MUSCP - Advanced Practice Provider Fellowship (APP - NP/PA) - Department of Surgery: Cardiothoracic

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Job Description

Job Summary/ Purpose: This one-year fellowship focuses on intraoperative and clinical experiences, as well as a robust didactic curriculum, to provide well-rounded education intended to fully prepare an APP for a full-time position in cardiac surgery. Ideal candidates would be a new APP or an APP wishing to change specialties. The APP fellowship will provide a primary surgical training experience, as a first assist in the OR, along with rotations on the inpatient service team, CVICU, and outpatient clinic, allowing the fellow to perform the highest level of care through their ability to triage, evaluate, treat, and manage cardiac disorders. Additionally, the APP Fellow will have the opportunity to learn and complete competencies on various procedures such as Endoscopic saphenous vein harvest, central venous catheters, arterial catheters, and chest tube placement. APP Fellows will be supported throughout the fellowship by the departments APP Lead as well as APP mentors, physician residents and physician leaders.

Fair Labor Standards Act Status: Salaried

Hours per week: Extended clinical schedule with additional didactic requirements

Scheduled Work Hours/Shift: October 2024 through September 2025. Varied schedule based on location of rotation.

Patient Population Focus
Cardiac Surgery

Patient Population Age Range
13 years-death

Required Minimum Training and Experience

Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below.

• Physician Assistant

or

• APRN

  • AGPNP/ANP (Adult Gerontology Primary Care NP or Adult NP): Adult pts (13 years to death), stable chronic disease state management or primary care setting. (Select if Adult ICU)
  • FNP (Family NP): (birth to death) Stable chronic disease state management, primary care across the lifespan. (FNP must always be listed on all postings)

Required Experience: APRNs must have RNFA (registered nurse first assist) certification prior to starting the fellowship.

Preferred Training and Experience

Preferred Training: Physician Assistant or if APRN License Type/Certification:

• Physician Assistant

Or

• APRN

  • AGACNP/ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.)

Degree of Supervision
Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician and APP Lead for Cardiac Surgery.

Required Licensure, Certifications, Registrations

All certifications must be current and complete prior to start date:

Basic Life Support (BLS).

Advanced Cardiovascular Life Support (ACLS)
If applicable, DHEC and DEA license applications must be started prior to first day.

 

Job Duties

Provides direct care to patients through the following activities:

• Takes comprehensive history and performs physical examinations 
• Rounds with cardiac surgical team in am and pm.
• Attends weekly TSDA and Valve team teaching conferences
• Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline 

• Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief  

  • Examples: Endoscopic saphenous vein harvest, Chest tube and pacing wire removal, arterial line placement, ultrasound guided IV placement, wound vac placement, simple suture, etc. 
• Initiates referrals to other health care providers, and/or consults with the attending physician or the collaborating physician 
• Utilizes current research and evidence-based decision-making in all clinical practice 
• Performs and participates in quality/performance improvement activities and clinical research 
• Participates in and supports accreditation, compliance, and regulatory activities of the organization 
• Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education 
• APP must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law 
• Assists in the Operating room.
• Works in the outpatient clinic setting meeting all documentation and billing requirements.
• Participates in MUSC APP Fellowship activities and education

Physical Requirements

Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces. 

Additional Job Description

Required Minimum Training and Experience: Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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