Advanced Practice Fellow - Primary Care

Location: Nashville, TN

Discover Vanderbilt Health: With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization

NFP Provider Team

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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1 Year Advanced Practice Provider Fellowship

Outpatient Position

Location: Vanderbilt Primary Care West End (2611 West End Avenue Nashville, TN 37203)

Requirements

Family Nurse Practitioner (FNP) or Physician Assistant (PA) Required

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. Proble