Explore rewarding Lead Physician Assistant, Cardiac Surgery jobs, a senior clinical and administrative role at the forefront of advanced surgical care. This position represents the pinnacle of the PA profession within the high-acuity specialty of cardiothoracic surgery, blending expert hands-on patient management with essential leadership and operational duties. Professionals in these jobs are pivotal in ensuring exceptional patient outcomes while guiding and developing a team of physician assistants. Typically, a Lead PA in Cardiac Surgery operates in a dual capacity. Clinically, they deliver comprehensive patient care across the entire continuum, from preoperative assessment through postoperative recovery and discharge. Common responsibilities include performing detailed histories and physicals, first and second assisting in complex open-heart and thoracic procedures such as coronary artery bypass grafts (CABG) and valve replacements, and managing critical post-op patients in the ICU and step-down units. They are proficient in specialized techniques like endoscopic vessel harvesting (EVH), placing invasive lines, managing life-threatening complications, and coordinating patient care plans in close collaboration with attending surgeons. Beyond the bedside, the role is defined by leadership. Lead PAs serve as the central resource and mentor for the PA team, directing schedules, managing daily assignments, and providing clinical guidance. They are instrumental in program development, quality improvement initiatives, and policy review. A significant part of the job involves education—precepting new hires, mentoring students, and ensuring the entire team maintains rigorous competencies. They often act as a liaison between the surgical service, hospital administration, and other departments, participating in committees that shape clinical standards. Typical requirements for these advanced jobs include graduation from an accredited PA program, national certification (NCCPA), and an active state license. A minimum of five years of dedicated cardiothoracic surgery experience is standard, with demonstrated mastery in the operating room and critical care management. Essential skills extend beyond technical surgical proficiency to encompass strong leadership, communication, and organizational abilities. Certifications in ACLS and BLS are mandatory. This career path is ideal for a seasoned PA seeking to impact patient care at a systemic level while remaining deeply embedded in the dynamic, life-saving field of cardiac surgery. Discover how you can lead and innovate in these vital Lead Physician Assistant, Cardiac Surgery jobs.