APP Resident
Physician Assistant or Nurse Practitioner
Direct Orthopedic Care | Dallas Fort Worth, TX | Full-Time | Rolling Admissions
About the Role
Direct Orthopedic Care is seeking Physician Assistants and Nurse Practitioners to join our APP Residency. This is a 12-month, full-time training program focused on developing confident, procedurally skilled clinicians within a collaborative, APP-led orthopedic and pain care model.
This is not an observership. Residents are active clinicians from early in the program, with structured mentorship, protected education time, and hands-on procedural training built into every week.
About the Program
The DOC APP Residency was built around how high-functioning orthopedic teams actually work. Experienced APPs lead front-line patient evaluation and procedural care while working closely with orthopedic surgeons and pain physicians for operative exposure and complex decision-making. Residents train alongside experienced orthopedic and pain APP mentors across the DOC network in the Dallas Fort Worth region, with clinical responsibility increasing as competence and judgment develop.
What You'll Do
Evaluate and manage patients across acute orthopedic, sports, degenerative, and musculoskeletal pain presentationsPerform and assist with ultrasound-guided injections, aspirations, and fracture proceduresInterpret radiographic imaging and manage fracture care including splinting, casting, and follow-upParticipate in surgical first assist and postoperative orthopedic follow-upAttend protected didactic sessions, case-based learning, and procedural workshops each weekComplete curriculum aligned with Orthopedic CAQ expectationsEngage in structured mentorship and formal progress reviews throughout the yearWho We're Looking For
New PA and NP graduates seeking a structured entry into orthopedic practice and experienced clinicians transitioning into the specialty are equally well-suited. Strong candidates have a genuine interest in musculoskeletal medicine, value mentorship and accountability, and are prepared for an intensive, high-volume clinical environment.
Requirements
Candidates pending graduation: graduate of an ARC-PA accredited PA program or accredited NP program, anticipated graduation date and planned board exam, CV, personal statement, and unofficial transcripts.
Graduated applicants: NCCPA certification or applicable board certification, Texas Medical Board licensure or pending application, DEA registration, CV, personal statement, and two letters of recommendation.
Compensation and Benefits
Residents are hired as full-time salaried employees from day one with a full benefits package including competitive salary, health, dental and vision insurance, 401(k), paid time off, CME allowance, and CME days in addition to PTO.
Where Graduates Go
100% of DOC APP Residency graduates have secured employment following completion, with the majority continuing their careers within Direct Orthopedic Care. Graduates practice across the full spectrum of orthopedic and pain settings including general orthopedics, sports medicine, spine, hand and upper extremity, pain management, physical medicine and rehabilitation, pediatric orthopedics, orthopedic oncology, and orthopedic urgent care.
Read LessAs the Limited Medical Radiologic Technologist, I report to the Practice Manager. I understand the significance of providing sincere care for each of our guests and their safety while in our care. In conjunction, I provide x-rays at the provider’s direction and offer outstanding clinical support by understanding the value of communication, a helpful hand and the importance of relating to one’s needs.
Lead Outcomes
I will take initial x-rays per DOC protocol and any follow-up x-rays at the Provider’s discretion. I provide a genuine welcome to all guests as they enter DOC and lead hospitality efforts by maintaining a courteous, attentive and professional manner. I follow all protocols to reduce anxiety, provide explanation of treatment and ensure each guest departs with all questions answered.I lead guest flow including rooming guests, taking vitals, setting up injections, obtaining prior authorizations for injections, taking inventory/ordering supplies, educating guests and applying DME.I apply safety techniques, register guests in PACS and transport guests between rooms.I am able to check-in guests and collect demographic information, verify insurance coverage and collect copays.I maintain patient confidentiality and ensure PHI is secure at all times. I have a comprehensive knowledge and working understanding of HIPAA regulations and continual compliance.Core Responsibilities
I facilitate guest flow by notifying providers and other team members of guests’ arrival, having awareness of delays, and providing continual communication with all.I proactively minimize radiation to guest and team members by practicing radiation protection techniques and following all DOC protocols.I input CPT codes in EMR.I ensure operation of radiology equipment by completing preventative maintenance requirements including but not limited to following manufacturer’s instructions, troubleshooting malfunctions, scheduling for repairs, maintaining equipment inventory and service history.I assist providers with guest care by documenting care utilizing both EMR and PAC technology.I ensure compliance with federal, state, and local legal requirements by studying existing and new legislation; anticipating legislation; enforcing adherence to requirements.I maintain and evolve my professional and technical knowledge.I exemplify the following competencies
My leadership is proactive.My behaviors and standards model DOCs values and deliver a service experience that is unrivaled.I use active listening skills.My behavior is enthusiastic.I enjoy working as part of a team.I am flexible and adaptable.I am able to lift up to 50lbs.I am proficient in computer skills. Read LessThe PT Tech assists with restoration of guest functioning to prevent disability following injury, disease or physical disability under the direct supervision of the staff physical therapist. Assist guests to reach their maximum performance and level of functioning. Perform clerical duties, assist with posting of guest charges, participate in all infection control, departmental equipment training, and all safety programs.
Essential Functions
• Promote the mission, vision, and values of the organization
• Responsible for providing specific treatment only as directed by the staff physical therapist.
• Ability to monitor vital signs
• Communicate any changes in condition to staff physical therapist or other facility personnel as
appropriate
• Manage and operate equipment safely and correctly
• Interact professionally with guests/family and involves them in the formation of the plan of care
• Prepare and clean treatment area for guest use. Perform final cleaning at close of day
• Record treatment/service revisions in accordance with department policy
• Demonstrate ability to be flexible, organized and function under stressful situation
• Perform other duties as assigned
Professional Requirements
• Adhere to dress code
• Complete annual education requirements.
• Maintain guest confidentiality at all times.
• Report to work on time and as scheduled.
• Wear identification while on duty.
• Maintain regulatory requirements, including all state, federal and local regulations.
• Represent the organization in a positive and professional manner at all times.
• Comply with all organizational policies and standards regarding ethical business practices.
• Communicate the mission, ethics and goals of the organization.
• Participate in performance improvement and continuous quality improvement activities.
Qualifications
• High school diploma or equivalent
• Current Basic Life Support (BLS) certification or must be obtained within 30 days of hire
• Strong organizational and interpersonal skills
• Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive
attitude
• Ability to manage multiple and simultaneous responsibilities and to prioritize scheduling of work
• Ability to maintain confidentiality of all medical, financial, and legal information
• Ability to complete work assignments accurately and in a timely manner
• Ability to communicate effectively, both orally and in writing
• Pushing and pulling heavy objects
• Position requires light to moderate work with 50 pounds maximum weight to lift and carry.
Read LessAs the Limited Medical Radiologic Technologist, I report to the Practice Manager. I understand the significance of providing sincere care for each of our guests and their safety while in our care. In conjunction, I provide x-rays at the provider’s direction and offer outstanding clinical support by understanding the value of communication, a helpful hand and the importance of relating to one’s needs.
Lead Outcomes
I will take initial x-rays per DOC protocol and any follow-up x-rays at the Provider’s discretion. I provide a genuine welcome to all guests as they enter DOC and lead hospitality efforts by maintaining a courteous, attentive and professional manner. I follow all protocols to reduce anxiety, provide explanation of treatment and ensure each guest departs with all questions answered.I lead guest flow including rooming guests, taking vitals, setting up injections, obtaining prior authorizations for injections, taking inventory/ordering supplies, educating guests and applying DME.I apply safety techniques, register guests in PACS and transport guests between rooms.I am able to check-in guests and collect demographic information, verify insurance coverage and collect copays.I maintain patient confidentiality and ensure PHI is secure at all times. I have a comprehensive knowledge and working understanding of HIPAA regulations and continual compliance.Core Responsibilities
I facilitate guest flow by notifying providers and other team members of guests’ arrival, having awareness of delays, and providing continual communication with all.I proactively minimize radiation to guest and team members by practicing radiation protection techniques and following all DOC protocols.I input CPT codes in EMR.I ensure operation of radiology equipment by completing preventative maintenance requirements including but not limited to following manufacturer’s instructions, troubleshooting malfunctions, scheduling for repairs, maintaining equipment inventory and service history.I assist providers with guest care by documenting care utilizing both EMR and PAC technology.I ensure compliance with federal, state, and local legal requirements by studying existing and new legislation; anticipating legislation; enforcing adherence to requirements.I maintain and evolve my professional and technical knowledge.I exemplify the following competencies
My leadership is proactive.My behaviors and standards model DOCs values and deliver a service experience that is unrivaled.I use active listening skills.My behavior is enthusiastic.I enjoy working as part of a team.I am flexible and adaptable.I am able to lift up to 50lbs.I am proficient in computer skills. Read LessDirect Orthopedic Care (DOC) is seeking a motivated and compassionate Advanced Practice Practitioner (APP) to join and help expand our non-opioid pain management practice. Our approach focuses on interventional procedures, physical therapy, and lifestyle modification to improve guest function and quality of life.
This role offers a collaborative, supportive environment with access to in-house imaging (X-ray, ultrasound), physical therapy services, and orthopedic specialists. The APP will work closely with a pain management physician while also enjoying autonomy to develop and grow their own guest panel.
Key Responsibilities
Clinical Duties
Perform comprehensive guest evaluations, including medical history and physical examinationsDevelop and implement individualized treatment plans focused on non-opioid pain managementOrder and interpret diagnostic imaging, laboratory tests, and specialty referrals as appropriateRecommend and coordinate interventional procedures for diagnostic and therapeutic purposesPerform in-office procedures, including: Peripheral joint injectionsNerve blocksTrigger point injectionsUtilize ultrasound guidance for precision and safetyDocumentation & Care Coordination
Maintain accurate, thorough, and timely documentation in the electronic medical record (EMR)Collaborate with physicians, physical therapists, and other team members to optimize guest outcomesEducate guests on treatment plans, lifestyle modifications, and expectations for recoveryQualifications
Strong interest in non-opioid pain management and interventional careStrong interest and ability to perform proceduresDesire to learn both the clinical and business aspects of practice developmentEffective communication and interpersonal skillsDemonstrate empathy and commitment to guest-centered careAbility to work collaboratively within a multidisciplinary teamAdaptability and flexibility in a fast-paced clinical environmentProfessional demeanor with guests, families, physicians, and staffRequirements
Minimum 1 year of experience as an NP or PA in one of the following areas: Primary CareOrthopedicsNeurologySpinePain ManagementCurrent NP or PA board certificationActive Texas license (or eligibility)Proficiency with EMR systems and general computer skillsWillingness to work a flexible scheduleWhy Join DOC?
Practice in a forward-thinking, non-opioid pain management modelAccess to on-site diagnostics and multidisciplinary careOpportunity for mentorship and procedural skill developmentAutonomy to build and grow your own practiceCollaborative, guest-focused environmentDirect Orthopedic Care (DOC) is seeking a motivated and compassionate Advanced Practice Practitioner (APP) to join and help expand our non-opioid pain management practice. Our approach focuses on interventional procedures, physical therapy, and lifestyle modification to improve guest function and quality of life.
This role offers a collaborative, supportive environment with access to in-house imaging (X-ray, ultrasound), physical therapy services, and orthopedic specialists. The APP will work closely with a pain management physician while also enjoying autonomy to develop and grow their own guest panel.
Key Responsibilities
Clinical Duties
Perform comprehensive guest evaluations, including medical history and physical examinationsDevelop and implement individualized treatment plans focused on non-opioid pain managementOrder and interpret diagnostic imaging, laboratory tests, and specialty referrals as appropriateRecommend and coordinate interventional procedures for diagnostic and therapeutic purposesPerform in-office procedures, including: Peripheral joint injectionsNerve blocksTrigger point injectionsUtilize ultrasound guidance for precision and safetyDocumentation & Care Coordination
Maintain accurate, thorough, and timely documentation in the electronic medical record (EMR)Collaborate with physicians, physical therapists, and other team members to optimize guest outcomesEducate guests on treatment plans, lifestyle modifications, and expectations for recoveryQualifications
Strong interest in non-opioid pain management and interventional careStrong interest and ability to perform proceduresDesire to learn both the clinical and business aspects of practice developmentEffective communication and interpersonal skillsDemonstrate empathy and commitment to guest-centered careAbility to work collaboratively within a multidisciplinary teamAdaptability and flexibility in a fast-paced clinical environmentProfessional demeanor with guests, families, physicians, and staffRequirements
Minimum 1 year of experience as an NP or PA in one of the following areas: Primary CareOrthopedicsNeurologySpinePain ManagementCurrent NP or PA board certificationActive Texas license (or eligibility)Proficiency with EMR systems and general computer skillsWillingness to work a flexible scheduleWhy Join DOC?
Practice in a forward-thinking, non-opioid pain management modelAccess to on-site diagnostics and multidisciplinary careOpportunity for mentorship and procedural skill developmentAutonomy to build and grow your own practiceCollaborative, guest-focused environmentDirect Orthopedic Care (DOC) is seeking a Pain Management Physician to join our growing multidisciplinary practice focused on interventional pain management, physical therapy, orthopedic care, and function-based recovery.
Our mission is to help guests reduce pain, restore function, and improve quality of life through coordinated, evidence-based care with a strong emphasis on non-opioid treatment strategies.
This role combines direct guest care with clinical leadership, including oversight and development of Advanced Practice Providers (APPs). The physician will work in a highly integrated environment with access to in-house imaging, physical therapy, and orthopedic specialists.
Practice Environment
Established turnkey practice in the Austin marketImmediate access to an existing guest population and referral streamMultidisciplinary orthopedic and pain management settingIn-house X-ray and ultrasoundIntegrated physical therapy servicesAccess to orthopedic specialistsEMR-driven, data-focused care modelPhysician Responsibilities
Clinical Care
Evaluate guests in-office and via telemedicineObtain histories and perform physical exams when guests are seen in personDevelop individualized treatment plansInterpret and document in-house X-ray findingsOrder appropriate imaging, labs, and specialty referralsPerform and prescribe interventional pain proceduresPrescribe non-opioid medications when clinically indicatedMaintain timely, accurate, and complete documentation in DOC’s EMRLearn and maintain EMR templates to support efficient, standardized documentationCall & Availability
Be available for after-hours and weekend emergencies, which are extremely rareAPP Oversight & Leadership
The Pain Management Physician will provide clinical oversight and leadership for APPs within the DOC Pain Management Department, including:
Service Line & Operational Leadership
The physician will meet routinely with DOC’s Vice President of Clinical Operations to:
Review service-line reportsAnalyze Key Performance IndicatorsDevelop strategies to improve service-line performance, access, guest outcomes, and operational efficiencyIdeal Candidate
Board-certified or board-eligible in Pain Medicine, or board-certified in a related specialty with interventional pain trainingPhysicians with backgrounds in Physical Medicine & Rehabilitation (PM&R), Anesthesiology, or related specialties are encouraged to applyStrong interest in non-opioid, function-focused pain careComfortable supervising and developing APPsCollaborative, data-driven, and interested in operational improvementStrong communication and documentation skillsCommitted to timely, guest-centered care in a multidisciplinary environment Read LessDirect Orthopedic Care (DOC) is seeking a Pain Management Physician to join our growing multidisciplinary practice focused on interventional pain management, physical therapy, orthopedic care, and function-based recovery.
This opportunity is located in Austin, Texas, and is available due to a physician retirement, creating a rare opportunity to step into a well-established, turnkey practice with an existing guest base, referral network, and operational infrastructure already in place.
Our mission is to help guests reduce pain, restore function, and improve quality of life through coordinated, evidence-based care with a strong emphasis on non-opioid treatment strategies.
This role combines direct guest care with clinical leadership, including oversight and development of Advanced Practice Providers (APPs). The physician will work in a highly integrated environment with access to in-house imaging, physical therapy, and orthopedic specialists.
Practice Environment
Established turnkey practice in the Austin marketImmediate access to an existing guest population and referral streamMultidisciplinary orthopedic and pain management settingIn-house X-ray and ultrasoundIntegrated physical therapy servicesAccess to orthopedic specialistsEMR-driven, data-focused care modelPhysician Responsibilities
Clinical Care
Evaluate guests in-office and via telemedicineObtain histories and perform physical exams when guests are seen in personDevelop individualized treatment plansInterpret and document in-house X-ray findingsOrder appropriate imaging, labs, and specialty referralsPerform and prescribe interventional pain proceduresPrescribe non-opioid medications when clinically indicatedMaintain timely, accurate, and complete documentation in DOC’s EMRLearn and maintain EMR templates to support efficient, standardized documentationCall & Availability
Be available for after-hours and weekend emergencies, which are extremely rareAPP Oversight & Leadership
The Pain Management Physician will provide clinical oversight and leadership for APPs within the DOC Pain Management Department, including:
Service Line & Operational Leadership
The physician will meet routinely with DOC’s Vice President of Clinical Operations to:
Review service-line reportsAnalyze Key Performance IndicatorsDevelop strategies to improve service-line performance, access, guest outcomes, and operational efficiencyIdeal Candidate
Board-certified or board-eligible in Pain Medicine, or board-certified in a related specialty with interventional pain trainingPhysicians with backgrounds in Physical Medicine & Rehabilitation (PM&R), Anesthesiology, or related specialties are encouraged to applyStrong interest in non-opioid, function-focused pain careComfortable supervising and developing APPsCollaborative, data-driven, and interested in operational improvementStrong communication and documentation skillsCommitted to timely, guest-centered care in a multidisciplinary environment Read LessAs the Limited Medical Radiologic Technologist, I report to the Practice Manager. I understand the significance of providing sincere care for each of our guests and their safety while in our care. In conjunction, I provide x-rays at the provider’s direction and offer outstanding clinical support by understanding the value of communication, a helpful hand and the importance of relating to one’s needs.
Lead Outcomes
I will take initial x-rays per DOC protocol and any follow-up x-rays at the Provider’s discretion. I provide a genuine welcome to all guests as they enter DOC and lead hospitality efforts by maintaining a courteous, attentive and professional manner. I follow all protocols to reduce anxiety, provide explanation of treatment and ensure each guest departs with all questions answered.I lead guest flow including rooming guests, taking vitals, setting up injections, obtaining prior authorizations for injections, taking inventory/ordering supplies, educating guests and applying DME.I apply safety techniques, register guests in PACS and transport guests between rooms.I am able to check-in guests and collect demographic information, verify insurance coverage and collect copays.I maintain patient confidentiality and ensure PHI is secure at all times. I have a comprehensive knowledge and working understanding of HIPAA regulations and continual compliance.Core Responsibilities
I facilitate guest flow by notifying providers and other team members of guests’ arrival, having awareness of delays, and providing continual communication with all.I proactively minimize radiation to guest and team members by practicing radiation protection techniques and following all DOC protocols.I input CPT codes in EMR.I ensure operation of radiology equipment by completing preventative maintenance requirements including but not limited to following manufacturer’s instructions, troubleshooting malfunctions, scheduling for repairs, maintaining equipment inventory and service history.I assist providers with guest care by documenting care utilizing both EMR and PAC technology.I ensure compliance with federal, state, and local legal requirements by studying existing and new legislation; anticipating legislation; enforcing adherence to requirements.I maintain and evolve my professional and technical knowledge.I exemplify the following competencies
My leadership is proactive.My behaviors and standards model DOCs values and deliver a service experience that is unrivaled.I use active listening skills.My behavior is enthusiastic.I enjoy working as part of a team.I am flexible and adaptable.I am able to lift up to 50lbs.I am proficient in computer skills. Read LessAbout the Role
Direct Orthopedic Care is seeking Physician Assistants and Nurse Practitioners to join our APP Residency. This is a 12-month, full-time training program focused on developing confident, procedurally skilled clinicians within a collaborative, APP-led orthopedic and pain care model.
This is not an observership. Residents are active clinicians from early in the program, with structured mentorship, protected education time, and hands-on procedural training built into every week.
About the Program
The DOC APP Residency was built around how high-functioning orthopedic teams actually work. Experienced APPs lead front-line patient evaluation and procedural care while working closely with orthopedic surgeons and pain physicians for operative exposure and complex decision-making. Residents train alongside experienced orthopedic and pain APP mentors across the DOC network in the Dallas Fort Worth region, with clinical responsibility increasing as competence and judgment develop.
APP-led training model with physician collaboration and surgical exposureProtected didactic education four mornings per weekDedicated procedural workshop days throughout the yearSurgical first assist experience and perioperative careFocused musculoskeletal pain management curriculumStructured mentorship and formal performance feedback100% job placement over a six-yeartrack recordWhat You'll Do
Evaluate and manage patients across acute orthopedic, sports, degenerative, and musculoskeletal pain presentationsPerform andassistwith ultrasound-guided injections, aspirations, and fracture proceduresInterpret radiographic imaging and manage fracture care including splinting, casting, and follow-upParticipate in surgical first assist and postoperative orthopedic follow-upAttend protected didactic sessions, case-based learning, and procedural workshops each weekComplete curriculum aligned with Orthopedic CAQ expectationsEngage in structured mentorship and formal progress reviews throughout the yearWho We're Looking For
New PA and NP graduates seeking a structured entry into orthopedic practice and experienced clinicians transitioning into the specialty are equally well-suited. Strong candidates have a genuine interest in musculoskeletal medicine, value mentorship and accountability, and are prepared for an intensive, high-volume clinical environment.
Requirements
Candidates pending graduation: graduate of an ARC-PA accredited PA program or accredited NP program, anticipated graduation date and planned board exam, CV, personal statement, and unofficial transcripts.
Graduated applicants: NCCPA certification or applicable board certification, Texas Medical Board licensure or pending application, DEA registration, CV, personal statement, and two letters of recommendation.
Compensation and Benefits
Residents are hired as full-time salaried employees from day one with a full benefits package including competitive salary, health, dental and vision insurance, 401(k), paid time off, CME allowance, and CME days in addition to PTO.
Where Graduates Go
100% of DOC APP Residency graduates have secured employment following completion, with the majority continuing their careers within Direct Orthopedic Care. Graduates practice across the full spectrum of orthopedic and pain settings including general orthopedics, sports medicine, spine, hand and upper extremity, pain management, physical medicine and rehabilitation, pediatric orthopedics, orthopedic oncology, and orthopedic urgent care.
Read Less