Advanced Practice Fellow - Pediatric Developmental Medicine

Organization

In-Patient Nrs Practnrs 20

Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated.

It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

The Advanced Practice Fellow works in collaboration with and is an integral member of an interdisciplinary health care team. The Advanced Practice Fellow should have a basic foundation in evidence-based practice and demonstrate adequate medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation. The Advanced Practice Fellow may function in a variety of inpatient and outpatient care settings throughout the fellowship to optimize learning experiences.

Focused learning experiences will be provided that enable the Advanced Practice Fellow to develop and refine essential specialty specific clinical and critical thinking skills promoting top of license practice. Immersion into an environment of collaborative interdisciplinary care will assure cost effective, quality, patient centered care. Additionally, an expanded incorporation of evidenced‑based practice into care and utilization of improvement processes will be demonstrated by completion of a specialty‑relevant project.

• Monday
  - Friday
• Days - 8am - 5pm
• Full‑Time

• NP Fellow will participate in the Leadership and Education in Neurodevelopmental Disabilities (LEND) and Leadership Excellence in Advanced Practice (LEAP!) programs
• NP fellow will receive training on a variety of measures used in developmental‑behavioral pediatrics (including ADOS‑2, CARS‑2, Vineland, BASC)
• Protected time for education/learning - 10 hours weekly
• Start Date
  - January 2027
• Pediatric Nurse Practitioner
  - Primary Care (CPNP‑PC), Pediatric Nurse Practitioner
  - Acute Care (CPNP‑AC) or Physician Assistant (PA)

Assessment of Health Status:

• Performs and documents in the medical record a complete history and physical examination.
• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
• Assesses for risks associated with care including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.
• Participates in daily huddles or rounds with the interdisciplinary team as applicable and actively collaborates in formulating and evaluating ongoing plan of care across the continuum.

Diagnosis:

• Collaborates with interdisciplinary health care team in making accurate and diagnoses of acute and complex chronic conditions.
• Manages diagnostic tests through ordering, interpretation, performance, and supervision.
• Formulates differential diagnoses by priority.
• Diagnoses complications and identifies appropriate interventions.

Formulates Plan of Care:

• Identifies expected outcomes from diagnosis, formulates and documents a plan of care to address acute and complex, chronic health care needs.
• Utilizes evidence‑based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.

Implements and modifies plan of care:

• Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non‑pharmacologic and surgical (as needed) to achieve expected outcomes.
• Manages further diagnostic tests through ordering, performance and interpretation.
• May perform advanced procedures…