ERG | NY | Cardiothoracic and Vascular Surgery APP | APPs

Cardiothoracic and Vascular Surgery Physician Assistant Open-heart and complex vascular care succeeds or fails in the hours around the incision. This role puts a physician assistant at the center of that window-first assist in the operating room, decisive perioperative management, and clear handoffs that keep high-risk patients moving safely from consult to recovery. Success is measured in operative readiness, fewer preventable complications, and a surgical team that can take the next case without gaps. Performance Objectives Prepare and first-assist on coronary, valve, aortic, and peripheral vascular cases so the attending can operate without delay or missing critical steps. Own preoperative workups-history, exam, risk review, consent support, and order sets-so scheduled patients arrive optimized and cancellations for incomplete preparation fall. Manage postoperative courses in ICU and step-down: hemodynamics, drains, anticoagulation, and early complications, escalating before deterioration becomes a return to the OR.Close the loop on discharge and clinic follow-up so graft surveillance, wound checks, and medication plans are completed on time. Cover call with timely bedside assessment and operative support that keeps emergency and add-on cases moving. Document and communicate plans that other clinicians can act on without rework, supporting throughput and clean handoffs. Environment & Resources You practice inside a high-acuity cardiothoracic and vascular service alongside attending surgeons, cardiac anesthesia, perfusion, ICU nursing, and advanced practice colleagues. The mix is OR, ICU, ward, and clinic, with on-call responsibility. You use the service's EHR, order sets, and imaging systems, and you report to the surgical leadership of the service with day-to-day partnership from the operating surgeons. Essential Qualifications Graduate of an accredited PA program and current NCCPA certification. Active state PA license and DEA registration, or eligibility to obtain both before start. ACLS; ATLS or equivalent acute-care credential preferred. Demonstrated first-assist and perioperative management in cardiothoracic, vascular, or closely related high-acuity surgery. Sound judgment on anticoagulation, hemodynamics, and when to escalate. Clear written and verbal communication with surgeons, ICU teams, and patients' families. Role Selling PointsFull-scope surgical practice: assist, manage, and follow-not clinic-only or scribe work. Direct partnership with operating surgeons on complex open and endovascular cases. Visible impact on operative flow, length of stay, and complication recovery. A team built for high-acuity cardiac and vascular patients, not general floor coverage. Call to ActionIf you want your days measured by cases assisted, patients stabilized, and plans that hold, apply with a CV that shows your operative and perioperative record.