Physician Assistant - Hematology

Physician Assistant - Hematology

Department: Physician Assistant Program and Hudson Regional Cancer Program

Responsible to: Manager, Medical Affairs and Division Lead, Hematology

Position Summary

The Physician Assistant (PA) is a healthcare provider who always works under the supervision of a registered physician. The PA supports the physician as the principal medical decision-maker and the supervising physician is responsible for the direction of the PA’s activities. PAs are highly skilled providers with the knowledge, skills, and experience to work as part of a physician-led team in a variety of clinical settings.

The Hematology PA will provide dedicated clinical support to the Division of Hematology at Royal Victoria Regional Health Centre, working directly under the supervision of the on-call and attending Hematologists. The role is designed to assist with the growing inpatient and outpatient workload across malignant and non-malignant hematologic disease, including leukemia, lymphoma, myeloma, coagulopathies, and complex transfusion-dependent conditions. Clinical expert competencies are central to the function of the PA and draw on the other competencies of Communication, Collaboration, Management, Health Advocacy, Scholar, and Professionalism.

Qualifications

Education

• Secondary School Diploma or Equivalent

• Undergraduate Degree

• Graduate of a Canadian or US Accredited Physician Assistant Education Program

• Eligible to challenge the National Physician Assistant Certificate Exam, or Canadian Physician Assistant Certification – Mandatory

• Must be registered with the College of Physicians and Surgeons of Ontario (CPSO) or eligible to register with the CPSO upon passing the Physician Assistant certification examination – Mandatory

• Must maintain active CPSO registration on an annual basis as a condition of continued employment – Mandatory

• BCLS and ACLS

Experience

• 2 years’ experience managing inpatients preferred

• Experience in hematology, oncology, or internal medicine preferred

• Familiarity with hematologic malignancies (leukemia, lymphoma, myeloma) and non-malignant conditions (coagulopathies, cytopenias) preferred

Competencies

• Integrate all core PA competencies to provide optimal, ethical, and patient-centred medical care

• Perform a complete and appropriate clinical assessment of a patient and formulate a clinical treatment plan

• Use preventive and therapeutic interventions effectively

• Demonstrate proficient and appropriate use of diagnostic and procedural skills

• Recognize their scope of practice while demonstrating effective and appropriate consultation practice with other healthcare professionals in respect to patient care, education, and legal opinions

Responsibilities

Inpatient Clinical Support

• Conduct inpatient rounds under the direction of the on-call Hematologist, including assessment of newly admitted patients and follow-up of active inpatients

• Obtain health history as appropriate, including patient demographics, chief complaint, history of present illness, past medical, surgical, family, and relevant psychosocial history, medications, allergies, and systems review

• Perform comprehensive and focused physical assessments and interpret findings, including vital signs and examination of major body systems

• Utilize assessment results to formulate a differential diagnosis and determine if further clinical investigation is required, in conjunction with the most responsible physician

• Facilitate timely assessment and admission of Hematology patients from the Emergency Department and direct outpatient clinic pathways

• Support discharge planning, including coordination of follow-up care, medication reconciliation, and patient education

• Complete admission notes, progress notes, and discharge summaries as required

Diagnostic Procedures

• Order and complete preliminary interpretation of diagnostic tests, including hematology, microbiology, chemistry, serology, urinalysis, blood gas, ECG, and plain film x-ray

Demonstrate at least an academic understanding of

• Routine and micro-urinalysis

• Basic hematology and coagulation studies

• Chemistry and serology panels

• Microbiology cultures and sensitivities

Outpatient Clinic Support

• Provide clinical support in outpatient Hematology clinics, with priority given to the physician managing the highest clinic volume

• Manage follow-up visits for stable but complex Hematology patients under physician direction

• Support urgent add-on appointments and same-day assessments as required

• Provide patient and family education regarding diagnosis, treatment plans, and follow-up expectations

Communication

• Provide relevant information and explanations, including proposed treatment plans, to the supervising physician and seek further direction where appropriate

• Communicate with members of the healthcare team and other hospital departments, both orally, in writing, and electronically

• Provide education to patients, families, and other health providers as appropriate to the clinical setting

Medical Documentation and Record Keeping

• Maintain clear, accurate, and appropriate records of patient encounters and management plans

• Complete consultation requests, admission notes, progress notes, discharge notes, and other documentation as required

Multidisciplinary Collaboration

• Collaborate with nursing, pharmacy, social work, physiotherapy, and occupational therapy in the care of Hematology patients

• Liaise with subspecialty consultants including Internal Medicine, Infectious Disease, Nephrology, and Critical Care as required

• Participate in case conferences, teaching rounds, and quality improvement initiatives as appropriate

Teaching and Education

Royal Victoria Regional Health Centre is a teaching hospital. As such, participation in the education of learners is an expectation of all clinical staff.

• Participate in the clinical supervision and teaching of Physician Assistant students on rotation when required

• Serve as a clinical resource and role model for PA students, supporting their integration into the hematology clinical environment

• Contribute to the academic mission of the hospital by supporting learner objectives in alignment with affiliated PA education programs

Confidentiality and Privacy

Royal Victoria Regional Health Centre is committed to the protection of personal health information in accordance with the Personal Health Information Protection Act (PHIPA).

• Maintain strict confidentiality of all patient personal health information (PHI) accessed in the course of clinical duties

• Access, use, and disclose patient health information only as required to perform assigned job responsibilities and in accordance with PHIPA, hospital policy, and professional obligations

• Adhere to RVH’s privacy policies and procedures, including appropriate use of electronic health records and clinical documentation systems

• Report any actual or suspected privacy breaches to the immediate supervisor and Privacy Officer in accordance with hospital policy

• Complete all required privacy and confidentiality training as directed by the organization