Advanced Practice Fellow - General Otolaryngology

Location: Nashville, TN

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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 com