Physician Assistant

Steward Health Care is the largest private, tax-paying physician-led health care network in the United States. Headquartered in Dallas, Texas, Steward operates 35 hospitals in the United States and the country of Malta that regularly receive top awards for quality and safety. The company employs approximately 42,000 health care professionals. The Steward network includes multiple urgent care centers and skilled nursing facilities, substantial behavioral health services, over 7,900 beds under management, and approximately 2.2 million full risk covered lives through the company's managed care and health insurance services.

Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.

Principle Clinical Duties and Responsibilities:

• Provides direct patient care, counseling, and teaching to the OB/GYN population in the ambulatory, inpatient, and/or procedural setting
• Performs complete histories and physical examinations
• Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
• Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
• Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
• Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries
• Performs bedside procedures, as appropriate to the patient population
• Act as the first assist in procedural areas or the operating room
• Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
• Practices cost effective medicine in an efficient manner, maximizing available resources
• Demonstrates expert clinical judgment skills to function in an independent role
• Additional duties and responsibilities as required by the OB/GYN department/division

Non-Clinical Duties and Responsibilities:

• Demonstrates professional collaborative and consultative relationships with other providers
• Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report
• Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings
• Maintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workers
• Remains actively involved in continuing education with a commitment to self and departmental growth
• Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation
• Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care
• Participates in QA/QI projects as appropriate
• Additional duties and responsibilities as required by the OB/GYN department/division

Inpatient Clinical Duties:

Competencies and tasks in routine care of hospitalized gynecologic or postpartum patients:

• Perform admission history and physical exam and accurately record in the patient record
• Change surgical dressings, including wound packing and vacs, and removal of sutures and staples
• Write daily progress notes and orders
• Write prescriptions
• Implement attending physician instructions for patient management in close cooperation with nursing staff
• Round with individual residents/teams as requested, report back to team leaders
• Perform procedures within the PA scope of practice and as directed by the attending physician
• Order and interpret appropriate laboratory testing and other special examinations as requested
• Dictate discharge summaries, complete discharge paperwork
• Prepare succinct and accurate sign-out to facilitate the smooth transition of patient care from one PA to another PA or physician
• Assist in making appropriate post hospitalization appointments and referrals
• Communicate with referring health care providers and institutions
• Additional competencies and tasks in routine care of postpartum patients: evaluate stability and progress of routine postpartum patient
• Physical exam: appropriately evaluate uterine size, tenderness; perineal discomfort and healing; quality of Lochia; breast exam; cesarean section incision.
• Vital signs/chart/history: appropriately interpret vital signs in normal postpartum patient and in patient with complications including hypertension, bleeding, infection; appropriately interpret postpartum symptoms/issues including bleeding, lactation, extremity edema and tenderness
• Counsel and educate patients and family about postpartum events, activities, lactation, and contraception

Care of Outpatient Obstetric and Gynecologic Patients

Competencies and tasks in routine care of ambulatory gynecologic or obstetric patients:

• Routine gynecologic and obstetrical examinations
• Perform pap smears
• Diagnose and treat common vaginal symptoms such as yeast, BV and sexually transmitted infections
• Provide contraception counseling and perform IUD and nexplanon insertions
• Endometrial, colposcopy, vulvar and cervical biopsies
• Providing prenatal and postpartum care

QUALIFICATIONS:

• The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination
• BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995
• Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment
• Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts
• Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration
• Must complete 100 hours of CME according to national and state regulations during each two-year period of employment

Steward Health Care is an Equal Employment Opportunity (EEO) employer, Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.

Additional Information

Steward Medical Group is taking additional necessary preparations to ensure patients can receive compassionate care in safe, carefully managed environment with confidence and without fear.

Our Safe and Ready program consists of a rigorous [three-point] standard ensuring patient safety, confidence and convenience.

1. Any COVID-19 related care takes place in designated areas away from other patients and their families.
2. A stringent cleaning policy has been implemented throughout our facilities.
3. A strictly controlled visitor and mask policy is required for patient and colleague safety.