Clinical Documents

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Draft a comprehensive differential diagnosis for acute substernal chest pain in a 45-year-old male with hypertension and hyperlipidemia, diaphoresis, exertional onset, and normal initial ECG/troponin; include life-threatening causes first, key distinguishing features, and immediate diagnostic next steps.

Draft a detailed differential diagnosis for new-onset unilateral throbbing headache with visual aura and brief monocular vision loss in a 32-year-old female on oral contraceptives; include red-flag symptoms, stroke/TIA considerations, and recommended initial workup.

Draft an assessment and plan for stage-2 hypertension (BP 162/98) in an obese 52-year-old with suspected obstructive sleep apnea; include ASCVD risk estimate, lifestyle prescriptions, first-line pharmacotherapy with drug/dose/targets, baseline labs/monitoring, and 4–6 week follow-up.

Draft an assessment and plan for type 2 diabetes follow-up with A1c 9.2% on metformin 1,000 mg BID and eGFR 65; compare adding a GLP-1 receptor agonist vs an SGLT2 inhibitor, address weight loss goals, hypoglycemia education, vaccinations, and micro/macrovascular screening.

Draft a history and physical for a patient presenting with chest pain, including HPI using OLDCARTS, pertinent ROS, PMH/meds/allergies, FH/SH, focused cardiac/pulmonary exam, initial labs and imaging orders, prioritized differential, HEART score risk stratification, and early management.

Draft a history and physical for a new patient with progressive exertional dyspnea, orthopnea, and bilateral leg edema; include differential (heart failure, COPD, PE, anemia, renal disease), targeted exam maneuvers, and first-line diagnostics and management.

Draft a progress note for COPD follow-up two weeks after an acute exacerbation treated with prednisone and antibiotics; include symptom trajectory, CAT score (if available), inhaler technique/adherence, oxygen needs, spirometry plan, smoking cessation counseling, and return precautions.

Draft a progress note for post-operative day 2 after total knee arthroplasty; include pain control strategy, DVT prophylaxis, PT/OT milestones, wound status, bowel/urinary function, labs/vitals review, complications screening, and discharge readiness.

Draft a discharge summary for community-acquired pneumonia admission; include admission/discharge dates, presenting symptoms, radiology/labs, pathogen if identified, inpatient therapies and response, discharge medications with durations, pending tests, follow-up appointments, and return precautions.

Draft a discharge summary for myocardial infarction managed with PCI and drug-eluting stent placement; include cath findings, complications, inpatient course, discharge medications (DAPT, statin, beta-blocker, ACEi/ARB), cardiac rehab referral, and follow-up plan.

Draft discharge instructions for a patient hospitalized with acute decompensated heart failure; include daily weights, sodium and fluid restriction amounts, medication list with dosing, signs of worsening heart failure, follow-up appointments, and lab monitoring plan.

Draft discharge instructions for an asthma exacerbation; include controller and reliever regimen, steroid taper schedule, spacer technique, trigger avoidance, a written asthma action plan, return precautions, and follow-up timing.

Draft a patient handout on managing high blood pressure in plain language; explain what BP numbers mean, key lifestyle steps (DASH diet, sodium limits, alcohol moderation), home BP monitoring instructions, medication adherence tips, and when to call the doctor.

Draft a patient handout for type 2 diabetes education in plain language; cover A1c goals, the plate method, physical activity targets, self-monitoring of blood glucose, hypoglycemia signs and the 15-15 rule, foot care basics, and a vaccination checklist.

Draft a summary of the latest CDC and WHO guidelines for managing community-acquired pneumonia in adults, including empiric antibiotic choices, duration of therapy, and follow-up recommendations.

Draft a plain-language overview of the ADA and AACE guidelines for diabetes management, focusing on A1c goals, weight management, and the use of GLP-1 receptor agonists and SGLT2 inhibitors.

Draft a summary of the 2024 USPSTF breast cancer screening recommendations, including updated screening intervals, risk-based approaches, and the role of MRI for high-risk patients.

Draft a concise summary of NCCN guidelines for melanoma management, including staging, surgical margins, adjuvant therapy, and checkpoint inhibitor recommendations.

Draft treatment alternatives for community-acquired MRSA skin infections in patients allergic to sulfa drugs; include oral and IV options, dosing, and duration.

Draft treatment alternatives for patients with type 2 diabetes who are unable to tolerate GLP-1 receptor agonists due to nausea; include medication substitutions and lifestyle recommendations.

Draft a summary of options for treating refractory depression, comparing ketamine infusions, transcranial magnetic stimulation (TMS), and electroconvulsive therapy (ECT).

Draft treatment options for advanced prostate cancer, including hormonal therapy, radiopharmaceuticals, and novel androgen receptor pathway inhibitors.

Draft a summary of recent research on mRNA vaccine technology beyond COVID-19, including applications in oncology and autoimmune disease prevention.

Draft an easy-to-understand overview of long COVID research, summarizing major symptoms, hypothesized mechanisms, and emerging treatment approaches.

Draft a summary of current research on Alzheimer’s disease biomarkers, including amyloid and tau imaging, and discuss how they influence diagnosis and trial design.

Draft an explanation of the interaction between warfarin and antibiotics such as ciprofloxacin or TMP-SMX, including INR effects and management recommendations.

Draft a summary evaluating drug interactions for patients taking Paxlovid and common cardiovascular drugs; include mechanism and recommended dose adjustments.

Draft a summary of the common and serious side effects of semaglutide, including GI intolerance, gallbladder disease, and thyroid-related warnings.

Draft an overview of potential side effects associated with long-term corticosteroid use, including osteoporosis, glucose intolerance, and adrenal suppression.

Draft a summary of essential lab tests to order in suspected acute pancreatitis, including amylase, lipase, liver enzymes, and metabolic panels, with interpretation guidance.

Draft laboratory workup recommendations for suspected hypothyroidism, including TSH, free T4, thyroid antibodies, and when to consider secondary causes.

Draft an explanation of which labs should be monitored in patients receiving methotrexate therapy, including CBC, LFTs, renal function, and frequency of monitoring.

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Job: Physician Assistant - Department of Emergency Medicine - UMass Harrington Hospital and Harrington HealthCare

Job Type: Full Time

Company Name: Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center

Location: Massachusetts

Category: Physician Assistant

Expiration: October 9, 2026

The Emergency Department at UMass Harrington Hospital and Harrington HealthCare at Webster is seeking a Physician Assistant to join our staff of dynamic, highly regarded ED practitioners for our Southbridge and Webster locations.
Provide direct patient care relative to physical diagnosis and therapeutic management for patients in the Emergency Department working under the supervision of a licensed physician.

  • Approximately 43,000 combined annual ED visits

  • APPs provide both direct patient management and physician support in main ED

  • Competitive starting salary

  • Generous, immediately vested pension

  • Malpractice insurance with tail coverage

  • Varied shifts; no night shifts

  • CME funding

  • Continuing education opportunities

  • An atmosphere promoting work-life balance

UMass-Harrington HealthCare System is a regional health system that provides health care to patients in south central Massachusetts and northeast Connecticut, with its main hospital campus in Southbridge, MA and satellite ED in Webster, MA. The Emergency Departments at Harrington HealthCare are staffed and managed by HMFP/APHMFP.

  • 24-7 Emergency Department providing emergency care to all patients

  • Integrated PA coverage at both campuses

  • Hospital association with designated stroke center, heart center, and level 1 trauma center at UMass

  • 24-hour Emergency Psychiatric Services coverage

  • Multi-specialty back-up available on call

Job Requirements

  • Master's degree in Physician Assistant

  • 2+ year experience working in a clinical setting, preferably Emergency Department or Urgent Care Center

  • Massachusetts state licensure

  • MA Board authorization to practice licensure

  • American Heart Association - Basic Life Support Certificate and Advanced Cardiovascular Life Support

  • Certification in Pediatric Advanced Life Support preferred but not required

  • Valid prescriptive authority from both the MA DPH-DCP and Federal DEA

  • Experience in an Emergency Department or Urgent Care Center

  • Competency in provision of care to patients of all ages

Salary Range
$90,000 - $150,000
The base pay range reflects what Associated Physicians of Harvard Medical Faculty Physicians (APHMFP) / Longwood Specialty Physicians (LSP) reasonably and in good faith expects to pay for this role at the time of the posting and may be modified from time to time. Actual compensation within this range may be determined based on several factors, including work experience, specialty training, geography of work location, anticipated productivity, FTE basis, and role expectations. In addition to base compensation, this role may be eligible for performance-based incentives, which may include bonuses for productivity and quality. APHMFP/LSP also offers a comprehensive and generous employee benefits program to eligible employees, including health, dental, vision, life and disability insurance, as well as retirement plan(s) with employer
contribution.
To apply send CV with cover letter to Susan Connolly, Associated Physicians of Harvard Medical Faculty Physicians, at  Show Contact Details[email protected] .
EEO/AA/M/F/Vet/Disability.
Join Longwood Specialty Physicians (LSP), a network of practitioners committed to providing community care close to home and delivering world-class medical expertise in the communities it serves. As part of its dedication to excellence, Longwood Specialty Physicians is part of Harvard Medical Faculty Physicians (HMFP) and Beth Israel Deaconess Medical Center (BIDMC), renowned organizations that offer access to innovative research, advanced education, and a network of 680+ providers. Together, they support the delivery of exceptional care, promote professional development, and foster balance between work and home for their teams. LSP compassionately serves patients in the community setting to create a healthy future for them and their families.
More About Central, MA
The regions in Central Massachusetts offer an abundance of unique environmental and cultural settings. The Sturbridge Townships and areas of southern Worcester County offer rich history and small-town charm complete with maple shacks, festivals, concerts, shopping, and restaurants. Multiple surrounding rivers, lakes, hills, and forests allow residents to explore and enjoy nature's abundant beauty. Learn more about the area at https://www.discovercentralma.org/.

Contact Information

 Show Contact Details[email protected] 


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