Pulmonology-Physician Assistant/Nurse Practitioner-32 Hours

ompletes thorough but appropriately focused evaluations of pediatric patients (from neonates to adolescents and young adults), including competent and age appropriate histories and examinations. Identifies level of illness severity in a timely manner. Presents thoughtful assessments to the supervising physician and works towards prescribing necessary care plans. Performs appropriate procedures under their responsibility with the appropriate guidance. Knows when and how to seek assistance.

edical knowledge C

• linical knowledge . With guidance, applies basic medical knowledge to common diagnoses in department. Expands clinical knowledge by asking insightful questions, seeking knowledge independently and reading medical literature critically. Incorporates issues of child health advocacy, preventive health care, ethical dilemmas, and cost of tests and therapies. D
• iagnostic evaluation . Provides basic evaluation (e.g., diagnostic testing and consultation) for common diagnoses. Increasingly recommends broad evaluation based on an unfocused differential diagnosis. Reports results of diagnostic studies, identifying clinically significant results with guidance. P

atient history. Gathers patient information following a template. Adapts the template with guidance and as appropriate to filter and prioritize pertinent positives and negatives based on broad diagnostic categories or possible diagnoses. P

atient care C

• linical reasoning . Presents clinical facts (e.g., history, exam, tests, consultations, etc.) to preceptor, supervising physician, and care team. Ultimately generates an unfocused differential diagnosis based on the clinical facts. O
• rganize and prioritize patient care . Completes assigned patient care responsibilities focused on individual patients. P
• atient management . Increasingly participates in the creation of patient management plans. Discusses plans with patients/families. P

rocedures as defined by clinical department. Increasingly exposed to the array of core procedures and guided in the performance of these. Please reference the “APP Procedures Listing” for those relevant to the Medical Specialty. I

nterpersonal and communication P

• atient and family centered communications. Works to establish rapport with patients/families. Develops therapeutic relationship in straightforward encounters. Seeks guidance when adjusting communication strategies in order to mitigate barriers and meet patient/family expectations. I
• nterpersonal and team communication. Participates within the inter-professional team . With guidance, clearly and appropriately requests consultation, presenting relevant patient information to supervising physician . C
• ommunication within the Health Care System. Accurately and timely records information in the patient record. Responds in a timely fashion and in appropriate form (e.g., in-person, HER, telephone, email) to requests. Seeks guidance on best mode of communicating when uncertain. P

ractice-based learning and improvement E

• vidence-based and informed practice . Develops and articulates clinical questions. Accesses available evidence with appropriate guidance. R
• eflective practice and commitment to personal growth. Participates in feedback sessions. With guidance from lead/manager, develops professional goals and a learning plan, incorporating feedback and performance data. P

rofessionalism P

• erforms responsibilities in a thorough and timely manner. Proactively seeks guidance in new, complex and/or stressful situations. P
• articipates in creating, promoting and sustaining a healthy and productive team and work environment. Familiarizes self with institutional resources that are meant to promote well-being. S

ystem-based practice S

• ystem navigation for patient centered care-coordination of care. Increasingly involved in coordinating care of patients in routine clinical situations. Identifies the need for and engages inter-professional team based on patient and family needs. P
• opulation and community health . Incorporates awareness of population and community health needs and disparities and knowledge of local resources to inform understanding of patient/family health concerns.

inimum Education and Experience Required M

inimum education (degree/type of degree). A

• dvanced Practice Nurse Practitioner: Graduate degree in nursing accredited by one of the national certifying bodies in nursing. (Or, on or before December 31, 2004, completion of an advanced nurse practitioner program recognized by a national certifying body for certification as a nurse practitioner.) O

r… P

• hysician Assistant: Graduation from a physician assistant program accredited, at the time of graduation, by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). M

inimum experience (minimum years & type of experience). No related experience required.

L

icense and/or Certification R

equired: A

t time of hire and maintenance at time of appointment or privilege approval: P

• rovider licensing: C
  • urrent State of Connecticut (Pediatric) Advanced Practice Registered Nurse (APRN) licensure. OR… C
  • ertified by the National Commission on Certification of Physician Assistants, Inc. (NCCPA). Current State of Connecticut Physician Assistant licensure. A

dditionally: D

• epending on privileges for role, Basic Life Support (BLS) and/or Pediatric Advanced Life Support (PALS) certification may be required. D
• epending on privileges for role, federal DEA and CT controlled substance registration may be required. C
• ertain specialties may require additional certifications.

K

nowledge, Skills, and Abilities M

• edical knowledge and procedures: M
  • edical knowledge sufficient to recognize patterns, trends and disease traits and to fully engage in APP learning opportunities, effectively applying such knowledge to basic clinical evaluations and patient care. C
• ommunication: E
  • xemplary written and verbal communication. I
• nterpersonal: R
  • espectful and compassionate in interactions with staff, patients, and families. P
• rofessionalism, organizational view: D
  • emonstrates accountability for assigned work and the extent of one’s involvement in patient care. D