Advanced Practice Fellow - Emergency Medicine

The APPF demonstrates knowledge and competency of core skills related to emergency medicine that serves as a basis for continued growth and progression of skills and pace. The candidate must pass monthly core competency assessments, participate in lecture and ground rounds, be proficient in simulation lab exercises and demonstrate patient care skills commiserate with working in a Level 1 Trauma Center. The APPF role is applicable for a 12 month period.

The Advanced Practice Provider Fellow (APPF) serves as a member of a collaborative health team made up of physicians, physician assistants, nurse practitioners, nursing staff, technicians and various support personnel. Under general physician supervision, provides quality service in a caring and professional manner, actively supporting team efforts to ensure cost effectiveness and service excellence.

The APPF role includes responsibility for identifying the patient's health and medical status through taking of health histories; performing physical examinations; initiating screening and diagnostic procedures; management of minor trauma and acute health problems; health maintenance and clinical management of stable chronically ill patients.

• Participates in a 12 month intense training program in emergency medicine consisting of patient care in a Level 1 Trauma Center, simulation lab training, off service rotations and rotations to community hospitals emergency departments.
• Attends Emergency Medicine grand rounds and lectures, develops beginner and advanced skills in intubation, wound care, Central line and CT insertion. Becomes proficient in basic ultrasound diagnostic abilities..
• Conducts necessary steps to obtain comprehensive health history. Performs basic physical, psychological and developmental assessments using the techniques of observation, inspection, auscultation, percussion and palpation.
• Discriminates between normal and abnormal physical, psychological and developmental findings and appropriately determines when to consult and/or refer the patient to other members of the health care team.
• Assesses, diagnoses, and manages selected acute and chronic illnesses and conditions. Performs or requests laboratory/radiology procedures and/or other screening tests based on age, health history and health assessment. Analyzes and interprets these and other health data. Initiates and implements appropriate treatment plan using established protocols or physician consultation. Administers medications and injections as needed .
• Utilizes automated computer systems, including electronic medical records. Accurately records assessment findings, documenting in a clear and concise manner all actions taken in response to these findings. Documents patient information including, but not limited to treatment procedures, medication refills, test results, patient concerns, etc. in the medical records in a timely manner.
• Coordinates necessary appointments and referrals, including the use of community resources, as the patient's health status dictates .
• Consults with physician, as appropriate, keeping physician informed of needs and problems related to patient care. Recognizes limits in role as APPF provider.

Education: Graduate of an accredited Physician Assistant Program or Nurse Practitioner Program required.

Experience: Clinical experience appropriate to specific practice/ department preferred.

Licensure, certification, and/or registration: Current Physician Assistants or Nurse Practitioner license (PA) required. DEA licensure required. AHA BLS, ACLS certification required. PALS required within 6 months of Fellowship training.

Other Minimum Qualifications: Meets credentialing requirements. Qualifies for malpractice insurance and is accepted by Carilion Clinic's malpractice insurance carrier. Ability to work collaboratively with physicians and other health care providers. Maintains open and supportive communications between all department members and other employees, patients and their family members. Commitment to continued professional development.

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Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

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