushing, reaching, standing, stooping, walking, and lifting over 10 pounds

+ Occasional stair climbing, prolonged sitting, and lifting of 50–100 pounds

+ Constant use of hearing, vision, and speech

+ Frequent use of smell and touch

+ Frequent keyboard and telephone use

+ Sustained concentration and problem-solving ability

Pay Range:

$136,094.40 USD - $185,078.40 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled