This is an exciting opportunity to partner with MGH Urology faculty in a robust urologic oncology ambulatory practice located at on the MGH Main Campus. Under direct supervision of the Chief of Urology and faculty supported by the Advanced Practice Provider (Nurse Practitioner or Physician Assistant) role, and in accordance with the rules and regulations of Massachusetts governing Advnaced Practice Providers (APPs), the APP will be responsible for the evaluation and management of outpatients within the urologic oncology sub-specialty of the MGH Department of Urology. The APP efforts will include taking of patient histories, physical examinations, arranging for diagnostic procedures, coordinating consultations, implementing treatment plans, communicating with referring physicians and supporting patient and family urgent and planned care needs and education.
Manages the care of patients, in collaboration with urology surgeons, requiring treatment for urological signs, symptoms, diseases and disorders. Provides care for both new and follow-up patients
Performs physical examinations, records patient histories, institutes diagnostic studies, and prescribes treatment and medications appropriately utilizing clinical guidelines as a basis for actions.
Performs specialized procedures particular to the select population mutually agreed upon with collaborating physician
Utilizes advanced clinical knowledge to identify, prevent or solve complex and/or recurring patient care problems
Performs medically delegated aspects of patient care per scope of practice
Recommends referral to physician consultants as necessary
Supports urgent access for patients in the community in need of urologic care
Enters orders and coordinates follow-up care as necessary
Follows and manages patients (in collaboration with the MD) enhancing continuity of care.
Works closely with physician and clinical leadership to create and update clinical pathways and treatment algorithms.
Provides direct care for patients in urology treatment programs for cancer of urologic systems and/or organs, and for patients in cancer surveillance and watchful waiting efforts.
Communicates effectively with patients, families, and other healthcare providers.
Serves as a resource to both clinical and administrative staff in area(s) of expertise.
Performs medically delegated aspects of patient care per scope of practice.
Maintains and practices in accord with practitioner guidelines per state and hospital regulations.
Leverages technology such as telehealth platforms to support care in the right place at the right time
Initial Specific Clinical Duties:
Specific duties will include supporting urologic oncology and other sub-specialized practices as needed, the latter including but not limited to kidney stone, men's health, women's health, BPH, male infertility and urinary dysfunction practices.
Post surgical support and care for urology patients - independent of or in conjunction with urology faculty.
Serves as a resource to staff in area(s) of expertise.
Develops patient education programs within area of expertise in collaboration with Urology and Cancer Center personnel.
Monitors patient outcomes in accordance with defined standards of patient care.
Works with the multidisciplinary team to identify system-wide factors contributing to undesirable outcomes, such as complications, increased length of stay and overutilization of services.
Facilitates patient movement through the system and efficient use of resources through interdepartmental collaboration.
Evaluates own practice and program effectiveness.
Identifies pertinent nursing and health delivery problems for investigation.
Continuing Education/Professional Growth
Maintains the standards and education requirements specific to the position and licensure.
Identifies own learning needs and goals.
Maintains and updates clinical knowledge and skills based on current health care practice/research.
Maintains membership in relevant professional associations.
Completes the 100 hours of continuing medical education necessary during each 2-year period of employment. Attends internal and external education meetings and reads appropriate professional journals in order to maintain and enhance skills and clinical competence. Is encouraged to advance his/her medical and technical skills as appropriate to deliver optimum patient care.
Valid Nurse Practitioner or Physcian Assistant License in the state of Massachusetts
Previous clinical experience or clinical experience in a surgical practice preferred
Professional Knowledge: clinical knowledge to enable effective triage, care, and communications with range of patients and caregivers.
Time Management: exceptional organizational skills and ability to prioritize effectively and complete tasks; flexibility to handle multiple tasks and deadline pressures.
Leadership: highly motivated, independent and capable of performing in a complex environment; Strong sense of initiative and perseverance to carry through to completion of tasks; demonstrates forthrightness and integrity. Ability to identify issues/projects and initiate plans to address asking for direction when appropriate; ability to develop a common vision for diverse constituents, communicate effectively, sell ideas, and take ownership and responsibility for activities.
Interpersonal/Communication: excellent interpersonal, written and oral communication skills; good command of English language, including medical and scientific terminology.
Information Systems/Technology Skills: exceptional computer skills (including operating systems, word processing, database, electronic mail, Internet, spreadsheets, and other office management systems); ability to develop and maintain databases and associated analysis and reporting.
Quality Assurance: skills to work efficiently and effectively and strive to do so in all aspects of position; effective project management skills and attention to detail.
Critical Thinking/Decision Making: ability to appropriately evaluate all aspects of a situation and to independently make appropriate and timely decisions.
Discretion and Confidentiality: ability to handle sensitive and confidential matters discreetly and to ensure confidentiality guidelines are maintained by staff.
Safety/Compliance: knowledge in aspects of safety applicable to position; knowledge of and compliance with institutional, JCAHO, HIPAA, and other regulatory bodies' standards.
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.