Physician Assistant

**Job Description**:
**Position Summary**:
The primary role of the PA will be to provide inpatient, outpatient and emergency room care to Gynecologic Oncology (GO) patients. The PA will provide this care using evidence-based clinical practice standards and will adhere to established protocols. All activity will be under the direct supervision of a Gynecologist Oncologist or designate and within the RVH Medical Directives.

**Education**:

- Secondary School Diploma or Equivalent
- Undergraduate Degree
- Graduate of a Canadian or US Accredited Physician Assistant Education Program
- Eligible to challenge the National Physician Assistant Certification Exam, or Canadian Physician Assistant Certification -Mandatory
- BCLS and ACLS

**Experience**:
**Competencies**:

- Integrate all the core PA competencies to provide optimal, ethical and patient-centred medical care
- Perform a complete and appropriate clinical assessment of a patient and formulate a clinical treatment plan
- Use preventive and therapeutic interventions effectively
- Demonstrate proficient and appropriate use of diagnostic and procedural skills
- Recognize their scope of practice while demonstrating effective and appropriate consultation practice with other healthcare professionals in respect to patient care, education and legal opinions
- Strong prioritization skills and adapts quickly to change
- Accountable with sound decision making, interpersonal, and communication skills
- Self-directed and able to respond changing demands

**Responsibilities**:
**Clinical and General Responsibilities**
- Independently perform daily rounds (including assessment, management planning and documentation) on all patients admitted to the service and any off-service patients requiring Gynecologic Oncology care
- Arrange and carry out appropriate discharge plans including coordination of appropriate outpatient and community supports
- Perform comprehensive assessments, make differential diagnoses, order appropriate testing, coordinate and plan the management of GO patients requiring admission from the Emergency Room or outpatient clinic
- Assess and manage unanticipated clinic visits for GO patients presenting with acute issues not requiring emergency care
- Assess and manage over the phone, GO patients contacting the SMRCC with treatment or disease related questions or concerns
- Conduct well follow-up visits through the SMRCC outpatient clinic
- Assist in triaging new patient referrals to the program
- Actively participate in GO program development, database management and quality improvement

**Communication**
- When/as directed by a physician:

- Provide relevant information and explanations, including a proposed treatment plan, to the supervising physician and seek further direction where appropriate.
- Provide education to patients, families and other health providers as appropriate to the clinical setting.
- Communicate with other members of the health care team and other hospital departments, both orally, in writing and electronically.

**Medical Documentation and Record Keeping**
- Maintain clear, accurate and appropriate records of the patient encounter and management plan
- Admission notes, progress notes and discharge notes as needed
- Dictated records as appropriate
- Consultation requests
- Other types of documentation as required by the particular setting

**Consultation with Multidisciplinary Team**
- Collaboration with all aspects of the GO team including (but not limited to) physicians, nurses, clerical staff, technicians, physiotherapists and occupational therapists, social workers, patient representatives and administrative staff to provide optimal care for patients.

**Collaboration with Affiliated Services (including Regional Sites)**
- General Internal Medicine and Hospitalists
- Emergency Department
- Medical Subspecialties
- Surgery
- Radiology

Exhibits the core values of Royal Victoria Regional Health Centre: Work Together, Respect All, Think Big, Own It, Care