PA Fellowship- Acute Care

           Job Summary / Job Purpose

This job is a 12- month training position that utilizes an interprofessional approach and professional development to prepare an advanced practice fellow to embrace the independent and fast-paced role of an Advanced Practice Provider.

The program will include seven required core rotations and 12 weeks of elective time. There will be didactics, precepted and autonomous practice and clinical skills preparation.

The curriculum will focus on knowledge advancement, professional development, leadership, interprofessional communication, diversity and inclusion, and self-care practice.

All fellows will work under the direct supervision an assigned APP preceptor in addition to physician colleagues and program director leadership.

At the end of this program the APP fellow will be able to independently practice using critical thinking skills and care plan development to progress their patients throughout the continuum of the healthcare system.

Fellows are expected to identify health disparities and collaborate with other members of the health care team to meet the needs of the patient population we serve.

** IMPORTANT_ below is REQUIRED **

Please include with your CV a personal statement, as a word document, addressing:

#1- Based on what you know about the APP role within health systems please explain how you can positively contribute to UofL Heath and the patients it serves while participating in the fellowship program?

#2- After having gone through an intense academic program, what tools did you use to make self-care and wellness a priority?  And how would you apply those to this rigorous fellowship?

#3- This fellowship will rotate you through a general acute care curriculum and clinical experience.  What are your short and long-term professional goals? How does this fellowship support those goals?

Send your updated CV and a word document of the questions with answers to randi.ragan@uoflhealth.org 

           Essential Functions

·         Provide direct patient care to an assigned load of patients determined by the service assigned.

·         Perform comprehensive relevant health, social, medical history and performing thorough physical assessments.

·         Identify and evaluate health and social disparities influencing a patient’s health and well-being.

·         Diagnose and understand the etiology of the chief complaint and be able to develop a plan of care for that patient, while considering cost       reduction, health equity, and diversity in those plans of care.

·         Identify priorities to satisfy the needs of the patient, family, and community.

·         Order and interpret appropriate labs and tests, while reducing waste and promoting maximum benefit to the patient.

·         Order and monitor effects and response to medications, therapies, and other interventions.

·         Review documentation and being prepared for rounding with the physician team to provide additional details to positively impact patient rounds.

·         Consult appropriate services and provide them with a succinct synopsis of the patient and reason for the consultation.

·         Ensure thorough patient/family education of identified learning needs considering health literacy, ensure appropriate follow-up arranged, and communicate clearly with patients and families next steps in their care.

·         Implement plans of care that are appropriate and inclusive of the patients’ preferences, beliefs, and abilities.

·         Function as a patient and family advocate always.

·         Evaluate effectiveness of interventions, tests, and medications ordered and modify plan of care as required.

·         Complete documentation of care provided in a timely manner in EHR.

·         Take care of any administrative and/or clerical duties in a timely manner.

·         Perform in all fellowship planned activities (didactics, lectures, KNOW modules, and any other assigned activity) as scheduled, complete all prework prior to starting a rotation, and submitting any assigned work or evaluations on time.

·         Maintain at a minimum monthly meeting with the Program Director.

·         Must be organized and able to keep track of own responsibilities.

·         Develop and maintain professional and effective communication skills.

·         Participate in all service-based education offerings while adhering to any dress code or preparation standards provided to you.

·         Maintain fellowship journal that will be used for evaluations and regular check-in meetings with program director.

            University of Louisville Hospital Core Expectations

Collaboration & Teamwork works cooperatively and collaboratively with others toward the accomplishment of shared goals.

Valuing Diversity: recognizing and embracing the unique talents and contributions of others.

Service Orientation: desire to serve and focus one’s efforts on discovering and meeting the needs of internal and external customers.

Achieves Results reflects a drive to achieve and outperform. Continuously looking for improvements. Accepts responsibility for actions and results.

Organizational Alignment: ability to align people, processes and organizational structure with UMC’s strategic direction.

Developing Others: views people, their knowledge and capabilities as assets and provides opportunities that allow employees to continuously learn and develop.

Communication: practices attentive and active listening and can restate opinions of others; communicates messages in a way that has the desired effect.

Integrity: conducts business with honesty and professional ethics. Seeks to achieve results in the best interest of the organization. Models and reinforces ethical behavior in self and others.

Additional Responsibilities:

• Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor always.

• Adheres to and exhibits our core values:

 *Integrity: Moral wholeness, soundness, uprightness, honesty, and sincerity as a basis of trustworthiness.

*Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.

• Maintains confidentiality and always protects sensitive data.

• Adheres to organizational and department specific safety standards and guidelines.

• Works collaboratively and supports efforts of team members.

• Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff, and the broader health care community.

Skills, Knowledge, or Abilities critical to this role: Must understand basic anatomy and physiology and prescribing practices. Have baseline understanding of the history and physical examination process. Feel comfortable with learning to do skills and procedures as opportunities arise.

Language Ability:  Must be able to communicate effectively in both verbal and written formats. Must also be willing to learn the communication tools available to them.

Reasoning Ability:  Must be able to use clinical knowledge, assessments, and evidence-based practice to develop plans of care, and order appropriate medications and interventions.

Computer Skills: Must have some baseline computer knowledge regarding EHR and typing notes into the medical record. Fellow will get training on the computer system used and will gain further education in clinical practice.

             Job Requirements / Qualifications

Education / Accreditation / Licensure (required & preferred):

• Graduated from accredited Acute Care NP program or a Physician’s Assistant/Associate program. REQUIRED
• Must have taken and passed any licensing exams/boards. REQUIRED
• Must hold an active license to practice in the state of Kentucky. REQUIRED