Orthopaedic Spine Physician Assistant

The Orthopaedic Spine Physician Assistant (PA) works collaboratively with the supervising physician to provide high-quality, patient-centered care across clinic, surgical, and hospital settings. This role supports the full continuum of spine care, including patient evaluation, surgical assistance, and post-operative management, while contributing to efficient workflows and exceptional patient outcomes.

This position offers a balanced and highly desirable practice environment within a large, well-established orthopaedic program.

Opportunity Highlights

• Competitive compensation model with earnings based on production 
• Established orthopaedic group of 30+ providers, offering strong clinical collaboration and support 
• Outstanding reputation for Advanced Practice Providers (APPs), with a highly supportive and team-oriented culture 
• Excellent APP benefits package 
• Work-life balance with home call/phone call coverage being rotational 1:15
• Diverse practice setting including a mix of clinic, operating room, and hospital-based care 
• Collaborative team structure, working alongside one spine surgeon and three Physician Assistants, with shared responsibilities 

Why Join Pinehurst Surgical Clinic?

• Growing Orthopaedic Service Line with continued investment in specialty care 
• New State-of-the-Art ASC (Opening Summer 2026) – Southern Pines Orthopaedic Surgery Center 
• Team-Based, Physician-Led Environment focused on quality and outcomes 
• High Clinical Volume & Case Variety 
• Advanced Technology & Streamlined Workflows 
• Professional Growth & Mentorship Opportunities 
• Strong Operational and Administrative Support 

What You’ll Do

Clinic Responsibilities:

• Perform comprehensive patient evaluations, including medical history and physical examinations 
• Diagnose and manage acute and chronic spine conditions under physician supervision 
• Develop and implement treatment plans (medications, injections, bracing, therapy referrals) 
• Order and interpret diagnostic imaging (X-ray, MRI, CT) 
• Provide patient education on diagnoses, treatment options, and recovery expectations 
• Perform in-office procedures (injections, wound care, suture/staple removal) 
• Document patient encounters accurately in the EMR 
• Coordinate care with physical therapy, imaging, and other ancillary services 

Operating Room Responsibilities:

• Serve as first or second assist in spine surgeries 
• Assist with patient positioning, sterile prep, and draping 
• Provide intraoperative support (retraction, exposure, hemostasis, instrumentation)      
• Assist with implant placement and wound closure 
• Collaborate with surgical team to ensure efficient case flow and optimal outcomes 

Post-Operative & Inpatient Responsibilities:

• Conduct post-operative rounds and monitor recovery 
• Manage pain control, wound care, and complications 
• Coordinate discharge planning and follow-up care 

Qualifications

• Graduate of an accredited Physician Assistant program 
• NCCPA certification 
• Active North Carolina PA license (or eligibility) 
• BLS certification required (ACLS preferred) 
• Orthopaedic spine and/or surgical assisting experience strongly preferred 
• Strong clinical assessment, communication, and teamwork skills 
• Ability to work in a fast-paced clinical and surgical environment 

About the Area

Pinehurst and Southern Pines, located in the Sandhills region of North Carolina, offer an exceptional quality of life with a blend of small-town charm and modern amenities. Known for world-class golf, horse country and outdoor recreation, the area features excellent schools, a vibrant downtown, and convenient access to Raleigh, Cary, Charlotte, and the North Carolina mountains and coast.