Advanced Practice Prov Fellow - Observation Medicine

Roanoke, VA, US, 24014

Employment Status:  Full time
Shift:  Any Day, Any Shift
Facility:  CRMH - Carilion Roanoke Memorial Hospital
Requisition Number:  146429

How You’ll Help Transform Healthcare:

The APPF demonstrates knowledge and competency of core skills related to emergency medicine that serves as a basis for continued growth and progression of skills and pace. The candidate must pass monthly core competency assessments, participate in lecture and ground rounds, be proficient in simulation lab exercises and demonstrate patient care skills commiserate with working in a Level 1 Trauma Center. The APPF role is applicable for a 12 month period.

The Advanced Practice Provider Fellow (APPF) serves as a member of a collaborative health team made up of physicians, physician assistants, nurse practitioners, nursing staff, technicians and various support personnel. Under general physician supervision, provides quality service in a caring and professional manner, actively supporting team efforts to ensure cost effectiveness and service excellence.

The APPF role includes responsibility for identifying the patient's health and medical status through taking of health histories; performing physical examinations; initiating screening and diagnostic procedures; management of minor trauma and acute health problems; health maintenance and clinical management of stable chronically ill patients. 

  • Participates in a 12 month intense training program in emergency medicine consisting of patient care in a Level 1 Trauma Center, simulation lab training, off service rotations and rotations to community hospitals emergency departments.
  • Attends Emergency Medicine grand rounds and lectures, develops beginner and advanced skills in intubation, wound care, Central line and CT insertion. Becomes proficient in basic ultrasound diagnostic abilities..
  • Conducts necessary steps to obtain comprehensive health history. Performs basic physical, psychological and developmental assessments using the techniques of observation, inspection, auscultation, percussion and palpation.
  • Discriminates between normal and abnormal physical, psychological and developmental findings and appropriately determines when to consult and/or refer the patient to other members of the health care team.
  • Assesses, diagnoses, and manages selected acute and chronic illnesses and conditions. Performs or requests laboratory/radiology procedures and/or other screening tests based on age, health history and health assessment. Analyzes and interprets these and other health data.  Initiates and implements appropriate treatment plan using established protocols or physician consultation. Administers medications and injections as needed .
  • Utilizes automated computer systems, including electronic medical records.  Accurately records assessment findings, documenting in a clear and concise manner all actions taken in response to these findings. Documents patient information including, but not limited to treatment procedures, medication refills, test results, patient concerns, etc. in the medical records in a timely manner.
  • Coordinates necessary appointments and referrals, including the use of community resources, as the patient's health status dictates .
  • Consults with physician, as appropriate, keeping physician informed of needs and problems related to patient care. Recognizes limits in role as APPF provider.

What We Require:

Education: Graduate of an accredited Physician Assistant Program or Nurse Practitioner Program required.

Experience: Clinical experience appropriate to specific practice/ department preferred.

Licensure, certification, and/or registration: Current Physician Assistants or Nurse Practitioner license (PA) required. DEA licensure required. AHA BLS, ACLS certification required. PALS required within 6 months of Fellowship training.

Other Minimum Qualifications: Meets credentialing requirements. Qualifies for malpractice insurance and is accepted by Carilion Clinic’s malpractice insurance carrier. Ability to work collaboratively with physicians and other health care providers. Maintains open and supportive communications between all department members and other employees, patients and their family members. Commitment to continued professional development. 

About Carilion

This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.


Requisition Number: 146429 
Employment Status: Full time 
Location: CRMH - Carilion Roanoke Memorial Hospital 
Shift: Any Day, Any Shift 
Shift Details: Weekdays, Weekends, Day, Mid, and Night Shifts
Recruiter Phone: 540-224-5383 
Recruiter Email:
For more information, contact the HR Service Center at 1-800-599-2537.

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.


Carilion Total Rewards

What matters to you is important to us—like benefits, rewards, and resources to improve your life. Carilion understands the importance of prioritizing your well-being to help you develop and thrive. When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

  • Employer Funded Pension Plan, vested after five years (Voluntary 403B)
  • Comprehensive Medical, Dental, & Vision Benefits
  • Flexible Work Arrangements/Schedules
  • Remote Work Options
  • Paid Time Off (accrued from day one)
  • Onsite fitness studios and discounts to our Carilion Wellness centers
  • Access to our health and wellness app, Virgin Pulse
  • Discounts on childcare
  • Continued education and training

Find more about Carilion Clinic’s benefits by vising our Total Rewards Page.

Equal Opportunity Employer
Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity
Carilion Clinic is a drug-free workplace.

Nearest Major Market: Roanoke

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