Position: Hospital Based Wound Care, Orthopedic/Hand and Reconstructive Plastic Surgery PA

Location: Fairfax, VA

A well‑established surgical group providing advanced care in wound management, orthopedic and hand surgery, and reconstructive plastic surgery is seeking a highly skilled Physician Assistant to join its expanding team. This role supports a growing service line that includes hospital‑based wound care, complex orthopedic and hand cases, and reconstructive procedures. The ideal candidate brings strong clinical judgment, adaptability, and a commitment to delivering exceptional, patient‑centered care in a fast‑paced surgical environment.

Job Description
Performs clinical evaluations, physical exams, develops treatment plans (splinting, casting, wound care, medication management), assists in surgery (fractures, tendon repairs), manages pre/post-op care including advanced wound care (debridement, dressings), orders/interprets diagnostic testing (X-rays, MRI, CT), and educates patients, focusing on holistic upper extremity health from diagnosis to full recovery in clinic, OR, and inpatient settings.

 Key Responsibilities:
• Patient Evaluation: Take detailed histories, perform physical exams and other
diagnostic processes (hand, wrist, elbow), diagnose conditions like carpal tunnel,
arthritis, fractures, & tendon injuries.
• Diagnostic Interpretation: Order and analyze X-rays, MRIs, CTs, EMGs.
• Treatment Planning: Develop non-operative plans (splinting, casting, injections),
manage medications, and coordinate therapy referrals.
• Surgical Assistance: Act as first assist in OR.
• Post-Operative Care: Manage wound care (dressing changes, suture/staple
removal), monitor progress, and provide follow-up.
• Wound Care: As part of daily rounds - Perform debridement, manage complex
wounds, educate on healing and complete timely/accurate coding and charting
of daily encounters.
• Patient Education: Teach patients and families about conditions, treatments,
post-op care, and rehab.
• Collaboration: Work with lead surgeon, OT therapists, specialized PA’s, MA’s and
other patient care and billing team members. This is required to ensure superior
care and efficiency when performing and transferring patients from ER, WHC,
Surgical to private practice for Specialized OT, Splinting, PO care and evaluation.
• Participate in clinical case review, continuous quality improvement initiates, and
team meetings at primary practice location.
• Serve as key point of contact for patient questions and concerns throughout care
continuum.
• Ensure adherence to hospital protocols, state regulation, MIPS and scope-of-
practice requirements.
• Stay current with clinical best practices, non-operative management and surgical
techniques through ongoing education and CME.
• Educate patients and families on relevant anatomy, treatment options, recovery
expectations and long-term health
• Represent the lead surgeon and serve as primary liaison with the hospital(s) to
facilitate smooth operations, procedural efficiency, flow of crucial patient care,
information and scheduling.

Typical Procedures & Skills:
• Surgical: Assist in surgical procedures, including patient positioning, prepping,
and first assist in OR.
• Minor Procedures: Suture/staple removal, I&D of superficial infections, foreign
body removal, casting/splinting, pre/post-opertive dressing changes, wound
assessments and suture/staple removal
• Documentation: Accurate EMR charting.
• Prescribing: Medications, orthotics, braces as allowed.

Work Environment:
• Combines clinic, operating room, WHC and inpatient care.
• Supports surgeon and provides medical coverage as a team-based approach
• Demonstrates confidence and independence with daily processes/surgical/WHC
while providing daily systematic brief/direct Q&A patient summaries to lead
surgeon.
• Act as extension of surgeon to increase patient care efficiency and rounding at
WHC and other Inova sister facilities
• Actively network with all facility support teams to boost productivity, volume and
to ensure accurate supply/tool preparation for surgeries.
• Typically, M-F / 7 AM – 4 PM  with occasional add-on PRN

Minimum Requirements
Completion of an ARC‑PA accredited Physician Assistant program
Master’s degree in Physician Assistant Studies or related graduate‑level PA program
Successful completion of the PANCE (Physician Assistant National Certifying Examination)
Current NCCPA certification (or eligibility to obtain)
Eligibility for Virginia PA licensure through the Virginia Board of Medicine

Interested candidates are encouraged to apply by submitting a resume and cover letter highlighting their experience in Wound Care.  Orthopedic and Hand Reconstrutive surgery experience is a major plus.