Endocrinology - Advance Practice Clinician - Center City

Number of Positions In Requisition

1

 Job Details

Nurse Practitioner or Physician Assistant

Job Description

The Department of Otolaryngology – Head & Neck Surgery is seeking a highly motivated and clinically skilled Advanced Practice Clinician (APC) to join our academic Otolaryngology Endocrine Surgery practice.

This is a unique hybrid clinical and surgical position designed for a Physician Assistant or Acute Care Nurse Practitioner with Registered Nurse First Assistant (RNFA) certification who is interested in developing advanced expertise in thyroid and parathyroid disease.

The APC will work closely with fellowship-trained endocrine surgeons and will participate throughout the continuum of endocrine surgical care. The position will be divided between the operating room and ambulatory setting, allowing the APC to develop expertise in both surgical and medical management of patients with thyroid and parathyroid disorders.

In the operating room, the APC will function as a surgical first assistant, primarily supporting thyroid and parathyroid procedures. In the ambulatory setting, the APC will independently evaluate and manage new patients, nonsurgical patients with thyroid and parathyroid conditions as well as postoperative .

This position is an excellent opportunity for an experienced APC with an interest in endocrine surgery, as well as a motivated candidate with strong clinical skills and a desire to develop specialized expertise in thyroid and parathyroid disease, endocrine surgery, ultrasound, and longitudinal endocrine care.

Position Responsibilities

Operating Room – Endocrine Surgery

The APC will function as an integral member of the endocrine surgery team and serve as a RNFA/surgical first assistant during thyroid and parathyroid procedures.

Responsibilities may include:

First assisting during thyroid and parathyroid surgery

Providing appropriate surgical exposure and tissue retraction

Assisting with dissection and hemostasis

Assisting with identification and preservation of critical anatomic structures

Suturing and closure as appropriate to training, competency, and institutional privileges

Assisting with intraoperative specimen handling

Maintaining appropriate sterile technique

Anticipating the needs of the surgeon and operative team

Participating in intraoperative decision-making within the APC's scope of practice

Supporting safe and efficient operating room workflow

Communicating effectively with surgeons, anesthesia providers, nursing staff, pathology, and other members of the perioperative team

Participating in preoperative and postoperative surgical planning

The primary surgical focus will be endocrine procedures, with opportunities to expand procedural expertise based upon department needs, demonstrated competency, and institutional privileges.

Ambulatory Endocrine Surgery Practice

When not functioning in the operating room, the APC will provide ambulatory care for patients with a broad spectrum of thyroid and parathyroid disorders.

Clinical responsibilities may include:

Postoperative Surgical Care

Postoperative evaluation following thyroid and parathyroid surgery

Incision and wound assessment

Evaluation for postoperative complications

Assessment of voice and swallowing function

Evaluation for symptoms of hypocalcemia and other postoperative metabolic concerns

Review of surgical pathology

Coordination of postoperative laboratory testing

Medication management

Patient education regarding recovery and activity

Identification and escalation of postoperative concerns to the endocrine surgeon

Longitudinal postoperative follow-up

Ultrasound and Office-Based Procedures

An important component of the position will be the opportunity to develop advanced competency in thyroid and neck ultrasound.

For candidates who demonstrate interest and aptitude, the department will provide opportunities for structured training in:

Thyroid ultrasound

Cervical lymph node ultrasound

Ultrasound evaluation of thyroid nodules

Ultrasound-guided procedures

Ultrasound-guided fine needle aspiration (FNA), when appropriate and within institutional privileges

Ultrasound-guided evaluation of postoperative or clinically concerning neck findings

Training and procedural privileges will be based upon formal education, supervised clinical experience, competency assessment, and institutional credentialing requirements.

This position provides an opportunity for a motivated APC to develop a specialized skill set in endocrine ultrasound and office-based procedures as part of their professional growth.

Multidisciplinary Endocrine Care

The APC will work collaboratively within an academic multidisciplinary environment and may interact with:

Endocrine surgery

Otolaryngology–Head & Neck Surgery

Endocrinology

Radiology

Pathology

Nuclear medicine

Oncology

Speech-language pathology

Primary care

Other surgical and medical subspecialties

The APC will help facilitate coordinated care for patients whose diagnoses and treatment plans cross multiple specialties.

Academic Responsibilities

As a member of an academic Department of Otolaryngology, the APC will have opportunities to participate in the department's academic mission, including:

Education of medical students, residents, fellows, and other learners

Participation in departmental conferences

Development of patient education materials

Clinical quality improvement initiatives

Clinical research and outcomes projects

Development of clinical pathways and protocols

Evidence-based practice initiatives

Presentation of clinical topics

Participation in professional development activities

Mentorship and education of other APCs

Clinical Autonomy and Physician Collaboration

The APC will provide care with an appropriate degree of clinical autonomy based upon education, experience, demonstrated competency, licensure, and institutional privileges.

The APC will work closely with endocrine surgery faculty and will be expected to recognize situations requiring physician consultation or escalation.

The role is designed to promote continuity of care between the operating room and ambulatory practice, allowing the APC to develop a comprehensive understanding of the patient's surgical journey from initial evaluation through surgery and postoperative recovery.

Ideal Candidate

The ideal candidate is a Physician Assistant or Acute Care Nurse Practitioner with RNFA certification who is interested in developing a career focused on endocrine surgery.

The successful candidate may be an experienced endocrine APC or a motivated APC with strong surgical experience who is seeking to develop specialized expertise in thyroid and parathyroid disease.

Preferred qualifications include:

Physician Assistant or Acute Care Nurse Practitioner

Current RNFA certification

Previous experience as a surgical first assistant

Experience in otolaryngology, endocrine surgery, general surgery, or another surgical specialty

Experience caring for postoperative surgical patients

Familiarity with thyroid and parathyroid disease

Strong interest in endocrine surgery

Interest in developing expertise in thyroid and neck ultrasound

Strong procedural skills and attention to detail

Excellent clinical assessment and communication skills

Ability to function independently while working collaboratively with surgeons and the multidisciplinary team

Interest in academic medicine, teaching, quality improvement, or clinical research

Candidates without extensive endocrine experience will be considered if they demonstrate strong surgical skills, clinical judgment, and a genuine desire to learn and develop expertise in endocrine surgery.

The department is committed to providing structured mentorship and training to a motivated APC interested in building a career in this subspecialty.

Lice