Jun 02, 2021

Physician Assistant - Inpatient Adolescent and Medical Behavioral Unit (multiple positions)

  • The Children's Hospital of Philadelphia
  • Philadelphia, PA, USA

Job Description

Job Summary

CHOP is hiring Physician Assistants to work in the Inpatient Adolescent and Medical Behavioral Units. Position iterations that will be available are: full-time in adolescent, full-time in MBU, and blended role across adolescent and MBU. Please read below to learn more about these opportunities.

Under the supervision of an attending physician, the Front Line Ordering Clinician (FLOC) Physician Assistant is responsible for the direct care and follow-up of a population of patients that matches his/her scope of practice and skill set. This care is delivered in defined inpatient and hospital-outpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The PAs in these roles may be required to have acute/critical care education. The appropriate education will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the FLOC PA may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment.

CHOP’s Medical Behavioral Unit (MBU) is the first pediatric unit of its kind, which brings together a unique collaboration between the Departments of Pediatrics and Psychiatry. This 10-bed locked unit, which opened in 2017, serves a special inpatient population comprised of medical patients, behavioral patients, and those with medical and psychiatric needs. The MBU specializes in seeing patients who have both medical and psychiatric disorders that cannot be treated independently. The patients, ages 2 and up, are treated by a multidisciplinary team made up of medical attending, advanced practice providers, nursing staff, attending psychiatrist, psychiatric NP, psychologist, unit social worker, behavior analyst, case manager, child life specialist, therapy services, and other off-floor consulting teams.

The 22-bed Adolescent inpatient unit APP team consists of NPs and PAs that provide 24/7 coverage. The unit sees patients ages 10 and above who are admitted with medical diagnoses, psychiatric emergencies, and/or malnutrition. The interdisciplinary team consists of medical attendings, APPs, residents, nurses, social workers, a consulting behavioral health team, as well as therapists and specialists. APP team members are active in Quality Improvement, Harm Prevention, Evidence Based Practice and Research. A structured orientation curriculum, with ongoing professional development, is available to all APP team members.

To learn more about our Center for Advanced Practice and innovative programs for our APPs, visit https://www.chop.edu/centers-programs/center-advanced-practice

Job Responsibilities

  • Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care.
  • Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process.
  • Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions.
  • Manages the plan of care through evaluation, modification and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes.
  • Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness.
  • Facilitates the patient’s transitions between and within health care settings.
  • Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members.
  • Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers.
  • Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice.

Required Licenses, Certifications, Registrations

NCCPA - National Commission on Certification of Physician Assistants
PA - Physician Assistant (Practice Location)

Required Education and Experience

Required Education: Bachelor’s/Master’s/Doctorate as applicable to correlating physician assistant program.

Additional Technical Requirements

  • Ability to work in an inter-professional team setting with multiple responsibilities.
  • Ability to use computer and electronic medical records effectively.

    Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role.

Computer Competency

  • Basic use of a computer (mouse, keyboard, printer, USB ports).
  • Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype).
  • Web browsing, intranet search, document access.
  • Use of shared network file space.
  • Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors).
  • Navigation and use of clinical communication systems.

Information Literacy

  • Determines the nature and extent of clinical information needed and uses the appropriate technology to access it.
  • Accesses needed information effectively and efficiently.
  • Evaluates information and its sources critically and appropriately incorporates it into clinical practice.
  • Evaluates outcomes of the use of information.

Information Management Literacy

  • Navigation of the electronic health record system.
  • Ability to locate and review specific patient data in various clinical information systems.
  • Effectively uses clinical decision support tools.
  • Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems.
  • Ability to collect clinical data using quality improvement tools.