Certified Nurse Practitioner, Physician Assistant or Clinical Nurse Specialist- Inflammatory Bowel Disease (IBD) Fellowship

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Job Title

Certified Nurse Practitioner, Physician Assistant or Clinical Nurse Specialist- Inflammatory Bowel Disease (IBD) Fellowship

Location

Cleveland

Facility

Cleveland Clinic Main Campus

Department

DDSI/Gastroenterology-Digestive Disease Institute

Job Code

T97877

The Department of Gastroenterology, Hepatology and Nutrition at Cleveland Clinic is excited to begin recruitment for an exciting new opportunity. The department has created a one year Advanced Practice Provider (APP) Fellowship for the purpose of training an APP to be a competent, autonomous provider in the sub-sub specialty of Inflammatory Bowel Diseases (IBD). This is the first IBD APP Fellowship in the country. This Fellowship will foster growth in both clinical and research arenas and build an extensive knowledge base on care of IBD patients (including medical and surgical management and management of special populations, biologics and complications). We are currently accepting applications for our 2025 Cohort.

In order to be considered, your application must include the following (any applications missing these items will be closed out): 1. CV/Cover letter (uploaded with application) 2. 3 Letters of recommendations (uploaded with application)

All applicants must submit a complete application by the stated deadline and have: - Completed, at minimum, a master's program with degree conferred. - National board certification. - Licensing in Ohio obtained before start date without any restrictions. - Ability to be credentialed by The Cleveland Clinic Medical Executive Committee and Board of Governors.

The APP Fellowship will be based at The Cleveland Clinic Main Campus in Cleveland, Ohio with the ability to travel to our satellite facilities as educational opportunities arise. The fellowship will be twelve months long with planned start in Fall 2025. Benjamin Cohen, MD, MAS and Jessica Crimaldi, MSN, APRN.CNP will chair the recruitment and management of the program along with other members of the department.

The APP Fellow will spend approximately seventy percent of their time on direct clinical care of patients. The first quarter of the fellowship will be spent on General Gastroenterology (GI) foundational training followed by three quarters of IBD focused training. Teaching methods will include modeling by staff physicians and APP's, participation in weekly conferences, direct 1:1 instruction by staff physicians, use of scientific literature and information technology, and recommended reading.

The fellow will be expected to contribute to ongoing research projects within the department and section and if the opportunity arises become a sub-investigator to a clinical trial. The fellow will attend a national IBD conference (i.e. Advances in Inflammatory Bowel Disease or Crohn's and Colitis Congress). Funding for conference attendance will be provided in similar fashion to employed APPs.

The fellow will be required to complete a Capstone Project that will be due during the fourth quarter prior to the completion of their fellowship. The Capstone Project will be in an area that is of interest to the fellow and specific plans and requirements will be individualized. Examples of acceptable Capstone Projects include a State of the Art presentation, publication of a peer-reviewed article (original research or review article), or completion of a quality improvement project with presentation to the IBD Section.

The fellow will be hired in a full-time, salaried position not to exceed one full year of employment. The fellow will be eligible for the full-time benefits as described in the Total Rewards Brochure. The salary will be paid to the employee on a semi-monthly basis. Please note, Advanced Practice Fellowship's at Cleveland Clinic are compensated at a reduced pay scale compared to other Advanced Practice positions within our organization. As a fellow, you will receive a competitive salary that reflects the specialized training, mentorship, and hands-on experience provided during the program. This fellowship provides a unique opportunity for dedicated individuals to develop advanced skills in the Inflammatory Bowel Disease field and work alongside experts in this arena.

If the fellow is successful in the role, upon completion of the termed program the fellow will have the option to apply for an open position within the department or within the Cleveland Clinic enterprise. If the fellow does not secure employment within the Cleveland Clinic, their employment will be terminated per the terms of this fellowship. Employment at the end of the fellowship is not guaranteed.

APRN/PA learns the role of an Advanced Practice provider under supervision of the APRN/PA preceptor and/or Physician preceptor for no longer than 12 months.

Responsibilities:

• Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan with direct review by a physician.
• Works under direction of supervising physician within the confines of state law
• Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board.
• Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life-threatening situations, as privileged by CCF Credentialing Board.
• Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis as well as other specific procedures as directed by the physician, following approval by CCF Credentialing Board.
• Provides information and answers routine questions of patients regarding their disease, including preventive health maintenance topics such as diet, weight, smoking and topics related to medical specialty, with basic recommendations.
• Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.
• Assists with record keeping, completes appropriate patient medical chart, and transcribes lab data and routine correspondence, as directed and reviewed by physician.
• Refers patients to physicians as appropriate for consultation or for specialized health resources and treatment.
• Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
• Performs research follow-up studies as directed by the supervision of a physician. Assists in data analysis.
• Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
• Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
• Other duties as assigned.

Education:

• APRN: EDUCATION: Effective 05/01/2014: MSN required upon hire or within 5 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.
• Graduate of an accredited ARPN training program.
• PA: EDUCATION: Graduate of an A.R.C.-approved Physician Assistant Program.
• Master's degree in Physician Assistant Studies and/or applicable state license through the State Medical Board for certificate to practice

Certifications:

• APRN: Currently licensed as a Registered Nurse and Advanced Practice Registered Nurse in applicable state.
• National certification as Advanced Practice Registered Nurse by nationally accredited organization recognized by state Board of Nursing, current licensure by applicable state Board of Nursing, (including certificate to prescribe if applicable).
• Must be privileged by CCHS's credentialing board
• Basic Life Support (BLS) through the American Heart Association (AHA) required.
• Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
• PA: Current certification as a Physician Assistant through the NCCPA (or successor).
• Must have a license to practice and prescribe as a PA from the State Medical Board of Ohio
• Must have a signed Physician Supervision agreement on file at the practice site
• Must be privileged by CCHS'