Advanced Practice Fellow - General Otolaryngology

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Organization:

Otolaryngology APP

Job Summary:

The Advanced Practice Fellow works in collaboration with and is an integral member of a interdisciplinary health care team. The Advanced Practice Fellow should have a basic foundation in evidence-based practice and demonstrate adequate medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation. The Advanced Practice Fellow may function in a variety of inpatient and outpatient care settings throughout the fellowship to optimize learning experiences.
Focused learning experiences will be provided that enable the Advanced Practice Fellow to develop and refine essential specialty specific clinical and critical thinking skills promoting top of license practice. Immersion into an environment of collaborative interdisciplinary care will assure cost effective, quality, patient centered care. Additionally, an expanded incorporation of evidenced-based practice into care and utilization of improvement processes will be demonstrated by completion of a specialty-relevant project.

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Department Summary:

The Vanderbilt University Medical Center Department of Otolaryngology– Head and Neck Surgery (O-HNS) Advanced Practice Provider (APP) Fellowship is an intensive 12-month advanced training program that begins in January each year.

The goal of the fellowship is to help the fellow grow and develop the medical and critical thinking skills required to build a successful career as an APP in Otolaryngology. This fellowship program offers the APP the opportunity to further learn, refine, integrate, and implement the APP role in O-HNS. The focus of this fellowship is on general O-HNS history, physical exam, diagnosis, management, and intervention in common O-HNS conditions across the lifespan. This also prepares the APP for collaborating with O-HNS surgeons, O-HNS APPs, audiologists, and speech pathologists in the management of these conditions.

Seventy-five percent of the fellowship is spent in clinical settings with different O-HNS subspecialties such as head and neck surgery, facial plastics and reconstructive surgery, sleep surgery, rhinology, otology and neurotology, pediatrics and general O-HNS clinic while consolidating the skills acquired from the didactic content of the course. The fellow is expected to demonstrate increasingly proficient clinical abilities that are well-grounded in research and theory.

Twenty-five percent of the program is concentrated on didactics, research or quality improvement (QI) projects, as well as professional and leadership development. The fellow is expected to complete and present research or a QI project at the end of the program. The fellow will function collaboratively with other healthcare professionals in a clinical setting and will be expected to demonstrate increasing independence in the APP-OHNS role, with preceptor consultation.

For more information: Otolaryngology APP Fellowship

Position Requirements:

• Graduate of an accredited master's degree nurse practitioner or physician assistant program.
• Eligible to pass (or have passed) the ANCC or AANP certification for nurse practitioners or NCCPA certification for physician assistants.
• Must obtain a nurse practitioner or physician assistant license in the state of Tennessee once admitted to the program.
• New grads and experienced APP's are welcome!

KEY RESPONSIBILITIES

• Assessment of Health Status:
  • Performs and documents in the medical record a complete history and physical examination.
  • Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
  • Assesses for risks associated with care including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.
  • Participates in daily huddles or rounds with the interdisciplinary team as applicable and actively collaborates in formulating and evaluating ongoing plan of care across the continuum.

• Diagnosis:
  • Collaborates with interdisciplinary health care team in making accurate and diagnoses of acute and complex chronic conditions.
  • Manages diagnostic tests through ordering, interpretation, performance, and supervision.
  • Formulates differential diagnoses by priority.
  • Diagnoses complications and identifies appropriate interventions.

• Formulates Plan of Care:
  • Identifies expected outcomes from diagnosis, formulates and documents a plan of care to address acute and complex, chronic health care needs.
  • Utilizes evidenced-based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.

• Implements and modifies plan of care:
  • Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic and surgical (as needed) to achieve expected outcomes.
  • Manages further diagnostic tests through ordering, performance and interpretation.
  • May perform advanced procedures consistent with privileges and competency validation.
• Communication and Collaboration:
  • Maintains ongoing communication and collaboration with interdisciplinary health care team members.
  • Facilitates communication with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.

• Documentation:
  • Documents key components of patient's progress via daily progress note, transfer, and discharge summary and/or clinic note, where applicable.
  • Documentation will be timely and must meet compliance standards while accurately capturing patient acuity and/or complexity.

• Professional Practice:
  • Provides preceptor/mentoring, education and instruction of students and nursing staff as needed.
  • Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
  • Attends Grand Rounds, AP Council meetings, faculty and unit meetings, MM & I presentations and other education opportunities as available.
  • Maintains continuing education to maintain licensure and certification requirements.
  • Actively participates in required professional development fellowship curriculum.

TECHNICAL CAPABILITIES

Our Nursing Philosophy:  

We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. 

As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered:

• Affordable High Quality Health Plan Options
• Dental and /or vision plan
• 403 (b) retirement plan
• Paid Time off (flex PTO)
• Tuition Reimbursement and adoption assistance (maximums applied)
• Short-Long term disability
• Subsidized backup childcare
• And many more... Ask us about our current inpatient nursing supplemental Pay Program!

Achieve the Remarkable: 

Learn more about VUMC Nursing here.

Core Accountabilities:

Organizational Impact: Delivers job responsibilities that impact own job area/team with some guidance. Problem Solving/ Complexity of work: Uses existing procedures, research and analysis to solve standard job related problems that may require some judgement. Breadth of Knowledge: Requires subject matter knowledge within a professional area to meet job requirements. Team Interaction: Individually contributes to project/ work teams.

Core Capabilities :

Supporting Colleagues: - Develops Self and Others: Continuously improves own skills by identifying development opportunities.- Builds and Maintains Relationships: Seeks to understand colleagues priorities, working styles and develops relationships across areas. - Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner. Delivering Excellent Services: - Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service. - Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns to supervisors in a timely manner. - Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support. Ensuring High Quality: - Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards.- Ensures Continuous Improvement: Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond. - Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department. Managing Resources Effectively :- Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service. - Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources. - Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error. Fostering Innovation: - Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them.- Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action. - Adapts to Change: Embraces changes by keeping an open mind to changing plans and incorporates change instructions into own area of work.

Position Qualifications:

Responsibilities:

Certifications:

Work Experience:

Relevant Work Experience

Experience Level:

Less than 1 year

Education:

Master's

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity.  EOE/Vets/Disabled.