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About Carilion Clinic

Carilion Clinic is a not-for-profit, mission-driven health system where innovation, collaboration, and continuous learning are at the core of everything we do. Headquartered in Roanoke, VA, Carilion includes award-winning hospitals, Level I and III trauma centers, specialty institutes, and the Virginia Tech Carilion School of Medicine and Research Institute.

Position Summary

The Acute Care Surgery (ACS) APP Fellowship is a 12-month, full-time training program designed for Nurse Practitioners and Physician Assistants seeking advanced experience in trauma, emergency general surgery, and surgical critical care.

Based at Carilion Roanoke Memorial Hospital—a 718 bed academic medical center and the region’s only Level I Trauma Center—this fellowship provides immersive, hands-on clinical training in a high-acuity environment.

Program Highlights

• 12-month structured fellowship
• Training in a Level I Trauma Center
• Simulation lab and procedural training
• Off-service and community ED rotations
• Participation in surgical grand rounds and lectures
• APP-led mentorship and leadership structure

Key Responsibilities

• Perform histories, physical exams, and clinical assessments
• Diagnose and manage acute, trauma, and surgical conditions
• Order and interpret diagnostic tests
• Develop and implement treatment plans
• Perform bedside procedures (e.g., I&D, chest tubes, central lines)
• Assist in surgical care and patient management
• Provide patient and family education
• Document care in electronic medical records
• Coordinate care, referrals, and discharge planning
• Collaborate with multidisciplinary healthcare teams

Skills & Competencies Developed

• Advanced clinical decision-making
• Procedural proficiency (including ultrasound basics)
• Trauma and critical care management
• Interdisciplinary teamwork and communication

Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program
• Eligible for Virginia licensure
• Strong interest in acute care, trauma, or surgical critical care
• Excellent communication and teamwork skills

Work Environment & Physical Requirements

• Fast-paced, high-acuity clinical setting
• Prolonged standing, walking, and physical activity
• Ability to lift up to 50–100 lbs (with assistance as needed)
• Requires strong problem-solving, communication, and adaptability

Why Join Us?

Train at one of Virginia’s busiest and most advanced trauma centers while building the skills and confidence to practice at the top of your license. At Carilion Clinic, you’ll gain hands-on experience, strong mentorship, and the opportunity to make a meaningful impact in patient care.

What We Require:

Education: Graduate of an Accredited School of Nursing and Nurse Practitioner Program or Accredited Physician Assistant Program.

Experience: Clinical experience appropriate to specific practice/ department preferred.

Licensure, certification, and/or registration: Current Nurse Practitioner or Physician Assistant license required. DEA licensure required. Eligible for prescriptive authority in accordance with State regulations and as authorized by the Virginia Boards of Nursing and Medicine. 

Other Minimum Qualifications: Demonstrates knowledge and competency of core skills, related to assigned area, that serves as a basis for continued growth and progression of skills and pace. Demonstrates good written and oral communication skills. Computer literacy required for automated computer systems and programs such as electronic medical records. 

Compensation Range:

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

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For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color,  religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Benefits, Pay and Well-being at Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive.  That’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away.

When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Personify Health
• Discounts on childcare
• Continued education and training