Advanced Practice Provider (APP) Fellow - Fall 2024 (1.0FTE, Rotating), Fixed Term

Category: Nursing Advance Practice
Job Type: Full-Time
Shift: Days
Req: 19105
FTE: 1

Nursing Advance Practice

Advanced Practice Provider (APP) Fellowship Program – Fall 2024
1.0 FTE, 8-hour, Rotating
12 Month - Fixed Term Assignment 

  • Application open date: February 5, 2024
  • Application close date: March 17, 2024
  • Program start date: September 2024


Specialty Tracks:

  • Heart Center Track - APP Fellows in this clinical track will have the opportunity to care for patients in a variety of pediatric cardiac settings including general cardiology, single ventricle, and pulmonary hypertension clinics, heart failure and transplant programs, inpatient areas such as acute care cardiology unit, cardiac anesthesia, cardiac cath lab, and cardiothoracic surgery. In addition, APP Fellows will be able to see patients with the cardiac intensive care unit and electrophysiology teams.
  • Surgical Services Track - APP Fellows in this clinical track will have the opportunity to care for patients in a variety of pediatric subspecialty cardiac inpatient and ambulatory settings including general surgery, ENT, neurosurgery, liver transplant, general anesthesia, and orthopedic surgery.


To qualify as an applicant, please note the following criteria:

  • Must be a Graduate of a Master's or Doctoral degree in nursing program from an accredited college or university OR a Graduate of a Physician Assistant Program accredited by the Accreditation Review Commission on Education for the Physician Assistant. With a degree conferral date between June 1, 2023, and June 30, 2024.
  • Must have less than one (1) year of professional APP experience, at program start.
  • Must be willing to commit to a one (1) year Fellowship Program.


Supporting applicant documentation, required for consideration:

  • Current Resume
  • Letter of Intent / Cover letter / Statement of Interest which indicates your reason for applying and intended specialty track
    • One (1) page in length, is sufficient
  • Two (2) signed letters of recommendation ("wet" or electronic signature), from clinical leaders and /or clinical faculty on hospital/scholastic letterhead
    • Letters of recommendation can be uploaded to the applicant profile by the candidate OR the professional recommender is welcome to email their letter of recommendation to [email protected]
  • Current transcripts from APP program studies (Unofficial copies are accepted)

Application Instructions:

  • Submit the on-line application, with your Resume uploaded.
  • Upload your supporting documentation:
    • Option 1: From the ‘Application Confirmation’ Page
      • Select the three (3) dots located page upper right > Select ‘My Job Applications’ > Select ‘Add Attachment’
    • Option 2: Log back into your applicant profile via: http://applyjobs.lpch.org, using your username and password
      • Select ‘My Job Applications’ > Select ‘Add Attachment’

Please click here for details about the APP Fellowship Program

Should you have questions or encounter an issue with the on-line application, please contact [email protected].  Please specify, 'APP Fellowship Application" in the subject line and include your name, applicant ID (if applicable),  and contact information.

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At Stanford Children’s Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

Job Summary

This paragraph summarizes the general nature, level and purpose of the job.

The Advanced Practice Provider (APP) Fellow functions under the general APP Standardized Procedures/Delegation of Services approved by the Interdisciplinary Practice Committee (IDPC).  Specific functions pertaining to the Service, Clinic or Department are established by the Advanced Practice Provider and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Lucile Packard Children's Hospital Medical Board and Board of Directors. Supervision is provided by attending physicians in the Clinic, Service or Department. The specific mechanisms of supervision used may be:

  • Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be:

  • Direct on-site, electronic or phone supervision by a supervising physician. 

  • Chart reviews on random charts by the supervising physician or designee.

  • Chart audits on random charts as an integral part of selected quality improvement programs.

  • Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators.

Additional supervision requirements for the physician assistant shall include co-signature of all charts within 14 days or 5% of notes written by the Physician Assistant may be signed and dated by a supervising physician within (30) days.  Note: If this latter method of supervision is chosen, the department is responsible for submitting quarterly chart completion audits to Health Information Management 

Services (HIMS) to verify compliance. Additionally, the supervising physician must adopt protocols to govern the diagnosis and management of patients as per California Code of Regulations.

Overall Description:

The Advanced Practice Provider (APP) fellowship program is a 12-month program for highly engaged advanced practice provider (nurse practitioner or physician assistant) graduates. Throughout the 12-month program, APP fellows will rotate through various clinical rotation blocks as outlined in the clinical fellowship track. In addition, the fellows will also attend clinical didactic and professional didactic sessions throughout the course of the year. The program is intended to support the transition of APPs to function in complex pediatric subspecialty practice. At the end of the fellowship program, the fellow would be eligible to apply to open APP positions at Lucile Packard Children¿s Hospital.

Essential Functions

The essential functions listed are typical examples of work performed by positions in this job classification.  They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities.  Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patients rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital(s).

  • The APP Fellow may provide only those clinical  services which he/she is competent to perform, which are consistent with the APP education, training and experience, or  which are performed in collaboration with a physician.

  • The APP fellow consults with a physician or other clinician regarding any task, procedure or diagnostic problem which the APP fellow determines exceeds his/her level of competence or shall refer such cases to a collaborating clinician.

  • Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures.

  • Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.

  • Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient.

  • Administers, orders, and prescribes medications.

  • Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.

  • Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.

  • Recognizes and considers age-specific needs of patients.

  • Provides and coordinates patient teaching and counseling.

Additional Responsibilties: 

  • Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.

  • Obtains informed consent, as indicated.

  • Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.

  • As directed by the researcher, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications.

  • After appropriate training, assists the surgeon in the operating room. The First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse.

Additional Skills:

  • Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.

  • Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.

  • Facilitates the coordination of inpatient and outpatient care and services as needed.

  • Facilitates collaboration between providers and coordination of community resources.

  • Ensures compliance with legal, regulatory and clinical policies and procedures.

  • Participates in quality improvement initiatives.

  • Other duties as assigned.

Additional program requirements for the APP Fellow:

  • Initiate/Complete a professional project during the time of the fellowship suitable for presentation or publication.

  • Attend state, national, and/or local APP society meetings as appropriate

  • Attend assigned clinical didactic sessions in each clinical rotational block

  • Attend assigned professional didactic sessions throughout course of fellowship

  • Complete all required evaluations throughout the course of the fellowship as assigned and by the due date.

  • Participate in periodic evaluations of progress to evaluate teaching and learning.

  • Will receive a formal annual performance evaluation by the Manager of Advanced Practice Professional Development with input from supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director.

Minimum Qualifications

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: Master's or doctoral degree in nursing from an accredited college or university OR Graduate of a Physician Assistant Program accredited by the Accreditation Review Commission on Education for the Physician Assistant.

Experience: New graduate APP’s or those with < 1 year of experience.

RN Experience/Patient Care Experience strongly preferred

Inpatient pediatric nursing experience strongly preferred/ focused clinical rotations in inpatient/ambulatory pediatric settings

License/Certification: Certification in Basic Life Support (BLS) from the American Heart Association (AHA).

-and-

Current Pediatric Advanced Life Support (PALS) Certification for Healthcare Providers from the American Heart Association (AHA).

If authorized by the supervising physician to issue outpatient drug orders for controlled substances, the Advanced Practice Provider must be registered with the United States Drug Enforcement Administration (DEA) and CURES database.

Nurse Practitioners:

Licensure as a Registered Nurse (RN) in the State of California through the Board of Registered Nursing (BRN).

Licensure as a Nurse Practitioner (in the State of California) through the Board of Registered Nursing (BRN).

Furnishing license issued by the Board of Registered Nursing (BRN) within 3 months of hire.

National Board Certification as a (Nurse Practitioner) from an agency accredited by the American Board of Nursing Specialties (ABNS). 

 Additional board certification(s) may be required by certain specialties/departments

-or-

Physician Assistant:

Licensure as a Physician Assistant (PA) in the State of California.

Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA)

Knowledge, Skills, and Abilities

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.

  • Commitment to pediatric subspecialty area

  • Active Learner

  • Professionally engaged in the Center for Advanced Practice

Physical Requirements

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. 

Pay Range

Compensation is based on the level and requirements of the role.

Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.

Typically, new team members join at the minimum to mid salary range.

Minimum to Midpoint Range (1.0 FTE): $153,816.00 to $153,816.00

Equal Opportunity Employer

Lucile Packard Children’s Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
 
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