Physician Assistant I/ Gastroenterology ambulatory
Brigham & Women's Hospital(BWH)

Boston, Massachusetts


The IBD physician assistant (PA) will be an integral part of the Gastroenterology ambulatory team approach for overall care and evaluation of clinical patients. Under the direction of the supervising physician, the PA will be involved in all aspects of patient care. In addition to clinical skills, this person should possess strong leadership and communication skills and be able to work effectively with other members of the team including physicians, nurses, fellows and staff. The PA will ensure that ambulatory patients are seen in a timely manner and that appropriate communication and coordination of care is maintained with referring physicians. He/she also will serve as a dedicated relationship manager and liaison between the GI Unit, infusion and endoscopy. This PA will follow IBD patients through office visits and infusion therapy. The aim is to provide quality care while expanding access to these services in the BWH GI Unit. To achieve this goal, this individual will be involved not only in direct patient care but also in the development and execution of programs relating to innovations in the care of IBD patients.

The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.


  • A. Patient Care Organization

    Functions autonomously in the role, but maintains responsibility to work both independently and in collaboration with other providers to effectively maintain a panel of patients seeking care for inflammatory bowel disease.

    Provides direct care, counseling, and teaching to IBD patients.

    Performs physical examinations and provides preventive health measures appropriate to patient needs.

    Acts as liaison to and facilitates communication to referring and team physicians and surgeons, The Infusion Center, Interventional Radiology, Vascular Interventional Radiology, pharmacies, insurance companies, home care agencies, Social Work, Nutrition, and the Endoscopy Unit.

    Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patients' clinical problems and health care needs.

    Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, laboratory, and physical assessment findings.

    Orders medications and writes prescriptions and orders (e.g., IV hydration, biologics, total parenteral nutrition) according to organizational and regulatory policies and procedures.

    Records pertinent patient care findings in the electronic medical record.

    Seeks consultation as appropriate.

    Sets priorities for appropriate and efficient management of patient care that reflects evidence based practice and cost effective management of time, available human resources, supplies and equipment.

    Maintains an interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate providers, the clinical team and other health care professionals.

    Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling. Assists patients and families in self-care management through the provision of information, tools and resources.

    Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.

    B. Quality Monitoring

    Engages in regular performance improvement activities. Uses performance and patient outcome data for continuous quality improvement. Contributes to developing structure, processes and systems to improve the care and disease management of patients.

    Collaborates with physicians, physician assistants, nurse practitioners, nurses, medical assistants, research coordinators and the interdisciplinary team to refine team goals and objectives and further ensures ongoing continuous improvements to the care delivery model.

    Analyzes, interprets and presents team based care results to various audiences as appropriate including senior organizational leaders, departmental and practice leaders, nursing leadership, colleagues, and staff.

    Translates themes uncovered through ongoing quality monitoring and evaluation into the care model and the clinical practice of the interdisciplinary team.

    Other duties as assigned

    C. Clinical Research

    Contributes toward the implementation of a series of interlocking programs that meet the complex needs of patients with ulcerative colitis and Crohn's disease including: patient care, disease education and self-management tools, clinical research and quality monitoring.

    Assists primary investigators and research assistants in the coordination and monitoring of multi-center clinical research projects.

    Serves as a resource for clinical and medical questions that arise from investigators and study coordinators at participating sites during multi-center studies, and participates in clinical decision making within the scope of practice of a NP.

    Partners with central drug dispensing/pharmacy distribution for trials as needed.

    Partners in the coordination and implementation of research studies according to study protocols and performs required nursing procedures.

    Provides consultation to physicians, nurses and coordinators regarding protocol implementation.

    Works with research assistants and coordinators to develop and maintain innovative and systematic processes for recruitment and screening of potential study participants. Directs efforts to screen and enroll patients.

    Collaborates with Center investigators on an ongoing basis regarding progress of the study and continuation or termination of study subjects. Acts as liaison between patient and other members of the team regarding patient care activities relating to the research protocol.

    Responsible for quality monitoring including documenting, reporting and reviewing all adverse events and other medically related data.
    Additional duties and responsibilities as required by the department/division\
Brigham and Women's Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.



    • The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination
    • BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995
    • Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment
    • Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts
    • Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration
    • Must complete 100 hours of CME according to national and state regulations during each two year period of employment
    • Must complete the BWH Professionalism Program within three months of date of hire
    • Must complete the BWH Procedural Sedation Training if deemed necessary


    • Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate
    • Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position
    • Must have the ability to utilize appropriate problem-solving and conflict resolution skills
    • Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care
    • Must be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred)
    • Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician


    Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients.

    The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.


    The Physician Assistant I does not have any supervisory responsibility.


    The Physician Assistant I does not have any fiscal responsibility.

    EEO Statement
    Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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