Title: Physician Assistant
Department: Nephrology
Hours of Work: Full-Time Position; (8 hour shifts)
Renal Operating Hours: Monday through Saturday 7:00 AM to 11:00 PM
Hourly Wage: $49.05 -$63.17per hour + benefits/pension
Evening Night Premium ($2.98/hour)
Weekend Premium ($3.14 per hour)
Union: OPAA (Ontario Physician Assistant Association)
Location: Kingston General Hospital site
POSITION SUMMARY:
The Hospital will ensure that the Physician Assistant (PA) participates in patient care under the direction of a supervising Nephrologist physician(s) at all times. In general, the successful candidate will provide support to the in-hospital Nephrology ward, consultation service; though periodic participation in out-patient clinics may be requested as time permits.
The role is focused predominantly on the care of patients whose care has evolved to a more chronic nature, however, periodic participation in the management of more acute patients is included in the role.
The role may include but is not limited to:
- Support Nephrology patient care: Perform comprehensive and problem-focused histories and physical examinations; perform appropriate laboratory and diagnostic studies, perform minor procedures (i.e. Removal of permanent dialysis catheters);
- Provide broad clinical support in the management of in-patients diagnosed with acute, chronic and end-stage renal insufficiency;
- Provide, monitor, and adjust dialysis orders for patients with acute, chronic and end-stage renal insufficiency including selection of dialysate, ‘dry weight’, and erythropoietin dosing;
- Provide electronic medical record dialysis prescriptions at the time of hospital admission and discharge
- Support continuity of care through liaison with medical staff and other allied health care providers, including those in the renal unit and satellite dialysis units;
- Support patient referral and transfer to and from other facilities including dialysis units and other hospitals;
- Provide education to patients and families;
- Support discharge planning in the units;
- Support educational deliverables of the division including teaching of medical students, residents, and fellows;
- Support research deliverables of the division including enrolment to clinical trials;
- In-person and/or telemedicine visits to satellite dialysis units and clinics
- Administrative/office duties: Follow-up of lab results/imaging study reports, contact patients post-discharge as required. Participate in Nephrology quality improvement activities.
Reporting:
- In addition to the supervising Nephrologist attending physician, the PA will also report to a Division Chair of Nephrology for clinical duties and the VP of Medical & Academic Affairs as it relates to administrative items/duties.
RESPONSIBILITIES & DUTIES INCLUDE:
The role may include but is not limited to:
- Provide clinical/professional leadership within the organization.
- Support, advise, counsel, and educate regarding options, treatments, and practices in the delivery of care.
- Conduct interventions with and/or advocate on behalf of patients.
- Determine clinical/professional educational needs; provide/coordinate programs and resources.
- Provide support and interventions to resolve issues and conflicts.
- Contribute to clinical/professional/personal development through mentoring and coaching.
- Assess and improve quality of client/system outcomes through evidence-based practice.
- Conduct and support clinical research and academic initiatives.
- Assess, develop, implement, and evaluate process/practice improvement initiatives.
- Contribute to and ensure the development and maintenance of policies, procedures, practices, and performance standards
- NOTE - The above duties are representative but are not to be construed as all-inclusive. A complete job description is available from People Services on Watkins 4.
BASIC QUALIFICATIONS:
- Must hold U.S. or Canadian BSc (PA), equivalent degree or equivalent experience, or Department of Defense (Military) education/experience.
- Must be certified by either the National Commission on the Certification of Physician Assistants (in the U.S.) or the Physician Assistant Certification Council of Canada.
- Must meet the competencies outline by the province in the Defining the Physician Assistant Role in Ontario (http://www.healthforceontario.ca/UserFiles/file/AHP/Inside/PA-role-april-2007-en.pdf).
- Minimum of 3 years of PA experience is preferred. Prior experience or knowledge in general internal medicine and/or nephrology will be considered an asset
- Strong bedside manner, able to make emergency decisions quickly.
- Demonstrated ability to educate patients and families
- Demonstrated leadership and collaboration skills within the interprofessional care team
- Excellent interpersonal, communication, presentation, and documentation skills
- Demonstrated ability to work both independently and collaboratively with all team members
- Evidence of strong mentoring, teaching, team building, change leadership, organizational and prioritization skills, with the ability to work well in stressful situations
- Demonstrated ability to effectively deal with conflict situations and proactively and effectively resolve issues impacting on quality and continuity of care
- Exceptional time management, organizational and prioritization skills
- Demonstrated ability to problem solve and make evidence-based decisions
- Demonstrated critical thinking and decision-making skills
- Demonstrated ability to interpret/participate in research
- Demonstrated knowledge of computer database and data analysis and ability to work with electronic medical records
- Demonstrated ability to interpret and participate in research activities
- Satisfactory criminal reference check and Vulnerable sector search required
PHYSICAL REQUIREMENTS:
The applicant must be able to meet the physical demands of this position.
We thank all applicants, but only those selected for an interview will be contacted. Kingston Health Sciences Centre is committed to inclusive and accessible employment practices.
If you require an accommodation to fully participate in the hiring process, please notify the Recruitment Team.
KHSC is located on the ancestral lands and waters of the Anishinaabeg and Haudenosaunee and serves a wider geographical area that encompasses many Indigenous communities including Tyendinaga, Katarokwi, as well as communities within the Weeneebayko Area Health Authority. As we partner in care, discovery, and learning to achieve better health outcomes for our communities, KHSC is committed to actively advocating for and acting upon the Truth and Reconciliation Committee’s Calls to Action on Health.