Emergency Medicine Physician Assistant Fellowship (Applications accepted until June 15, 2025)

Emplify Health by Gundersen is looking to fill a Physician Assistant fellowship opening on our emergency medicine team. Applicants need to be able to obtain their WI PA license by October 1, 2025 to qualify. Emergency Medicine PA Fellows at Gundersen are licensed physician assistants that have chosen to advance their knowledge and skills through hands-on training in our emergency rooms and at our world-class education center. During the 18-month program, fellows work in our urban and rural emergency departments in addition to cycling through Anesthesia, Obstetrics, MICU, SICU, PICU, Interventional Radiology and EMS rotations. We offer ATLS, ACLS, PALS and NRP certifications.

We designed our program using guidelines set forth and published by the Society of Emergency Medicine Physician Assistants and the American College of Emergency Physicians.

The Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) has granted Accreditation-Clinical Postgraduate Program status to the Emergency Medicine Physician Assistant Fellowship sponsored by Gundersen Medical Foundation.

Program Overview of the 18 Month Program:

The yearly schedule is 13 four-week blocks. The start and end of rotation blocks will not exactly match the monthly calendar.

Orientation: Each fellow will participate in an orientation course to take place during their first month to orient him/her to the basic skills necessary for working in the emergency department. During this block, they will also work shifts in the main ED in La Crosse.

Anesthesia: Each fellow will participate in a two-week anesthesia rotation in the fall of their first year. This will take place in the OR at Gundersen Medical Center in La Crosse. Fellows will rotate with the anesthesiologists with a goal of performing at least twenty endotracheal intubations, as well as various other airway techniques.

Trauma service: Each fellow will carry a trauma pager on their shift in the emergency department. Per our agreement with the trauma service, fellows will be intimately involved in all traumas. Fellows fill an assigned role during each trauma as established on a patient-by-patient basis with the trauma team. Documentation of all resuscitations and procedures in MedHub will be the fellow's responsibility.

La Crosse Emergency Services: This is the main emergency department in which most clinical training will take place. Each fellow will work up to a maximum of 50 hours per week of scheduled clinical time in the emergency department; with an average of 45 clinical hours per week.

Regional Emergency Departments: Once orientation is complete each fellow will begin to rotate through at least one or two of Gundersen's affiliated critical access hospitals' emergency departments on a regular monthly basis for up to two (12 hour) shifts per block. The critical access hospitals include but are not limited to Tomah Memorial Hospital in Tomah, WI; Tri-County Memorial Hospital in Whitehall, WI.

Rotations: To augment the exposure, knowledge, and skills of the fellow additional rotations will be arranged. The standard rotations include Anesthesia, EMS, Interventional Radiology, Obstetrics, Medical/Surgical Intensive Care Unit, and Neonatal/Pediatric Intensive Care Unit. These may vary slightly in any given year due to the availability of adequate staffing to accommodate all rotating residents and fellows.

Didactics: One day per week, there will be a 4-hour didactic session of various topics in emergency medicine. Once per month, in place of the weekly didactic session, there will be a 3-4-hour session in the ICE House simulation center where both common and rare procedures will be taught and practiced. Each fellow is also expected to complete at least one hour per week of Rosh Review topics. Near the program's completion, fellows will have the opportunity to participate in the didactic instruction of other learner

Gundersen Health System is:

• Not-for profit healthcare system
• Located throughout western Wisconsin, northeastern Iowa and southeastern Minnesota caring for patients in 22 counties
• A regional referral center with regional hospitals
• A teaching hospital with 325 beds and a Level II Trauma and Emergency Center
• The designated Western Academic Campus for the University of Wisconsin School of Medicine & Public Health
• We offer a competitive salary, loan forgiveness, generous benefits, including CME time and monetary allowance, retirement plan and more.

Emplify Health is comprised of two of the Midwest's most respected healthcare systems, Bellin Health and Gundersen Health System. Once neighbors, we are now partners, united in our mission to provide exceptional care to our communities. As a not-for-profit, patient-centered healthcare network, we have headquarters in Green Bay and La Crosse, Wisconsin. Our extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota and Michigan's Upper Peninsula. With over 4,500 dedicated nurses and providers, we are committed to delivering primary, specialty and emergency care, along with innovative medical education programs. Join us in making a meaningful difference in the lives of our patients and communities.

About La Crosse:

La Crosse is a historic, vibrant city nestled between bluffs and the legendary Mississippi River. The region boasts great year-round outdoor recreation, excellent schools including three universities, affordable housing in safe neighborhoods. La Crosse is a town of an endless variety of live entertainment and breathtaking beauty, making this a great place to call home.

Must have completed an accredited program and be eligible to obtain a license to practice in our multi-state region with no restrictions or limitations. Advanced practice clinicians work under the direct supervision of a physician. Clinician staff may need to provide outreach service as part of their role in the system. Teaching students, residents, fellows or clinical staff is cornerstone to our Medical Education philosophy and an expectation of all clinicians.

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