ADDENDUM (BWH Orthopedic Surgery):

The Physician Assistant in the BWH Department of Orthopedic Surgery will work with several orthopedic surgeons as well as various fellows and residents in the Foot and Ankle Division. Time may be divided between the inpatient setting, outpatient clinic, operating room, and administrative tasks for patient care.

While the PA can expect a relatively predictable work schedule planned in advance whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to assist with coverage for other physicians, primarily within their division. Permanent adjustments to work schedule/location/type may occur as needs of department change over time. Additionally, the PA may cover various ambulatory clinic sites, surgicenters, and hospitals which may change over time based on need.

The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.

The PA in orthopedic surgery must have the ability to work in a high stress clinical environment and must be able to take direction well. The PA should demonstrate good ethical judgement and be a team player.

Work will require exposure to radiation, needles and other sharps, and possibly surgical cement. Prolonged standing and fast paced environment can be expected. Will require travel to multiple work sites.

Massachusetts Controlled Substance Certificate, DEA licensure, and NCCPA certification required.

Must complete 100 hours of CME every 2 years according to national and state regulations.

BLS and ACLS certification are required upon hire/at initial appointment. Thereafter the PA must maintain BLS certification, but ACLS certification is optional.

PA II

Must have at least 4 years of PA experience and 1 year of orthopedic experience

Must precept at least 1 student for 1 day per year.

The PA II must demonstrate leadership through hospital and community activities, PA education, professionalism, continued medical education, and advanced clinical skill and competencies.

Must demonstrate 3 areas of leadership per year:

* Arrange for a presenter for monthly Ortho PA meeting (not a BWH Ortho PA)

* Arrange an event or group outing for the Ortho PAs

* Publish in a journal, magazine, etc.

* Initiate and/or maintain a quality improvement or leadership project (ie conference emails, opioid education, patient education materials; Must be approved by Ortho PA leadership)

* Organize an Ortho PA STRATUS training session

* Organize and teach a patient education class (ie spine class)

* Regularly attend and be an active participant in a BWH/FH committee

* Serve as Ortho PA representative at a MGB/BWH PA career fair (minimum 1 hour)

* Serve as PA representative at a local high school career fair

* Participate in community outreach as representative of orthopedic department.

* Other form of leadership (must be approved by Ortho PA leadership)

The PA II must demonstrate commitment to onboarding and training new PAs in the department. The PA II must also demonstrate advancement of their own education/professional growth and/or that of fellow PAs and PA students.

Must demonstrate three areas of education per year:

* Serve as an onboarding mentor for a new PA in department of Orthopedic Surgery

* Precept a PA student for 4 days (days may be spread between multiple students)

* Host 2 prospective shadowers/students (half day each)

* Lecture to PA students at any accredited PA school

* Attend Ortho STRATUS training session

* Attend 8 weekly division/specialty conferences in the department

* Attend 4 PA Grand Rounds (BWH or FH)

* Present at any PA Grand Rounds (BWH or FH)

* Present at any Ortho PA meeting

* Maintain ACLS certification.

* Other form of education/training (must be approved by Ortho PA leadership)