Endocrinology - Advance Practice Clinician - Center City

Number of Positions In Requisition 1 Job Details Nurse Practitioner or Physician Assistant Job Description The Department of Otolaryngology – Head & Neck Surgery is seeking a highly motivated and clinically skilled Advanced Practice Clinician (APC) to join our academic Otolaryngology Endocrine Surgery practice.   This is a unique hybrid clinical and surgical position designed for a Physician Assistant or Acute Care Nurse Practitioner with Registered Nurse First Assistant (RNFA) certification who is interested in developing advanced expertise in thyroid and parathyroid disease.   The APC will work closely with fellowship-trained endocrine surgeons and will participate throughout the continuum of endocrine surgical care. The position will be divided between the operating room and ambulatory setting, allowing the APC to develop expertise in both surgical and medical management of patients with thyroid and parathyroid disorders.   In the operating room, the APC will function as a surgical first assistant, primarily supporting thyroid and parathyroid procedures. In the ambulatory setting, the APC will independently evaluate and manage new patients, nonsurgical patients with thyroid and parathyroid conditions as well as  postoperative .   This position is an excellent opportunity for an experienced APC with an interest in endocrine surgery, as well as a motivated candidate with strong clinical skills and a desire to develop specialized expertise in thyroid and parathyroid disease, endocrine surgery, ultrasound, and longitudinal endocrine care.   Position Responsibilities   Operating Room – Endocrine Surgery   The APC will function as an integral member of the endocrine surgery team and serve as a RNFA/surgical first assistant during thyroid and parathyroid procedures.   Responsibilities may include:   First assisting during thyroid and parathyroid surgery   Providing appropriate surgical exposure and tissue retraction   Assisting with dissection and hemostasis   Assisting with identification and preservation of critical anatomic structures   Suturing and closure as appropriate to training, competency, and institutional privileges   Assisting with intraoperative specimen handling   Maintaining appropriate sterile technique   Anticipating the needs of the surgeon and operative team   Participating in intraoperative decision-making within the APC's scope of practice   Supporting safe and efficient operating room workflow   Communicating effectively with surgeons, anesthesia providers, nursing staff, pathology, and other members of the perioperative team   Participating in preoperative and postoperative surgical planning   The primary surgical focus will be  endocrine procedures, with opportunities to expand procedural expertise based upon department needs, demonstrated competency, and institutional privileges.   Ambulatory Endocrine Surgery Practice   When not functioning in the operating room, the APC will provide ambulatory care for patients with a broad spectrum of thyroid and parathyroid disorders.   Clinical responsibilities may include:   Postoperative Surgical Care   Postoperative evaluation following thyroid and parathyroid surgery   Incision and wound assessment   Evaluation for postoperative complications   Assessment of voice and swallowing function   Evaluation for symptoms of hypocalcemia and other postoperative metabolic concerns   Review of surgical pathology   Coordination of postoperative laboratory testing   Medication management   Patient education regarding recovery and activity   Identification and escalation of postoperative concerns to the endocrine surgeon   Longitudinal postoperative follow-up   Ultrasound and Office-Based Procedures   An important component of the position will be the opportunity to develop advanced competency in thyroid and neck ultrasound.   For candidates who demonstrate interest and aptitude, the department will provide opportunities for structured training in:   Thyroid ultrasound   Cervical lymph node ultrasound   Ultrasound evaluation of thyroid nodules   Ultrasound-guided procedures   Ultrasound-guided fine needle aspiration (FNA), when appropriate and within institutional privileges   Ultrasound-guided evaluation of postoperative or clinically concerning neck findings   Training and procedural privileges will be based upon formal education, supervised clinical experience, competency assessment, and institutional credentialing requirements.   This position provides an opportunity for a motivated APC to develop a specialized skill set in endocrine ultrasound and office-based procedures as part of their professional growth.   Multidisciplinary Endocrine Care   The APC will work collaboratively within an academic multidisciplinary environment and may interact with:   Endocrine surgery   Otolaryngology–Head & Neck Surgery   Endocrinology   Radiology   Pathology   Nuclear medicine   Oncology   Speech-language pathology   Primary care   Other surgical and medical subspecialties   The APC will help facilitate coordinated care for patients whose diagnoses and treatment plans cross multiple specialties.   Academic Responsibilities   As a member of an academic Department of Otolaryngology, the APC will have opportunities to participate in the department's academic mission, including:   Education of medical students, residents, fellows, and other learners   Participation in departmental conferences   Development of patient education materials   Clinical quality improvement initiatives   Clinical research and outcomes projects   Development of clinical pathways and protocols   Evidence-based practice initiatives   Presentation of clinical topics   Participation in professional development activities   Mentorship and education of other APCs   Clinical Aut