About the role
Employment Status: Full time
Shift:
Any Day, Any Shift (United States of America)
Facility:
1906 Belleview Ave SE - Roanoke
Requisition Number:
R162831 APP Fellow- Acute Care Surgery (Open)


How You’ll Help Transform Healthcare:
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:
$68,640.00 - $68,640.00
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.



Recruiter:
KARYN FARRELL
Recruiter Email:
kbfarrell@carilionclinic.org
Recruiter Phone Number:
+1 (540) 4004081
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