Advanced Practice Provider (NP / PA) Adult Critical Care Fellowship

Position Description:

The Medical College of Wisconsin's postgraduate fellowship programs provide a structured clinical and professional education to foster growth.

The Critical Care Program Advanced Practice Provider (APP) fellowship is an innovative one-year training program that teaches APP fellows to become highly skilled in the multidisciplinary, collaborative, and evidence-based management of complex and challenging patients in critical care.

The curriculum is composed of multi-modal learning opportunities that may include the following: in-person didactics, online classrooms, simulation, proctored procedures and/or mentored clinical rotations.

Fellows will have rotations in the ICU's at FMLH and FMFH and electives providing specialty health care services within defined scope of practice in collaboration with a licensed physician and in accordance with MCW/FMLH policies and procedures.

The APP fellow will have a strong foundation in evidence-based practice and ensure an environment of safe, quality care.

Learn More:

General APP Fellowship website: https://www.mcw.edu/departments/mcw-advanced-practice-providers/app-fellowship-np-residency-programs

Program specific website: NP and PA Adult Critical Care Fellowship Program | MCW Advanced Practice Providers | Medical College of Wisconsin

MCW APPs Website: Advanced Practice Providers | Medical College of Wisconsin (mcw.edu)

HOW TO APPLY

*For the March start date, critical care offers two application pathways.

• Early decision pathway
  • Application deadline by March 31, 2025
  • Admission decisions and offers for program seats extended to applicant summer 2025.
  • Start date March 1, 2026
  • Standard Decision-
    • Application deadline by September 1, 2025
    • Admission decisions and offers for program seats extended to applicant late fall 2025.
    • Start date March 1, 2026
    • Standard decision pathway will only be offered if March program seats remain unfilled following completion of the early decision pathway.

Complete Human Resources Application Online

Application materials to include:

CV or Resume

Diploma or Transcripts (unofficial transcripts are acceptable) for NP/PA education.

Three letters of recommendation:

• New graduate or currently in school - recommend at least 1 letter from program leadership.

• Currently in Clinical Practice - please include at least 1 letter from a clinical manager or physician collaborator who can speak to clinical performance.

Statement of Interest:

• Please provide a summary (1-2 pages) of why you are interested in the program and/or specialty and what makes you a good candidate for the program.

*If you are unable to attach the materials to the application, please email them to: appcriticalcare@mcw.edu

*References may also email recommendation letters to: appcriticalcare@mcw.edu

Organizational Structure

The Medical College Physician's APP Critical Care Fellowship is an innovative one-year training program that teaches APP fellows to become highly skilled in the multidisciplinary, collaborative, and evidence-based management of complex patient care.

The curriculum is composed of multi-modal learning opportunities that may include the following: in-person didactics, online classrooms, simulation, proctored procedures and/or mentored clinical rotations.

During the program, fellows will have rotations in six ICU's at FMLH and FMFH (specialty and general medical/surgical populations), inpatient consultative services including infectious disease and palliative care, inpatient procedural services, and specialty electives.

Location: MCW

Department: MCP- Clinical Affairs

Division: Multispecialty

Supervising / Collaborating Physician: Dr. Tracy Zundel

Fellowship email: appcriticalcare@mcw.edu

Workweek: Scheduling flexibility required to provide for an appropriate level of patient care coverage. The schedule includes majority day shift, with night, weekend and possibly holiday shifts while in the critical care environment.

Fellowship Specific Responsibilities

1. Collaborates with interdisciplinary health care teams in diagnosis and treatment of conditions requiring Critical Care intervention in inpatient environment as a member of the Critical Care Team.
2. Writes accurate and timely progress notes, procedure notes, and/or admission and transfer orders.
3. Order, perform, and interpret screening and diagnostic procedures and tests, and appropriately communicates and documents information.
4. Privileged to perform procedures beyond core as identified by the Critical Care and Inpatient Procedure services.
5. Facilitates and communicates with patient, family, and staff to promote continuity of care across the continuum of care.
6. Attend required training and meets key regulatory requirements, including those of the privileging institution, CMS, and the Joint Commission.
7. Evaluates quality outcomes for the patients receiving care of this team through participation in the development of quality indicators and outcomes dashboard.
8. Acquires information on the most current development and trends in the Physician Assistant field and/or Nurse Practitioner field, through educational programs, in-services, professional associates, and current literature.
9. APP fellows must meet and maintain the expectations outlined in the APP fellowship handbook.
10. Successful completion of the APP fellowship program requires meeting all requirements outlined in APP fellowship handbook within the 12-month duration of the program. Upon meeting all program requirements, APP fellows earn a certificate of completion.
11. Acquires information on the most current development and trends in the Physician Assistant field and/or Nurse Practitioner field, through educational programs, in-services, professional associates, and current literature.
12. APP fellows must meet and maintain the expectations outlined in the APP fellowship handbook.
13. Successful completion of the APP fellowship program requires meeting all requirements outlined in APP fellowship handbook within the 12-month duration of the program. Upon meeting all program requirements, APP fellows earn a certificate of completion.

Core Advanced Practice Responsibilities

1. Performs comprehensive histories and physical exams, identifies normal and abnormal findings, including physical, cognitive, and psychosocial status.
2. Orders and interprets laboratory and diagnostic tests.
3. Develops pharmaceutical and non-pharmaceutical treatment plans.
4. Monitors effectiveness of plan of care.
5. Educates patients on disease and treatment plans.
6. Performs procedures as trained and appropriately credentialed.
7. Documents within the Electronic Medical Record (EMR) and completes other necessary documents.
8. Collaborates and/or consults with physicians and other health care providers as appropriate.
9. Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors.

Compensation and Benefits

APP fellows receive compensation during the program. Monthly paychecks start after the completion of the first month of employment. The MCW fellow salary is $75,000 and paid out as per MCW standard process. (may vary by program) Taxes and deductions apply.

In addition to the stipend, APP fellows receive:

• MCW Benefits outlined in the Benefits Enrollment Guide https://infoscope.mcw.edu/HR/Benefits.htm

• Graduate Fellowship Loan Deferment https://studentaid.ed.gov/sa/repay-loans/deferment-forbearance

• Malpractice insurance

• On campus parking

• BCLS

• ACLS (if required)

• Continuing education funding by program.

• Additional benefits may be offered based on the individual program.

Preferred Schedule:
The schedule includes majority day shift, with night, weekend and possibly holiday shifts while in the critical care environment

Position Requirements:

Preferred Experience: Zero years of experience required.

Minimum Education:

Advanced Practice Nurse: Master's Degree or higher in Nursing
Physician Assistant: Bachelor's Degree or higher in Physician Assistant Studies

Minimum Requirements: *or eligible

Advanced Practice Nurse Physician Assistant

Advanced Practice Nurse Practitioner Wisconsin Physician Assistant License

Wisconsin RN License Certification by NCCPA

Wisconsin Advanced Practice Nurse Prescriber License AHA BLS

National board certification preference for Acute Care Nurse Practitioner. Family Nurse Practitioner, or Adult Primary Care Nurse Practitioner eligible with 1 year APP practice in acute care setting.

AHA BLS

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination
The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering a diverse community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.

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