Northwestern Medicine has an exciting opportunity for either an Acute Care Nurse Practitioner or a Physician Assistant to work as a fellow in Hospital Medicine. We are seeking highly motivated new graduates who would like to build a career providing acute care in the hospital setting. This is an intensive 12-month training program that uses a multidisciplinary approach to prepare clinicians to step into the challenging and fast paced role of an inpatient Advanced Practice Provider (APP). Fellows will start with a bootcamp to review fundamentals as well as develop skills needed to act as a primary service provider. You will work directly with APPs as well as physicians in caring for patients admitted for a variety of medical etiologies. There will be dedicated didactic teaching as well as case-based presentations.  Fellows will learn to master conducting comprehensive histories, performing physical exams as well as diagnostics and creating treatment plans. Oral presentations and note writing skills will be reviewed weekly. There will be a strong focus on evidenced based medicine and developing critical reasoning skills when interpreting new research. Following the fellowship, preference is given to high-performing fellows for open positions within Northwestern.   Schedule: Primarily day shift, no holiday or nights. May have some weekend rotations during the 12 months; no on-call. Compensation: $92,000.00 salary for 12-months plus benefitsThe APP fellow reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards.The APP Fellowship will provide leading-edge post-graduate, on-the-job training to prepare APP fellows for successful practice in a designated specialty. Exposed to a variety of clinical rotations, APP Fellows will refine critical thinking, diagnostic, and clinical skills necessary for managing complex medical situations and for providing safe, efficient, and effective care to adult patients in designated specialty. All fellows will work under the direct guidance of APP preceptors and attending physicians. The APP Fellowship provides an opportunity for licensed advanced practice providers to receive intensive clinical training over a defined period. Grounded in a rigorous didactic curriculum, this intensive training program will offer hands-on clinical care through structured clinical rotations and designated specialties. The program places an emphasis on multi-disciplinary learning and communication. Upon completion of an APP Fellowship, the APP should have acquired the advanced clinical knowledge, procedural competency, leadership skills, and professional judgment necessary to practice independently and collaboratively within their specialty, while delivering safe, evidence-based, and patient-centered care.Responsibilities:Complete all requirements for credentialing and privileging for inpatient core privileges, as appropriate for roleAttend all didactic lectures and educational opportunities scheduled for APP FellowsProvide direct care to patients as assigned by clinical preceptors  Collaborate and consult with physicians and other health care professionals as appropriateDevelop organizational skills to manage a patient caseloadDevelop effective communication and presentation skills with the interdisciplinary teamDevelop a deep and broad knowledge base of the common disease processesIdentify individual professional development needs and work w/ APP preceptors/mentors to create opportunities for learning and practiceClinicalConducts comprehensive assessments of patients’ health status by taking health histories and performing advanced physical examinations in specialty areas.Orders and interprets laboratory and diagnostic tests to establish diagnoses and develop a comprehensive treatment plan.Orders/prescribes medications, therapies, interventions, and procedures according to clinical privileges and PA scope of practice within specialty.Documents in the medical record all care provided and/or procedures performed for which the PA is responsible. Collaborates with all members of the multidisciplinary team to develop and direct an individualized and comprehensive treatment plan.Coordinates the discharge planning process or after visit care with patients, families, and all members of the multidisciplinary team.Consults with other specialties and disciplines as appropriate to meet all health care needs of patients.LeadershipParticipates in unit/departmental/divisional or hospital committees/task forces and professional organizations.Advocates for patients, families, nursing staff and other members of the healthcare community.Assists in the development of policies and procedures in clinical area of expertise to establish standards for clinical practice.Consults with NM leadership in the identification, evaluation and problem solving of clinical system and process issues.Collaborates with NM leadership teams to develop, implement and evaluate strategic plans for quality improvement initiatives, utilizing evidenced based practice guidelines as appropriate.Collaborates with physicians and nurses to lead changes in clinical practice.EducationTeaches and counsels patients and families in preventive care, medical conditions, plan of care, anticipated outcomes, and the use of prescribed treatments and drugs.Provides formal and informal education to both internal and external groups pertinent to area of expertise.Research/Quality/OutcomesParticipate in/review evidence-based research/guidelines and apply to clinical practice.Participate in service-line specific quality initiatives and development of outcome metrics.May perform other APP duties as assigned.
