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Urogynecology Physician Assistant
2 weeks ago
The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA works closely with the physicians in the Urogynecology division to meet the physical, psychological and social needs of patients and their families. The PA may act as the primary resource to the inpatient and outpatient staff in dealing with both routine (rounding, discharge preparation) and acute patient management issues, contacting the attending in emergent situations (or as needed). Operative duties include assisting in surgeries and managing postoperative care under the supervision of the attending staff. Outpatient duties will include seeing patients for office/emergency room visits for preoperative and postoperative or acute issues; returning phone calls for routine, pre-operative and post-operative patients, as well as managing prescription refills and other necessary paperwork.
The physician assistant works under the s\supervision of an attending physician and reports directly to the department administrator or chief physician assistant administratively. The PA is expected to travel to different Urogynecology clinic and hospital sites
Inpatient and Operating room clinical duties
- Assist surgeons of the Urogyn team in the operating room
- Write orders for inpatients and outpatients
- Complete scripts for inpatients and outpatients
- Complete discharge summaries for inpatients and outpatients
- Care of hospitalized Urogynecologic patients:
- Perform admission history and physical exam and accurately record in the patient record
- Change surgical dressings
- Remove sutures and staples
- Write daily progress notes
- Write orders
- Dictate discharge summaries and/or complete discharge paper work
- Assist in making appropriate post hospitalization appointments and referrals
- Communicate with referring health care providers and institutions
- Write prescriptions
- Respond to Urogynecologic inpatient floor pages to evaluate situations that may represent variance in normal hospital course.
- Act as liaison between Urogynecologic inpatient floors/patient care teams and outpatient area, or in the case of transfer within the hospital, other care entities.
- Round with individual team members as requested, report back to team leaders
- Implement attending physician instructions for patient management in close cooperation with nursing staff
- Perform procedures within the PA scope of practice and as directed by the attending including:
- Order and interpret appropriate laboratory testing and other special examinations as requested
- Serve as a resource to the health care team for patient care issues
- -Collaborate with care coordinator for all patient care referrals
- Prepare succinct and accurate sign-out to facilitate the smooth transition of patient care
- Assist in the planning and implementation of discharging patients
Additional Competencies and Tasks in Care of Outpatient Urogynecological Patients
- Conduct initial evaluation of Urogynecological patients seen in the outpatient clinic or Emergency Room
- Conduct and appropriately interpret Physical Exam
- Ordering appropriate laboratory and non-invasive testing and collating results
- Accurately inform responsible physician of acute situations
- Accurately report results of initial assessment and subsequent information to responsible physician (per above)
- Interact with all clinic personnel in collegial manner
- Perform surgical counseling
- Pessary insertion and removal- Perform urodynamics testing
- Perform voiding trials
- Insert and remove trans-urethral catheters
- Teach patients on the care of catheters and intermittent self catheterization
- Perform bladder instillations for IC patients
- Perform PTNS procedures for patients with overactive bladder
General Duties
- Work collaboratively and function as an efficient member of the health care team
- Assist in the coordination of consultation of other sub-specialists involved in the care of patients
- Provide education to patients and families
- Document in the medical record as appropriate and communicate observations/findings with attending physicians
- Monitor environment of care and comply with regulatory agency standards
- Ensure that their clinical practice is consistent with physician assistant policies, procedures and standards
- Participate in QA/QI projects as appropriate
- Participate in research projects as appropriate
- Call patients before and after surgery to field any questions or concerns
- Additional duties and responsibilities as required by the department/division
Education
Master's Degree Physician Assistant required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Physician Assistant [State License] - Generic - HR Only required
Experience
Experience as a licensed Physician Assistant preferred
Knowledge, Skills and Abilities
- Skilled in taking medical histories to assess medical condition and interpret findings.
- Ability to maintain quality control standards.
- Ability to react calmly and effectively in emergency situations.
- Ability to interpret, adapt and apply guidelines and procedures.
- Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.
