Physician Associate

6 months ago


Liverpool, United Kingdom Liverpool Heart & Chest Hospital NHS Foundation Trust Full time

We are looking for a Physician Associate (PA) to join our large multi-disciplinary community respiratory team. This position is open to newly qualified or experienced PAs. Newly qualified PAs will undertake a preceptorship year in which there will be a strong emphasis on personal development, mentorship and support with the expectation to develop and move to a Band 7 role once core competencies have been achieved.

The post holder will integrate with local community and hospital based specialist respiratory services. The PA will clinically assess patients, arrange appropriate investigations and interpret their results before formulating an appropriate management plan. The post holder will have the support and mentorship of their community Respiratory Consultant supervisor and Primary Care supervisor in the setting where they are based. Patients will be assessed in a variety of settings including telephone consultation, community clinics, hospital outpatient clinics and patients’ homes. There is an expectation that the post holder will gain a breadth of experience across a range of healthcare settings.

The PA will have access to local and regional learning opportunities with allocated study time.

The PA will clinically assess patients, arrange appropriate investigations and interpret their results before formulating an appropriate management plan. Investigations may include
- Spirometry

FeNO

Blood tests

ECGs

Arterial blood gases

Chest x-ray (with medical support)

As part of the assessment and management the PA is expected to be able to diagnose and treat cardio-respiratory conditions with support from their supervisor. Management should also include promotion of lifestyle adaptation/non-pharmacological intervention such as smoking cessation and pulmonary rehab. The PA will encourage patient knowledge around their condition to aid/support self-management when appropriate.

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.

We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.

We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.

Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.

PRINCIPAL ACCOUNTABILITIES

Main Tasks/Overview of Responsibilities

Promote heart and lung health

Diagnose and treat cardio-respiratory conditions

Provide education to patients and support their self-management

Improve cardio-respiratory knowledge and management in primary care

Provide education to healthcare professionals

Engage in the Trust’s vision of patient and family centred care

To be professionally and legally responsible and accountable for all aspects of their own work, including the management of patients in their care and to ensure a high standard of clinical care for the patients under their management

Clinical Skills

Clinically assess patients including taking a history and examining patients

**Initiate and interpret appropriate investigations including**:
Spirometry

FeNO

Blood tests

ECGs

Arterial blood gases

Chest x-ray (with medical support)

Recommend treatment plans

Develop a good understanding of inhalers and be able to effectively demonstrate their use

Liaise with other professionals

Complete necessary documentation relating to their patient

Recognise limitations of clinical competency and ask for help and advice as required

Personal and People Development

To identify own development needs and set personal development objectives in discussion with supervisor

Makes effective use of learning opportunities whilst contributing to developing the work place as a learning environment

To be an active member of the continuing education in-house programmes by attendance and presentation at staff meetings, tutorials, training sessions, journal clubs, external courses, clinical supervision and reflective practice and to keep an active portfolio of personal developments

To undertake annual mandatory training updates and other relevant courses in line with Trust and local policies

Communications and Leadership

To communicate effectively with a wide range of people in a manner consistent with their level of understanding, culture and background and preferred ways of understanding communication skills of persuasion, motivation, explanation and gaining informed consent with be used with a wide variety of patients. Barriers of effective communication will regul


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