Orthopedic Surgery Advanced Practice Provider (APP)

The Orthopedic Surgery APP provides comprehensive musculoskeletal care in the inpatient, outpatient, and operative settings. The APP collaborates closely with orthopedic surgeons to evaluate, diagnose, and manage orthopedic conditions, assist in surgical procedures, and ensure continuity of care across the perioperative spectrum.
Key Responsibilities
1. Inpatient / Hospital Responsibilities
Perform history and physical exams for orthopedic patients
Manage postoperative patients (fractures, joint replacements, spine, trauma)
Conduct daily rounds and coordinate discharge planning
Respond to consults from ED and inpatient units
Manage pain control, anticoagulation, and postoperative complications
2. Operative Responsibilities
First assist in orthopedic procedures (joint replacement, trauma, sports, spine as applicable)
Assist with positioning, exposure, instrumentation, and closure
Ensure appropriate perioperative protocols are followed
Participate in surgical case flow and efficiency optimization
3. Outpatient / Clinic Responsibilities
Evaluate new and follow-up orthopedic patients
Diagnose and treat musculoskeletal conditions
Perform joint injections, aspirations, and splinting/casting
Order and interpret imaging (X-ray, MRI, CT)
Provide pre- and postoperative care
4. Procedural Responsibilities
Joint injections (knee, shoulder, hip, etc.)
Fracture reduction and splinting
Wound care and staple/suture removal
5. Call & Coverage Responsibilities
Participate in orthopedic call rotation
Provide ED coverage for fractures and acute injuries
Assist with trauma cases and urgent surgical needs
6. Documentation & Compliance
Complete timely operative notes, progress notes, and discharge summaries
Ensure compliance with billing and regulatory requirements
Support quality metrics (infection rates, LOS, readmissions)
7. Collaboration & Leadership
Work closely with orthopedic surgeons, PT/OT, nursing, and case management
Participate in service line development and efficiency initiatives
Assist in onboarding and mentoring new APPs
Qualifications
Required
Graduate of accredited PA or NP program
Board certification (PA-C or NP)
Active state license (or eligibility)
DEA license (or eligibility)
BLS certification
Preferred
Prior orthopedic or surgical experience
First assist experience
ACLS certification (hospital-based roles)
Skills & Competencies
Strong musculoskeletal exam skills
Procedural proficiency (casting, injections, reductions)
Ability to function in OR and high-volume clinic
Strong teamwork and communication