The primary role of the physician assistant will be to participate in the assessment care of nephrology patients, under the supervision of the attending nephrologist. There will also be opportunity to assess and manage patients in an outpatient setting including in-centre and satellite dialysis units at RVH. All activity will be under the direct supervision of a nephrologist and within medical directives endorsed by the RVH medical advisory committee.
Responsible to: Medical Director, Renal Program Manager, Academic & Medical Affairs
Qualifications: Education:
Graduate of a Canadian or United States Accredited Physician Assistant Education Program
Eligible to challenge the National Physician Assistant Certification Exam or Canadian Physician Assistant Certification
Basic Cardiovascular Life Support (BCLS/BLS) and Advanced Cardiovascular Life Support (ACLS). Candidates must possess or be eligible to obtain certification upon employment.
Experience:
At least one year experience working in an acute care/inpatient setting.
Preference will be given to candidates with experience in nephrology.
Competencies:
Integrate all the core PA competencies to provide optimal, ethical and patient-centred medical care.
Perform a complete and appropriate clinical assessment of a patient and formulate a clinical treatment plan.
Use preventive and therapeutic interventions effectively.
Demonstrate proficient and appropriate use of diagnostic and procedural skills.
Recognize their scope of practice while demonstrating effective and appropriate consultation practice with other healthcare professionals in respect to patient care, education and legal opinions.
Responsibilities: Clinical Assessment of Patients:
Obtain health history as appropriate, including patient demographics, chief complaint, history of the present illness or injury, past medical, surgical, family and psychosocial history, medications, allergies and systems review.
Conduct comprehensive and focused physical assessments and interpret findings. This includes assessment of vital signs and examination of all major body systems.
Order and complete preliminary interpretation of necessary diagnostic tests, which may include, but are not limited to, hematology, microbiology, chemistry, serology, urinalysis, blood gas, pathology, ECG, and plain film x-ray.
Utilize primary and secondary assessment results to formulate a differential diagnosis and determine if further clinical investigation is required.
Demonstrate at least an academic understanding of the performance of the following diagnostic procedures:
Collection of blood samples (arterial and venous), including point of care.
Collection of secretions and bodily fluids (sputum, wound drainage, urine, and PD fluid).
Communication:
When/as directed by a registered physician:
Provide relevant information and explanations, including a proposed treatment plan, to the supervising physician and seek further direction where appropriate.
Provide education to patients, families and other health providers as appropriate to the clinical setting.
Communicate with other members of the health care team and other hospital departments, both orally, in writing and electronically.
Medical Documentation and Record Keeping:
Maintain clear, accurate and appropriate records of the patient encounter and management plan.
Admission notes, progress notes and discharge notes as needed.
Dictated records as appropriate.
Consultation requests.
Other types of documentation as required by the particular setting.
Consultation with Renal and Multidisciplinary Team:
Collaboration with all aspects of the renal team including (but not limited to) physicians, nurses, nurse practitioners, clerical staff, technicians, physiotherapists and occupational therapists, social workers, patient representatives and administrative staff to provide optimal care for patients.
Collaboration with Affiliated Services (including Regional Sites):
General Internal Medicine and Hospitalists
Emergency Department
Medical Subspecialties including Intensive Care
Surgery
Radiology
Pathology
Supervision:
While not a requirement to exercise supervision, it is inherently a tenant of healthcare professions. There may also be opportunities for supervision/teaching roles as the Physician Assistant program grows at RVH; occasionally explains work procedures to new or inexperienced employees.
Benefits:
Competitive Benefit Package including extended health benefits (prescription drugs, paramedical services, vision, dental, hearing, orthotics, medical equipment & supplies, private duty nursing, travel insurance, semi-private hospital), pension plan, life insurance, accidental death & dismemberment insurance, disability income protection (short-term disability, long-term disability), maternity and parental leave supplemental unemployment benefit and personal spending account.
Vacation: 4 weeks (20 days)
Position is eligible for shift premiums whereby the employee receives additional compensation for hours worked in specific circumstances (i.e., evening, night, weekend, standby, call back).
Employee and Family Assistance Package
Wellness Centre
Dedicated Green Space
Education Trust Fund Opportunity
Opportunity to join an incredibly robust and developed Physician Program with growth potential!
Address & Location of Work: 201 Georgian Drive, Barrie, Ontario, L4M 6M2, Canada
Start Date: As soon as possible
Number of positions available: 1
Language of work: English
This is a permanent, full-time position based on 37.5 hours per week. Position may be required to work evenings & weekends.