Position Description: Experienced Physician Assistant (Min. of 3 Years Inclusive of OR)Optimal Qualitiesloves being in the operating roomenthusiastic about learning surgical techniques and patient carecan thrive in a stressful, fast-paced, spontaneous environmentcurious, and motivated by both procedural and intellectual growthcompassionate and has sincere desire to help a vulnerable, emotionally-rich patient populationenjoys working in small practice setting with a close-knit, supportive teamstrives to be a team-player and a go-getterassertive when needed/comfortable jumping head-on into challenging situationsrespectful of authorityteam playercomfortable working within a team of diverse peopleable to tactfully negotiate conflictflexibleindependentethicalhard-workingable to anticipate and to take initiative without being askedenjoys problem-solvingastute and accurate clinical judgmentable to handle constructive feedback, and eager to improverequires at least 3 years of experience in a surgical environmentwill split call evenly with our current PA (every other week), with frequency of call to decrease as more PAs join the practice.prior experience with transgender/nonbinary/gender diverse community is helpful, but not requiredRound On PatientsIndependently round on patients every day, including weekends, at multiple locations (SF & Marin)Writing progress notesManaging all medications and medical issuesManaging psychosocial issuesAdept at coordinating care with other services, as neededCalling and coordinating consults independently, as neededAdept at wound carePlacing and managing inpatient ordersWorking with case management for dispositionDischarging patientsAfter Hours & Weekend Phone Call Responsibility Call responsibility assigned to on-call PAOn call schedule occurs every other week. Frequency will decrease as we hire additional PAsAvailable to answer patient-related questions and to speak to patients directly, as needed, after hours and on weekendsHigh level of clinical expertise, sensitivity, and independence when interacting with patientsEntering notes into EMRCalling pharmacy for medications as neededHigh level and accurate clinical judgment and knowledge to determine if patient should be admitted or brought back to the ORManage ED AdmissionsSpeaking with ED attendingSpeaking with and coordinating care with consulting teamAdmissions ordersRounding on patientsWound careDischarging patientsOR ResponsibilitiesExpectation to operate and be available every day, Monday through Friday (as needed)Ensuring appropriate reps have been notified for specific supplies/instrumentsWorking with Charge RN and SPD to ensure all instruments/supplies are availableOperating simultaneously with surgeonAssisting in ORAdept at moving case forward, particularly if supporting staff (circulator, surgical tech) is not strongAbility to anticipate, and to be several steps ahead of surgeonManaging all post-op dressings.Ensuring patient is appropriately set up, prepped, and drapedCoordinating care with anesthesia and OR team.Managing discharge medications/prescriptions, if needed.Mastectomies: oIndependently marking patientoPerforming entire mastectomy from start to finish independently.oSuturingoSkin graftsVaginoplasties oSet up and local injectionsoMarkingsoHarvesting and preparing skin graftoSuturingFFS oDissection of flapsoBone contouringoLiposuction and fat graftingoAdept at bone contouring, and use of burrs/saws, and bone fixation (selecting and placing screws/plates)Phalloplasty oAssist with dissection under loupesoAdept at assisting under microscopeoVery astute and independent management of post-op free flaps