Full Job Description
Job Title: Physician Assistant – Adult Reconstruction / Total Joint Surgery
Company: Texas Joint Institute (TJI)Location: North Dallas–Fort Worth (McKinney, Allen, Sherman, TX)Job Type: Full-Time
Position Overview
Texas Joint Institute (TJI), one of the leading high-volume orthopedic groups in North Texas, is seeking an experienced Physician Assistant (PA-C) to join the Adult Reconstruction / Total Joint team led by Dr. Charles Toulson.
This is a specialized elective orthopedic role focused on hip and knee arthroplasty, including both primary and revision joint replacement care within a high-performance, outcomes-driven practice. The position is ideal for a PA who thrives in a fast-paced, surgeon-led environment with an emphasis on efficiency, perioperative optimization, and continuity of care.
Practice Highlights
- High-volume elective hip and knee replacement program
- Standardized, evidence-based care pathways
- Enhanced Recovery After Surgery (ERAS) protocols
- Same-day or short-stay joint replacement programs
- Multidisciplinary team collaboration (PT, anesthesia, OR teams)
- Strong patient education and prehabilitation focus
- 50/50 Clinic and Operating Room split
Key Responsibilities
Outpatient / Clinical Care
- Perform pre-operative evaluations for hip and knee arthroplasty patients
- Conduct post-operative visits, wound checks, and complication monitoring
- Evaluate and manage degenerative joint disease and MSK conditions
- Provide non-operative care, including joint injections
- Educate patients on surgical procedures and recovery expectations
- Coordinate imaging, labs, and surgical clearances
Surgical / Perioperative Support
- First assist in primary and revision total joint procedures
- Support efficient OR workflow during high-volume surgical days
- Assist with intraoperative decision-making and protocols
Post-Operative Care
- Manage recovery progression and rehabilitation coordination
- Identify and triage complications (DVT, infection, stiffness, pain)
- Support rapid recovery and outpatient joint replacement pathways
System Integration
- Collaborate with surgeons, anesthesia, nursing, and rehab teams
- Maintain accurate EMR documentation
- Participate in quality improvement and outcomes tracking initiatives
Role Highlights
- No ER call or overnight hospital coverage
- Elective, scheduled surgical practice
- Predictable weekday schedule
- High procedural volume and exposure
- Direct mentorship from an experienced orthopedic surgeon and PA team
Qualifications
- Certified Physician Assistant (PA-C)
- Minimum 4 years of orthopedic or MSK surgical experience preferred
- Total joint and first assist experience strongly preferred
- Experience with perioperative pathways and joint replacement care
- Proficiency in knee injections required; hip injection experience preferred
- Strong clinical judgment, communication, and patient education skills
- Ability to work efficiently in a high-volume team environment
Compensation & Benefits
- Competitive orthopedic subspecialty salary
- Performance-based incentives (if applicable)
- Comprehensive benefits package
- Paid Time Off (PTO)
- CME allowance
- Malpractice coverage
Apply today to join a premier orthopedic team and advance your career in total joint reconstruction.
Pay: $130,000.00 – $160,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Professional development assistance
- Vision insurance
Work Location: In person
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