Physician Assistant, Home Based Primary Care Prog

4 weeks ago


Toronto, Canada University Health Network Full time

Job Posting # 914642

Job Title**:Physician Assistant, Home Based Primary Care program**

Location: Toronto Western Hospital

Clinical Area: Toronto Western Family Health Team

Reports To: Department Head, Family and Community Medicine

Salary Range: $90,675 - $113,354 per annum (Commensurate with experience and consistent with UHN Compensation Policy)

Hours: 37.5 hours per week

Status: Permanent full-time

DESCRIPTION OF CITY:
The city of Toronto is located in southwestern Ontario and is Canada’s largest city with a population of more than 3 million. Situated on the shore of Lake Ontario, Toronto is a cosmopolitan city that is world renowned for its multicultural neighborhoods, festivals, museums, arts, theatre and sporting events.

DESCRIPTION OF EMPLOYER:
With a long tradition of groundbreaking firsts and a vision of achieving global impact through exemplary patient care, research and education, the University Health Network (UHN), Canada’s largest research teaching hospital, brings together some of the world’s top medical, research and clinical specialists. The University Health Network, frequently ranked among Canada’s Top 100 Employers, represents the coming together of shared values and diverse expertise in patient care, research and education. Each of our facilities - Toronto General Hospital, Princess Margaret Cancer Centre, Toronto Western Hospital and Toronto Rehabilitation Institute - makes a unique contribution to the whole. Together, we create something far greater than the sum of our parts. UHN is a caring, creative place where amazing people are amazing the world. UHN is a fully affiliated teaching hospital within the University of Toronto.

The department of family medicine is an academic and clinical service unit linked to the Toronto Western Family Health Team (TWFHT), serving the primary care needs of the Midwest Toronto area. Embedded within the TWFHT is a home based primary care program with team members that include nursing, nurse practitioners, and physicians.

UHN has developed comprehensive PA Medical Directives, a PA Council and leadership structure to assist PAs and their supervisors with on-boarding, organizational issues and support.

:
The TWFHT Physician Assistant (PA) will be based at the academic Toronto Western Family Health Team and will work collaboratively on our established team of clinicians in providing frail homebound elders in mid west Toronto access to primary care at home and meaningful integration with community, hospital, and specialty care partners.

The TW-FHT Home-Based Care Team (HBCP), established in 2012, strives to provide home bound frail elders access to high-quality, comprehensive, interprofessionally-delivered primary care. The care providers offer home visits 5 days a week, 9 a.m. - 5 p.m., with after hours access through the FHT after hours call line. In addition to chronic disease management, basic urgent care services, referrals and coordination with specialty and community care, primary mental health care, and health promotion, the team is able to support palliative and end-of-life care for our patients.

The HBCP offers a PA an opportunity to practice comprehensive primary care with time and opportunity to provide meaningful, one-on-one care to each patient, educating them and their loved ones and focusing on their individual, holistic needs—all with the benefit of seeing and identifying environmental health or safety risks and medical, social, or emotional problems that wouldn’t be detected in an office visit.

Recruitment of a PA to the HBCP will propel our team forward in our goal of centralizes care coordination for patients and their families. With a PA performing daily home visits and developing connections with patients and families, we will optimize the scope of practice for providers involved in care of frail homebound elders. At the centralized hub would sit the patient, known to their primary clinicians (PA and MD/NP). The PA clinical lead becomes the “eyes and ears” of the home-based care team, conducting routine visits, and triaging urgent issues. MD and NPs would remain available for necessary visits and urgent phone/virtual follow ups.

Clinical Duties:

- Home Visits In-Person
- New patient/complex care plan establishment
- Routine follow-up primary care/chronic complex care management
- Urgent care
- Phone Management
- Triage and manage patient issues in co-ordination with nursing, NP, resident, or MD
- Resident Partnership
- Perform 1-2 joint home visit(s) with resident for new or follow-up patient(s)
- Triage and manage resident patient issues in co-ordination with nursing, NP, resident, or MD
- Co-Lead HBPC Team Rounds
- Review each active patient
- Engage with team in care plans
- Liase with involved professionals re: care plans; delegate
- Review new referrals for appropriateness; schedule visits

Clinical Administrative
- Coordinate sign-off labs and other investigations HBCP mailbox in co-ordination wit


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