Advanced Practice Fellow - General Otolaryngology

.

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

• 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!

Responsibilities:

Certifications:

Work Experience:

Experience Level:

Education:

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.

• →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.