Traveling for Care?
Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins.
When on rotations, Physician Assistant Residents will be working within a team to provide comprehensive and consistent care for your patients. You will be responsible for assessment, diagnosis, management, selection of interventions, required procedures, and consistent evaluation of the patients progress towards goals. You will have ownership of patients with complex surgical and medical conditions, and will manage all aspects of their care, from fluid resuscitation and antibiotic management to pressor use, interpretation of Pulmonary Artery Catheter readings and other invasive/non-invasive hemodynamic parameters, and management of ventilator modes and strategies
PA Residents will follow the same schedule and adhere to the same call requirements as the surgical and/or anesthesia residents on the team. All residents will follow the guidelines established by the Accreditation Council for Graduate Medical Education that became effective on July 1, 2011.
Physician Assistant Residents will be taught core clinical skill competencies in the Minimally Invasive Surgical Training Center (MISTC),as well as in the new Johns Hopkins Simulation Center.
Learn more about rotations, supervision, responsibilities of the resident, on-call activities, program completion, paid time off (PTO), continuing medical education (CME) ,stipend, and conference funding.
Modeled after the surgical MD resident program, you will follow the same schedule and adhere to the same call requirements as the surgical and/or Anesthesia residents within the ICU. You will work closely with the existing ICU Physician Assistants and Nurse Practitioners. This relationship facilitates the intense mentoring and collaboration that is required for your growth and development in surgical, medical, and critical thinking skills.
Rotation schedules have been organized to provide the most educational and supportive environment in which to learn. Any concerns related to the rotations should be brought immediately to the attention of the program directors or educational coordinator. We reserve the right to change the rotation schedule at any time in order to meet the needs of the individual PA resident, the needs of the institution, and in response to quality of education and experiences within the units as the year progresses.
Intensive Care Unit Rotations may include but not be limited to the following:
Residents will also have an elective rotation which could include repeating of an ICU rotation or time on a surgical or specialty service. These will be personalized for each resident.
Didactic opportunities include:
During these rotations, you will be mentored by Attendings, Fellows, Surgical and Anesthesia Residents, Physician Assistants and Nurse Practitioners. For the majority of the rotations, you will be paired with a NP/PA/Resident with whom you will provide a totality of care: assess and respond to patient care needs, provide medical, surgical and ICU management, and assess both patients and families to meet their immediate and long-term needs.
You will be on call at night and paired with a resident, NP, PA and/or Fellow. No PA Resident writes orders on any service until their skills are validated by the PA Residency Leadership in conjunction with the preceptors. When moving from one rotation to another, you will be expected to demonstrate your abilities before more degrees of independence are provided, especially when in the specialty units.
The objective of on-call activities is to provide residents with continuity of patient care experiences throughout a 24 hour period. In-house call is defined as those duty hours beyond the normal work day when residents are required to be immediately available in the assigned situation.
Successfully Completed: This category is consistent with an "average to above average" evaluation rating and is considered the minimal performance standard for successful progression through and completion of the Johns Hopkins Post-Graduate Critical Care Physician Assistant Residency Program.
Successfully leads the presentation of a total of two case studies in PA lecture series throughout the academic year-at least one case to be completed before the six month evaluation period.
The Program and Medical Directors will ultimately hold the responsibility for determining graduation status. In the event of a dispute, the decision will be made by the Chair of the Department of Anesthesia and Critical Care.
Graduation criteria have been developed out of respect for the residents who come to the program and invest time and effort to ensure that they leave the program stronger and more proficient than when they entered.
Throughout the program, faculty and residents will meet periodically (usually at three, six, and nine months into the program) to evaluate progress and needs. Frequency and content will be determined by resident rotation evaluations, informal and formal feedback from preceptors, concerns identified by the individual resident and clinical performance and laboratory/classroom testing sessions. You may also request additional meetings for reviews and/or feedback at any time throughout the program.
If the faculty and/or resident perceive that the resident will be unable to meet the criteria for Successful Completion of the Residency Program, the following actions will be taken:
1. Program Faculty and the PA resident will meet to discuss performance and/or knowledge deficiencies. An individualized performance improvement plan (PIP) will be designed and agreed upon by the resident and faculty to address the deficiencies over a specified time period.
2. During this period, the PA resident will be placed in a probationary standing.
3. If a resident, despite discussions and implementation of a performance improvement plan, is unable to meet the standards of care, practice and safety established by the faculty of the program, they may be terminated from the residency. The circumstances leading to this decision are reviewed by and the decision to terminate is made with the Chair of the Department of Anesthesiology and Critical Care Medicine, and is not subject to appeal.
PA residents are Hospital employees, and as such are held to the same disciplinary rules and processes as all other Hospital employees. Please refer to the JHH Employee Handbook for any and all details of these policies.
Return to Top
The Johns Hopkins Hospital Department of Surgery Postgraduate Surgical Residency for Physician Assistants will be a twelve month employment contract. The stipend is $48,500.00 with twenty-two days of personal time off (PTO) to be used as vacation or sick time. Meal vouchers during call will be provided. Health and dental insurance, life insurance, short and long-term disability are available. Physician Assistant Surgical Residents will be subject to the guidelines established by the Accreditation Council for Graduate Medical Education. Maryland Controlled Dangerous Substance number, License fee, and delegation fee will all be paid for by the hospital. A minimum of fifty Category I and II credits will be available at no cost through various academic requirements during the residency.
For Additional information about working at Johns Hopkins, please see the employee handbook.