Advanced Practice Provider (NP/PA/APP) - Critical Care APP Fellow

The staff Advanced Practice Provider Fellow (APP Fellow) is a Board Certified Physician Assistant (PA-C) or Board Certified Acute Care Registered Nurse Practitioner (ACNP-BC or AGACNP-BC) responsible for the provision of care through supervision by and collaboration with an attending physician, with oversight and guidance by a primary preceptor. As an APP Fellow, the clinician will be expected to rotate through specialty critical care units, medical and surgical services as part of advanced post-graduate medical education. As a trainee, the APP Fellow will receive preceptor guidance and teaching delivered by a senior advanced practice provider, senior resident, fellow, or attending physician, dependent upon the clinical rotation. The APP Fellow is expected to manage direct patient care as a dominant aspect of the role. He/she is responsible for coordination of patient care, participation in collaborative medical care with multidisciplinary teams. The APP Fellow is expected to participate in protected, non-clinical didactic education in the form of lectures, simulation, skills labs, case studies, presentations, and other components of the critical care fellow curriculum as determined by the coordinator and director. The APP Fellow is also responsible for completion of an evidence-based practice or quality-improvement project during their tenure as a fellow.

Important Dates:

• Application Closure: March 31, 2024
• Interview notification: no later than April 5th
• Interviews will be held the first 2-3 weeks of April
• First-round interviews will be virtual
• Finalists may be asked to join on-site for a second-round in-person
interview
• Selection and notifications will take place no later than May 3, 2024
• Program start-date: November 11, 2024

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

Clinical:

• Independently and in collaboration with primary preceptor, physician(s) and interdisciplinary team members, provides comprehensive clinical and organizational direction and leadership to the healthcare provider team in the care of patients.
• Performs comprehensive history and physical assessment
• Documents findings noting pertinent normal and abnormal findings
• Orders and interprets the appropriate diagnostic labs and tests
• Forms medical diagnoses based on history, assessment and diagnostic findings
• Develops, implements and evaluates treatment plans
• Prescribes and recommends pharmacological and non-pharmacological interventions
• Initiates appropriate specialty consultations referrals when requisite
• Initiates and evaluates clinical pathways and protocols
• Collaborates with Attendings and/or Fellows regarding admissions and community transfers
• Facilitates the timely flow of patients via collaboration with interdisciplinary team members and supports all interdisciplinary relationships
• Recognizes acute/emergent situations requiring immediate responsiveness and initiates life-saving interventions, alerting primary preceptor and the interdisciplinary team members for assistance
• Recognizes and incorporates age-specific requirements, communicates plan of care with patients and families
• Advocates for patients and family members in educational needs, treatment options, participation in care and ethical issues and patient rights with recognition and consideration of the diverse needs of the individual/family
• Provides consultation in specialty area
• Maintains confidentiality of patient information
• Coordinates meeting applicable clinical standards for all disciplines in collaboration with interdisciplinary team members
• Explains the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient families, staff and students
• Performs designated procedures after demonstrated competency under the supervision of the primary preceptor

Educational:

• Participates in non-clinical didactic education in the form of lectures, simulation, skills labs, case studies, presentations, and other components of the critical care fellow curriculum as determined by the coordinator and director
• Completion of an evidence-based practice or quality-improvement project suitable for publication or presentation during tenure as a fellow
• Acts as a clinical resource, utilizing both formal and informal opportunities for the education of other members of the interdisciplinary team
• Provides education consistent with evidence-based practices and protocols
• Provides outreach and education to the community and within the Advanced Practice arena
• Coordinates meeting applicable educational standards for all disciplines in collaboration with interdisciplinary team members

Leadership:

• Acts